What measure at home could help a child with an upper respiratory infection breathe more easily?

Playing "rapid breathing" games.

Enforcing strict bed rest.

Limiting fluid intake.

Increasing room humidity.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Rapid breathing games would worsen the child's condition. Rapid breathing, or hyperventilation, can lead to respiratory alkalosis, which is an imbalance in the body's acid-base balance. It can also cause dehydration and further irritate the respiratory tract, increasing the child's discomfort and potentially exacerbating the symptoms of the upper respiratory infection.

Choice B rationale

Enforcing strict bed rest is generally not necessary and can sometimes be detrimental. While rest is important, complete immobility can increase the risk of complications such as pneumonia due to a lack of lung expansion. Moderate activity is often encouraged to prevent pooling of secretions and to maintain normal respiratory function.

Choice C rationale

Limiting fluid intake is contraindicated. Adequate hydration is crucial for a child with an upper respiratory infection. Fluids help to thin respiratory secretions, making them easier to clear from the airways, and prevent dehydration, which can be a significant risk, especially if the child has a fever.

Choice D rationale

Increasing room humidity is a beneficial measure. Humidified air helps to soothe inflamed respiratory passages and moisten secretions, making them less viscous and easier for the child to cough up. This can significantly reduce nasal congestion, cough, and throat irritation, improving the child's ability to breathe comfortably.

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Correct Answer is D

Explanation

Choice A rationale

A fundus 3 finger-breadths below the umbilicus after voiding on the third postpartum day is a normal finding. Fundal height typically descends approximately one finger-breadth per day following delivery. This physiological process, known as involution, involves myometrial contraction and autolysis, leading to the uterus returning to its pre-pregnant size.

Choice B rationale

Mild uterine cramping that resolves with NSAIDs is a normal postpartum finding. This cramping, often called afterpains, is caused by intermittent myometrial contractions. These contractions are stimulated by endogenous oxytocin and are essential for compressing uterine blood vessels and preventing postpartum hemorrhage. NSAIDs inhibit prostaglandin synthesis, which is a key mediator of pain and uterine contractions.

Choice C rationale

A fundus 2 finger-breadths above the pubic symphysis after voiding on the third postpartum day would be an extremely low finding and is not indicative of subinvolution. This position suggests that the uterus has already undergone a significant amount of involution, which is not the pathology of subinvolution. The fundus should still be palpable abdominally at this stage.

Choice D rationale

Uterine subinvolution is a condition where the uterus fails to return to its pre-pregnant state at the expected rate. A fundus palpated at the umbilicus on the third postpartum day is abnormal. The fundus should have descended approximately three finger-breadths below the umbilicus by this time. This assessment finding indicates a delay in the phys

A. They do not result in cervical change. B. They will increase in intensity and strength. C. They do not increase in frequency and intensity. D. They often disappear with rest or sleep. E. They are irregular.

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

Explanation

Choice A rationale

False labor contractions, also known as Braxton Hicks contractions, are uncoordinated and do not cause effacement or dilation of the cervix. They are considered practice contractions. True labor contractions, in contrast, cause progressive cervical changes, which is the definitive sign of true labor. This is the key physiological difference between true and false labor.

Choice B rationale

This statement describes true labor contractions, not false labor. True labor contractions will increase in intensity, duration, and frequency over time. As the labor progresses, the contractions become stronger and more powerful, leading to cervical changes. False labor contractions are typically inconsistent in their strength and may even weaken over time.

Choice C rationale

This statement is an incomplete description of false labor. While they do not necessarily increase in frequency and intensity, a key characteristic is that they are irregular in their pattern. True labor contractions, on the other hand, are regular and follow a predictable pattern of increasing frequency and intensity.

Choice D rationale

False labor contractions often diminish or disappear with rest, changes in activity, or hydration. This is a common characteristic that helps to distinguish them from true labor. True labor contractions will continue regardless of rest, sleep, or changes in activity and will often become stronger with ambulation.

Choice E rationale

False labor contractions are typically irregular in their timing and duration. The interval between contractions does not shorten, and the intensity does not increase. True labor contractions, however, are regular and predictable, following a pattern of increasing frequency, duration, and intensity as labor progresses. .

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What measure at home could help a child with an upper respiratory infection breathe more easily?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment on the third postpartum day would indicate to the nurse that a client is experiencing uterine subinvolution?

Correct Answer is D

Explanation

What should the nurse emphasize as being characteristic of false labor contractions?

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

Explanation

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