the nurse discovers welts on the back of a vietnamese child during a home health visit the childs mother says she has rubbed the edge of a coin on her

ATI RN

Nursing Care of Children Final ATI

1. The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize this as what?

A. Child abuse
B. Cultural practice to rid the body of disease
C. Cultural practice to treat enuresis or temper tantrums
D. Child discipline measure common in the Vietnamese culture

Correct answer: B

Rationale: This practice, known as "coining," is a cultural method believed to rid the body of illness and is not indicative of child abuse.

2. What is an appropriate nursing intervention for a child with minimal change nephrotic syndrome (MCNS) who has scrotal edema?

A. Place an ice pack on the scrotal area.
B. Place the child in an upright sitting position.
C. Elevate the scrotum with a rolled washcloth.
D. Place a warm moist pack to the scrotal area.

Correct answer: C

Rationale: Elevating the scrotum with a rolled washcloth helps reduce edema by promoting fluid drainage. Ice packs are not recommended due to the risk of frostbite, and warm moist packs are not typically used for this purpose. An upright position does not specifically address the edema.

3. At which age can most infants sit steadily unsupported?

A. 4 months
B. 6 months
C. 8 months
D. 12 months

Correct answer: C

Rationale: Most infants can sit steadily without support by 8 months, indicating advanced gross motor skill development.

4. The nurse has completed an education program on normal communication abilities in the preschool-age child. Which statement by a participant indicates a need for further education?

A. When my child counts numbers, it is only to 10 and we are slowly working on counting higher.
B. I am glad to know that my 4-year-old child asking so many questions is normal.
C. Stating his name and address is too hard for my 5-year-old child; it will be another year before he can do that.
D. My child is finally talking in a way that most of my friends can understand her speech.

Correct answer: C

Rationale: The correct answer is C. By age 5, children should be able to state their name and address. If a child cannot do this, it may indicate a developmental delay that requires further assessment. Choices A, B, and D do not indicate a need for further education as they reflect typical developmental milestones for preschool-age children, such as gradually improving counting skills, asking many questions, and improving speech clarity over time.