A nurse is caring for an 8-month - old child with a known dysmorphic syndrome and congenital anomalies. The nurse recognizes that the child is at risk for which of the following?
Frequent hospitalizations.
Weight loss.
Cognitive impairment
Dependence on caregivers.
The Correct Answer is A
A. Children with dysmorphic syndromes and congenital anomalies often have multiple medical needs that require frequent hospitalizations for treatment or monitoring.
B. Weight loss is not necessarily a primary concern unless there is a feeding issue or metabolic disorder.
C. Cognitive impairment may be a concern depending on the specific syndrome, but it is not as immediate a concern as potential frequent hospitalizations.
D. Dependence on caregivers is expected, but the primary concern is frequent medical interventions, not the dependency itself.
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Related Questions
Correct Answer is A
Explanation
A. Allowing the child to make decisions about their care helps foster autonomy, which is important in the stage of development described by Erikson for children at this age.
B. While a structured routine is helpful, fostering a sense of independence and decision-making is key to promoting development at this stage.
C. Expressing feelings through creative activities is beneficial but does not address the developmental need for independence and autonomy.
D. Engaging with other children is important for social development, but allowing the child to have some control over their care is essential for psychosocial growth.
Correct Answer is B
Explanation
A. Administering saline drops may be appropriate if there is a foreign body or irritation, but it is not the priority in a case of blurred vision.
B. The priority is to assess the child's visual acuity to determine the severity and possible cause of the blurred vision. This is essential to guide further diagnostic steps.
C. Cleansing the eyes may be helpful if there is visible debris or infection, but it is not the first priority in assessing blurred vision.
D. Obtaining a history is important but would follow after the visual acuity assessment, as it can help provide context for the symptoms.
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