ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
A young couple of a 2-month-old baby girl with excessive crying seeks medical advice. The LEAST important advice is to
Correct Answer: C
Rationale: In this scenario, the LEAST important advice for the young couple of a 2-month-old baby girl with excessive crying is to change the milk formula (Option C). This is because excessive crying in infants is more likely related to factors like colic, gas, discomfort, or normal developmental stages rather than the milk formula itself. Option A, mastering the situation in a relaxed manner, is important as staying calm can help the parents in effectively soothing the baby. Option B, adhering to precry cues, is crucial as it promotes responsive caregiving and helps in meeting the baby's needs promptly. Option D, avoiding sensory overstimulation, is also important as it can contribute to a calming environment for the baby. Educationally, understanding the hierarchy of importance in caregiving advice for infants helps healthcare providers and parents prioritize interventions effectively. By recognizing the significance of different recommendations, parents can better address their baby's needs and foster a supportive caregiving environment. This rationale highlights the need for a holistic approach to infant care, considering physical, emotional, and environmental factors in addressing common concerns like excessive crying in babies.
Question 2 of 5
Children with anterior mediastinal masses are at serious risk for airway compromise and vascular obstruction. Which of the following is NOT an indication for CT scan in these cases?
Correct Answer: D
Rationale: In the context of pediatric patients with anterior mediastinal masses, it is crucial to prioritize interventions that prevent airway compromise and vascular obstruction due to the limited space in the mediastinum. The correct answer, D) Temporo-mandibular subluxation, is not an indication for a CT scan in these cases because it does not directly relate to the potential life-threatening complications associated with anterior mediastinal masses. A) Cardiac tamponade, B) Airway compromise, and C) Carina compression are all critical indications for a CT scan in children with anterior mediastinal masses. Cardiac tamponade can lead to hemodynamic instability, airway compromise can result in respiratory distress, and carina compression can lead to compromised airflow. These conditions require prompt identification and management to prevent serious consequences. In an educational context, understanding the specific indications for diagnostic imaging like a CT scan in pediatric patients with anterior mediastinal masses is essential for healthcare providers working in pediatric primary care. This knowledge helps in timely diagnosis, appropriate management, and prevention of potential life-threatening complications in this vulnerable patient population. It underscores the importance of clinical reasoning and evidence-based practice in pediatric care.
Question 3 of 5
An 18-year-old with a groin rash and itching is worried about having an STD and does not want his parents to know. What should the nurse say?
Correct Answer: B
Rationale: The correct answer to the question is option B: "We will not contact your parents regarding this visit." This response respects the 18-year-old patient's autonomy and confidentiality as a legal adult seeking healthcare services. In pediatric primary care, healthcare providers must uphold the principles of confidentiality and patient privacy, especially when dealing with sensitive issues like sexual health. Option A, "We will need to contact your parents," is incorrect as it violates the patient's right to privacy and confidentiality. Option C, "Who would you like us to contact about your visit today?" is not the best response in this situation because it puts the burden on the patient to make a potentially uncomfortable decision about who should be informed. Option D, "We cannot promise that the hospital will not contact your parents," is also incorrect as it does not affirm the patient's right to confidentiality and may deter the patient from seeking necessary care. In an educational context, it is crucial to teach healthcare providers, especially those working in pediatric care, about the legal and ethical considerations surrounding confidentiality and informed consent for adolescent patients. Understanding and respecting the rights of adolescent patients to confidential healthcare services is essential for building trust and ensuring that young individuals feel comfortable seeking medical care when needed. Healthcare providers must be knowledgeable about the laws and guidelines that protect adolescent confidentiality to provide appropriate care while respecting the autonomy of their patients.
Question 4 of 5
What is the best method to obtain a urine sample in an 8-month-old being evaluated for a UTI?
Correct Answer: D
Rationale: In pediatric primary care, obtaining a urine sample in infants for evaluation of UTI requires a gentle and effective method. The best method for obtaining a urine sample in an 8-month-old being evaluated for a UTI is option D) Perform an in-and-out (straight) catheterization. This method is preferred because it provides a sterile sample directly from the bladder, minimizing the risk of contamination and ensuring accurate test results. It is also less invasive compared to an indwelling Foley catheter, which carries a higher risk of complications in infants. Option A) using a urine collection bag may lead to contamination from the perineum and is not recommended for accurate testing. Option C) placing a sterile cotton ball in the diaper is unreliable and may not yield a sufficient sample for testing. Educationally, it is important for healthcare providers to be aware of the most appropriate and accurate methods for obtaining urine samples in infants to ensure proper diagnosis and treatment of UTIs, highlighting the significance of evidence-based practices in pediatric care.
Question 5 of 5
You are meeting parents of a 1.5-year-old boy who has suboptimal growth. He has been delivered prematurely at the gestational age of 32 weeks. Examination reveals a healthy child with growth parameters below normal for age. You reassure the parents that their child will catch his normal growth with time. Of the following, the growth parameter that should be corrected at this age is
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) weight. At 1.5 years of age, a child who was born prematurely at 32 weeks may exhibit suboptimal growth due to their early arrival. Weight is a crucial growth parameter to monitor in pediatric care, especially for premature infants, as it directly reflects nutritional status and overall health. By focusing on correcting the child's weight, healthcare providers can ensure that the child receives adequate nutrition for proper growth and development. Height (option B) and body mass index (option C) are also important growth parameters to monitor in pediatric care. However, in this specific case of a prematurely born child with suboptimal growth, weight takes precedence as it can be more directly impacted by nutritional intake and can be a more sensitive indicator of growth faltering. Head circumference (option D) is primarily used to assess brain growth and development, particularly in infants. While it is an important measurement, correcting head circumference is not the primary concern in this scenario where overall growth and nutritional status are the main focus. Educationally, understanding the significance of different growth parameters in pediatric care is crucial for healthcare providers to effectively monitor and address the growth and development of children, especially those with unique circumstances such as premature birth. By prioritizing weight correction in this case, healthcare professionals can ensure that the child receives appropriate interventions to support healthy growth and overall well-being.