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 D
Explanation
A. "You should get a psychological consult for the temper tantrums." This statement may cause unnecessary concern for the parents. Temper tantrums are a common behavior in toddlers and typically do not require a psychological consult unless they are severe, persistent, or accompanied by other concerning behaviors.
B. "You should leave the room while the tantrum is happening." Leaving the room while the tantrum is occurring may not be the most effective approach. It's important for parents to provide comfort and support to their toddler during a tantrum, while also setting appropriate limits and boundaries.
C. "Temper tantrums are a type of learning disability." Temper tantrums are not indicative of a learning disability. They are a normal part of development and occur as toddlers learn to express their emotions and navigate their environment.
D. "Temper tantrums are the toddler's attempt to gain control of a situation." This statement is accurate. Temper tantrums often occur when toddlers feel frustrated, overwhelmed, or unable to express their needs effectively. Tantrums are a way for toddlers to assert their independence and gain control over their environment. Understanding this can help parents respond to tantrums with patience and empathy, while also setting appropriate limits and teaching coping strategies.
Correct Answer is C
Explanation
A. "You have a great deal to live for."
While this response is supportive and positive, it may not effectively address the client's feelings of worthlessness. It may come across as dismissive or invalidating of the client's emotions.
B. "It's not unusual for depressed people to feel that way."
This response acknowledges the commonality of feeling worthless among individuals with depression. While it normalizes the client's experience, it doesn't directly address the client's statement or offer support.
C. "You've been feeling that your life has no meaning."
This response reflects active listening and demonstrates empathy by paraphrasing the client's statement to show understanding. It acknowledges the client's feelings and opens the door for further exploration of the underlying issues contributing to their sense of worthlessness.
D. "Why do you feel you are worthless?"
While this response seeks to explore the underlying reasons for the client's feelings, it may come across as confrontational or judgmental. It puts the client on the spot to justify their emotions, which could make them feel defensive or invalidated.
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