Peds Final Exam (A+ GRADED)
m m m m
Ammothermcallsmamclinicmnursemtomaskmifmherminfantmbornmprematurelymshouldmreceivemthemseasonalm
influenzamvaccine.mThemnurse'smnextmquestionmshouldmbe:
a.m"Howmoldmismyourmbaby?"
b.m"Didmyourmbabymhavemanymrespiratorymproblems?"
c.m"Doesmyourmbabymhavemanymallergies?"
d.m"Howmmuchmprematuremwasmyourmbaby?"mcorrectmanswersma.m"Howmoldmismyourmbaby?"
Rationale:mFlumvaccinemandmallmothermvaccinesmaremadministeredmaccordingmtomchronologicalmage.m
Flumvaccinemismrecommendedmformallminfantsmatm6mmonthsmofmagemandmgivenmyearlymthereafter.mAnm
underlyingmrespiratorymproblemmmakesmflumvaccinemimportant.mAwarenessmofmallergiesmismalsomne
cessary,mbutmthemfirstmquestionmismchronologicalmagemtomdeterminemifmtheminfantmismoldmenoughmtomr
eceivemthemvaccine.
Themnursemcanmrefermthemspecialmneedsminfantmormtoddlermtomanmearlyminterventionmfederal:statempro
grammofferedmatmthemlocalmlevelmoftenmthrough:
a.mThemchild'smhomemormdaycaremcenter.
b.mfoodmandmnutritionmprograms
c.mcommunitymreligiousmorganizations
d.mthempublicmschoolmsystemmcorrectmanswersmThemchild'smhomemormamdaymcaremcenter
Rationale:mObservingmthemmother:childminteractionmduringmfeedingmandmhygienemactivitiesmwouldm
disclosemlackmofmknowledgemofmchildmcare,mpoormfeedingmtechniques,morminappropriatemmaternalmb
ondingmandminteractionmasminorganicmcausesmormfailuremtomthrive.mThemchild'smlackmofminterestminmor
minabilitymtomfeedmwouldmindicatemorganicmcauses,masmwouldmdeterminingmthatmthemchildmconsumed
madequatemcaloriesmformagemandmfindingmamhistorymofmprematuritymormcongenitalmanomaly.
Whichmstatementmbymthemmothermofmamspecialmneedsmtoddlermrequiresmnursingmintervention?mSelect
mallmthatmapply.
a.m"wemgivemhermlotsmofmfingermfoodsmsomshemcanmfeedmherself"
b.m"shemteethedmlate,mandmhermteethmaremstillmcomingminmsomwemhaven'tmlookedmformamdentist."
c.m"wemtakemhermtomthemparkmwhenmthemweathermismgood"
d.m"shemscootsmaroundmonmthemfloormsomwemkeepmherminmamplaypenmformsafety."mcorrectmanswersmb.m
"shemteethedmlate,mandmhermteethmaremstillmcomingminmsomwemhaven'tmlookedmformamdentist."
d.m"shemscootsmaroundmonmthemfloormsomwemkeepmherminmamplaypenmformsafety."
Rationale:mSafetymismimportant,mbutmrestrictingmthemtoddlermtomamplaypenminterferesmwithmmotormde
velopmentmandmlearning.mToddlersmexploremtheirmenvironmentmtomdevelopmmotormskillsmandmlearnm
throughmtrialmandmerror.mBeingmenclosedminmonemenvironmentm(playpen)mdoesmnotmprovidemformthis.
m Latemteethingmmaymoccurminmspecialmneedsmchildren.mHowever,mdentalmcaremismessentialmtomthemhe
althmofmallmchildren,mandmearlymevaluationmandmcaremismoftenmevenmmoremimportantmtomthemspecialmn
eedsmchild.mSpecialmneedsmchildrenmbenefitmfrommproblemmpreventionmormcorrectionminmallmarenasmt
omsupportmdevelopmentmandmpromotemfunctioningmatmthemhighestmpossiblemlevel.mFingermfoodsmsup
portmself-
feedingmandmthemautonomymdesiredmbymtoddlers.mExcursionsmtomthemparkmprovidemmotormandmsenso
rymstimulationmandmfun.
