An appropriate intervention for a 3-month-old with gastroesophageal reflux is which of the following?

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Question 1 of 5

An appropriate intervention for a 3-month-old with gastroesophageal reflux is which of the following?

Correct Answer: B

Rationale: Upright or left-side positioning (B) reduces reflux by gravity assistance. Rice cereal (A) is for older infants, pyloric meds (C) are unrelated, and infant seats (D) increase pressure. Document: 'The infant is placed in a prone position to avoid increased intraabdominal pressure,' but upright/left-side aligns with standard care.

Question 2 of 5

Parents are speaking with the urologist about their son's undescended testicle. The nurse determines the child's father understands the information when he states:

Correct Answer: A

Rationale: Undescended testicles (A) can impair fertility due to heat exposure; orchiopexy helps but doesn’t guarantee fertility. Descent (B) occurs prenatally, tumor risk (C) reduction is partial, and correction (D) is optimal by 1-2 years, not 5. Document: 'Although orchiopexy improves the condition, the fertility rate… may be reduced.'

Question 3 of 5

A parent comments that her adolescent daughter seems to be daydreaming a lot. The nurse understands that this behavior indicates she is:

Correct Answer: D

Rationale: Daydreaming (D) helps adolescents mentally rehearse situations, aiding coping. Boredom (A), fatigue (B), or stress (C) are less specific. Document: 'Daydreaming allows adolescents to act out… [to] prepare for… interactions.'

Question 4 of 5

Which of the following statements made by the parent of a 3 week old infant that would alert the nurse about the presence of a congenital heart condition?

Correct Answer: B

Rationale: Fatigue during feeding (B) suggests congenital heart defects due to poor oxygenation. Sleeping (A), hunger (C), and fussiness (D) are normal or nonspecific. Document: 'Fatigue during feeding… is common to most infants with congenital cardiac problems.'

Question 5 of 5

A child appears apathetic and weak. His growth is below normal for his age. There is white streak in the child's hair. The nurse recognizes these signs as characteristic of:

Correct Answer: D

Rationale: Kwashiorkor (D), protein malnutrition, causes apathy, weakness, stunted growth, and white hair streaks from melanin loss. Rickets (A) affects bones, scurvy (B) gums, GERD (C) reflux. Document: 'The earliest sign… is a white streak in the hair… apathetic and weak.'

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