mrs byers tells the nurse that she is very worried because her 2 year old child does not finish his meals what should the nurse advise the mother

ATI LPN

Pediatric ATI Proctored Test

1. Mrs. Byers tells the nurse that she is very worried because her 2-year-old child does not finish his meals. What should the nurse advise the mother?

A. Make the child seat with the family in the dining room until he finishes his meal
B. Provide quiet environment for the child before meals
C. Do not give snacks to the child before meals
D. Put the child on a chair and feed him

Correct answer: C

Rationale: Providing a quiet environment can help the child focus on eating.

2. When is a newborn considered premature?

A. Weighs less than 6.5 pounds.
B. Is born to a heroin-addicted mother.
C. Is born before 37 weeks gestation.
D. Has meconium in or around its mouth.

Correct answer: C

Rationale: A newborn is considered premature if it is born before 37 weeks gestation. Premature birth increases the risk of various health problems as the baby may not be fully developed. Choice A is incorrect because the weight alone does not determine prematurity. Choice B is incorrect as it refers to a specific situation but not a direct indicator of prematurity. Choice D is incorrect as the presence of meconium does not solely indicate prematurity.

3. Mr. Lopez has a 7-year-old son with growth hormone (GH) deficiency. He shares with the nurse the desire of his son to play ball games. However, his wife feels the child will be in danger since he is smaller than the other children. In planning anticipatory guidance for these parents, the nurse should keep in mind which of the following?

A. The child should be allowed to play because doing so can foster healthy self-esteem
B. The risk for fractures is increased because GH deficiency results in fragile bones
C. Activity could aggravate insulin sensitivity, causing hyperglycemia
D. Activity would aggravate the child's joints, already overtasked by obesity

Correct answer: A

Rationale: Children with GH deficiency may face challenges due to their size, but it is important to encourage their participation in activities like playing ball games to promote healthy self-esteem. Allowing the child to play can help in building confidence and a sense of accomplishment, which are essential for their overall well-being.

4. A 7-year-old child named Kanjaga exhibits symptoms like fatigue, slow heart rate, dry skin, slower growth, and delayed puberty. Which of the following is the appropriate diagnosis for this deficiency that slows body processes?

A. Diabetes
B. Hypothyroidism
C. Growth hormone deficiency
D. Stunted growth

Correct answer: B

Rationale: The appropriate diagnosis for the symptoms described in Kanjaga, a 7-year-old child, is hypothyroidism. Hypothyroidism can lead to symptoms such as fatigue, slow heart rate, dry skin, slower growth, and delayed puberty in children.

5. A breastfeeding mother complains of sore nipples. Which intervention should the nurse suggest?

A. Use a breast pump until nipples heal
B. Apply lanolin cream after each feeding
C. Wash nipples with soap and water before and after each feeding
D. Reduce the frequency of breastfeeding

Correct answer: B

Rationale: The correct intervention for sore nipples in a breastfeeding mother is to suggest applying lanolin cream after each feeding. Lanolin cream can help soothe and protect the nipples, promoting healing and reducing discomfort. Using a breast pump may not address the underlying issue causing soreness. Washing nipples with soap and water excessively can lead to dryness and further irritation. Reducing breastfeeding frequency may impact milk supply and bonding. Therefore, recommending lanolin cream is the most appropriate intervention to alleviate soreness in this situation.