A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH).
Which of the following strategies should the nurse implement to promote the infant's growth and development?
Allow the infant to stand in the crib.
Provide a small electronic toy.
Tie colorful latex balloons to the side of the crib.
Change the infant's diaper as soon as soiling occurs.
The Correct Answer is B
A. Allowing an infant with a cast for DDH to stand in the crib could place undue stress on the hips and may not be safe, depending on the type of cast and the stability of the condition. Most spica casts will not allow the child to stand, walk or bear any weight.
B. Providing a small electronic toy can help stimulate the infant's sensory and cognitive development. At 10 months old, infants are curious and responsive to interactive toys that can engage their senses and promote fine motor skills and cognitive development.
C. Tie colorful latex balloons to the side of the crib.: While colorful objects can be visually stimulating, latex balloons pose a choking hazard if they burst or are chewed on by the infant. It is safer to use other forms of visual stimulation, such as colorful toys or mobiles.
D. Change the infant's diaper as soon as soiling occurs.: While it is essential to keep the infant clean and dry to prevent skin irritation and infection, this action, although necessary, does not directly promote growth and development. It is a basic care measure rather than a developmental strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should suspect candidiasis, also known as oral thrush.
Candidiasis is a fungal infection that can occur in the mouth and is characterized by the presence of a white, milky plaque that does not come off with rubbing.
The child’s use of antibiotics, immunosuppressants, and corticosteroids can increase the risk of developing candidiasis.
Choice A is incorrect because dermatitis is an inflammation of the skin and
would not present as a white plaque in the mouth.
Choice C is incorrect because herpes simplex typically presents as painful blisters or sores in the mouth.
Choice D is incorrect because squamous cell carcinoma typically presents as a firm, painless growth, or ulcer in the mouth.
Correct Answer is A
Explanation
An epiphyseal fracture is a fracture that occurs in the epiphyseal plate, which is the layer of cartilage between the end of a long bone and the start of the bone shaft.
This type of fracture is most common in children and adolescents, as their bones are still growing and the epiphyseal plate is not yet fused to the bone shaft.
Because this is where new bone develops, injuries to this area can cause the plate to close prematurely, jeopardizing bone growth.
Choice B, “Bone marrow can be lost through the fracture,” is incorrect because
bone marrow is not lost through an epiphyseal fracture.
Choice C, “The younger the child the longer the healing process will take,” is incorrect because younger children generally heal faster than older children or adults.
Choice D, “The blood supply to the bone is disrupted,” is incorrect because an
epiphyseal fracture does not necessarily disrupt the blood supply to the bone.
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