,Am3-month-
oldmboymwasmdiagnosedmwithmfailuremtomthrive.mWhatmactionmwillmbemmostmhelpfulminmassistingmthem
nursemtomdeterminemifmtheremismanminorganicmcause?
a.mreviewingmthemmedicalmrecordsmformamhistorymofmprematuritymormamcongenitalmanomaly
b.massessingmformadequatemcaloriemintakemthroughmrecordingmouncesmofmformulamconsumed
c.mobservingmthemmother-childminteractionmduringmfeedingmandmhygienemactivities
d.mobservingmthemchild'sminterestminmandmabilitymtomfeedmcorrectmanswersmc.mobservingmthemmother-
childminteractionmduringmfeedingmandmhygienemactivities
Rationale:mObservingmthemmother:childminteractionmduringmfeedingmandmhygienemactivitiesmwouldm
disclosemlackmofmknowledgemofmchildmcare,mpoormfeedingmtechniques,morminappropriatemmaternalmb
ondingmandminteractionmasminorganicmcausesmormfailuremtomthrive.mThemchild'smlackmofminterestminmor
minabilitymtomfeedmwouldmindicatemorganicmcauses,masmwouldmdeterminingmthatmthemchildmconsumed
madequatemcaloriesmformagemandmfindingmamhistorymofmprematuritymormcongenitalmanomaly.
Themnursemismpreparingmam7-year-
oldmgirlmrecoveringmfrommheadmtraumamandmreceivingmgastrostomymfeedingsmformdischargemfrommth
emhospital.mWhichmactivitymismmostmimportantmbeforemthemchildmismdischargedmhome?
a.mdeterminingmthemparents'mabilitymtomadministermthementeralmfeedings
b.mpreparingmamlistmofmhomemequipmentmandmsuppliesmneeded
c.massessingmthemparents'memotionalmstatus
d.mhelpingmthemfamilymtomaccessmfinancialmresourcesmcorrectmanswersma.mdeterminingmthemparents'ma
bilitymtomadministermthementeralmfeedings
Rationale:mThemparents'mabilitymtommaintainmtheirmchild'smnutritionmismessentialmtomthemchild'smwell-
being.mThemtransitionmcanmgomforwardmwhilemstillmresolvingmfinancialmresourcemadequacymandmthem
emotionalmstatusmofmthemparents.mEquipmentmandmsuppliesmwillmbemorderedmasmpartmofmdischargempl
anningmandmaremnotmneededmuntilmthemparentsmcanmsafelymadministermfeedings.
Themparentsmofmam10-year-
oldmboymwithmcysticmfibrosismrestrictmhimmfrommcamping,msleepoversmwithmfriends,mandmschoolmfiel
dmtrips.mTheymtimemhismrespiratorymtreatmentsmandmlogmhismdiet,mchoosingmmostmfoodsmformhim.mTh
eymhavemhimmseenmmedicallymbetweenmscheduledmappointmentsmandmcallmtheirmphysicianmfrequentl
ymwithmconcerns.mThemnursemconsidersmthesembehaviorsmindicativemof:
a.mparentalmdepression
b.mneedmformrespitemcare
c.mvulnerablemchildmsyndrome
d.mparentalmdenialmofmthemchild'smconditionmcorrectmanswersmc.mvulnerablemchildmsyndrome
Rationale:mDescriptorsmfitmvulnerablemchildmsyndrome.mParentsm"see"mthemchildmasmmoremfragileman
dmdependentmthanmhemactuallymis.mResultantmprotectivembehaviorsmonmthempartmofmthemparentsminterf
eremwithmthemboy'smabilitymtomgrowmandmdevelopmasmnormallymasmpossiblemwithinmthemrestraintsmofm
hismillness.
Mediamismbeginningmtompromotemimmunizationsmformthemupcomingminfluenzamseason.mThemmotherm
ofmamprematureminfantm7mmonthsmchronologicalmagemandm5mmonthsmcorrectedmagemasksmaboutmimm
unizingmhermchild.mThemnursemresponds:
a.m"nomchildmreceivesmseasonalmflumvaccinemuntilmagem4myears"
b.m"yourmchildmasmam7-month-oldmshouldmbemimmunized."
