A nurse is caring for a child with sickle cell anemia. Which of the following interventions should be included in the care plan?

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Nursing Care of Pediatrics Respiratory Disorders Quizlet Questions

Question 1 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 2 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 3 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.

Question 4 of 5

Which of the following organs is considered to be the first to form?

Correct Answer: A

Rationale: In pediatric development, the heart is the first organ to form, making option A the correct answer. During the early stages of fetal development, the heart is one of the first organs to begin functioning. This is crucial for supplying oxygen and nutrients to the growing fetus. Understanding this foundational aspect of pediatric development is vital for nurses caring for pediatric patients, as it provides insight into the critical nature of cardiac function in overall health. Option B, the brain, while also crucial for development, forms after the heart in fetal development. The brain plays a significant role in cognitive and neurological functions but is not the first organ to form. Option C, the lungs, develop later in fetal development to support breathing and oxygen exchange after birth. While essential for respiratory function, the lungs are not the first organ to form. Option D, the kidneys, are vital for filtering waste and regulating fluid balance but are not the first organ to form during fetal development. Understanding the chronological sequence of organ development in pediatrics is fundamental for providing comprehensive nursing care to pediatric patients. It allows nurses to anticipate potential issues related to organ development and function, leading to more effective and informed care decisions.

Question 5 of 5

What is generally accepted as a safe limit for alcohol consumption during pregnancy to avoid the development of fetal alcohol syndrome?

Correct Answer: D

Rationale: In the context of nursing care for pediatric respiratory disorders, it is crucial for healthcare professionals to have a strong understanding of the impact of alcohol consumption during pregnancy on fetal health. The correct answer, option D, states that no safe range of alcohol consumption is deemed safe during pregnancy, and this is supported by extensive research and guidelines from healthcare organizations. Alcohol is a known teratogen that can cross the placenta and affect fetal development, leading to a range of adverse outcomes, including fetal alcohol syndrome (FAS). FAS is a significant concern as it can result in lifelong physical, behavioral, and cognitive impairments in the affected child. Therefore, it is imperative for pregnant individuals to abstain from alcohol entirely to prevent the risk of FAS. Options A, B, and C all suggest varying levels of alcohol consumption during pregnancy, which contradicts established medical advice. Even low levels of alcohol intake can pose risks to the developing fetus, making any amount of alcohol consumption during pregnancy unsafe. It is essential for healthcare providers to educate pregnant individuals about the risks of alcohol consumption and support them in making healthy choices for the well-being of the mother and the baby. By understanding and promoting the guideline of zero alcohol consumption during pregnancy, nurses and healthcare professionals play a crucial role in preventing fetal alcohol spectrum disorders and promoting the best possible outcomes for pediatric patients. This knowledge empowers healthcare providers to offer accurate information and support to pregnant individuals, contributing to the promotion of maternal and child health.

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