the nurse is discussing development and play activities with the parent of a 2 month old boy which statement by the parent would indicate a correct un

ATI RN

Nursing Care of Children ATI

1. The nurse is discussing development and play activities with the parent of a 2-month-old boy. Which statement by the parent would indicate a correct understanding of the teaching?

A. I can give my baby a ball of yarn to pull apart or different textured fabrics to feel
B. I can use a music box and soft mobiles as appropriate play activities for my baby
C. I should introduce a cup and spoon or push-pull toys for my baby at this age
D. I do not have to worry about appropriate play activities at this age

Correct answer: B

Rationale: At 2 months, infants are most stimulated by visual and auditory activities, such as a music box or soft mobiles. These activities help in sensory development and are appropriate for this age.

2. When assessing a preschooler's chest, what should the nurse expect?

A. Respiratory movements to be chiefly thoracic
B. Anteroposterior diameter to be equal to the transverse diameter
C. Retraction of the muscles between the ribs on respiratory movement
D. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing

Correct answer: D

Rationale: In a preschooler, chest movement should be symmetric and coordinated with breathing, indicating healthy respiratory function.

3. The nurse is caring for a child with acute postinfectious glomerulonephritis. Which of the following best describes the pathophysiology of acute postinfectious glomerulonephritis?

A. Occurs after a urinary tract infection
B. Occurs after a streptococcal infection
C. Associated with renal vascular disorders
D. Is caused by E. coli

Correct answer: B

Rationale: The correct answer is B: 'Occurs after a streptococcal infection.' Acute postinfectious glomerulonephritis often occurs after an infection with certain strains of streptococcus bacteria, specifically group A streptococcus. The body’s immune response to the infection leads to inflammation and damage in the kidneys. Choices A, C, and D are incorrect because acute postinfectious glomerulonephritis is primarily associated with streptococcal infections, not urinary tract infections, renal vascular disorders, or E. coli.

4. When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet is which?

A. Lacking in protein
B. Indicating they live in poverty
C. Providing sufficient amino acids
D. Needing enrichment with meat and milk

Correct answer: C

Rationale: A diet rich in vegetables, legumes, and starches can provide sufficient amino acids, particularly when complemented with varied food sources to ensure a balanced intake of essential nutrients.

5. What is the first-line treatment for a febrile seizure in a child?

A. Antipyretics
B. Anticonvulsants
C. Cooling blankets
D. IV fluids

Correct answer: A

Rationale: The correct answer is Antipyretics. Febrile seizures in children are usually associated with fever. The first-line treatment aims to reduce fever, which can help prevent febrile seizures. Antipyretics like acetaminophen or ibuprofen are commonly used for this purpose. Anticonvulsants, while used for treating seizures, are not typically the first-line treatment for febrile seizures as they are usually self-limited and resolve on their own. Cooling blankets can be used to lower body temperature in cases of hyperthermia but are not the primary treatment for febrile seizures. IV fluids may be administered in cases of dehydration due to fever or if the child cannot tolerate oral intake, but they are not the first-line treatment for febrile seizures.