When assessing the neonate's eyes, which of the following findings needs further assessment?

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Nursing Care of Pediatrics Respiratory Disorders Quizlet Questions

Question 1 of 5

When assessing the neonate's eyes, which of the following findings needs further assessment?

Correct Answer: B

Rationale: In pediatric nursing, assessing a neonate's eyes is crucial for early detection of potential health issues. In this scenario, the correct answer is option B: corneas of unequal size, which indicates anisocoria. Anisocoria can be a sign of neurological problems, such as Horner syndrome or cranial nerve palsy, and requires immediate further assessment by a healthcare provider. Option A, the absence of tears, is a normal finding in neonates as their tear ducts may not be fully developed yet. Option C, constriction of the pupils, is also a normal finding known as pupillary constriction reflex. Option D, the presence of red circles on the pupils, is not a typical assessment parameter and does not indicate any specific pathology in this context. Educationally, understanding normal variations in neonatal eye assessments is essential for nurses to differentiate between normal findings and potential health concerns. By knowing which findings require further investigation, nurses can provide timely interventions and ensure optimal care for neonates with respiratory disorders or other health issues.

Question 2 of 5

The mother asks, 'The soft spot near the front of my baby's head is still big, when will it close?' The nurse's correct response would be at...

Correct Answer: D

Rationale: The correct answer is D) 13 to 18 months. The soft spot on a baby's head, also known as the fontanelle, is a space between the bones of the skull that allows for the baby's brain to grow and develop. The anterior fontanelle typically closes between 13 to 18 months of age. Option A) 2 to 4 months is incorrect because the fontanelle does not close this early. Option B) 5 to 8 months is also incorrect as it is too early for the fontanelle to close completely. Option C) 9 to 12 months is closer to the correct range but still a bit premature for the closure of the fontanelle. Understanding the timing of fontanelle closure is crucial for nurses caring for pediatric patients as it can provide important insights into the baby's neurological development. Educating parents about normal growth and development milestones helps them monitor their child's health and well-being effectively. This knowledge also enables healthcare providers to identify and address any abnormalities or delays in development promptly.

Question 3 of 5

Mother asks the nurse for advice about discipline. The nurse would suggest that the mother first use...

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Structured interaction. This approach promotes positive parent-child communication and encourages a nurturing and supportive environment for discipline. By choosing structured interaction, the mother can establish clear expectations, set limits, and provide guidance to her child effectively. Option B) Spanking is not recommended as a disciplinary method for children. Research has shown that spanking can lead to negative outcomes, such as increased aggression and behavior problems in children. It does not promote a healthy parent-child relationship or teach appropriate behavior. Option C) Reasoning is a valuable approach to discipline, but it may not always be effective with young children who are still developing their cognitive abilities. While reasoning can help children understand the consequences of their actions, it may not be the first step in establishing discipline for very young children. Option D) Scolding focuses on reprimanding the child for their behavior without providing guidance or teaching alternatives. This approach can lead to feelings of shame and inadequacy in the child, rather than promoting positive behavior change. In an educational context, it is crucial for nurses to provide evidence-based advice on positive discipline techniques to parents. Encouraging structured interaction helps parents build a strong foundation for effective discipline strategies that promote a healthy parent-child relationship and foster positive child development. By understanding the impact of different disciplinary approaches, nurses can support parents in creating a nurturing environment that enhances their child's well-being.

Question 4 of 5

The child tells the nurse that brushing and flossing her teeth is her responsibility. When responding to this information, the nurse should realize that the child...

Correct Answer: B

Rationale: The correct answer is B) Is most likely quite capable of this responsibility. In pediatric nursing, it is essential to recognize and support a child's growing independence and autonomy. By acknowledging the child's statement positively, the nurse reinforces the importance of personal responsibility and self-care habits. Option A) Is too young to be given this responsibility is incorrect because children should be encouraged to take on age-appropriate tasks to foster independence and self-esteem. Option C) Should have assumed this responsibility much sooner is incorrect as each child develops at their own pace, and it is important not to rush or compare their progress with others. Option D) Is probably just exaggerating the responsibility is incorrect as it undermines the child's sense of capability and responsibility, which are vital for their development. In an educational context, this question highlights the importance of supporting children's autonomy in healthcare practices, promoting positive self-care behaviors, and building trusting relationships between healthcare providers and pediatric patients.

Question 5 of 5

Which of the following fears would the nurse typically associate with toddlerhood?

Correct Answer: D

Rationale: In pediatric nursing, understanding developmental stages is crucial for providing effective care. Toddlers, typically aged 1-3 years, commonly experience separation anxiety and fear of abandonment. The fear of going to sleep, option D, is associated with this developmental stage as bedtime signifies a temporary separation from caregivers. Toddlers may resist sleep due to fear of being alone. Option A, mutilation, is more commonly associated with preschool-aged children who are beginning to understand the concept of bodily harm. Option B, the dark, and option C, ghosts, are more aligned with fears seen in older children who have more developed imaginations and cognitive abilities to grasp abstract concepts. Educationally, this question highlights the importance of recognizing age-appropriate fears in pediatric patients to provide holistic care. Understanding developmental stages can help nurses anticipate and address fears, ultimately enhancing the quality of care provided to pediatric patients.

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