Potential adverse effects of Depo-provera include

Correct Answer: D

Rationale: In this question about potential adverse effects of Depo-provera, the correct answer is D) weight gain. Depo-provera is a hormonal contraceptive injection containing medroxyprogesterone acetate, which can lead to weight gain as a common side effect. Option A) heavy menstrual bleeding is unlikely as Depo-provera typically causes decreased menstrual bleeding or even amenorrhea. Option B) dysmenorrhea is also unlikely as Depo-provera often reduces menstrual pain. Option C) acne is not a common side effect of Depo-provera. Educationally, understanding the potential side effects of medications like Depo-provera is crucial for healthcare providers, especially those working in pediatrics. By knowing these side effects, nurses can educate patients and their families, monitor for adverse reactions, and provide appropriate care and support. It is essential to stay informed about medication effects to ensure safe and effective pediatric nursing practice.

Correct Answer: D

Rationale: In pediatric nursing, understanding neonatal jaundice and its potential complications is crucial for providing safe and effective care to newborns. The correct answer, option D - cardiomyopathy, is not a potential complication of neonatal jaundice. Neonatal jaundice is primarily due to the accumulation of bilirubin in the blood, which can lead to conditions such as kernicterus, deafness, and cerebral palsy, but not cardiomyopathy. Kernicterus is a severe neurological complication of untreated jaundice, causing brain damage. Deafness can result from bilirubin toxicity affecting the auditory nerve. Cerebral palsy may occur due to kernicterus-induced brain injury. Educationally, this question highlights the importance of recognizing potential complications of neonatal jaundice to facilitate early intervention and prevent long-term consequences. Nurses caring for newborns must be vigilant in assessing jaundice levels and monitoring for signs of complications to ensure optimal outcomes for infants.

Correct Answer: D

Rationale: The correct answer is D because it provides incorrect information about the postoperative care required for a 3-month-old, former 29-week-premature infant undergoing surgery for bilateral inguinal hernias. Infants with a history of prematurity and apnea are at increased risk for postoperative apnea, regardless of the type of anesthesia used. Therefore, close monitoring for apnea is necessary after surgery. Sending the infant home on the same day without monitoring can be dangerous. Option A is incorrect because anemia can indeed increase the risk of postoperative apnea due to decreased oxygen-carrying capacity of the blood. Option B is correct as it highlights the need for overnight inpatient apnea monitoring, given the infant's history. Option C is also true, emphasizing the risks associated with delaying surgery in this case. In an educational context, it is crucial for healthcare providers to understand the unique needs and risks associated with premature infants, especially when considering surgical interventions. This case underscores the importance of tailored, evidence-based care to ensure the best outcomes for this vulnerable population.

Correct Answer: A

Rationale: The correct answer is A) panniculitis. In this scenario, the child presents with nodules over the cheeks following outdoor activity in cold weather. Panniculitis is characterized by inflammation of the subcutaneous fat tissue, often triggered by exposure to cold (cold panniculitis). The nodules are typically blue-red and non-tender, consistent with the presentation described. Facial cellulitis (B) is unlikely as it presents with warmth, erythema, tenderness, and swelling. Thrombocytopenic purpura (C) typically presents with petechiae and bruising, not nodules. Henoch-Schonlein purpura (D) presents with palpable purpura on the buttocks and lower extremities, joint pain, abdominal pain, and renal involvement, which are not seen in this case. Educationally, understanding the clinical presentation and distinguishing features of different pediatric dermatological conditions is crucial for accurate diagnosis and appropriate management in pediatric nursing practice. Recognizing the specific characteristics of panniculitis in this case emphasizes the importance of thorough assessment and knowledge of pediatric skin conditions.

Correct Answer: C

Rationale: In the context of pediatric nursing, it is crucial to understand the appropriate interventions for common conditions like infant colic. The correct answer, option C - simethicone, is effective in calming a crying infant with colic due to its ability to break down gas bubbles in the gastrointestinal tract, thus reducing discomfort and colic symptoms. Option A, diphenhydramine, is an antihistamine that is not recommended for infants due to potential side effects like sedation and respiratory depression. Option B, phenobarbital, is a barbiturate with sedative effects that are not indicated for infant colic and can have serious adverse effects in this population. Option D, lactase, is an enzyme that helps digest lactose and would not be effective in calming a crying infant with colic, as colic is not primarily caused by lactose intolerance. Educationally, it is essential for healthcare providers working with infants to be knowledgeable about safe and evidence-based interventions for common issues like colic. Understanding the rationale behind each option helps in making informed clinical decisions and providing optimal care for pediatric patients.