Peds-Growth and Development Review Practice Test 2024.

Peds-Growth and Development Review Practice Test 2024. The nurse is caring for an infant who has been prescribed nystatin (Mycostatin). The nurse teaches the mother how to prevent aggravation of oral thrush. Which statements by the mother indicate the need for further teaching? Select all that apply. - CORRECT ANSWER "I should boil the pacifier for at least 20 minutes on alternate days." "I should apply the medication at least 20 minutes before feeding." "I should boil the reusable nipples for at least 5 minutes after washing." Rationale: Nystatin (Mycostatin) is used to treat oral thrush in infants. Boiling the pacifier for 20 minutes on alternate days can increase the risk of infection because daily boiling of the pacifier is the best way to ensure efficient sterilization and killing of pathogens. Therefore, pacifiers should be boiled daily for at least 20 minutes. Nystatin (Mycostatin) should be administered to the child after feeding, not before feeding. Reusable nipples should be boiled at least 20 minutes after washing to remove spores, which are heat-resistant. Rinsing the infant's mouth after feeding with plain water reduces the risk of infection in the infant. Nystatin (Mycostatin) should be applied four times a day to the infant's oral cavity to ensure effective drug action. Which assessment findings of a child would indicate a need for genetic consultation? Select all that apply. - CORRECT ANSWER Visual or hearing problems , Family history of mental illness, Development and speech delays, Excessive bleeding or excessive clotting Rationale: Visual or hearing problems may indicate a genetic disorder and should be assessed thoroughly. Mental illness is a hereditary disorder that can be transmitted through genes to the child. Therefore, a family history of any mental illness indicates a need for genetic consultation so that preventive measures and treatment can be initiated. Development and speech delays may indicate a genetic disorder, like autism or another behavioral disorder. Bleeding disorders like sickle cell anemia are also inherited and need genetic consultation. Fetal alcohol syndrome is not inherited, but caused by maternal consumption of alcohol during pregnancy. While caring for a breastfeeding patient, the nurse instructs the patient to begin feeding the infant when the child is quiet and alert. The nurse observes that the infant begins fussing and crying. What behavior does the infant display? - CORRECT ANSWER Prefeeding behavior Rationale: The infant is crying and fussing, which indicates high arousal and hunger. This behavior is termed prefeeding behavior. To enable the infant to gain a proper grasp of the mother's breast, the nurse instructs the mother to begin feeding before the onset of prefeeding behavior. The infant who is satisfied with the feeding exhibits satiety and usually becomes calm and falls asleep. Sucking movements and rooting reflex indicate approach behavior. Consummatory behavior is demonstrated by coordinated sucking and swallowing.