The nurse is observing parents playing with their 10 month old daughter. What should the nurse recognize as evidence that the child is developing object permanence?

She returns the blocks to the same spot on the table.

She looks for the toy the parents hide under the blanket.

She bangs two cubes held in her hands.

She recognizes that a ball of clay is the same when flattened out.

Answer and Explanation

The Correct Answer is B

A. She returns the blocks to the same spot on the table.

This behavior is more related to a sense of order or routine rather than object permanence. It doesn't directly demonstrate understanding object permanence.

B. She looks for the toy the parents hide under the blanket.

This behavior is consistent with the concept of object permanence. If the child searches for a hidden toy, it indicates an understanding that the object still exists even when out of sight.

C. She bangs two cubes held in her hands.

Banging cubes is not directly related to object permanence. It might demonstrate exploration or cause-and-effect understanding, but it doesn't specifically indicate object permanence.

D. She recognizes that a ball of clay is the same when flattened out.

This behavior demonstrates an understanding of conservation, which is different from object permanence. Conservation involves recognizing that the quantity of a substance remains the same despite changes in shape.

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Correct Answer is C

Explanation

A. Wait for parents to obtain consent

Waiting for parents to obtain consent might not be appropriate in emergency situations where immediate intervention is necessary. Delays could impact the outcome, and the healthcare team needs to prioritize the well-being of the patient.

B. Give pain medications until consent can be obtained

Administering pain medications alone might provide temporary relief but does not address the underlying issue requiring emergency surgery. It's important to address the root cause promptly, especially if surgery is deemed necessary.

C. Have the youth give assent, and proceed with surgery

This option is appropriate when dealing with a mature minor who can understand the nature, risks, and benefits of the surgery. Assent from the youth is sought in conjunction with attempts to contact parents. It is an ethical and legal approach in emergency situations.

D. Attempt to contact another relative

Attempting to contact another relative might be a consideration, but it could introduce additional delays. If the situation is urgent and the youth can provide informed assent, proceeding with surgery while continuing efforts to contact parents is a reasonable approach.

A. The child's current vital signs are consistent with vital signs over the past 4 hours. B. The child becomes quiet when held and cuddled. C. The child has a temperature is 38.5°C. D. The child is lying stiffly in bed, not moving, and refusing to get up.

Correct Answer is D

Explanation

A. The child's current vital signs are consistent with vital signs over the past 4 hours.

Vital signs alone may not be sufficient to assess pain in a child. Children may experience pain without significant changes in vital signs. Behavioral cues and self-reporting are important indicators of pain in pediatric patients.

B. The child becomes quiet when held and cuddled.

While seeking comfort through cuddling may be a sign of distress or discomfort, it is not specific enough to determine the need for pain medication. Additional assessment is required to understand the underlying cause of the child's change in behavior.

C. The child has a temperature of 38.5°C.

Fever alone does not necessarily indicate the need for pain medication. It may suggest an infection or illness, but the specific assessment of pain requires consideration of the child's behavior, verbal expressions, and any other cues related to pain.

D. The child is lying stiffly in bed, not moving, and refusing to get up.

In this scenario, the child's behavior of lying stiffly in bed, not moving, and refusing to get up is indicative of potential pain. Children may express pain in various ways, and behavioral cues such as changes in activity, refusal to move, or guarding certain body parts can suggest discomfort. It is important for the nurse to assess and address the child's pain promptly.

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The nurse is observing parents playing with their 10 month old daughter. What should the nurse recognize as evidence that the child is developing object permanence?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Which assessment indicates to a nurse that a school-age child is in need of pain medication?

Correct Answer is D

Explanation

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