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 with a 2-month-old baby girl seeking medical advice for excessive crying is to change the milk formula (option C). This is the correct answer because excessive crying in a 2-month-old infant is unlikely to be solely due to the milk formula and should not be the primary focus of intervention. Adhering to precry cues (option B) is important as it can help parents understand and respond to their baby's needs before crying escalates. Mastering the situation in a relaxed manner (option A) is crucial for parents to effectively manage their stress and respond to their baby's needs calmly. Avoiding sensory overstimulation (option D) is important as it can help create a soothing environment for the baby. In an educational context, this question highlights the importance of prioritizing advice based on the needs of the infant and the situation at hand. It emphasizes the significance of understanding infant cues, parental stress management, and environmental factors in addressing excessive crying in young infants. By focusing on the most relevant advice, healthcare providers can support parents in effectively caring for their child's needs.
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: The correct answer is D) Temporo-mandibular subluxation. In cases of children with anterior mediastinal masses, a CT scan is indicated to assess potential complications such as cardiac tamponade, airway compromise, and carina compression due to the risk of airway compromise and vascular obstruction. Cardiac tamponade is a life-threatening condition where fluid accumulates in the pericardial sac, compressing the heart. Airway compromise can occur due to mass effect on the trachea or bronchi. Carina compression can lead to obstruction of the mainstem bronchi. These conditions require immediate evaluation and intervention. Temporo-mandibular subluxation, on the other hand, is not directly related to anterior mediastinal masses and would not typically be a primary concern in this scenario. Understanding the specific indications for imaging modalities in different clinical situations is crucial for healthcare providers to make informed decisions and provide optimal care for pediatric patients with complex conditions.
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: In this scenario, the correct answer is B) We will not contact your parents regarding this visit. This response respects the patient's autonomy and confidentiality as an 18-year-old legally considered an adult. It is crucial in pediatric primary care to uphold the principles of patient privacy and confidentiality, especially when addressing sensitive topics like sexual health. Option A) We will need to contact your parents, and Option D) We cannot promise that the hospital will not contact your parents, are incorrect because they violate the patient's right to confidentiality. In this situation, the patient is seeking care independently and has the right to privacy regarding their health concerns. Option C) Who would you like us to contact about your visit today? is not the best choice because it puts the patient on the spot to disclose their preferences, which may not be comfortable for them in this situation. Educationally, it is essential to teach healthcare providers, especially in pediatric primary care, about the legal and ethical considerations surrounding adolescent confidentiality. By understanding and respecting adolescent rights to privacy, healthcare professionals can build trust with young patients and encourage open communication about their health concerns. This case highlights the importance of respecting patient autonomy and confidentiality in healthcare practice.
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: The correct answer is D) Perform an in-and-out (straight) catheterization. In an 8-month-old being evaluated for a UTI, this method provides the most accurate and sterile urine sample for diagnostic purposes. It allows for direct collection of urine from the bladder, minimizing contamination and yielding reliable results. Option A) Clean the perineum front-to-back and apply a urine collection bag is not ideal for infants as it may lead to contamination from the surrounding skin flora, potentially affecting the accuracy of the test results. Option B) Insert an indwelling Foley catheter is invasive and carries a higher risk of complications in infants, making it an inappropriate choice for a first-line urine sample collection method. Option C) Place a sterile cotton ball in the diaper and collect with a syringe may not provide a sufficient amount of urine for testing and can also lead to contamination from the diaper material. In a pediatric primary care setting, understanding the best methods for obtaining diagnostic samples is crucial for accurate assessment and treatment of young patients. Proper technique ensures reliable results and minimizes discomfort and risk for the child. It is important for healthcare providers to be knowledgeable about appropriate procedures for urine sample collection in pediatric patients to ensure optimal care and accurate diagnosis.
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 A) weight. For a 1.5-year-old boy who was born prematurely at 32 weeks and is showing suboptimal growth, weight is the growth parameter that should be corrected at this age. Weight is a crucial indicator of growth and nutritional status in infants and young children. In this case, the child's weight being below normal for his age indicates a potential issue with nutrition and growth. Height (option B) and body mass index (option C) are also important growth parameters, but in this context of suboptimal growth in a prematurely born child, weight takes precedence as it directly reflects nutritional intake and growth progress. Head circumference (option D) is primarily used as a measure of brain growth and development, and while important, it is not the most critical parameter to correct in this specific case. Educationally, it is important to understand the significance of different growth parameters in pediatric primary care. By focusing on correcting the child's weight, healthcare providers can address potential nutritional deficiencies and monitor the child's growth trajectory more effectively. This case highlights the importance of regular growth monitoring and appropriate interventions to support optimal growth and development in premature infants.