A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent?

"Has the child had any difficulty swallowing food?"

"Does the child play with an imaginary friend?"

"Does the child respond when called by name?

"Was the child recently treated for pneumonia?"

Answer and Explanation

The Correct Answer is A

A. "Has the child had any difficulty swallowing food?"
Explanation:
Cleft palate repair can impact various aspects of a child's development, and one potential long-term effect is difficulty with swallowing or feeding. This question is relevant to assessing the child's oral and feeding function, which can be influenced by the cleft palate repair.
B. "Does the child play with an imaginary friend?"
Explanation: Imaginary play and social interactions are not directly related to the long-term effects of cleft palate repair. This question focuses more on social and imaginative development.
C. "Does the child respond when called by name?"
Explanation: Responsiveness to one's name is a general developmental milestone and is not directly related to the long-term effects of cleft palate repair.
D. "Was the child recently treated for pneumonia?"
Explanation: While respiratory issues can be a concern in children with a history of cleft palate, this question is more specific to recent health issues and does not address the long-term effects of cleft palate repair.

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Correct Answer is A

Explanation

A. Possible sexual abuse.
Correct Answer: Chlamydial conjunctivitis in a child can raise concerns about possible sexual abuse. Chlamydia trachomatis, the bacterium responsible for chlamydial conjunctivitis, is commonly transmitted through contact with infected genital secretions. Therefore, the presence of chlamydial conjunctivitis in a child may warrant further investigation into the possibility of sexual abuse.
B. Possible trauma:
Incorrect: While trauma can cause eye-related symptoms, chlamydial conjunctivitis is specifically associated with an infection caused by Chlamydia trachomatis.
C. Presence of an allergy:
Incorrect: Allergic conjunctivitis may cause itchy, red, and swollen eyes, but chlamydial conjunctivitis is caused by a bacterial infection and is not related to allergies.
D. Presence of a respiratory infection:
Incorrect: Chlamydial conjunctivitis is not typically associated with respiratory infections. It is primarily caused by Chlamydia trachomatis and is more commonly linked to genital tract infections.

A. "Limit your caloric intake to avoid becoming overweight." B. "Tanning beds are much safer then lying in the sun." C. "Share piercing needles only with close friends you trust." D. "Your need for sleep will increase during periods of growth.

Correct Answer is D

Explanation

A. "Limit your caloric intake to avoid becoming overweight."
Explanation: This statement emphasizes the importance of maintaining a healthy weight through balanced nutrition and avoiding excessive caloric intake. It promotes the prevention of overweight and obesity.
B. "Tanning beds are much safer than lying in the sun."
Explanation: This statement is incorrect. Tanning beds are not safer than natural sunlight and are associated with an increased risk of skin cancer. Adolescents should be advised to protect their skin from harmful UV radiation.
C. "Share piercing needles only with close friends you trust."
Explanation: This statement is unsafe and promotes risky behavior. Sharing piercing needles can lead to the transmission of bloodborne infections such as HIV and hepatitis. The nurse should emphasize the importance of using sterile needles and avoiding risky behaviors.
D. "Your need for sleep will increase during periods of growth."
Explanation:
During periods of growth, adolescents often experience increased physical and hormonal changes, and adequate sleep is crucial for overall health and well-being. Sleep plays a vital role in growth, immune function, and cognitive performance. Adolescents should be encouraged to prioritize getting sufficient sleep for their age group.

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A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

The clinic nurse is providing instructions to the parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement would the nurse make to the parent?

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The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instruction?

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