which type of family should the nurse recognize when the paternal grandmother the parents and two minor children live together

ATI RN

Nursing Care of Children Final ATI

1. Which type of family should the nurse recognize when the paternal grandmother, the parents, and two minor children live together?

A. Blended
B. Nuclear
C. Extended
D. Binuclear

Correct answer: C

Rationale: An extended family includes relatives such as grandparents, aunts, uncles, and other extended family members living together, beyond just the nuclear family unit.

2. Which action should the nurse implement when taking an axillary temperature?

A. Take the temperature through one layer of clothing
B. Add a degree to the result when recording
C. Place the tip of the thermometer under the arm in the center of the axilla
D. Hold the child's arm away from the body while taking the temperature

Correct answer: C

Rationale: The correct technique involves placing the thermometer tip in the center of the axilla to ensure an accurate reading, with the arm held close to the body.

3. The nurse is reviewing the Healthy People 2020 leading health indicators for a child health promotion program. Which are included in the leading health indicators? (Select all that apply.)

A. Decrease tobacco use
B. Improve immunization rates
C. All are applicable
D. Increase access to health care

Correct answer: C

Rationale: Healthy People 2020 focuses on decreasing tobacco use, improving immunization rates, and increasing access to healthcare among its leading health indicators.

4. Which explains the importance of detecting strabismus in young children?

A. Color vision deficit may result.
B. Amblyopia, a type of blindness, may result.
C. Epicanthal folds may develop in the affected eye
D. Corneal light reflexes may fall symmetrically within each pupil

Correct answer: B

Rationale: Undetected strabismus can lead to amblyopia, where the brain favors one eye over the other, potentially resulting in permanent vision loss in the affected eye.