,c.m"themchild'smcorrectedmagemmakesmhimmtoomyoung."
d.m"prematureminfantsmshouldmnotmbemimmunizedmagainstmthemseasonalmflumuntilm1myearmoldmchrono
logically."mcorrectmanswersmb.m"yourmchildmasmam7-month-oldmshouldmbemimmunized."
Rationale:mInfantsmreceiveminfluenzamvaccinematm6mmonthsmofmage.mChronologicalmagemismusedmform
prematureminfants.mAllmthemothermresponsesmaremincorrect.
Nursesmexplainmthatmbeforemthemparentsmofmamprematureminfantmleavemthemhospitalmwithmtheirmbaby,
mthemchildmmust:
a.mbemimmunizedmagainstmpertussis
b.mhavemnomapneamepisodes
c.mbemablemtomnipplemfeed
d.mmaintainmoxygenationminmamcarmseatmcorrectmanswersmd.mmaintainmoxygenationminmamcarmseat
Rationale:mMaintainingmsatisfactorymoxygenationmsaturationmwhilemsittingminmamcarmseatmismnecessa
rympriormtomhospitalmdischargemformprematureminfants.mSpecialmpaddingmofmthemseatmmaymbemnecess
ary.mAllmimmunizationsmwillmbemgivenmbasedmonmchronologicalmagemwithmpertussismfirstmgivenmatm2
mmonths.mPrematureminfantsmmaymbemdischargedmfrommhospitalmunitsmwithmfeedingmtubesmandmapne
ammonitors.
Themparentsmofmam9-year-oldmgirlmwhomismdyingmfrommcancermaremdistraughtmandmguilt-
riddenmwhenmtheymfindmthatmtreatmentmismnomlongermsuccessful.mWhatmismthembestmwaymformthemnurs
emtomrespond?
a.mexplainmthatmitmismnotmfairmtomthemchildmtomcontinuempresentmtreatment.
b.mtellmthemparentsmtheremismnommoremthatmcanmbemdone.
c.maskmthemparentsmifmtheymwishmtomfillmoutmamdo-not-resuscitatemorder.
d.massuremthemparentsmthatmexpertmcaremofmtheirmchildmwillmcontinue.mcorrectmanswersmd.massuremthem
parentsmthatmexpertmcaremofmtheirmchildmwillmcontinue.
Rationale:mThemnursemneedsmtommakemsuremthemparentsmknowmthatmthemchildmismnotmbeingmabandone
dmbymthemhealthcaremteam.mInstead,mtreatmentmismchangingmbutmnotmending.mItmismnotmtruemtheremismn
otmanymoremthatmcanmbemdonemformthemchild.mPalliativemcaremcanmrelievemsymptomsmandmprovidemco
mfortmevenmthoughmitmwillmnotmcure.mWaitingmtominquiremaboutmamdo-not-
resuscitatemdecisionmuntilmparentsmhavemsomemadjustmentmtimemismconsiderate.mClaimingmitmismnotm
fairmtomcontinuemtreatmentmmaymenhancemthemguiltmalreadymbeingmexpressedmbymthemparents.
Inmworkingmwithmmiddlemtomoldermadolescentsmwithmspecialmneeds,mthemnursemteachesmthemteensmwh
enmtomseekmhelpmfrommamhealthmprofessionalmandmaboutmthemmedicalminsurancemprocess.mThismnurse
mis:
a.mbeginningmtompreparemthemteenmformtransitionmtomadultmcare
b.mpromotingmimprovedmusemofmthempresentmhealthcaremresources
c.mworkingmtomreducemthemfinancialmburdenmtomthemfamily
d.mattempingmtomrelievemstressedmparentsmofmsomemresponsibility.mcorrectmanswersma.mbeginningmtom
preparemthemteenmformtransitionmtomadultmcare
Rationale:mSincemstrangermfearmandmseparationmanxietymismamdevelopmentalmnormmaroundm8mmonth
s,mattachmentmismcriticalmtomprovidemsecurity.mAllmthemotherminterventionsmshouldmbemusedmtomprom
otemdevelopment,mbutmattachmentmismessential.
