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

Answer and Explanation

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.

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Correct Answer is C

Explanation

a) IgM: Typically does not cross the placenta in significant amounts.

b) IgA: Does not pass through the placenta.

c) IgG: Crosses the placenta, providing passive immunity to the fetus.

d) IgE: Does not significantly cross the placenta barrier.

A. Observing the child in the classroom to see interactions between the child and others B. Determine if there is conflict between the child and the teacher C. Conducting a vision and hearing screening D. Talking with the child to determine if there are family stressors such as divorce, interfering with the child's performance

Correct Answer is C

Explanation

a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.

b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.

c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.

d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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