An infant experienced an apparent life-threatening event (ALTE) and is being placed on home apnea monitoring. Parents have understood the instructions for use of a home apnea monitor when they state?

Correct Answer: C

Rationale: The correct statement indicating understanding of the instructions for use of a home apnea monitor is "We will check the monitor several times a day to be sure the alarm is working." This is important because regular monitoring of the device's functioning ensures that it is able to detect any potential apnea episodes or abnormalities in the infant's breathing patterns. Checking the monitor several times a day helps in maintaining the safety and effectiveness of the monitor in alerting the parents to any potential issues with the infant's breathing. The other options are incorrect: A is incorrect because adjusting the monitor to eliminate false alarms can compromise its accuracy, B is incorrect as the infant should sleep in a separate safe sleep environment to reduce the risk of SIDS, and D is incorrect as the monitor should be placed near the infant's crib but not directly in it for safety reasons.

Correct Answer: C

Rationale: An early clinical manifestation of bilirubin encephalopathy in a newborn is lethargy or irritability. Bilirubin encephalopathy, also known as kernicterus, is a serious condition that occurs when high levels of unconjugated bilirubin build up in the brain tissues. Initially, the baby may become lethargic or irritable due to the toxic effects of bilirubin on the central nervous system. As the condition progresses, symptoms may include poor feeding, high-pitched crying, muscle tone abnormalities, and eventually may lead to more severe consequences such as seizures and irreversible neurological damage. Prompt recognition and treatment of bilirubin encephalopathy are crucial to prevent long-term complications.

Correct Answer: C

Rationale: Clonic seizures are characterized by rhythmic jerking movements, which can be brief and repetitive. These movements are typically observed in the arms and legs. During clonic seizures, the baby may display a pattern of contractions and relaxation of muscle groups, resulting in the jerking motion. This distinguishes clonic seizures from other types of seizures, making it the characteristic feature associated with this particular seizure type in newborns.

Correct Answer: A

Rationale: When meeting a new patient and their family for the first time, it is important for the nurse to first introduce themselves. This establishes a professional relationship and helps to build trust. By introducing themselves, the nurse demonstrates respect and initiates communication with the adolescent and their parents. It also sets a positive tone for the interaction and creates a welcoming environment for further discussion. The introduction should include the nurse's name, role, and purpose of the visit.

Correct Answer: D

Rationale: Upper arm circumference has been found to correlate best with measurements of the body's total protein stores. This anthropometric measurement is often used as an indicator of nutritional status, particularly protein reserves such as muscle mass. Skinfold thickness can provide information about body fat levels, while height and weight may not specifically indicate protein stores as accurately as upper arm circumference.