A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?
Reactions to any previous hospitalizations.
A history of rubella, rubeola, or chicken pox.
Mother's use of alcohol, drugs, or cigarettes during pregnancy.
List of achievement timeline for developmental milestones.
The Correct Answer is C
A. Reactions to any previous hospitalizations can provide some insight into the child's previous healthcare experiences, but it may not be as directly relevant to planning care for an umbilical hernia repair.
B. A history of rubella, rubeola, or chicken pox is important for the child's medical history, but it may not be the most critical information when planning care for an umbilical hernia repair.
C. The mother's use of alcohol, drugs, or cigarettes during pregnancy is particularly relevant when planning care for a child undergoing surgery, as it can affect the child's overall health and potential complications during and after the procedure. Exposure to these substances during pregnancy can lead to various health issues that need to be considered in the child's care plan.
D. A list of achievement timeline for developmental milestones is important for understanding the child's developmental progress, but it may not be the primary consideration when planning care for an umbilical hernia repair.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administering pain medication based on the FACES pain scale is not the most relevant intervention in the preoperative period for a Wilms' tumor. Pain management may be addressed postoperatively, as needed.
B. Including the prone position in the every 2-hour turning schedule may not be the most appropriate intervention, as it may not be suitable for an infant with a Wilms' tumor, considering the location and potential size of the tumor.
C. Careful bathing and handling that avoids abdominal manipulation.
Wilms' tumor, also known as nephroblastoma, is a pediatric kidney cancer. Prior to surgery, it's crucial to handle the infant with care and avoid any abdominal manipulation to prevent any further complications or disruption to the tumor. This involves gentle handling and avoiding activities that may put pressure on the tumor or cause discomfort to the infant.
D. Giving antiemetic medications to prevent nausea and vomiting is a potential intervention, but it may be more relevant in the postoperative period, and its necessity would depend on the infant's individual condition and the surgical plan.
The priority during the preoperative period for an infant with a Wilms' tumor is to handle the infant carefully and avoid any actions that could exacerbate the condition or cause discomfort. The specific surgical plan and other preoperative preparations would be determined by the healthcare provider.
Correct Answer is C
Explanation
A. Breastfeeding frequently is generally recommended for infant health, but it is not specifically related to preventing otitis media recurrence. It has other health benefits for infants.
B. Positioning the infant prone (face down) after feeding is not recommended, and it does not relate to preventing otitis media recurrence. The recommended sleep position for infants is on their back to reduce the risk of sudden infant death syndrome (SIDS).
C. Avoiding smoke exposure is a crucial instruction for preventing otitis media recurrence. Exposure to secondhand smoke is a known risk factor for ear infections in children. It can lead to increased susceptibility to respiratory infections, which can subsequently increase the risk of otitis media.
D. Inspecting the infant's ears daily is not a primary preventive measure for otitis media recurrence. While it's essential to monitor the child's health, checking the ears daily is not a standard practice for preventing ear infections.
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