During the admission procedure of a school-age child, the child states, “I’m going to have an operation.”. What is the best response for the nurse to provide to this child?
“I’m glad your mother told you why you were coming to the hospital.”.
“We’re going to do everything we can to take very good care of you.”.
“Are you scared?”
“Tell me what an operation is.”.
The Correct Answer is D
Choice A rationale
While acknowledging the child’s knowledge about the upcoming operation is important, it does not provide the child with an opportunity to express their understanding or feelings about the operation.
Choice B rationale
Reassuring the child about the care they will receive is important, but it does not encourage the child to express their understanding or feelings about the operation.
Choice C rationale
Asking the child if they are scared might lead the child to focus on their fear, rather than helping them understand the operation.
Choice D rationale
Asking the child to explain what an operation is can help the healthcare provider assess the child’s understanding of the operation. It also provides an opportunity to correct any misconceptions and provide appropriate information.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Preparing a vacuum is not the first action to take in this situation. A vacuum-assisted delivery might be considered in some cases, but it’s not the immediate action when the fetal head retracts against the perineum.
Choice B rationale
Applying suprapubic pressure is the correct action. This situation describes shoulder dystocia, where the baby’s shoulder gets stuck behind the mother’s pelvic bone during delivery. Suprapubic pressure can help dislodge the baby’s shoulder and allow the delivery to proceed.
Choice C rationale
Applying fundal pressure is not recommended in this situation. Fundal pressure could potentially worsen shoulder dystocia and is generally avoided.
Choice D rationale
Preparing forceps is not the immediate action to take. Forceps may be used in some delivery situations, but in the case of shoulder dystocia, other maneuvers are tried first.
Correct Answer is C
Explanation
Choice A rationale
While using gestures with 1 to 2 word sentences is a developmental milestone, it is typically seen in younger children, around the age of 212.
Choice B rationale
Using 1 word sentences is a developmental milestone usually achieved by children around the age of 112. By the age of 3, children are typically able to speak in simple sentences with four or more words.
Choice C rationale
Speaking in simple sentences with four or more words is a typical developmental milestone for a 3-year-old child. They are able to express their thoughts more clearly and engage in conversations.
Choice D rationale
Recognizing most letters and numbers is a skill that is typically developed around the age of 4 or 512. Therefore, expecting a 3-year-old child to recognize most letters and numbers might be too advanced for their developmental stage.
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