A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?

“This is a normal, expected reaction for a child of this age.”

“This is a response to an overstimulating environment.”

“This is a common reaction to an overexposure to caregivers.”

“This is a typical reaction for a child who is sick.”

Answer and Explanation

The Correct Answer is A

A. Separation anxiety is a normal developmental milestone that typically peaks around 8 months of age. It is a sign of healthy attachment and is expected during this stage of infancy.

B. While overstimulation can cause distress in some children, the scenario presented is more indicative of separation anxiety.

C. Overexposure to caregivers is not a recognized cause of the described behavior. Instead, it is a manifestation of the child's attachment to the primary caregiver.

D. The behavior described is more consistent with separation anxiety than illness. Illness-related distress would likely involve other signs and symptoms.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Applying bilateral wrist restraints is not a standard intervention after cleft palate repair.

Restraints should be used judiciously and with clear indications to prevent injury.

B. The baby can start feeding normal diet after 24hrs

C. Administering opioids for pain is an appropriate action by the nurse. Opioids control pain in the immediate postoperative period are followed by administration of acetaminophen PRN.

D. Offering fluids through a straw is contraindicated after cleft palate repair, as it can disrupt the healing process and increase the risk of complications. Sippy cups or other appropriate utensils should be used.

A. "I will have to feed my baby formula rather than breast milk." B. "I will keep my baby in an upright position after feedings." C. "My baby's formula can be thickened with oatmeal." D. "I should position my baby side-lying during sleep!"

Correct Answer is B

Explanation

A. Breastfeeding is an option for infants with gastroesophageal reflux. It does not necessarily require a switch to formula feeding.

B. Keeping the baby in an upright position after feedings helps prevent gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down.

C. Thickening formula with oatmeal is a potential intervention for infants with gastroesophageal reflux, but this is not the primary recommendation in this scenario.

D. Positioning the baby side-lying during sleep can increase the risk of aspiration and is not recommended. The baby should be placed on the back to sleep to reduce the risk of sudden infant death syndrome (SIDS).

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

A nurse is preparing to measure an infant’s vital signs. The nurse should use which of the following sites to assess a heart rate?

A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?