the parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way tests are b

ATI RN

RN Nursing Care of Children 2019 With NGN

1. The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurse's intervention include?

A. Explain the disorder so they can explain it to others.
B. Help parents understand that this is a minor problem.
C. Suggest that parents avoid family and friends until the gender is assigned.
D. Encourage parents not to worry while the tests are being done.

Correct answer: A

Rationale: It is important for the nurse to provide the parents with accurate information so they can confidently explain the situation to others, helping to reduce stress and misinformation. Avoiding family and friends or minimizing the problem is not helpful.

2. Which is an accurate description of homosexual (or gay-lesbian) families?

A. A nurturing environment is lacking.
B. The children become homosexual like their parents.
C. The stability needed to raise healthy children is lacking.
D. The quality of parenting is equivalent to that of nongay parents.

Correct answer: D

Rationale: Research shows that the quality of parenting in homosexual families is equivalent to that in heterosexual families, and children thrive in nurturing environments provided by same-sex parents.

3. What statement is descriptive of renal transplantation in children?

A. It is an acceptable means of treatment after age 10 years.
B. Children can receive kidneys only from other children.
C. It is the preferred means of renal replacement therapy in children.
D. The decision for transplantation is difficult because a relatively normal lifestyle is not possible.

Correct answer: C

Rationale: Renal transplantation is the preferred method of treatment for children with end-stage renal disease, as it offers the best chance for a normal lifestyle compared to long-term dialysis. Transplantation can be performed at any age, and kidneys can come from adult donors as well.

4. The nurse is discussing issues that are important with parents considering a cross-racial adoption. Which statement made by the parents indicates further teaching is needed?

A. "We will try to preserve the adopted child's racial heritage."
B. "We are glad we will be getting full medical information when we adopt our child."
C. "We will make sure to have everyone realize this is our child and a member of the family."
D. "We understand strangers may make thoughtless comments about our child being different from us."

Correct answer: C

Rationale: The statement about making sure others realize the child is part of the family may indicate a focus on external validation rather than on the child’s needs and identity, suggesting a need for further teaching.