, Themnursemismcaringmformamhospitalizedm8-month-
oldmgirlmwithmspecialmhealthcaremneeds.mWhichminterventionmwouldmbestmhelpmthisminfantmgrowmand
mdevelop?
a.msupportmparentalmattachmentmtomthemchild.
b.mpromotemmodifiedmgrossmmotormactivitiesm
c.musemplaymtomencouragemfinemmotormskillmdevelopment
d.mrolemmodelmbasicmcaremandmtalk,mread,mandmsingmtomthemchild.mcorrectmanswersma.msupportmparent
almattachmentmtomthemchild.
Rationale:mAttachmentminterferencemmaymalreadymhavemoccurredmduemtomfrequentmhospitalizationsm
andmmultiplemtherapiesmandmtreatments.mAmbasicmneedmofmthismgirlmismthemdevelopmentmofmtrustminma
ndmattachmentmtomhermparents.mSincemstrangermfearmandmseparationmanxietymismamdevelopmentalmnor
mmaroundm8mmonths,mattachmentmismcriticalmtomprovidemsecurity.mAllmthemotherminterventionsmshoul
dmbemusedmtompromotemdevelopment,mbutmattachmentmismessential.
Themmothermofmam10-year-
oldmbeingmtreatedmformkidneymfailuremspeaksmverymbrokenmEnglishmandmismclearlymoverstressed.mWh
atmismthemprioritymnursingmintervention?
a.massuringmhermandmdemonstratingmthatmthemchildmwillmbemwellmcaredmfor
b.mgainingmmoreminformationmaboutmhermstress
c.mencouragingmhermtomgomhomemandmgetmsomemrest
d.mprovidingmhermwithmambedmandmfoodminmthemchild'smroommcorrectmanswersmb.mgainingmmoreminfor
mationmaboutmhermstress
rationale:mThempriorityminterventionmismtomdeterminemthemsourcesmofmthemmother'smstressors.mWhatm
aremhermfearsmandmconcerns?mWhatmpressuresmarempresentminmhermlife?mAnminterpretermmaymbemnece
ssarymtomensuremeffectivemcommunication.mUntilmthen,mthemnursemcannotmbemsuremthatmthemothermme
asuresmaremappropriate,malthoughmtheymaremcaring.
Amchild'smmedicalmrecordmcontainsmthemdiagnosismfailuremtomthrivem(FTT).mThemnursemrealizes:mSel
ectmallmthatmapply.
a.mthemcausemmaymbemorganicmorminorganicm
b.mitmmaymhavemdevelopmentalmdelaymasmamcontributingmfactor
c.mitmcouldmbemrelatedmtompoverty
d.mthemgrowthmchartmshowsmanmextendedmperiodmofmpoormweightmgain.m
e.mthatmspecialmneedsmchildrenmoftenmcarrymthismdiagnosismcorrectmanswersma,mb,mc,mdmandme
rationale:mAllmaremtruemofmfailuremtomthrive.mPhysicalmormphysiologicmproblemsmcausemorganicmfailu
remtomthrive.mInorganicmfailuremtomthrivemderivesmfrommpsychosocialmsources.mThemlinembetweenmth
emtwommaymnotmalwaysmbemclear,mhowever,msincemcausesmofmthemproblemmcanmbemmixed.
Knowingmthatmcaregiversmofmamspecialmneedsmchildmusuallymgivemofmthemselvesminmalmostmunendin
gmways,mthemnursemwillmassistmthemparentsmby:
a.mhelpingmthemmdevelopmworkablemhealth-promotingmactivitiesmformthemselves.m
b.marrangingmtomhavemthemchildmspendmmoremtimeminmschool
c.mmodifyingmthemcaremplanmtomfocusmonmonlymthembasicmessentials
d.msteppingminmandmprovidingmadditionalmdirectmcaremcorrectmanswersma.mhelpingmthemmdevelopmwo
rkablemhealth-promotingmactivitiesmformthemselves.
m m m m
Ammothermcallsmamclinicmnursemtomaskmifmherminfantmbornmprematurelymshouldmreceivemthemseasonalm
influenzamvaccine.mThemnurse'smnextmquestionmshouldmbe:
a.m"Howmoldmismyourmbaby?"
b.m"Didmyourmbabymhavemanymrespiratorymproblems?"
c.m"Doesmyourmbabymhavemanymallergies?"
d.m"Howmmuchmprematuremwasmyourmbaby?"mcorrectmanswersma.m"Howmoldmismyourmbaby?"
