A preterm newborn requires oxygen and mechanical ventilation. Which complications should the nurse assess for?

Correct Answer: A

Rationale: Preterm newborns who require oxygen and mechanical ventilation are at risk for developing bronchopulmonary dysplasia (BPD) and pneumothorax. BPD is a chronic lung disease that can occur in premature infants who have been on mechanical ventilation and supplemental oxygen. Pneumothorax is another common complication in preterm newborns due to the fragility of their lungs. Therefore, the nurse should closely monitor for signs and symptoms of these complications in a preterm newborn requiring oxygen and mechanical ventilation.

Correct Answer: C

Rationale: The most important information to document about immunizations in a child's health history is the exact date the immunizations were received. This information is crucial for tracking when the child is due for their next immunizations and to ensure they are following the recommended vaccination schedule. The dosage of immunizations received, occurrence of any reaction after an immunization, and the practitioner who administered the immunizations are also important details to document but the most critical one is the date to accurately maintain the vaccination records and plan future immunization appointments.

Correct Answer: D

Rationale: The nurse should expect the anterior fontanel to close between the ages of 12 to 18 months. The fontanel is the soft spot on a baby's head that allows for the growth of the skull during infancy. It is the last fontanel to close, with closure typically occurring by around 18 months of age. Monitoring the closure of the fontanel is important as it can provide valuable information about the baby's hydration status and overall development.

Correct Answer: A

Rationale: In the context of pediatric nursing and pharmacology, understanding the components of a comprehensive health history is essential for providing safe and effective care to pediatric patients. A) Review of systems is a crucial component of the health history as it helps to gather information about a child's past and current health status. This information is vital for identifying any underlying health issues, monitoring for side effects of medications, and assessing the overall well-being of the child. B) While physical assessment is important in pediatric nursing practice, it is not typically a part of the health history. Physical assessment involves the direct examination of the child's body and is usually performed after obtaining the health history to further assess the child's condition. C) A sexual history is not relevant in the context of pediatric nursing and would not typically be included in a child's health history. D) Growth measurements, although important in monitoring a child's development and growth, are usually obtained during a physical examination rather than being included in the health history. In conclusion, understanding the components of a health history, such as the review of systems, is fundamental for pediatric nurses to gather essential information needed to provide comprehensive care to pediatric patients.

Correct Answer: A

Rationale: Playing peek-a-boo is an appropriate play activity for a 7-month-old infant to encourage visual stimulation. By engaging in peek-a-boo, infants can improve their visual tracking skills, focus, and attention. The sudden appearance and disappearance of faces during the game can captivate the baby's attention and help develop their visual processing abilities. Additionally, playing peek-a-boo can foster social interaction, bonding, and trust between the infant and caregiver, contributing to the baby's overall development and well-being.