A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group?
Congenital anomalies
Respiratory distress
Sudden infant death syndrome
Low birth weight
The Correct Answer is A
Rationale:
A) Congenital anomalies: Congenital anomalies, also known as birth defects, are structural or functional abnormalities present at birth. They can affect any part of the body and may cause physical or developmental disabilities, as well as contribute to infant mortality. These anomalies can result from genetic factors, environmental exposures during pregnancy, or a combination of both. Preventive measures such as prenatal care, genetic counseling, and maternal health promotion play crucial roles in reducing the incidence and impact of congenital anomalies.
B) Respiratory distress: While respiratory distress can be a significant concern in newborns, especially those born prematurely or with certain medical conditions, it is not the leading cause of death among infants. Respiratory distress syndrome (RDS) occurs primarily in premature infants due to immature lung development and surfactant deficiency, requiring supportive care and sometimes mechanical ventilation to manage.
C) Sudden infant death syndrome (SIDS): SIDS is the sudden and unexplained death of an otherwise healthy infant, typically occurring during sleep. While SIDS is a devastating tragedy and a major public health concern, it is not the leading cause of death among infants. Strategies to reduce the risk of SIDS include placing infants on their backs to sleep, avoiding soft bedding and overheating, and promoting a safe sleep environment.
D) Low birth weight: Low birth weight, defined as a birth weight of less than 2,500 grams (5.5 pounds), is associated with an increased risk of neonatal complications and long-term health issues. While low birth weight infants may face various health challenges, including respiratory problems and developmental delays, low birth weight itself is not the leading cause of death among infants. Efforts to reduce low birth weight include prenatal care, nutrition support, and management of maternal risk factors such as smoking and substance abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Half-strength infant formula: Infant formula, even if diluted, may not be appropriate immediately after a repair of intussusception. It may be too heavy for the infant's digestive system, potentially leading to complications. Clear fluids are usually preferred initially.
B. Sterile water: Sterile water is not typically recommended for oral intake in infants after a repair of intussusception. It lacks essential electrolytes needed to maintain proper hydration and electrolyte balance.
C. Oral electrolyte solution: Oral electrolyte solutions, such as Pedialyte, are often recommended for infants after a repair of intussusception. These solutions contain balanced electrolytes and fluids, which help prevent dehydration and restore electrolyte balance.
D. Half-strength orange juice: Orange juice, even if diluted, is not typically recommended immediately after a repair of intussusception. It may be too acidic and may cause gastrointestinal discomfort or irritation in the infant. Clear fluids are preferred initially to allow the gastrointestinal tract to rest and recover.
Correct Answer is ["C","D","E"]
Explanation
A. Unaware of compulsions: Clients with obsessive-compulsive disorder (OCD) are usually aware of their compulsions, which are repetitive behaviors or mental acts performed in response to obsessions. Compulsions are typically recognized by the individual as excessive or unreasonable, although they feel driven to perform them.
B. Irrational fear of certain objects: While individuals with OCD may experience irrational fears or obsessions, these are not exclusive to the disorder. Phobias, generalized anxiety disorder, and other conditions can also involve irrational fears of specific objects or situations. OCD is characterized more by intrusive thoughts (obsessions) and repetitive behaviors (compulsions) rather than specific fears.
C. Perfectionist behavior: Perfectionism is a common characteristic of OCD. Individuals with OCD often feel a strong need for things to be perfect or "just right." They may spend excessive amounts of time on tasks to ensure perfection or may be overly concerned with order, symmetry, or cleanliness.
D. Difficulty relaxing: Individuals with OCD often experience significant anxiety related to their obsessions and compulsions. This can make it difficult for them to relax or feel at ease, as their symptoms may constantly occupy their thoughts and compel them to engage in repetitive behaviors.
E. Rule conscious behavior: People with OCD often exhibit rule-bound or rule-conscious behavior. They may adhere rigidly to specific routines, rituals, or rules in an attempt to alleviate anxiety or prevent perceived negative consequences associated with their obsessions. This behavior can manifest as strict adherence to self-imposed rules or rituals, even when these behaviors are not logically connected to the obsession.
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