The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

Warning about small objects left on the floor

Telling about safety procedures during baths

Advising how to create a toddler-safe home

Cautioning about putting the baby in a walker

Answer and Explanation

The Correct Answer is A

A.   At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B.   Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C.   This more relevant for older babies or toddlers who can stand, walk, or climb.
D.   Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. In small-for-gestational age infants, kangaroo care may increase heat loss due to evaporation, conduction, or convection from the parent's skin or clothing. The nurse should minimize kangaroo care and use other methods of warming such as radiant warmers, incubators, or swaddling.
B. Assessing the axillary temperature regularly helps monitor the infant's temperature and response to interventions.
C. Encouraging skin-to-skin contact helps promote thermal regulation and bonding between the infant and parents. Unlike kangaroo care, skin-to-skin contact does not involve covering the infant with clothing or blankets, which can reduce heat loss by radiation or convection. The nurse should encourage skin-to-skin contact when possible and monitor the infant's temperature closely.
D. Assessing the environment for sources of heat loss is important for minimizing heat loss and promoting thermal regulation.
E. Reviewing maternal history can provide insights into potential risk factors or contributing factors to the infant's condition, such as maternal age, parity, weight, height, nutrition, smoking, alcohol, drug use, chronic diseases, infections, placental abnormalities, fetal anomalies, or complications during pregnancy or delivery.
F. Bathing the neonate with warmer water may increase the risk of overheating and should be avoided in infants at risk of thermal instability.

A. asphyxia. B. persistent pulmonary hypertension. C. transient tachypnea of the newborn. D. respiratory distress syndrome.

Correct Answer is D

Explanation

A. Asphyxia would typically manifest differently on a chest X-ray, possibly showing signs of lung collapse or consolidation.
B. Persistent pulmonary hypertension may present with other radiographic findings, such as enlargement of the heart or signs of pulmonary edema.
C. Transient tachypnea of the newborn might not produce a distinct ground glass pattern on chest X-ray.
D. Ground glass appearance on a chest X-ray is commonly associated with respiratory distress syndrome, a condition characterized by inadequate surfactant production in premature infants.

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The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

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Naxlex Comprehensive Predictor Exams

A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

While reviewing a newborn's medical record, the nurse notes that the chest X-ray shows a ground glass pattern. The nurse interprets this as indicative of.

Correct Answer is D

Explanation

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