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 C

Explanation

Choice A reason: Removing equipment reduces clutter but is less urgent than preventing falls, especially post-procedure when a child may be disoriented. Ensuring side rails and a low bed prioritizes safety, making this secondary and incorrect for the most immediate action in pediatric post-procedure care.

Choice B reason: Handling contaminated linens follows infection control but is not the immediate safety concern post-procedure. Preventing falls with side rails and a low bed is critical, making this less urgent and incorrect compared to the priority of ensuring the child’s physical safety after the procedure.

Choice C reason: Assessing side rails up and bed lowered prevents falls, the most immediate safety risk post-procedure when a child may be sedated or unsteady. This aligns with pediatric safety protocols, making it the correct statement for the most urgent action in post-procedure interventions.

Choice D reason: Documentation is essential but not immediate compared to fall prevention, which protects the child post-procedure. Side rails and bed positioning take precedence, making this subsequent and incorrect for the most urgent safety action required after a pediatric procedure in the hospital.

A. “Sterilize a pair of narrow tweezers. While someone else holds the child’s head still, carefully insert the tweezers and remove the paper if there is any.” B. “Wait for a day or two to see if the child’s ears seem irritated. If they do, bring her in.” C. “The child should be seen by a care provider. Don’t put anything in her ear and bring her in right away.” D. “Wash her ear out using warm water and an ear syringe then the paper will flush out with the water.”

Correct Answer is C

Explanation

Choice A reason: Using tweezers risks ear canal injury or pushing paper deeper in a 2-year-old, potentially causing trauma. Professional evaluation ensures safe removal, making this dangerous and incorrect compared to advising immediate medical attention to address the potential foreign object in the child’s ear safely.

Choice B reason: Delaying care for irritation risks complications like infection or eardrum damage from a foreign object in a 2-year-old. Immediate provider assessment is safer, making this inadequate and incorrect compared to prioritizing prompt medical evaluation for the child’s potential ear issue.

Choice C reason: Immediate care provider evaluation ensures safe removal of any paper, preventing ear damage or infection in a 2-year-old. Advising against inserting objects protects the child, aligning with pediatric safety protocols, making this the correct response to address the caregiver’s concern effectively.

Choice D reason: Washing the ear with a syringe may push paper deeper or injure a 2-year-old’s delicate ear canal. Professional intervention is needed, making this risky and incorrect compared to seeking immediate medical evaluation to safely address the potential foreign object in the child’s ear.

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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

A nurse is discussing post-procedure interventions with new pediatric nurses. Which statement addresses the most immediate safety action required?

Correct Answer is C

Explanation

The caregiver of a 2-year-old calls the clinic concerned that her child may have pushed paper into her ears, and she asks the nurse what to do. The mother found the child pushing on her ears with torn paper on the floor in front of her. What would be the appropriate response by the nurse?

Correct Answer is C

Explanation

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