A nurse is providing teaching to the guardian of an infant about home safety. Which of the following statements by the guardian indicates an understanding of the teaching?

Correct Answer: C

Rationale: In pediatric nursing, educating parents and guardians on home safety is crucial to prevent accidents and promote the well-being of infants. Option C, "I will keep my baby's crib away from the radiator," indicates an understanding of the teaching because it addresses the risk of burns or overheating for the infant. Placing the crib away from heat sources reduces the risk of accidental burns, ensuring a safe sleep environment for the baby. Options A, placing the baby on her stomach to sleep, and B, putting a small pillow in the crib, are incorrect as they both pose risks for sudden infant death syndrome (SIDS). Placing an infant on their stomach increases the risk of SIDS, while pillows and other soft bedding increase the risk of suffocation. Option D, using a drop-side crib, is also incorrect as drop-side cribs have been banned due to safety concerns. These cribs pose a risk of entrapment and suffocation for infants. Educationally, this question highlights the importance of educating caregivers on safe sleep practices and home safety measures to prevent common childhood injuries and accidents. It reinforces the need for evidence-based recommendations to ensure the well-being of infants.

Correct Answer: A

Rationale: In the context of pediatric nursing, particularly in the care of a child with cystic fibrosis, the correct answer is A) "My child should eat a high-calorie, high-protein diet." This response reflects an understanding of the dietary needs of a child with cystic fibrosis. A high-calorie, high-protein diet is crucial for children with cystic fibrosis as they have increased energy needs due to malabsorption issues. Protein is essential for growth and development, while a high-calorie diet helps meet the increased energy requirements of these children. Option B) "My child should avoid eating eggs" is incorrect as eggs are a good source of protein and essential nutrients. Unless the child has a specific allergy to eggs, they can be a healthy part of the diet. Option C) "My child should follow a low-fat, low-sodium diet" is incorrect because children with cystic fibrosis actually require higher fat intake to aid in the absorption of fat-soluble vitamins. Sodium restriction is not a primary concern unless the child has a specific medical condition that requires it. Option D) "My child should follow a high-fiber, high-protein diet" is incorrect as high-fiber diets may further impede nutrient absorption in children with cystic fibrosis who already have absorption issues. In an educational context, it is important for pediatric nurses to understand the specific dietary needs of children with cystic fibrosis to optimize their growth, development, and overall health. Providing accurate and clear dietary guidelines to parents is essential in managing the condition effectively.

Correct Answer: D

Rationale: When caring for an infant with respiratory syncytial virus (RSV), maintaining a patent airway is crucial. Suctioning the nasopharynx as needed helps clear secretions, prevent airway obstruction, and promote effective breathing. This intervention can aid in improving the infant's respiratory status and overall comfort.

Correct Answer: B

Rationale: In caring for an infant with hyperbilirubinemia receiving phototherapy, turning and repositioning the infant every 4 hours is crucial. This action helps ensure even distribution of the phototherapy's therapeutic effects on the infant's skin, aiding in the breakdown of excess bilirubin and preventing pressure injuries. Option A is incorrect as dressing the infant in light, breathable clothing is generally recommended for comfort but is not as directly related to the effectiveness of phototherapy as repositioning. Option C, offering frequent, small feedings, while important for overall infant care, is not specifically related to managing hyperbilirubinemia with phototherapy. Option D, avoiding lotions on the infant's skin, is important to prevent interference with the effectiveness of phototherapy, but the critical action in this scenario is repositioning to optimize therapy. In an educational context, understanding the rationale behind repositioning in phototherapy for hyperbilirubinemia is essential for pediatric nurses to provide safe and effective care to infants. This knowledge ensures optimal outcomes and prevents complications associated with hyperbilirubinemia treatment.

Correct Answer: D

Rationale: During a vaso-occlusive crisis in sickle cell anemia, maintaining bed rest is crucial to reduce oxygen consumption and alleviate pain. Movement can worsen the crisis by increasing sickling of red blood cells, leading to further tissue damage and pain. Bed rest helps to improve blood flow, reduce pain, and promote healing.