The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

Kimberly and Amanda share clay to each make things.

Brian playing with his truck next to Kristina playing with her truck.

Adam playing a board game with Kyle, Steven, and Erich.

Danielle playing with a music box on her mother's lap.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Kimberly and Amanda sharing clay to each make things represents cooperative play, not parallel play. Cooperative play involves interaction and collaboration between children, whereas parallel play involves children playing side by side without interacting.
Choice B rationale:
Brian playing with his truck next to Kristina playing with her truck demonstrates parallel play. In parallel play, children play independently but alongside others, showing interest in what others are doing but without direct interaction.
Choice C rationale:
Adam playing a board game with Kyle, Steven, and Erich represents cooperative play, not parallel play. Cooperative play involves shared activities and collaboration, while parallel play involves independent activities in proximity to others.
Choice D rationale:
Danielle playing with a music box on her mother's lap is an example of solitary play, where a child plays alone without regard to others. Solitary play is common in younger children and is different from parallel play.

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Correct Answer is B

Explanation

Choice A rationale:

Pouring water from a squeeze bottle over the woman's perineum is a common technique used to ease perineal discomfort after childbirth, but it does not address the issue of a full bladder preventing the uterus from contracting normally.

Choice B rationale:

Placing oil of peppermint in a bedpan under the woman is a technique used to encourage relaxation and help the woman empty her bladder spontaneously. The smell of peppermint can stimulate the relaxation of pelvic muscles, making it easier for the woman to urinate. This method is often effective in encouraging postpartum women to empty their bladders, which is important for uterine contraction and preventing postpartum hemorrhage.

Choice C rationale:

Asking the physician to prescribe analgesics may help manage pain but does not directly address the issue of a full bladder preventing normal uterine contractions.

Choice D rationale:

Inserting a sterile catheter is a medical intervention that might be necessary if the woman cannot empty her bladder spontaneously. However, it is typically considered after other non-invasive methods, such as the use of peppermint oil, have been attempted and failed. Inserting a catheter should be done with caution to avoid introducing infection and discomfort to the woman.

A. Weigh the infant every day on the same scale at the same time. B. Notify the physician when weight gain exceeds more than 20 g/day. C. Put the infant in a car seat to minimize movement. D. Administer digoxin as ordered by the physician.

Correct Answer is A

Explanation

Choice A rationale:
Weighing the infant every day on the same scale at the same time is crucial in monitoring excess fluid volume in congestive heart failure. Sudden weight gain can indicate fluid retention, a common sign of worsening heart failure. Daily weight monitoring helps in early detection and timely intervention.
Choice B rationale:
Notifying the physician when weight gain exceeds more than 20 g/day might be too late for intervention. Daily weight monitoring is essential to detect trends and intervene promptly to manage excess fluid volume.
Choice C rationale:
Placing the infant in a car seat to minimize movement is not directly related to managing excess fluid volume in congestive heart failure. It is essential for safety during transportation but does not address the nursing diagnosis.
Choice D rationale:
Administering digoxin as ordered by the physician is a medical intervention for congestive heart failure. While important, the nursing diagnosis is related to excess fluid volume, and the focus should be on nursing interventions such as monitoring daily weights.

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The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Because a full bladder prevents the uterus from contracting normally, nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails, the last thing the nurse could try is.

Correct Answer is B

Explanation

Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?

Correct Answer is A

Explanation

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