ATI RN
Nursing Care of Pediatrics Respiratory Disorders Quizlet Questions
Question 1 of 5
A nurse is caring for a child with a history of developmental delay. The nurse should assess for which of the following as a potential cause?
Correct Answer: D
Rationale: In caring for a child with a history of developmental delay, it is crucial for nurses to consider a holistic approach to their assessment. The correct answer, option D (All of the above), is the most appropriate choice in this scenario. Developmental delays can stem from a variety of causes, including neurological disorders, genetic factors, and environmental influences. By selecting option D, the nurse acknowledges the multifactorial nature of developmental delays and demonstrates an understanding of the need to assess the child comprehensively. Option A (Neurological disorder) is a common cause of developmental delays in children. Conditions such as cerebral palsy, epilepsy, or brain malformations can impact a child's development. While neurological disorders are significant contributors, they do not represent the sole cause of developmental delays. Therefore, choosing only option A would overlook other potential factors. Option B (Genetic disorder) highlights the role of genetic influences in a child's development. Genetic conditions like Down syndrome, Fragile X syndrome, or other chromosomal abnormalities can lead to developmental delays. While genetic factors play a crucial role, focusing solely on genetics may limit the nurse's assessment scope and overlook other crucial aspects contributing to the child's condition. Option C (Environmental factors) emphasizes the impact of the child's surroundings on their development. Environmental factors such as exposure to toxins, poor nutrition, lack of stimulation, or socioeconomic challenges can all influence a child's developmental trajectory. While environmental factors are significant, they do not act in isolation and often interact with genetic and neurological factors to shape a child's development. In an educational context, understanding the diverse causes of developmental delays is vital for nurses working in pediatric care. By recognizing the complex interplay of neurological, genetic, and environmental factors, nurses can provide comprehensive care tailored to each child's unique needs. This question reinforces the importance of a thorough assessment process and highlights the need for a holistic approach when caring for children with developmental delays.
Question 2 of 5
A nurse is caring for a child with sickle cell anemia. Which of the following interventions should be included in the care plan?
Correct Answer: A
Rationale: In caring for a child with sickle cell anemia, the correct intervention of encouraging fluid intake to prevent dehydration is crucial. Sickle cell anemia is a condition where the red blood cells are shaped abnormally, leading to blockages in blood flow, pain, and organ damage. Adequate hydration helps to prevent the sickled cells from clumping together and causing a sickle cell crisis. Option A is correct because maintaining hydration helps to keep the blood flowing smoothly, reducing the risk of complications. Option B, applying cold compresses, is not appropriate for sickle cell anemia as cold temperatures can exacerbate vasoconstriction and increase pain in affected areas. Option C, limiting activity, is not ideal as regular, moderate exercise is beneficial in managing sickle cell anemia by promoting blood circulation. Option D, providing high-protein snacks, is not the priority intervention in the care of a child with sickle cell anemia. While nutrition is important, hydration takes precedence in preventing complications associated with this condition. In an educational context, students need to understand the pathophysiology of sickle cell anemia and how interventions such as adequate hydration play a critical role in managing the condition and preventing complications. This rationale helps students grasp the importance of specific nursing interventions in the care of pediatric patients with respiratory disorders.
Question 3 of 5
A nurse is assessing a child with suspected hypoglycemia. Which of the following findings would the nurse expect to see?
Correct Answer: C
Rationale: In the assessment of a child with suspected hypoglycemia, the nurse would expect to see confusion and shakiness. This is because hypoglycemia, which is low blood sugar levels, can lead to neurological symptoms such as confusion and shakiness as the brain is deprived of its primary source of energy, glucose. Option A, increased appetite and irritability, is more indicative of hyperglycemia (high blood sugar levels) rather than hypoglycemia. Option B, decreased heart rate and muscle weakness, are not typical signs of hypoglycemia as the body tends to respond to low blood sugar by increasing heart rate and causing tremors or shakiness. Option D, dry mouth and increased thirst, are more commonly associated with hyperglycemia as the body tries to eliminate excess sugar through increased thirst and urination. In an educational context, understanding the signs and symptoms of hypoglycemia is crucial for nurses caring for pediatric patients, especially those with diabetes or at risk for low blood sugar levels. Recognizing these symptoms promptly can help prevent serious complications and provide timely interventions to restore normal blood sugar levels.
Question 4 of 5
A 2-week-old infant with Down syndrome is being seen in the clinic. The mother tells the nurse that the infant is difficult to hold. 'The baby is like a rag doll and doesn't cuddle up to me like my other babies did.' The nurse interprets the infant's behavior as
Correct Answer: B
Rationale: In this scenario, option B is the correct answer: "result of the physical characteristics of Down syndrome." Infants with Down syndrome often exhibit hypotonia, which is low muscle tone, leading to the infant feeling like a rag doll and being difficult to hold. This physical characteristic is a common feature of Down syndrome and can impact how the infant interacts physically with caregivers. Option A, sign of maternal deprivation, is incorrect because the infant's behavior is not a result of lack of maternal care but rather a physical characteristic of Down syndrome. Option C, sign of detachment and rejection, is also incorrect as the behavior is not indicative of intentional rejection by the infant. Option D, sign of autism associated with Down syndrome, is incorrect as autism is a separate condition from Down syndrome and not the cause of the infant's behavior in this case. In an educational context, understanding the physical characteristics and developmental milestones associated with Down syndrome is crucial for nurses caring for pediatric patients with this condition. By recognizing these unique features, healthcare providers can provide appropriate support and care to meet the specific needs of infants with Down syndrome and their families.
Question 5 of 5
Regarding postnatal lung growth, by approximately what age do most of the alveoli that will be present in the lungs for life develop?
Correct Answer: C
Rationale: The correct answer is C) 1.5 years. Understanding the timeline of postnatal lung growth is crucial in pediatric nursing as it directly impacts respiratory health and development in children. By approximately 1.5 years of age, most of the alveoli that will be present in the lungs for life have developed. This is a critical period as alveoli are essential for efficient gas exchange in the lungs, allowing for adequate oxygenation of the body. Option A) 6 months is incorrect because by this age, while some alveoli have formed, the majority are still in the process of developing. Option B) 1 year is also incorrect as significant alveolar development continues beyond the first year of life. Option D) 2 years is too late in the timeline for the completion of alveolar development. Educationally, this question highlights the importance of understanding pediatric respiratory development for nurses caring for children with respiratory disorders. Knowing the normal timeline of alveolar development can aid nurses in assessing and managing respiratory conditions in pediatric patients effectively. It underscores the significance of early intervention and support for optimal respiratory health outcomes in children.