The nurse is discussing the ears and hearing in a child with a group of peers. Which statement is most accurate related to this topic?

The eustachian tube in the infant is straighter and wider than in the adult.

Most children do not have acutely developed hearing until the age of 5 years.

The infant usually responds to sounds around the age of 6 months.

The eardrum is located between the middle and the internal ear.

Answer and Explanation

The Correct Answer is A

Choice A reason: The infant’s eustachian tube is straighter and wider, increasing susceptibility to infections due to easier pathogen access. This anatomical difference is accurate, aligning with pediatric otolaryngology evidence, making it the most correct statement about children’s ear and hearing development discussed among peers.

Choice B reason: Children’s hearing is acutely developed at birth, not delayed until age 5. Newborns respond to sounds, and hearing matures early. This statement is inaccurate, as it misrepresents the timeline of auditory development, making it incorrect compared to the eustachian tube fact in infants.

Choice C reason: Infants respond to sounds from birth, with noticeable reactions by 1-3 months, not 6 months. This statement underestimates early auditory responsiveness, making it less accurate than the eustachian tube’s anatomical description, which is a key factor in pediatric ear health discussions.

Choice D reason: The eardrum (tympanic membrane) is between the outer and middle ear, not the middle and inner ear. This anatomical error makes the statement incorrect, as the eustachian tube’s structure is the most accurate fact about children’s ear and hearing anatomy in this context.

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Correct Answer is D

Explanation

Choice A reason: Explaining differential treatment to siblings fosters resentment and doesn’t teach the impaired child. Time-out after repetition reinforces boundaries, making this unhelpful and incorrect compared to a direct discipline strategy addressing the cognitively impaired preschooler’s continued behavior effectively.

Choice B reason: Taking away privileges like movies is too abstract for a cognitively impaired preschooler to connect to behavior. Immediate time-out is clearer, making this ineffective and incorrect compared to a concrete, immediate consequence tailored to the child’s cognitive limitations in discipline.

Choice C reason: Ignoring behavior and cleaning up avoids teaching consequences, reinforcing unwanted actions in a cognitively impaired child. Time-out provides structure, making this counterproductive and incorrect compared to a strategy that directly addresses and corrects the preschooler’s behavior with appropriate discipline.

Choice D reason: Waiting for a second occurrence and using immediate time-out provides clear, consistent consequences, suitable for a cognitively impaired preschooler’s understanding. This aligns with pediatric behavioral strategies, making it the correct statement reflecting effective discipline for the child’s continued behavior issues.

A. Have the caregiver sign a permission form acknowledging that the girl has been given the drug without pregnancy testing. B. Speak with the teen alone to ask her if she is sexually active. If she says she is not sexually active, let the provider know that it is okay to write the prescription. C. Acknowledge the caregiver’s discomfort about the pregnancy testing but encourage her to allow the daughter to have the testing so that she can use the medication. D. Arrange for the daughter to have the pregnancy testing without the caregiver’s knowledge.

Correct Answer is C

Explanation

Choice A reason: Signing a form to bypass pregnancy testing violates isotretinoin safety protocols, risking fetal harm due to teratogenicity. Encouraging testing ensures compliance, making this unsafe and incorrect compared to addressing the caregiver’s concerns while prioritizing the teen’s safety for acne treatment.

Choice B reason: Speaking to the teen alone respects privacy but doesn’t address the caregiver’s refusal or ensure testing compliance, required for isotretinoin. Encouraging testing with the caregiver’s consent is safer, making this inadequate and incorrect compared to securing agreement for mandatory pregnancy testing.

Choice C reason: Acknowledging the caregiver’s discomfort builds trust while emphasizing the necessity of pregnancy testing for isotretinoin’s safe use, preventing fetal harm. This aligns with pediatric medication safety protocols, making it the best action to ensure the 16-year-old can safely receive acne treatment.

Choice D reason: Testing without caregiver knowledge violates consent and trust, risking legal and ethical issues. Encouraging open discussion ensures compliance, making this unethical and incorrect compared to the nurse’s role in facilitating agreement for required pregnancy testing for the teen’s isotretinoin therapy.

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The nurse is discussing the ears and hearing in a child with a group of peers. Which statement is most accurate related to this topic?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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