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Exam (elaborations)

MATERNITY___PEDI_EXAM_2_CHPTRS_COMPILED

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MATERNITY___PEDI_EXAM_2_CHPTRS_COMPILED 1. The nurse is discussing a pending hospitalization of an 8-month-old infant with the parents. What should the nurse encourage the parents to do when preparing the child for this hospitalization? A) Pack her favorite toy. B) Buy a new pair of soft pajamas. C) Read her a story on hospitalization. D) Let her watch her suitcase being packed. Ans: A Feedback: Because an infant cannot understand explanations of surgery or treatments, oral preparation is minimal. Remind parents to pack special items such as a favorite toy because this object provides a special kind of security for which there is no substitute. The infant is not old enough to appreciate a new pair of pajamas. Reading a story will have no meaning to the child. The child will not understand a suitcase being packed. 2. The mother of an infant is unable to visit the child in the hospital for 3 days. At first, the baby cries relentlessly but then becomes quiet and withdrawn. What reaction does the nurse identify as occurring with this child? A) The infant is fatigued. B) The infant is developing a sense of denial. C) The infant is confused about being hospitalized. D) The infant is ill, which is causing the change in behavior. Ans: B Feedback: In separation anxiety, the stage of protest is when the child cries loudly and is unable to be comforted. In denial, the child is silent with an expressionless face. The infant's behavior is not because of fatigue, confusion, or the illness.

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