When developing a teaching plan for a group of high school students about teenage pregnancy, the nurse would keep in mind which of the following?

Correct Answer: C

Rationale: The correct answer is C) Denial of the pregnancy is common early on. When developing a teaching plan for high school students about teenage pregnancy, it is crucial to address the common phenomenon of denial among teenagers who may be pregnant. This information is important for students to understand because denial can delay seeking necessary healthcare and support, potentially leading to negative outcomes for both the mother and the baby. Option A) The incidence of teenage pregnancies is increasing is incorrect because while teenage pregnancy rates fluctuate over time, the overall trend in many developed countries has been a decline in recent years. Option B) Most teenage pregnancies are planned is incorrect as research shows that a significant portion of teenage pregnancies are unplanned and unintended, often due to lack of access to comprehensive sex education and contraception. Option D) The risk for complications during pregnancy is rare is incorrect because teenage pregnancies are associated with higher risks of complications such as preterm birth, low birth weight, and maternal health issues compared to pregnancies in older women. It is important for high school students to understand these risks to make informed decisions about their reproductive health. In an educational context, providing accurate information about teenage pregnancy can help empower students to make healthy choices regarding their sexual health and relationships. Understanding the common behaviors and challenges associated with teenage pregnancy can also help reduce stigma and provide support to pregnant teenagers in their communities.

Correct Answer: A

Rationale: In pediatric nursing, understanding developmental norms and deviations is crucial for accurate assessments and interventions. In the case of a preschooler with mild mental retardation, being slow to feed oneself is characteristic due to potential delays in fine motor skills and coordination. This can result in difficulties manipulating utensils or self-feeding independently. Option A is correct because it aligns with the typical manifestation of mild mental retardation in preschoolers. This delay in self-feeding can be attributed to cognitive and motor skill impairments, which are common in this population. Option B, lack of speech, is more indicative of a language or speech delay rather than mild mental retardation specifically. Children with mild mental retardation may have speech delays as well, but it is not the defining characteristic. Option C, marked motor delays, is a possibility in individuals with more severe intellectual disabilities rather than mild mental retardation. Preschoolers with mild mental retardation may have some motor delays, but they are not typically as pronounced as in severe cases. Option D, gait disability, is more commonly associated with physical disabilities or conditions affecting the musculoskeletal system rather than mild mental retardation. While some children with mild mental retardation may have coordination issues, a gait disability would not be the primary characteristic. Educationally, this question highlights the importance of recognizing specific developmental characteristics associated with mild mental retardation in preschoolers. It emphasizes the need for nurses to be knowledgeable about typical developmental milestones and red flags for various conditions to provide effective care and support for pediatric patients.

Correct Answer: C

Rationale: In a child with celiac disease experiencing a celiac crisis secondary to an upper respiratory infection, the nurse would expect to assess watery diarrhea (Option C). This is because celiac crisis is characterized by severe malabsorption and can be triggered by infections, leading to increased gastrointestinal symptoms like watery diarrhea. Option A, respiratory distress, is less likely in this scenario as the primary concern would be related to the gastrointestinal manifestations of celiac crisis rather than respiratory symptoms. Option B, lethargy, can be a symptom of celiac crisis but is more nonspecific and can be present in various conditions. It is not as directly associated with celiac crisis secondary to an upper respiratory infection. Option D, weight gain, would not be expected in a child experiencing a celiac crisis due to the malabsorption and resulting nutritional deficiencies that commonly occur in this condition. Educationally, understanding the specific manifestations of celiac disease, its complications such as celiac crisis, and how external factors like upper respiratory infections can exacerbate symptoms is crucial for nursing practice. This knowledge helps nurses provide appropriate care, anticipate complications, and educate patients and families effectively.

Correct Answer: A

Rationale: In pediatric respiratory assessment, assessing a neonate's physical condition midway between feedings is crucial for several reasons. Firstly, assessing midway between feedings allows the nurse to evaluate the neonate in a state closer to baseline, as immediately after a feeding may introduce confounding factors such as regurgitation or changes in respiratory rate due to feeding. Secondly, assessing after a period of NPO for three hours might lead to an assessment during a time when the neonate is hungry or distressed, impacting the accuracy of the assessment. Lastly, assessing immediately before a feeding may not provide an accurate representation of the neonate's overall respiratory status as they may be more focused on feeding cues rather than exhibiting typical respiratory patterns. Educationally, understanding the timing of assessments in pediatric respiratory care is crucial for nurses to provide accurate and effective care to neonates. By assessing the neonate's physical condition midway between feedings, nurses can obtain a more reliable baseline for respiratory assessment, which is essential for early detection of any respiratory distress or abnormalities in neonates. This practice helps in ensuring optimal care and monitoring of neonates in the healthcare setting.

Correct Answer: C

Rationale: The correct answer is C) Social and physical activities. The Denver Developmental Screening Test (DDST) is a tool used to assess a child's developmental progress in key areas such as social, physical, language, and fine motor skills. By administering this test to a five-month-old infant, the nurse aims to evaluate the infant's developmental milestones in these areas to ensure appropriate growth and development. Option A) Intelligence quotient is incorrect because the DDST does not measure intelligence but rather focuses on developmental milestones specific to infants and young children. Option B) Emotional development is incorrect as the DDST primarily assesses physical and social skills rather than emotional development. Option D) Pre-disposition to genetic and allergic illnesses is incorrect as this test is not designed to assess genetic or allergic predispositions but rather developmental progress. Educationally, understanding the purpose and scope of developmental screening tests like the DDST is essential for healthcare providers working with infants and children. It allows for early identification of developmental delays or concerns, enabling timely interventions and support for optimal growth and development.