The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?

Place the child in low flow oxygen.

Place the infant in an isolette or radiant warmer.

Obtain a stat chest X-ray.

Elevate the head of the bed 30 to 35 degrees.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While providing oxygen can be important in the care of a newborn with esophageal atresia, it is not the first priority. These babies often have difficulty breathing, but this is usually due to the abnormal connection between the esophagus and the trachea (tracheoesophageal fistula), which allows stomach acid to enter the lungs. Oxygen therapy alone does not address this underlying problem.

Choice B rationale

Placing the infant in an isolette or radiant warmer is not the first priority. While maintaining the baby’s body temperature is important, it does not address the immediate risks associated with esophageal atresia.

Choice C rationale

Obtaining a stat chest X-ray can be part of the diagnostic process for esophageal atresia, but it is not the first priority. The diagnosis is usually suspected based on symptoms such as frothy bubbles in the mouth and nose, coughing or choking when feeding, and difficulty breathing.

Choice D rationale

Elevating the head of the bed 30 to 35 degrees is the first priority. This position helps to prevent aspiration of gastric contents into the lungs, which can occur due to the abnormal connection between the esophagus and the trachea (tracheoesophageal fistula) that is often present in babies with esophageal atresia.

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Correct Answer is B

Explanation

Choice A rationale

Catching a bounced ball is a skill that typically develops around the age of 21. However, it’s not uncommon for 1-year-olds to start practicing this skill, especially if they show interest and are physically ready.

Choice B rationale

Jumping rope is a complex activity that requires advanced motor skills, coordination, and timing. These skills are usually not fully developed in a 1-year-old child. Therefore, purchasing a jumping rope for a 1-year-old child indicates a need for further teaching as it is not an age- appropriate activity.

Choice C rationale

Riding a tricycle is a skill that children typically start to develop around the age of 31. However, there are tricycles designed for younger children that come with push handles for parents. If the parents are referring to this type of tricycle and they are always present to supervise and assist, it could be an appropriate activity.

Choice D rationale

Running and playing chase can be great activities for a 1-year-old child. Around this age, many children start to walk independently and may even start to run. Playing chase can help them develop their gross motor skills and is a fun way for them to stay active.

A. Egocentrism. B. Magical thinking. C. Centration. D. Reversibility.

Correct Answer is B

Explanation

Choice A rationale

Egocentrism is a characteristic of cognitive development typically seen in the preoperational stage (2-7 years), where children believe everyone sees the world as they do. However, expressing sadness about being home alone does not specifically indicate egocentrism.

Choice B rationale

Magical thinking, also a characteristic of the preoperational stage, involves beliefs that thoughts can cause actions. Feeling sad about being home alone could be a manifestation of this, as the child might believe their sadness can change the situation.

Choice C rationale

Centration is the tendency to focus on one aspect of a situation and neglect others. The child’s statement does not provide evidence of centration.

Choice D rationale

Reversibility, the understanding that actions can be reversed, is a characteristic of the concrete operational stage (7-11 years)14. The child’s statement does not provide evidence of reversibility.

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The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education about age-appropriate activities to the parents of a 1-year-old child. Which of the following statements indicates a need for further teaching?

Correct Answer is B

Explanation

The nurse recognizes that a 4-year-old hospitalized child is exhibiting which characteristic of cognitive development, when the child tells the nurse it’s sad to be at home alone?

Correct Answer is B

Explanation

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