the nurse is preparing to assess a 10 month old infant he is sitting on his fathers lap and appears to be afraid of the nurse and of what might happen

ATI RN

ATI Nursing Care of Children

1. The nurse is preparing to assess a 10-month-old infant. He is sitting on his father's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse should be most appropriate?

A. Initiate a game of peek-a-boo.
B. Ask the infant's father to place the infant on the examination table
C. Talk softly to the infant while taking him from his father
D. Undress the infant while he is still sitting on his father’s lap

Correct answer: A

Rationale: Engaging the infant in a familiar game like peek-a-boo can help reduce fear and build rapport before starting the assessment.

2. Which statement best describes colic?

A. Periods of abdominal pain resulting in weight loss
B. Usually the result of poor or inadequate mothering
C. Periods of abdominal pain and crying occurring in infants older than age 6 months
D. A paroxysmal abdominal pain or cramping manifested by episodes of loud crying

Correct answer: D

Rationale: Colic is characterized by episodes of loud, inconsolable crying, often due to abdominal discomfort, and typically occurs in infants younger than 6 months. It is not related to poor mothering, nor does it necessarily result in weight loss.

3. The nurse is teaching parents about potential causes of colic in infancy. Which should the nurse include in the teaching session?

A. Overeating
B. All are applicable
C. Frequent burping
D. Parental smoking

Correct answer: B

Rationale: Overeating, swallowing excessive air (leading to frequent burping), and parental smoking are known to contribute to colic in infants. Understimulation is not typically associated with colic.

4. What statement is descriptive of renal transplantation in children?

A. It is an acceptable means of treatment after age 10 years.
B. Children can receive kidneys only from other children.
C. It is the preferred means of renal replacement therapy in children.
D. The decision for transplantation is difficult because a relatively normal lifestyle is not possible.

Correct answer: C

Rationale: Renal transplantation is the preferred method of treatment for children with end-stage renal disease, as it offers the best chance for a normal lifestyle compared to long-term dialysis. Transplantation can be performed at any age, and kidneys can come from adult donors as well.

5. The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?

A. Female, multiple siblings, stable home life
B. Male, high activity level, stressful home life
C. Male, even-tempered, history of previous injuries
D. Female, reacts negatively to new situations, no serious previous injuries

Correct answer: B

Rationale: A male child with a high activity level and a stressful home life has multiple risk factors for childhood injuries, requiring closer supervision and preventive measures.