Rationale:mFlumvaccinemandmallmothermvaccinesmaremadministeredmaccordingmtomchronologicalmage.m
Flumvaccinemismrecommendedmformallminfantsmatm6mmonthsmofmagemandmgivenmyearlymthereafter.mAnm
underlyingmrespiratorymproblemmmakesmflumvaccinemimportant.mAwarenessmofmallergiesmismalsomne
cessary,mbutmthemfirstmquestionmismchronologicalmagemtomdeterminemifmtheminfantmismoldmenoughmtomr
eceivemthemvaccine.
Themnursemcanmrefermthemspecialmneedsminfantmormtoddlermtomanmearlyminterventionmfederal:statempro
grammofferedmatmthemlocalmlevelmoftenmthrough:
a.mThemchild'smhomemormdaycaremcenter.
b.mfoodmandmnutritionmprograms
c.mcommunitymreligiousmorganizations
d.mthempublicmschoolmsystemmcorrectmanswersmThemchild'smhomemormamdaymcaremcenter
Rationale:mObservingmthemmother:childminteractionmduringmfeedingmandmhygienemactivitiesmwouldm
disclosemlackmofmknowledgemofmchildmcare,mpoormfeedingmtechniques,morminappropriatemmaternalmb
ondingmandminteractionmasminorganicmcausesmormfailuremtomthrive.mThemchild'smlackmofminterestminmor
minabilitymtomfeedmwouldmindicatemorganicmcauses,masmwouldmdeterminingmthatmthemchildmconsumed
madequatemcaloriesmformagemandmfindingmamhistorymofmprematuritymormcongenitalmanomaly.
Whichmstatementmbymthemmothermofmamspecialmneedsmtoddlermrequiresmnursingmintervention?mSelect
mallmthatmapply.
a.m"wemgivemhermlotsmofmfingermfoodsmsomshemcanmfeedmherself"
b.m"shemteethedmlate,mandmhermteethmaremstillmcomingminmsomwemhaven'tmlookedmformamdentist."
c.m"wemtakemhermtomthemparkmwhenmthemweathermismgood"
d.m"shemscootsmaroundmonmthemfloormsomwemkeepmherminmamplaypenmformsafety."mcorrectmanswersmb.m
"shemteethedmlate,mandmhermteethmaremstillmcomingminmsomwemhaven'tmlookedmformamdentist."
d.m"shemscootsmaroundmonmthemfloormsomwemkeepmherminmamplaypenmformsafety."
Rationale:mSafetymismimportant,mbutmrestrictingmthemtoddlermtomamplaypenminterferesmwithmmotormde
velopmentmandmlearning.mToddlersmexploremtheirmenvironmentmtomdevelopmmotormskillsmandmlearnm
throughmtrialmandmerror.mBeingmenclosedminmonemenvironmentm(playpen)mdoesmnotmprovidemformthis.
m Latemteethingmmaymoccurminmspecialmneedsmchildren.mHowever,mdentalmcaremismessentialmtomthemhe
althmofmallmchildren,mandmearlymevaluationmandmcaremismoftenmevenmmoremimportantmtomthemspecialmn
eedsmchild.mSpecialmneedsmchildrenmbenefitmfrommproblemmpreventionmormcorrectionminmallmarenasmt
omsupportmdevelopmentmandmpromotemfunctioningmatmthemhighestmpossiblemlevel.mFingermfoodsmsup
portmself-
feedingmandmthemautonomymdesiredmbymtoddlers.mExcursionsmtomthemparkmprovidemmotormandmsenso
rymstimulationmandmfun.
