parents would suspect hearing loss if their child did not

ATI RN

RN Nursing Care of Children 2019 With NGN

1. Parents would suspect hearing loss if their child did not:

A. Turn away from a sound
B. Startle with sudden loud noises immediately after birth
C. Talk at 4 months
D. Babble at 2 months

Correct answer: D

Rationale: The correct answer is D because babbling is an early indicator of hearing ability in infants. Lack of babbling by 2 months may suggest a potential hearing issue. Choices A, B, and C are incorrect because turning away from a sound, startling with sudden loud noises immediately after birth, and talking at 4 months are not primary indicators of hearing loss in infants.

2. Surgery is performed on a child to correct cryptorchidism. The parents understand the reason for the surgery if they tell the nurse this was done to do what?

A. Prevent damage to the undescended testicle.
B. Prevent urinary tract infections.
C. Prevent prostate cancer.
D. Prevent an inguinal hernia.

Correct answer: A

Rationale: The primary reason for correcting cryptorchidism through surgery is to prevent damage to the undescended testicle, which can lead to infertility and increase the risk of testicular cancer. Prevention of UTIs and prostate cancer are not the primary concerns in this context.

3. A 7-year-old has been diagnosed with cystic fibrosis. Chest physiotherapy has been ordered. What information should the nurse give to the parents regarding when chest physiotherapy is done?

A. Before aerosol treatment
B. After suctioning
C. Before postural drainage
D. Before meals

Correct answer: D

Rationale: The correct answer is D: 'Before meals'. Chest physiotherapy should be performed before meals to reduce the risk of vomiting and to ensure that the airways are clear for effective nutrition. Choices A, B, and C are incorrect because chest physiotherapy is ideally done before meals to optimize its benefits and avoid complications associated with timing.

4. What statement best describes Hirschsprung disease?

A. The colon has an aganglionic segment.
B. It results in frequent evacuation of solids, liquid, and gas.
C. The neonate passes excessive amounts of meconium.
D. It results in excessive peristaltic movements within the gastrointestinal tract.

Correct answer: A

Rationale: Hirschsprung disease is characterized by the absence of ganglion cells in a segment of the colon, leading to a lack of peristalsis and obstruction. The other options do not accurately describe this condition.

5. The nurse is reviewing the importance of role learning for children. The nurse understands that children's roles are primarily shaped by which members?

A. Peers
B. Parents
C. Siblings
D. Grandparents

Correct answer: B

Rationale: Parents play the primary role in shaping their children's roles and behaviors, especially in early childhood, through modeling, guidance, and expectations.