The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

Only inpatient consultations with families

Emergency room interventions for children and families

Activities to support normal growth and development

Grief and bereavement support

Medical preparation for tests, surgeries, and other medical procedures

Support before and after, but not during, medical procedures

Answer and Explanation

Correct Answer : B,C,D,E

A.   Child life specialists (CLS) provide support not only to inpatients but also to children and families across various healthcare settings, including outpatient clinics, emergency rooms, and specialty care centers.
B.   CLSs provide interventions and support in emergency room settings to help minimize stress and anxiety for children and families during medical emergencies.
C.   CLSs organize activities and interventions tailored to the developmental needs of children to promote normal growth and development during hospitalization.
D.   CLSs offer grief and bereavement support to children and families coping with loss or end-of-life situations.
E.   CLSs provide medical preparation, including age-appropriate explanations and coping strategies, to help children understand and cope with medical procedures, tests, and surgeries.
F.   CLSs offer support not only before and after medical procedures but also during them, providing emotional support, distraction techniques, and coping strategies to help children cope with stress and discomfort.

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Correct Answer is D

Explanation

A. A height of 47 inches would indicate excessive growth.
B. A height of 41 inches would indicate insufficient growth.
C. A height of 45 inches would be slightly above the normal range.
D. The normal range of growth for a preschooler varies, but typically, a child will grow approximately 2-3 inches per year. Given that the girl was 40 inches tall at age 4, a height of 43 inches at age 5 would be within the expected range of growth.

A. Minimize kangaroo care. B. Assess the axillary temperature every hour. C. Encourage skin-to-skin contact. D. Assess environment for sources of heat loss. E. Review maternal history. F. Bathe the neonate with warmer water.

Correct Answer is ["A","B","C","D","E"]

Explanation

A. In small-for-gestational age infants, kangaroo care may increase heat loss due to evaporation, conduction, or convection from the parent's skin or clothing. The nurse should minimize kangaroo care and use other methods of warming such as radiant warmers, incubators, or swaddling.
B. Assessing the axillary temperature regularly helps monitor the infant's temperature and response to interventions.
C. Encouraging skin-to-skin contact helps promote thermal regulation and bonding between the infant and parents. Unlike kangaroo care, skin-to-skin contact does not involve covering the infant with clothing or blankets, which can reduce heat loss by radiation or convection. The nurse should encourage skin-to-skin contact when possible and monitor the infant's temperature closely.
D. Assessing the environment for sources of heat loss is important for minimizing heat loss and promoting thermal regulation.
E. Reviewing maternal history can provide insights into potential risk factors or contributing factors to the infant's condition, such as maternal age, parity, weight, height, nutrition, smoking, alcohol, drug use, chronic diseases, infections, placental abnormalities, fetal anomalies, or complications during pregnancy or delivery.
F. Bathing the neonate with warmer water may increase the risk of overheating and should be avoided in infants at risk of thermal instability.

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The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 in tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?

Correct Answer is D

Explanation

A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

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