What age-appropriate play activity should the practical nurse suggest to the parents of a 7-month-old infant to encourage visual stimulation?

Correct Answer: A

Rationale: The practical nurse should suggest playing peek-a-boo to the parents of a 7-month-old infant to encourage visual stimulation. Peek-a-boo is a suitable game for this age group as it helps develop visual tracking skills and the concept of object permanence. By covering and uncovering their face or a toy, the infant learns that things still exist even when they cannot be seen, promoting cognitive development and visual engagement.

Correct Answer: D

Rationale: In this scenario, the correct action for the nurse to take is to implement transmission precautions (Option D). The presence of swollen red spots with fluid-filled blisters on the child's body indicates a potential contagious condition, such as chickenpox. By implementing transmission precautions, the nurse can prevent the spread of the illness to other children and healthcare providers in the clinic. Option A, obtaining a fluid culture from the blisters, is not the immediate priority in this situation. The clinical presentation already strongly suggests a diagnosis, and waiting for culture results could delay necessary interventions. Administering a fever-reducing medication (Option B) may provide symptomatic relief but does not address the need for infection control measures to prevent the spread of the illness. Covering the draining vesicles with a dressing (Option C) is not sufficient to prevent transmission of a contagious disease like chickenpox, as the virus can still be spread through respiratory droplets and contact with the blisters. In a pediatric setting, it is crucial for healthcare providers to promptly recognize and respond to infectious conditions to protect both the affected child and others in the clinical environment. Implementing appropriate transmission precautions is a fundamental aspect of pediatric nursing care that helps maintain a safe and healthy healthcare environment for all individuals involved.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Dental caries is associated with drinking soda. This choice is the most appropriate because sweetened soda is a known risk factor for dental caries, especially in young children whose teeth are still developing. By discussing this with the mother, the nurse can educate her about the potential harm soda can have on her child's dental health, emphasizing the importance of limiting or avoiding sugary drinks. Option A) A 2-year-old should be speaking in 2-word phrases is incorrect because it is unrelated to the issue at hand, which is the child's consumption of sweetened soda. While language development is important, it is not the priority in this situation. Option C) Drinking soda is related to childhood obesity is also incorrect as the primary concern in this case is the impact of soda on dental health, not obesity. While soda consumption can contribute to obesity, this is not the focus of the scenario. Option D) Toddlers should be sleeping 10 hours a night is irrelevant to the child's soda consumption and dental health. While sleep is important for toddlers, it is not the key issue in this scenario. In an educational context, it is crucial for nurses to provide parents with information on healthy habits and potential risks to their child's well-being. By addressing the specific issue of soda consumption and its link to dental caries, nurses can empower parents to make informed decisions about their child's nutrition and oral health.

Correct Answer: A

Rationale: Engaging in odd repetitive behaviors is a hallmark sign of autism spectrum disorder in children. These behaviors can include repetitive movements, insistence on sameness, or specific routines. Recognizing and addressing these behaviors early can help in providing appropriate interventions and support for the child.

Correct Answer: B

Rationale: In pediatric nursing, it is crucial to consider the developmental needs and emotional well-being of children receiving treatment. In this scenario, the most suitable toy for a 3-year-old boy undergoing chemotherapy is a coloring book with crayons (Option B). The rationale behind this choice is that coloring allows the child to express creativity, engage in a calming and therapeutic activity, and have a sense of control during a time when they may feel powerless. It also provides a non-invasive form of entertainment that can be easily enjoyed even during treatment sessions. Option A, the bouncy ball, may not be suitable as it involves physical activity that a child undergoing chemotherapy may not have the energy for. Option C, the duck that squeaks, could potentially be disruptive in a medical setting where quiet and calmness are important. Option D, the remote-controlled car, might be too complex for a 3-year-old and could lead to frustration rather than enjoyment during an already stressful time. Educationally, understanding the individualized needs of pediatric patients is essential for providing holistic care. By selecting appropriate toys and activities, healthcare providers can support the emotional and psychological well-being of children undergoing medical treatment, ultimately enhancing their overall experience and outcomes.