While caring for a 1-year-old child, the nurse notes that the child's oxygen saturation level is at 90%. Which action would the nurse take next?

Notify the health care provider

Immediately take the child's blood gas

Give oxygen via face mask a 2 liters per minute

Assess the child's respiratory status

Answer and Explanation

The Correct Answer is D

A. Notify the health care provider: While notifying the healthcare provider may be necessary if the child's oxygen saturation does not improve, the first step is to assess the child's respiratory status to determine if immediate intervention is needed.

B. Immediately take the child's blood gas: A blood gas may be helpful later, but the priority should be to assess the child's respiratory status and address any immediate concerns with oxygenation before proceeding with more invasive assessments.

C. Give oxygen via face mask at 2 liters per minute: Administering oxygen may be necessary, but the nurse should first assess the child's respiratory status to determine if oxygen supplementation is required and the appropriate delivery method.

D. Assess the child's respiratory status: The most appropriate action is to assess the child's respiratory status. This includes checking for signs of distress, work of breathing, and other factors that could help determine the cause of the low oxygen saturation and guide the appropriate intervention.

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Correct Answer is C

Explanation

A. Pressure from the growing uterus displaces the stomach: While the growing uterus does exert pressure on the stomach later in pregnancy, heartburn (acid reflux) at 10 weeks is more likely due to hormonal changes rather than uterine displacement, which typically becomes more noticeable in the second trimester.

B. Increased estrogen production causes increased secretion of hydrochloric acid: Increased estrogen levels during pregnancy are not linked to increased hydrochloric acid secretion as the primary cause of heartburn. While hormones do play a role, it's not typically through enhanced acid production.

C. Increased progesterone production during pregnancy slows gastrointestinal motility: Progesterone is the main hormone responsible for slowing gastrointestinal motility, leading to delayed gastric emptying and relaxation of the lower esophageal sphincter, which can cause heartburn or acid reflux.

D. Retained bile in the liver results in delayed digestion: This is not a primary cause of heartburn during pregnancy. Delayed digestion due to hormonal effects, particularly from progesterone, is the more likely cause of heartburn in the early stages of pregnancy.

A. Controls the risk of hypertension while pregnant. B. Sustains a slow and steady weight gain while pregnant C. Prevents neural tube defects in the developing fetus D. Maintains energy throughout the pregnancy

Correct Answer is C

Explanation

A. Controls the risk of hypertension while pregnant: Folic acid does not have a direct role in controlling hypertension during pregnancy. Other factors, such as a balanced diet, exercise, and medication (if necessary), are typically involved in managing hypertension.

B. Sustains a slow and steady weight gain while pregnant: Folic acid does not directly influence weight gain during pregnancy. Its primary role is in fetal development, particularly in preventing neural tube defects, rather than managing weight.

C. Prevents neural tube defects in the developing fetus: Folic acid is essential in preventing neural tube defects (NTDs) such as spina bifida and anencephaly. It is recommended for all women of reproductive age, especially during the first trimester, to reduce the risk of these birth defects.

D. Maintains energy throughout the pregnancy: While folic acid is important for cell growth and development, it is not responsible for maintaining energy during pregnancy. Proper nutrition, rest, and overall health contribute to energy levels during pregnancy.

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While caring for a 1-year-old child, the nurse notes that the child's oxygen saturation level is at 90%. Which action would the nurse take next?

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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