ATI MATERNITY AND PEDI EXAM 2 CHAPTERS 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. Let her watch her suitcase being packed. D)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 At first, the baby cries relentlessly but then becomes quiet and withdrawn.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. 3.The nurses on a pediatric unit are planning an open house for parents and children to visit the unit in an attempt to reduce the stress when hospitalized. In order to support the 2020 National Health Goals regarding childhood hospitalization and stress, what type of materials should the nurses prepare for the families? A)Location of the hospital cafeteria B)Best places to park when visiting the hospital C)Checklist of preventive services needed by children D)Suggested times during the day to visit when the child is hospitalized Ans: C Feedback: Hospitalization is a stressful event to children. There are specific 2020 National Health Goals to address stress in hospitalized children. Nurses can help the nation achieve these goals by helping reduce the stress of hospitalization or health care and hospitalization so families use preventive services to help children stay well rather than totally use emergent or ill child care services. The nurses should provide a checklist of preventive services needed by children to prevent hospitalizations. Location of the cafeteria, where to park, and visiting hours will not reduce the stress of hospitalized children.