Which of the following is not a reason young children are more prone to constipation?

Potty training contributes due to poor understanding of body reflexes

Bubble baths contribute to inflammation of the rectum

Children are picky eaters and do not consume enough fiber

Children would rather play and ignore defecation cues

Answer and Explanation

The Correct Answer is B

Choice A reason: Potty training can lead to constipation in young children, as they may not understand or respond to defecation urges, leading to stool withholding. This causes harder stools and discomfort, increasing constipation risk, making this a valid reason for the condition in this age group.

Choice B reason: Bubble baths do not cause rectal inflammation or constipation. They may irritate the urethra, increasing urinary tract infection risk, but have no direct effect on bowel function. Constipation in children is related to diet, behavior, or developmental factors, making this an incorrect reason.

Choice C reason: Picky eating in young children often leads to low fiber intake, which slows intestinal transit and causes harder stools, increasing constipation risk. Fiber promotes bowel regularity, and its deficiency is a common cause of constipation in this age group, making this a valid reason.

Choice D reason: Young children often ignore defecation cues while playing, leading to stool withholding. This behavior causes stool to become harder and more difficult to pass, contributing to constipation. Developmental tendencies to prioritize play over toileting make this a common reason for constipation in children.

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

Explanation

Choice A reason: A structured environment benefits children with ADHD by providing predictability, reducing distractions, and supporting focus. Consistent routines and clear expectations help manage impulsivity and hyperactivity, aligning with behavioral strategies that enhance self-regulation and task completion, making this an appropriate method for behavior modification.

Choice B reason: Delaying punishment is ineffective for ADHD, as children benefit from immediate consequences to connect behavior and outcome. Delayed responses weaken the learning process, as short attention spans limit retention, making this an inappropriate behavior modification strategy for a 6-year-old with ADHD.

Choice C reason: ADHD medications (e.g., methylphenidate) are typically given on a regular schedule, not as needed, to maintain consistent symptom control. PRN dosing is ineffective for managing chronic inattention and hyperactivity, making this an incorrect strategy for behavior modification in a child with ADHD.

Choice D reason: Being fair but firm and sticking to rules provides clear boundaries for children with ADHD, promoting self-discipline and accountability. Consistent enforcement of rules helps manage impulsivity and reinforces expected behaviors, making this an effective and appropriate behavior modification strategy for a 6-year-old.

Choice E reason: Short, clear explanations accommodate the limited attention span and processing difficulties in children with ADHD. Concise instructions enhance understanding and compliance, reducing frustration and supporting successful task completion, making this an appropriate and effective strategy for behavior modification in this population.

A. Massage around the incision site daily B. Suction hourly using a bulb syringe C. Keep soft elbow restraints in place when unsupervised D. Position prone while awake E. Cleanse the suture site and apply antibiotic ointment as needed

Correct Answer is ["C","E"]

Explanation

Choice A reason: Massaging around the incision site is not recommended post-cleft lip/palate repair, as it can disrupt sutures, impair healing, and increase infection risk. Gentle care and protection of the surgical site are prioritized to maintain skin integrity, making this an incorrect teaching point for parents.

Choice B reason: Hourly bulb syringe suctioning is excessive and not standard for cleft lip/palate repair recovery. Suctioning is used sparingly to clear secretions, as frequent use can irritate the surgical site, risking trauma and infection, making this an incorrect teaching point for maintaining skin integrity.

Choice C reason: Soft elbow restraints prevent the infant from touching or scratching the surgical site when unsupervised, protecting sutures and promoting healing. This reduces the risk of infection and trauma, maintaining skin integrity, making it a correct and essential teaching point for post-repair care.

Choice D reason: Prone positioning while awake increases pressure on the repaired cleft lip/palate, risking suture disruption and impaired healing. Supine or side-lying positions are preferred to protect the surgical site, making this an incorrect and potentially harmful teaching point for maintaining skin integrity.

Choice E reason: Cleansing the suture site and applying antibiotic ointment as needed prevents infection and promotes healing by keeping the area clean and moist. This standard post-surgical care maintains skin integrity and supports recovery, making it a correct and essential teaching point for parents.

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Which of the following is not a reason young children are more prone to constipation?

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Naxlex Comprehensive Predictor Exams

The nurse is working closely with the parent of a 6-year-old client who was just diagnosed with attention deficit/hyperactivity disorder (ADHD). Which methods used in behavior modification would be appropriate for this child? (Select all that apply)

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

Explanation

An infant will be discharged home following a cleft lip/palate repair. What teaching points should the nurse include for the parents to maintain skin integrity during the healing process? (Select all that apply)

Correct Answer is ["C","E"]

Explanation

You are the nurse in a pediatrician’s office. You are taking vital signs of a child who was in the hospital for pertussis last month. The child is unvaccinated. The mother asks, “Now that he has had pertussis, is he immune to it?” The best response from the nurse would be:

Which of the following is not a reason young children are more prone to constipation?

The nurse is working with a mother and her 4-year-old daughter just diagnosed with autism. The mother asks the nurse what the treatment is for autism. What is the best response by the nurse?

A family consists of a 14-year-old, an 8-year-old, and a 2-year-old child. According to family development theory, what stage of development is the family in right now?

The nurse is interviewing a 3-year-old girl who tells the nurse: “Want go potty.” The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse’s appropriate response to this concern?

The child life specialist is preparing a 6-year-old child for a magnetic resonance imaging (MRI) scan. Which statement reflects the use of atraumatic principles when explaining the procedure?