superficial palpation of the abdomen is often perceived by the child as tickling which measure by the nurse is most likely to minimize this sensation

ATI RN

ATI Nursing Care of Children

1. Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation?

A. Palpate another area simultaneously
B. Ask the child not to laugh or move
C. Begin with deeper palpation and gradually progress to superficial palpation
D. Have the child help with palpation by placing his or her hand over the palpating hand

Correct answer: D

Rationale: Allowing the child to place their hand over the nurse's hand helps reduce the tickling sensation and increases the child's comfort during the examination.

2. An infant is brought to the emergency department with the following clinical manifestations: poor skin turgor, weight loss, lethargy, tachycardia, and tachypnea. This is suggestive of which situation?

A. Water excess
B. Sodium excess
C. Water depletion
D. Potassium excess

Correct answer: C

Rationale: These symptoms are indicative of dehydration or water depletion, which is common in infants and can rapidly lead to severe consequences if not addressed promptly.

3. What is the best age to introduce solid food into an infant’s diet?

A. 2 to 3 months
B. 4 to 6 months
C. When birth weight has tripled
D. When tooth eruption has started

Correct answer: B

Rationale: The introduction of solid foods is recommended at 4 to 6 months when the infant's digestive system is more developed and ready for solids.

4. Which of the following is the best indicator of a child's nutritional status?

A. Weight
B. Height
C. Head circumference
D. Mid-upper arm circumference

Correct answer: D

Rationale: Mid-upper arm circumference is a good indicator of muscle mass and fat stores, reflecting a child's nutritional status. It is particularly useful in assessing malnutrition, as it is less affected by fluid retention or dehydration compared to other anthropometric measurements. Weight can fluctuate due to factors like hydration status, making it less reliable as a sole indicator of nutritional status. Height reflects growth but may not directly indicate current nutritional status. Head circumference is more related to brain growth and development rather than overall nutritional status.

5. What is the narrowing of the preputial opening of the foreskin called?

A. Chordee
B. Phimosis
C. Epispadias
D. Hypospadias

Correct answer: B

Rationale: Phimosis is the condition where the foreskin cannot be fully retracted over the glans penis due to a narrowing of the preputial opening. Chordee, epispadias, and hypospadias are different conditions involving the penis's structure.