A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?
"This is normal behavior for infants unless the stool passed is black or green."
"This is normal behavior for infants due to the immaturity of the gastrointestinal system."
"This is normal behavior for infants unless the stool passed is hard and dry."
"This indicates a blockage in the intestine and must be reported to the health care provider."
The Correct Answer is B
A. "This is normal behavior for infants unless the stool passed is black or green.": While black or green stools may indicate potential issues, grunting and crying during bowel movements are common behaviors in infants and are not necessarily indicative of a problem.
B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system.": Grunting and crying during bowel movements are typical behaviors in infants, especially during the first few months of life. This is because the infant's gastrointestinal system is still developing and they may have difficulty coordinating their muscles to pass stool smoothly.
C. "This is normal behavior for infants unless the stool passed is hard and dry.": While hard and dry stools may indicate constipation, grunting and crying during bowel movements can still be normal behaviors in infants, regardless of the consistency of the stool.
D. "This indicates a blockage in the intestine and must be reported to the health care provider.": Grunting and crying during bowel movements are not necessarily indicative of a blockage in the intestine. These behaviors are common in infants and usually resolve as the infant's gastrointestinal system matures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Acts out roles of other peoplE. Preschoolers often engage in imaginative play and enjoy pretending to be other people or characters. This type of play allows them to explore different roles and scenarios, fostering creativity and social development.
B. Plans activities and makes up games: Preschoolers are becoming more independent and enjoy planning and organizing their activities. They may invent their own games, stories, or
imaginative scenarios, demonstrating their growing cognitive abilities and creativity.
C. Initiates activities with others: Preschoolers are becoming more social and enjoy interacting with peers and adults. They may take the initiative to start games, activities, or conversations with others, demonstrating their growing confidence and social skills.
D. Engages in parallel play with peers: Parallel play, where children play alongside but not directly with each other, is more typical of toddlers than preschoolers. Preschoolers are more
likely to engage in cooperative play, where they interact and play together with peers toward a common goal.
Correct Answer is A
Explanation
A. Obtain a detailed history.
Obtaining a detailed history is essential to understand the circumstances surrounding the bruises, including how they occurred, where they are located, and whether there is a plausible
explanation for them. This information helps determine whether the bruises are due to accidental injury or potential abuse.
B. Report the suspected abuse to the authorities.
While reporting suspected abuse may ultimately be necessary if there are concerns about the origin of the bruises, obtaining a detailed history is the initial step to gather information and assess the situation before making a report.
C. Ask a psychiatrist to talk with the parents.
Involving a psychiatrist may be appropriate in cases where there are concerns about the child's mental health or the family dynamics, but it may not address the immediate concern of the bruises without first obtaining a detailed history.
D. Separate the child from the parents.
Separating the child from the parents should not be the first action taken without sufficient evidence or reason to believe that the child is in imminent danger. Gathering information through a detailed history is essential before considering such a drastic measure.
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