,Am3-month-
oldmboymwasmdiagnosedmwithmfailuremtomthrive.mWhatmactionmwillmbemmostmhelpfulminmassistingmthem
nursemtomdeterminemifmtheremismanminorganicmcause?
a.mreviewingmthemmedicalmrecordsmformamhistorymofmprematuritymormamcongenitalmanomaly
b.massessingmformadequatemcaloriemintakemthroughmrecordingmouncesmofmformulamconsumed
c.mobservingmthemmother-childminteractionmduringmfeedingmandmhygienemactivities
d.mobservingmthemchild'sminterestminmandmabilitymtomfeedmcorrectmanswersmc.mobservingmthemmother-
childminteractionmduringmfeedingmandmhygienemactivities
Rationale:mObservingmthemmother:childminteractionmduringmfeedingmandmhygienemactivitiesmwouldm
disclosemlackmofmknowledgemofmchildmcare,mpoormfeedingmtechniques,morminappropriatemmaternalmb
ondingmandminteractionmasminorganicmcausesmormfailuremtomthrive.mThemchild'smlackmofminterestminmor
minabilitymtomfeedmwouldmindicatemorganicmcauses,masmwouldmdeterminingmthatmthemchildmconsumed
madequatemcaloriesmformagemandmfindingmamhistorymofmprematuritymormcongenitalmanomaly.
Themnursemismpreparingmam7-year-
oldmgirlmrecoveringmfrommheadmtraumamandmreceivingmgastrostomymfeedingsmformdischargemfrommth
emhospital.mWhichmactivitymismmostmimportantmbeforemthemchildmismdischargedmhome?
a.mdeterminingmthemparents'mabilitymtomadministermthementeralmfeedings
b.mpreparingmamlistmofmhomemequipmentmandmsuppliesmneeded
c.massessingmthemparents'memotionalmstatus
d.mhelpingmthemfamilymtomaccessmfinancialmresourcesmcorrectmanswersma.mdeterminingmthemparents'ma
bilitymtomadministermthementeralmfeedings
Rationale:mThemparents'mabilitymtommaintainmtheirmchild'smnutritionmismessentialmtomthemchild'smwell-
being.mThemtransitionmcanmgomforwardmwhilemstillmresolvingmfinancialmresourcemadequacymandmthem
emotionalmstatusmofmthemparents.mEquipmentmandmsuppliesmwillmbemorderedmasmpartmofmdischargempl
anningmandmaremnotmneededmuntilmthemparentsmcanmsafelymadministermfeedings.
Themparentsmofmam10-year-
oldmboymwithmcysticmfibrosismrestrictmhimmfrommcamping,msleepoversmwithmfriends,mandmschoolmfiel
dmtrips.mTheymtimemhismrespiratorymtreatmentsmandmlogmhismdiet,mchoosingmmostmfoodsmformhim.mTh
eymhavemhimmseenmmedicallymbetweenmscheduledmappointmentsmandmcallmtheirmphysicianmfrequentl
ymwithmconcerns.mThemnursemconsidersmthesembehaviorsmindicativemof:
a.mparentalmdepression
b.mneedmformrespitemcare
c.mvulnerablemchildmsyndrome
d.mparentalmdenialmofmthemchild'smconditionmcorrectmanswersmc.mvulnerablemchildmsyndrome
Rationale:mDescriptorsmfitmvulnerablemchildmsyndrome.mParentsm"see"mthemchildmasmmoremfragileman
dmdependentmthanmhemactuallymis.mResultantmprotectivembehaviorsmonmthempartmofmthemparentsminterf
eremwithmthemboy'smabilitymtomgrowmandmdevelopmasmnormallymasmpossiblemwithinmthemrestraintsmofm
hismillness.
Mediamismbeginningmtompromotemimmunizationsmformthemupcomingminfluenzamseason.mThemmotherm
ofmamprematureminfantm7mmonthsmchronologicalmagemandm5mmonthsmcorrectedmagemasksmaboutmimm
unizingmhermchild.mThemnursemresponds:
a.m"nomchildmreceivesmseasonalmflumvaccinemuntilmagem4myears"
b.m"yourmchildmasmam7-month-oldmshouldmbemimmunized."
