a prolapsed umbilical cord is dangerous because the
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Nursing Elites

ATI LPN

LPN Pediatrics

1. Why is a prolapsed umbilical cord dangerous?

Correct answer: C

Rationale: A prolapsed umbilical cord is dangerous because the baby's head may compress the cord, cutting off its supply of oxygen. This compression can lead to oxygen deprivation, potentially causing significant harm to the baby. Immediate medical intervention is crucial in such cases to prevent adverse outcomes.

2. The Andrews family has been taking good care of their youngest, Archie, who was diagnosed with asthma. Which of the following statements indicate a need for further home care teaching?

Correct answer: B

Rationale: The correct answer is B. Avoiding exercise entirely is not recommended for asthma management. Regular exercise can actually help strengthen the lungs and improve overall respiratory function. Teaching should focus on appropriate exercise routines that are suitable for individuals with asthma to prevent attacks. Choices A, C, and D are all appropriate and indicate good understanding of asthma management. Increasing fluid intake helps thin secretions, using the bronchodilator inhaler before the steroid inhaler follows the correct order of inhaler administration, and identifying triggers is essential for asthma control.

3. What is the appropriate amount of fluid to be administered per hour using an infusion pump?

Correct answer: A

Rationale: The correct answer is 108.3mL. This amount is calculated based on the total daily fluid requirement, ensuring a consistent infusion rate over the hour.

4. A patient has been diagnosed with hypothyroidism; the nurse tells the patient not to eat goitrogens. Which of the following is an example of a goitrogen?

Correct answer: C

Rationale: Cabbage is an example of a goitrogen. Goitrogens are substances that can interfere with thyroid function by inhibiting the uptake of iodine. Cabbage contains compounds that can have this effect and should be consumed in moderation by individuals with hypothyroidism.

5. The provider is educating the parents of a newborn about circumcision care. Which of the following instructions should be included?

Correct answer: D

Rationale: The correct instruction for circumcision care is to use warm water to gently clean the penis during diaper changes. Alcohol wipes should be avoided as they can cause irritation. Yellowish exudate around the head of the penis is a normal part of the healing process and does not require reporting unless accompanied by other concerning symptoms. Avoiding petroleum jelly on the circumcision site is important to prevent trapping moisture and bacteria, which can lead to infection.

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