A.T.I MATERNAL NEWBORN 2021/2022 EXAM,PRACTICE EXAMS,FLASHCARDS FOR ACTIVE RECALL,(300+ QUESTIONS AND ANSWERS AND A STUDY GUIDE ALL IN ONE

43 Which of the following emotional manifestations demonstrates an improvement in a 7-month- oldinfant diagnosed with nonorganic failure to thrive?
The absence of separation anxiety and fear of strangers is a clinical manifestation of failure to thrive. Most infants develop separation anxiety and fear of strangers from 6 to 8months of age. Radar scan of the environment with a wide-eyed gaze is a clinical manifestation of failure to thrive. Infants with nonorganic failure to thrive are detached and show less interest in social interactions. Signs of nonorganic failure to thrive include the infant being passive, sleepy, and lethargic. Infants with nonorganic failure to thrive do not like to be held or touched, so this would be a sign of improvement.
Infant has no fear of strangers.

Infant scans environment with wide-eyed gaze.
Infant is passive and sleeps well.
Infant likes to be held and touched.


44 During an outpatient clinic visit a 13-year-old client is diagnosed with infectious mononucleosis. The nurse should expect which of the following to be included in the client's plan of care?
A simple nonnarcotic analgesic is usually sufficient to relieve the headache, fever, and malaise of mononucleosis. Gargling alleviates the pain from sore throat. Warm water is soothing to the inflamed throat and rinses the pharynx of secretions. Sometimes a short course of penicillin is prescribed for sore throat, but ampicillin is contraindicated because it frequently triggers a maculopapular rash. The child and family should be advised to limit exposure to persons outside of the family, especially during the acute phase to prevent secondary infection.
Take acetaminophen (Tylenol) with codeine as prescribed for pain.
Encourage gargling with warm water to alleviate pain.
Start a short course of ampicillin.

Encourage social activity to prevent depression.



45 A nurse is reinforcing teaching with the parents of an infant diagnosed with recurrent otitis media. Which of the following is appropriate teaching to include?
The use of steroids, decongestants, and antihistamines to treat acute otitis media is not recommended. The upright position prevents formula from draining into the middle ear through the eustachian tube. Equalizing tubes are used to treat otitis media, not tonsillectomy or an adenoidectomy. These have not been found to be effective treatments. An ice compress placed over the affected ear may provide comfort and reduce edema and pressure.
"Give the child an over-the-counter antihistamine when the symptoms begin."
"Hold the child in an upright position while feeding."
"Talk with the primary health care provider about performing a tonsillectomy." "Apply a warm compress over the affected ear to provide comfort."

46 A nurse is caring for a child who has hemophilia. The nurse should expect abnormal results in which of the following diagnostic tests?
Tests that measure serum fibrinogen level are all normal in persons with hemophilia.
Hemoglobin serves as the vehicle for transportation of oxygen and carbon dioxide. Itis not a test that relates to the cause of hemophilia.PT measures prothrombin activity and bypasses the intrinsic-extrinsic mechanism. It detects deficiencies in factor V, VII, X, and fibrinogen as well as prothrombin. This laboratory test reveals that a client with hemophilia has prolonged PTT. PTT measures the activity of thromboplastin, which depends on intrinsic clotting factors. Factor VIII and IX are needed for the formation of thromboplastin, and it is factor VIII or IX that is deficient in hemophilia or hemophilia B respectively.
Fibrinogen
Hemoglobin level
Prothrombin time (PT)
Partial thromboplastin time (PTT)