,c.m"themchild'smcorrectedmagemmakesmhimmtoomyoung."
d.m"prematureminfantsmshouldmnotmbemimmunizedmagainstmthemseasonalmflumuntilm1myearmoldmchrono
logically."mcorrectmanswersmb.m"yourmchildmasmam7-month-oldmshouldmbemimmunized."
Rationale:mInfantsmreceiveminfluenzamvaccinematm6mmonthsmofmage.mChronologicalmagemismusedmform
prematureminfants.mAllmthemothermresponsesmaremincorrect.
Nursesmexplainmthatmbeforemthemparentsmofmamprematureminfantmleavemthemhospitalmwithmtheirmbaby,
mthemchildmmust:
a.mbemimmunizedmagainstmpertussis
b.mhavemnomapneamepisodes
c.mbemablemtomnipplemfeed
d.mmaintainmoxygenationminmamcarmseatmcorrectmanswersmd.mmaintainmoxygenationminmamcarmseat
Rationale:mMaintainingmsatisfactorymoxygenationmsaturationmwhilemsittingminmamcarmseatmismnecessa
rympriormtomhospitalmdischargemformprematureminfants.mSpecialmpaddingmofmthemseatmmaymbemnecess
ary.mAllmimmunizationsmwillmbemgivenmbasedmonmchronologicalmagemwithmpertussismfirstmgivenmatm2
mmonths.mPrematureminfantsmmaymbemdischargedmfrommhospitalmunitsmwithmfeedingmtubesmandmapne
ammonitors.
Themparentsmofmam9-year-oldmgirlmwhomismdyingmfrommcancermaremdistraughtmandmguilt-
riddenmwhenmtheymfindmthatmtreatmentmismnomlongermsuccessful.mWhatmismthembestmwaymformthemnurs
emtomrespond?
a.mexplainmthatmitmismnotmfairmtomthemchildmtomcontinuempresentmtreatment.
b.mtellmthemparentsmtheremismnommoremthatmcanmbemdone.
c.maskmthemparentsmifmtheymwishmtomfillmoutmamdo-not-resuscitatemorder.
d.massuremthemparentsmthatmexpertmcaremofmtheirmchildmwillmcontinue.mcorrectmanswersmd.massuremthem
parentsmthatmexpertmcaremofmtheirmchildmwillmcontinue.
Rationale:mThemnursemneedsmtommakemsuremthemparentsmknowmthatmthemchildmismnotmbeingmabandone
dmbymthemhealthcaremteam.mInstead,mtreatmentmismchangingmbutmnotmending.mItmismnotmtruemtheremismn
otmanymoremthatmcanmbemdonemformthemchild.mPalliativemcaremcanmrelievemsymptomsmandmprovidemco
mfortmevenmthoughmitmwillmnotmcure.mWaitingmtominquiremaboutmamdo-not-
resuscitatemdecisionmuntilmparentsmhavemsomemadjustmentmtimemismconsiderate.mClaimingmitmismnotm
fairmtomcontinuemtreatmentmmaymenhancemthemguiltmalreadymbeingmexpressedmbymthemparents.
Inmworkingmwithmmiddlemtomoldermadolescentsmwithmspecialmneeds,mthemnursemteachesmthemteensmwh
enmtomseekmhelpmfrommamhealthmprofessionalmandmaboutmthemmedicalminsurancemprocess.mThismnurse
mis:
a.mbeginningmtompreparemthemteenmformtransitionmtomadultmcare
b.mpromotingmimprovedmusemofmthempresentmhealthcaremresources
c.mworkingmtomreducemthemfinancialmburdenmtomthemfamily
d.mattempingmtomrelievemstressedmparentsmofmsomemresponsibility.mcorrectmanswersma.mbeginningmtom
preparemthemteenmformtransitionmtomadultmcare
Rationale:mSincemstrangermfearmandmseparationmanxietymismamdevelopmentalmnormmaroundm8mmonth
s,mattachmentmismcriticalmtomprovidemsecurity.mAllmthemotherminterventionsmshouldmbemusedmtomprom
otemdevelopment,mbutmattachmentmismessential.
