A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?
A large bore needle with Heimlich valve for needle aspiration
A chest tube set up
Intubation setup
Appropriate self-inflating bag and correct mask size
The Correct Answer is C
a) A large bore needle with Heimlich valve for needle aspiration: Not typically used in the management of diaphragmatic hernia.
b) A chest tube set up: While useful in other situations, it may not be the immediate priority in managing diaphragmatic hernia.
c) Intubation setup: Essential for respiratory support in newborns with diaphragmatic hernia, as it helps manage respiratory distress.
d) Appropriate self-inflating bag and correct mask size: Important for neonatal resuscitation but doesn’t specifically address the respiratory challenges associated with diaphragmatic hernia.
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Related Questions
Correct Answer is A
Explanation
a) Hemolytic uremic syndrome: This condition often follows gastrointestinal infection caused by certain E. coli strains, leading to kidney damage and renal failure, particularly in children.
b) Hypovolemic shock: While severe dehydration and shock can affect renal function, they are not direct causes of prenatal renal failure.
c) Congenital obstructive urethra: This condition occurs when the urethra, the tube that carries urine from the bladder to the outside of the body, is blocked or narrowed. This can prevent urine from draining properly and cause damage to the kidneys before birth.
d) Glomerulonephritis: It's a kidney inflammation condition but not typically associated with prenatal renal failure.
Correct Answer is D
Explanation
a) Allowing the child to choose what time to take his medication might foster responsibility but may not specifically contribute to the sense of industry.
b) Allowing the child to help with his dressing change encourages responsibility and care but may not directly impact the sense of industry.
c) Allowing the child to assist with his bath encourages independence and self-care, but completing schoolwork often involves goal-setting, effort, and accomplishment, fostering a sense of industry according to Erik Erikson's theory of psychosocial development for this age group.
d) Allowing the child to complete schoolwork fosters the development of a sense of industry. Erik Erikson, a developmental psychologist, proposed a theory of psychosocial development where he described the stage of "industry versus inferiority" occurring during middle childhood (roughly ages 6-12 years).
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