the nurse is assessing a 6 month old infant the parent asks when the soft area in the infants head will go away what is the best response by the nurse

ATI RN

Nursing Care of Children Final ATI

1. The parent asks when the soft area in the infant's head will go away. What is the best response by the nurse?

A. The area is called the anterior fontanel (fontanelle) and typically closes anytime up to 18 months of age.
B. The area is called a fontanel (fontanelle). They remain open to allow for rapid brain growth in the first months of life.
C. The soft spots may stay open until your infant is 2 or 3 years old.
D. Soft spots on the infant's head should have closed by now.

Correct answer: A

Rationale: The best response by the nurse is A, as the anterior fontanel typically closes between 12-18 months of age, allowing for brain growth during infancy. Choice B is incorrect because it does not provide a specific timeframe for the closure of the fontanel. Choice C is incorrect as it suggests a later closure timeframe than usual. Choice D is incorrect as it states that the soft spots should have closed already, which is inaccurate for a 6-month-old infant.

2. The nurse is evaluating research studies according to the GRADE criteria and has determined the quality of evidence on the subject is moderate. Which type of evidence does this determination indicate?

A. Strong evidence from unbiased observational studies
B. Evidence from randomized clinical trials showed inconsistent results
C. Consistent evidence from well-performed randomized clinical trials
D. Evidence for at least one critical outcome from randomized clinical trials had serious flaws

Correct answer: B

Rationale: Moderate evidence typically indicates that results from randomized clinical trials were inconsistent, highlighting the need for further research to confirm findings.

3. The nurse is caring for a child with Beta Thalassemia. Which child is in a group most at risk for Beta Thalassemia?

A. A three-year-old girl of Mediterranean descent.
B. A ten-year-old boy of Hispanic descent.
C. A young girl of African descent.
D. A baby of European descent.

Correct answer: A

Rationale: Corrected Rationale: Beta Thalassemia is most common in individuals of Mediterranean descent, such as those from Italy, Greece, and the Middle East. This genetic disorder affects hemoglobin production and can lead to severe anemia. Choice A is the correct answer as individuals of Mediterranean descent are at the highest risk for Beta Thalassemia. Choices B, C, and D are incorrect as they do not belong to the population group most at risk for this genetic disorder.

4. What is a clinical manifestation of acetaminophen poisoning?

A. Hyperpyrexia
B. Hepatic involvement
C. Severe burning pain in stomach
D. Drooling and inability to clear secretions

Correct answer: B

Rationale: Acetaminophen poisoning primarily affects the liver, leading to hepatic involvement, which may present as jaundice, liver failure, or elevated liver enzymes. Hyperpyrexia, severe pain, and drooling are more associated with other types of poisoning.

5. The Denver II is a test used to assess children. What does it evaluate?

A. Behavior problems
B. Developmental status
C. Body mass index
D. Infection likelihood

Correct answer: B

Rationale: The Denver II Developmental Screening Test is used to assess a child's development in four areas: personal-social, fine motor-adaptive, language, and gross motor skills. It helps identify children who may need further evaluation. Choice A, behavior problems, is incorrect as the Denver II primarily focuses on developmental milestones rather than behavior. Choice C, body mass index, is unrelated to the assessment of child development. Choice D, infection likelihood, is also not evaluated by the Denver II test.