, Themnursemismcaringmformamhospitalizedm8-month-
oldmgirlmwithmspecialmhealthcaremneeds.mWhichminterventionmwouldmbestmhelpmthisminfantmgrowmand
mdevelop?
a.msupportmparentalmattachmentmtomthemchild.
b.mpromotemmodifiedmgrossmmotormactivitiesm
c.musemplaymtomencouragemfinemmotormskillmdevelopment
d.mrolemmodelmbasicmcaremandmtalk,mread,mandmsingmtomthemchild.mcorrectmanswersma.msupportmparent
almattachmentmtomthemchild.
Rationale:mAttachmentminterferencemmaymalreadymhavemoccurredmduemtomfrequentmhospitalizationsm
andmmultiplemtherapiesmandmtreatments.mAmbasicmneedmofmthismgirlmismthemdevelopmentmofmtrustminma
ndmattachmentmtomhermparents.mSincemstrangermfearmandmseparationmanxietymismamdevelopmentalmnor
mmaroundm8mmonths,mattachmentmismcriticalmtomprovidemsecurity.mAllmthemotherminterventionsmshoul
dmbemusedmtompromotemdevelopment,mbutmattachmentmismessential.
Themmothermofmam10-year-
oldmbeingmtreatedmformkidneymfailuremspeaksmverymbrokenmEnglishmandmismclearlymoverstressed.mWh
atmismthemprioritymnursingmintervention?
a.massuringmhermandmdemonstratingmthatmthemchildmwillmbemwellmcaredmfor
b.mgainingmmoreminformationmaboutmhermstress
c.mencouragingmhermtomgomhomemandmgetmsomemrest
d.mprovidingmhermwithmambedmandmfoodminmthemchild'smroommcorrectmanswersmb.mgainingmmoreminfor
mationmaboutmhermstress
rationale:mThempriorityminterventionmismtomdeterminemthemsourcesmofmthemmother'smstressors.mWhatm
aremhermfearsmandmconcerns?mWhatmpressuresmarempresentminmhermlife?mAnminterpretermmaymbemnece
ssarymtomensuremeffectivemcommunication.mUntilmthen,mthemnursemcannotmbemsuremthatmthemothermme
asuresmaremappropriate,malthoughmtheymaremcaring.
Amchild'smmedicalmrecordmcontainsmthemdiagnosismfailuremtomthrivem(FTT).mThemnursemrealizes:mSel
ectmallmthatmapply.
a.mthemcausemmaymbemorganicmorminorganicm
b.mitmmaymhavemdevelopmentalmdelaymasmamcontributingmfactor
c.mitmcouldmbemrelatedmtompoverty
d.mthemgrowthmchartmshowsmanmextendedmperiodmofmpoormweightmgain.m
e.mthatmspecialmneedsmchildrenmoftenmcarrymthismdiagnosismcorrectmanswersma,mb,mc,mdmandme
rationale:mAllmaremtruemofmfailuremtomthrive.mPhysicalmormphysiologicmproblemsmcausemorganicmfailu
remtomthrive.mInorganicmfailuremtomthrivemderivesmfrommpsychosocialmsources.mThemlinembetweenmth
emtwommaymnotmalwaysmbemclear,mhowever,msincemcausesmofmthemproblemmcanmbemmixed.
Knowingmthatmcaregiversmofmamspecialmneedsmchildmusuallymgivemofmthemselvesminmalmostmunendin
gmways,mthemnursemwillmassistmthemparentsmby:
a.mhelpingmthemmdevelopmworkablemhealth-promotingmactivitiesmformthemselves.m
b.marrangingmtomhavemthemchildmspendmmoremtimeminmschool
c.mmodifyingmthemcaremplanmtomfocusmonmonlymthembasicmessentials
d.msteppingminmandmprovidingmadditionalmdirectmcaremcorrectmanswersma.mhelpingmthemmdevelopmwo
rkablemhealth-promotingmactivitiesmformthemselves.
