The nurse is caring for a child who had a tonsillectomy. Which clinical manifestation should the nurse observe the child for in the postoperative period?

Correct Answer: B

Rationale: Correct Answer: B. Increased swallowing can indicate bleeding at the surgical site, which is a potential complication after tonsillectomy. Choice A, Arrhythmias, are not typically associated with tonsillectomy. Choice C, Increased blood sugar, is not a common clinical manifestation after a tonsillectomy. Choice D, Increased urinary output, is not a typical clinical manifestation to observe for in the postoperative period after a tonsillectomy.

Correct Answer: A

Rationale: In general, a child's weight should double by 6 months of age compared to their birth weight. This is due to the rapid growth and development that occurs during the first 6 months of life. In this case, a child who was 10 pounds at birth would be expected to weigh around 20 pounds at 6 months old. Option A is correct because it aligns with the normal growth pattern for infants. By doubling their birth weight at 6 months, it indicates that the child is growing and developing appropriately. Options B, C, and D are incorrect because they do not reflect the expected weight gain pattern for infants. Infants typically follow a predictable growth curve, and doubling their birth weight by 6 months is considered a key milestone in their growth and development. Educationally, understanding typical growth patterns in infants is crucial for healthcare providers, especially in pediatric nursing. By knowing what to expect in terms of weight gain, nurses can assess a child's growth and development, identify any potential issues early on, and provide appropriate interventions if needed. This knowledge helps ensure optimal health outcomes for children in their crucial early stages of life.

Correct Answer: D

Rationale: The correct answer is D, Ritualism. Establishing routines like brushing teeth every night after dinner helps toddlers feel secure and in control. Choice A, Negativism, refers to a child's oppositional behavior. Choice B, Diversionary activity, involves redirecting attention to something else. Choice C, Critical play, does not relate to the scenario of establishing a routine for the toddler.

Correct Answer: C

Rationale: Masturbation in preschool children is a normal behavior as they explore their bodies. It is best viewed as a natural part of development. Parents are often advised to ignore it and provide distractions rather than making the child feel ashamed or embarrassed. Choice A is incorrect because it is a natural behavior and not considered abnormal in this context. Choice B is incorrect as it does not necessarily disrupt the family. Choice D is incorrect as the focus should be on the child's development and well-being, not on the parents' feelings of embarrassment.

Correct Answer: D

Rationale: The correct answer is D because nursing care for children should encompass a holistic approach that considers not only physical health but also emotional, social, and developmental aspects. Providing a holistic environment promotes optimal growth and development by addressing all these dimensions. Choices A, B, and C are incorrect because while sanitation, curing illnesses, and addressing communicable diseases are important aspects of child healthcare, they do not encompass the comprehensive care provided by a holistic approach.