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What is an important aspect of parent teaching for the care of a baby undergoing serial casting for clubfoot?

A.

Use lotion or powder inside the cast to prevent itching

B.

Ensure the cast remains dry and clean at all times.

C.

Massage the baby’s foot to improve circulation while the cast is on.

D.

Remove the cast daily to allow the baby’s skin to breathe.

Answer and Explanation

The Correct Answer is B

A. "Use lotion or powder inside the cast to prevent itching." – Incorrect. Lotions and powders can increase moisture, leading to skin irritation or infection.

B. "Ensure the cast remains dry and clean at all times." – Correct. Moisture can weaken the cast and cause skin breakdown.

C. "Massage the baby’s foot to improve circulation while the cast is on." – Incorrect. Massage is not recommended as it may interfere with alignment.

D. "Remove the cast daily to allow the baby’s skin to breathe." – Incorrect. The cast must remain on continuously and is only removed by a healthcare provider.


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Related Questions

Correct Answer is B

Explanation

A. Parents are less likely to rely on hospice care services if their child has a terminal illness. – Incorrect. Many parents seek hospice services for support in end-of-life care.

B. Siblings may feel as if they have lost a parent, which can lead to poor mental health. – Correct. Siblings often experience emotional distress due to the shift in parental attention.

C. Most negative feelings regarding losing a child should diminish within a year. – Incorrect. Grief is an ongoing process that does not have a set timeline.

D. Parents who feel hopeful are less equipped to make decisions that limit end-of-life interventions. – Incorrect. Hope can coexist with informed decision-making.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.

Rationale for incorrect options:

Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.

Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.

Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.

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