The nurse is examining the posture of a male toddler and notes lordosis. What would be the appropriate reaction of the nurse to this finding?

Do nothing: this is a normal condition for toddlers.

Notify the primary care healthcare provider about the condition.

Refer the toddler to a physical therapist.

Explain that the child will need a back brace.

Answer and Explanation

The Correct Answer is A

A. Do nothing: this is a normal condition for toddlers: Lordosis, also known as swayback, is a common and typically normal finding in toddlers as they develop and their posture adjusts. It is characterized by an exaggerated curvature of the lumbar spine. In most cases, lordosis resolves on its own as the child grows and their musculoskeletal system matures. Therefore, no

intervention is usually necessary.

B. Notify the primary care healthcare provider about the condition: Lordosis alone is not

typically considered a concerning finding in toddlers unless it is severe or accompanied by other

symptoms. It is not necessary to notify the primary care provider unless there are additional concerning signs or symptoms.

C. Refer the toddler to a physical therapist: Referring the toddler to a physical therapist for lordosis alone is not warranted unless there are other significant musculoskeletal issues or developmental concerns.

D. Explain that the child will need a back bracE. Lordosis in toddlers does not typically require the use of a back brace. It is usually a benign and self-limiting condition that resolves with time as the child's musculoskeletal system matures.

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Correct Answer is C

Explanation

A. Forward-facing in the front passenger seat: This position is not suitable for an infant. Infants should always be placed in a rear-facing car seat in the back seat of the vehicle to reduce the risk of injury in the event of a crash.

B. Rear-facing in the back seat next to a window: Placing an infant next to a window increases the risk for injury. The safest position for a car seat is in the center of the back seat

C. Rear-facing in the middle of the back seat: Although the manufacturer of the car seat will provide specifics regarding use, a child should remain in a rear-facing car seat until age 2 or until the child outgrows the height or weight limits of a rear-facing seat

D. Forward-facing in the back seat: Forward-facing car seats are appropriate for older children, typically after they have outgrown rear-facing car seats based on height and weight requirements.

Infants should always ride in a rear-facing car seat until they reach the maximum weight or height limit specified by the car seat manufacturer.

A. Epiglottitis B. Bronchiolitis C. Influenza D. Croup

Correct Answer is B

Explanation

A. Epiglottitis

Epiglottitis typically presents with rapid onset of severe sore throat, high fever, difficulty swallowing, and drooling due to inflammation and swelling of the epiglottis. It is a medical emergency requiring immediate intervention but is less likely to present with the described symptoms.

B. Bronchiolitis

Bronchiolitis commonly occurs in infants and young children, often during the winter months. It is characterized by symptoms such as coughing, wheezing, nasal congestion, fever, and

respiratory distress. The described symptoms, including coughing, nasal congestion, and intermittent fever, align with bronchiolitis.

C. Influenza

Influenza typically presents with symptoms such as fever, cough, sore throat, body aches, and fatigue. While coughing and fever are common symptoms of influenza, the presence of apneic spells is less typical of influenza and more indicative of lower respiratory tract infections like bronchiolitis.

D. Croup

Croup is characterized by a barking cough, hoarseness, and respiratory distress often accompanied by stridor. While croup shares some symptoms with bronchiolitis, such as coughing, the absence of stridor in the description suggests bronchiolitis as a more likely diagnosis.

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The nurse is examining the posture of a male toddler and notes lordosis. What would be the appropriate reaction of the nurse to this finding?

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