Reasons to avoid the early discharge of a normal term infant include all of the following EXCEPT

Correct Answer: D

Rationale: In pediatric nursing, it is crucial to understand why early discharge of a normal term infant should be avoided to ensure optimal health outcomes. The correct answer, option D, "Two successful feedings," is the exception because successful feedings indicate that the infant is able to feed adequately, which is a positive sign for discharge. Option A, "Jaundice evident on day," is a reason to avoid early discharge as jaundice in newborns can be a sign of underlying health issues that require monitoring and intervention. Option B, "Positive VDRL," indicates the presence of syphilis which can have serious implications for the infant's health and requires treatment and monitoring. Option C, "Bleeding after circumcision," can be a complication that needs close monitoring and care before considering discharge. Educationally, this question highlights the importance of thorough assessment and monitoring before discharging a newborn. It emphasizes the need for healthcare providers to consider various factors that could impact the infant's health and well-being. Understanding these reasons helps nurses provide comprehensive care and make informed decisions regarding the discharge of newborns.

Correct Answer: A

Rationale: The correct answer is A) Mental Health Action Signs. In pediatric nursing, early recognition of mental disorders is crucial for timely intervention and support. Mental Health Action Signs are tools that help healthcare providers, parents, and caregivers identify early symptoms of mental health issues in children. These signs prompt action to seek appropriate evaluation and treatment for the child. Option B) Mental Health Tools is too broad and does not specifically address the aspect of recognizing early symptoms. Option C) Mental Health Indicators is also vague and does not emphasize the proactive nature of identifying early signs. Option D) Mental Health Screening Tests refers to formal assessments conducted by professionals rather than simple tools for early symptom recognition, which is the focus of the question. In an educational context, understanding the importance of recognizing early symptoms of mental disorders in children is essential for pediatric nurses. By using Mental Health Action Signs, nurses can promptly intervene to provide the necessary support and resources, thus improving the overall mental health outcomes for children. It highlights the proactive role that healthcare providers play in promoting mental well-being in pediatric populations.

Correct Answer: D

Rationale: In pediatric nursing, understanding how different medical conditions and environmental factors can impact a child's emotional well-being is crucial. In this question, the correct answer is D) Carbonated beverages, as they do not directly cause anxiety in a child. Carbonated beverages are not known to have a direct physiological effect on anxiety levels in children. On the other hand, options A, B, and C can all contribute to anxiety in children. - Option A, Antihistamines, can cause drowsiness as a side effect, which may lead to feelings of fatigue or lethargy rather than anxiety. - Option B, Hypoparathyroidism, is a medical condition that can lead to low calcium levels, which may manifest as muscle cramps, tingling sensations, and even seizures, all of which can be distressing for a child. - Option C, Prolonged school absences, can cause social isolation, academic challenges, and feelings of falling behind peers, all of which are common triggers for anxiety in children. Educationally, this question highlights the importance of recognizing the various factors that can influence a child's emotional state. It reinforces the need for pediatric nurses to have a comprehensive understanding of both medical conditions and psychosocial factors that can impact a child's mental health. By understanding these nuances, nurses can provide holistic care that addresses not only the physical but also the emotional needs of their pediatric patients.

Correct Answer: D

Rationale: In pediatric nursing, understanding the relationship between psychiatric illness and suicide risk is crucial for providing comprehensive care to children and adolescents. The correct answer to the question is D) 90%. This means that the vast majority of youths who complete suicide have a preexisting psychiatric illness. This statistic highlights the critical importance of mental health screening and intervention in this population. Children and adolescents with psychiatric illnesses are at significantly higher risk for suicidal ideation and behaviors, making early identification and treatment essential in preventing tragic outcomes. Option A) 10% is incorrect because research consistently shows a much higher correlation between psychiatric illness and youth suicide. Option B) 30% and option C) 50% also underestimate the prevalence of preexisting psychiatric conditions among youths who die by suicide. Educationally, this question emphasizes the need for pediatric nurses to be vigilant in assessing the mental health of their young patients, especially those with preexisting psychiatric illnesses. It underscores the necessity of integrated care that addresses both physical and mental health needs to promote overall well-being and prevent adverse outcomes like suicide.

Correct Answer: D

Rationale: In pediatric nursing, understanding childhood psychosis is crucial for providing appropriate care. The correct answer, "D) Acutephobic hallucination," is not typically associated with childhood psychosis. Hallucinations involving fear or anxiety, such as acutephobic hallucinations, are not commonly seen in childhood psychosis presentations. Option A, "Delusions," refers to fixed false beliefs, which are a common symptom of psychosis. Children with psychosis may experience delusions that are not based on reality. Option B, "Loss of reality testing," is another hallmark of psychosis where individuals struggle to distinguish between what is real and what is not. This is a key feature in diagnosing psychosis in children. Option C, "Disorganized speech," is also a common symptom of childhood psychosis. Children may exhibit speech that is incoherent, fragmented, or illogical due to their disorganized thought process. Educationally, it is important for nursing students to grasp the distinguishing features of childhood psychosis to provide early intervention and support. Recognizing the symptoms and understanding the differences between various manifestations of psychosis are critical for effective nursing care in pediatric settings. By reviewing and understanding these distinctions, nurses can better advocate for children experiencing mental health challenges and ensure appropriate treatment and support are provided.