Which of the following is NOT an appropriate treatment for an 18-year-old woman with severe vaginal bleeding?

Correct Answer: C

Rationale: Placing sterile dressings into the vagina is not an appropriate treatment for severe vaginal bleeding. The correct approach involves applying pressure to the external vaginal area to control bleeding, covering the vagina with a trauma dressing to help with compression, administering high concentrations of oxygen to support oxygenation, and keeping the patient warm with blankets to prevent hypothermia. Placing sterile dressings into the vagina can introduce foreign material, increase the risk of infection, and obstruct proper wound management, making it an incorrect treatment option in this scenario.

Correct Answer: B

Rationale: In pediatrics nursing, it is crucial to understand the appropriate assessment techniques for different age groups. In the case of an unresponsive 6-month-old patient, the correct artery to palpate when assessing for a pulse is the brachial artery. The brachial artery is the most accessible pulse site in infants, located in the antecubital fossa. Palpating the brachial pulse provides a reliable indication of the cardiac output and perfusion in infants. This artery is preferred over the radial artery because it is more central and easier to locate in infants, especially when dealing with an unresponsive patient. The other options - radial, femoral, and carotid arteries - are not the best choices for assessing an infant's pulse in this scenario. The radial artery is typically used in older children and adults, while the femoral artery is deeper and more difficult to locate in infants. The carotid artery is also not recommended in infants due to its location in the neck, which can be risky to manipulate in an unresponsive patient. Educationally, this question highlights the importance of age-appropriate assessment techniques in pediatric nursing. Understanding the anatomical differences in vascular structures among different age groups is crucial for providing safe and effective care to pediatric patients. Palpating the brachial artery in infants ensures accurate assessment of perfusion status and guides appropriate interventions in critical situations.

Correct Answer: C

Rationale: In a 7-year-old child with altered mental status, high fever, and a generalized rash, the most critical concern is the potential for convulsions. These symptoms could indicate a serious underlying condition, such as a febrile seizure or another type of seizure activity. Monitoring for convulsions is crucial during transport to ensure prompt intervention if they occur, as seizures can lead to additional complications and require immediate management.

Correct Answer: C

Rationale: The ideal time to clamp and cut the umbilical cord is when it has stopped pulsating. This allows for the transfer of remaining blood from the placenta to the newborn, which can be beneficial for the baby's health and iron stores. Clamping the cord too early can deprive the newborn of this essential blood volume. Waiting for the pulsations to cease ensures that the baby receives the maximum benefits from delayed cord clamping.

Correct Answer: B

Rationale: Dehydration is the most common cause of shock in infants and children. In children, the body's fluid reserves are smaller compared to adults, making them more susceptible to dehydration, which can lead to shock if not promptly addressed. Severe allergic reactions, accidental poisoning, and cardiac failure can also cause shock, but dehydration is the most frequent cause in this age group.