The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?
A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis
A term 2-week-old infant of American Indian descent with an upper respiratory infection
A post-term 4-week-old infant, Black descent, with moderate emesis after feeding
A 1-week-old infant born at 40 weeks’ gestation with symptoms of cough
The Correct Answer is A
a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.
b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.
c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.
d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Centrism: The tendency to focus on only one aspect of a situation is more characteristic of Piaget's preoperational stage (2-7 years).
b) Transudative
c) Conservation: The understanding that quantity remains the same despite changes in shape or arrangement. This typically develops later in Piaget's concrete operational stage (7-11 years).
d) Object permanence: Refers to the understanding that objects continue to exist even when they are not within view. This is a major developmental milestone that typically emerges around 8 to 9 months of age.
Correct Answer is B
Explanation
a) Health assessment: Refers to the evaluation of the child's health status, including physical examinations and assessments.
b) Health promotion: Involves educating and encouraging practices that enhance overall health, like explaining the importance of immunizations.
c) Health maintenance: Focuses on ensuring continued health through preventive measures and routine care.
d) Health screening: Involves checking for diseases or conditions even when symptoms are not apparent, typically via tests or exams.
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