A nurse is obtaining vital signs from 2-month-old infant. The infant's heart rate is 190/min and his temperature is 40° C (104° F). The father asks the nurse why the infant's heart is beating so fast. Which of the following responses by the nurse is appropriate

"The fever is causing an increase in your baby's heart rate."

"Your baby's heart is beating fast in an attempt to cool down his body

“This is within the expected range for your baby."

"As your baby begins to fall asleep, his heart rate will decrease.

Answer and Explanation

The Correct Answer is A

A.   In the case of a fever, the body's response often includes an increase in heart rate to help distribute heat and manage the fever.
B.   While the body might attempt to regulate temperature through various means, the increased heart rate is primarily due to the fever itself.
C.   A heart rate of 190/min is higher than normal for a 2-month-old infant and is likely elevated due to the fever.
D.   Heart rate tends to decrease during sleep but doesn't explain the elevated heart rate specifically in response to the fever.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Stroking the nipple against the infant's face might confuse the baby and hinder the proper latch-on technique.
B. Supplementing feedings with water might interfere with the baby's intake of necessary nutrients from breast milk.
C. Feeding the infant every hour might not allow enough time for the baby to obtain the full benefits of feeding, potentially leading to inadequate milk intake.
D. Holding the breast in the "C position" is a proper technique for breastfeeding and doesn't require teaching.
E. Carefully washing breasts prior to feeding isn't necessary and might remove natural oils that aid breastfeeding.

A. Preschoolers do not have enough focus and expanded attention to notice when a page skipped during reading B. Preschoolers like stories that describe experiences different from their own. C. Preschoolers like stories with repeated phrases as they help keep their attention. D. Preschoolers enjoy books with pictures that tell stories. E. Preschoolers may retell the story from the book pretend to read books, and ask questions about the story. F. Preschoolers demonstrate early literacy skills by reciting stories or portions of books.

Correct Answer is ["B","C","D","E","F"]

Explanation

A. Preschoolers do have a degree of attention but may not notice if a page is skipped during reading.
B. Preschoolers are often drawn to stories that describe experiences different from their own, fostering imagination and understanding of different perspectives.
C. Stories with repeated phrases or predictable patterns can help maintain a preschooler's attention and engagement.
D. Preschoolers often enjoy picture books as visual cues aid in understanding the story and keep them engaged.
E. Preschoolers engaging in various literacy-related behaviors like retelling stories, pretending to read, and asking questions about stories they've heard indicate developing literacy skills.
F. Reciting stories or portions of books shows early literacy skills in preschoolers as they grasp and remember parts of a story.

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A nurse is obtaining vital signs from 2-month-old infant. The infant's heart rate is 190/min and his temperature is 40° C (104° F). The father asks the nurse why the infant's heart is beating so fast. Which of the following responses by the nurse is appropriate

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A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is ["B","C","D","E","F"]

Explanation

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