Where is the best place to observe for the presence of petechiae in dark-skinned individuals?

Correct Answer: C

Rationale: Petechiae are small, pinpoint, red or purple spots on the skin caused by bleeding into the skin. In dark-skinned individuals, it can be challenging to visualize petechiae due to the pigmentation of the skin. However, one of the best places to observe for the presence of petechiae in dark-skinned individuals is the oral mucosa, specifically the inner lining of the mouth. The oral mucosa is usually lighter in color compared to the skin, making it easier to identify petechiae in this area. Palms and soles may also be a good place to observe for petechiae, but the oral mucosa is typically the preferred site for examination in dark-skinned individuals.

Correct Answer: C

Rationale: Object permanence is the understanding that objects continue to exist even when they can't be seen, heard, or touched. When an infant actively searches for a hidden object, it demonstrates that the infant has developed object permanence. This behavior implies that the infant understands that the object still exists even though it is temporarily out of sight. This usually emerges around 8-12 months of age, according to Piaget's theory of cognitive development. The other choices do not specifically relate to the concept of object permanence as directly as actively searching for a hidden object does.

Correct Answer: A

Rationale: Congenital anomalies are the leading cause of death in infants younger than 1 year. These anomalies are conditions that a baby is born with, either due to genetic factors or other factors during fetal development. They can affect various parts of the body, such as the heart, brain, or other organs. Congenital anomalies can be severe and life-threatening, leading to infant mortality. Sudden Infant Death Syndrome (SIDS) is also a significant cause of infant deaths, but congenital anomalies are more commonly cited as the leading cause of death in this age group.

Correct Answer: C

Rationale: A workshop training day with a professional speaker where nurses can interact with each other would be the most beneficial type of continuing education program for home-care staff nurses. This type of program allows for interactive learning and the opportunity for nurses to engage in discussions, ask questions, and share experiences with each other. It promotes a collaborative learning environment, fosters teamwork, and enhances communication among the staff. Additionally, bringing in a professional speaker can provide valuable insights and expertise on relevant topics, further enriching the education experience for the nurses. Overall, a workshop training day would be a more engaging and effective approach to continuing education for the home-care staff nurses compared to the other options listed.

Correct Answer: C

Rationale: Creating a schedule similar to the one the child follows at home will provide familiarity and routine, which can help in establishing a bedtime routine and promoting better sleep. Consistency in sleep schedules is important for children, as it helps regulate their circadian rhythm and promotes quality sleep. By mirroring the child's home schedule, the nurse can create a sense of normalcy and comfort for the child, making it easier for them to fall asleep at bedtime. This approach is non-pharmacological and focuses on promoting healthy sleep habits, which is beneficial for the child's overall well-being and recovery process.