The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents indicates to the registered nurse that further education is needed?

Playing on the backyard swings and running around outside are exercises our child will really enjoy

Three to four times a day we will perform chest therapy and postural drainage on our child

A high protein, high calorie diet may need to be supplemented with a high-calorie formula

Pancreatic enzymes will not be necessary if our child has a good appetite and regular bowel movements

Answer and Explanation

The Correct Answer is D

A. Playing on the backyard swings and running around outside are exercises our child will really enjoy. Encouraging physical activity is beneficial as it helps with lung function and overall health.
B. Three to four times a day we will perform chest therapy and postural drainage on our child. This is correct and necessary to help clear mucus from the lungs.
C. A high protein, high-calorie diet may need to be supplemented with a high-calorie formula. This is important for meeting the nutritional needs of children with cystic fibrosis due to their higher caloric requirements.
D. Pancreatic enzymes will not be necessary if our child has a good appetite and regular bowel movements. This is incorrect; children with cystic fibrosis typically need pancreatic enzyme supplements with every meal and snack to aid digestion, regardless of appetite or bowel regularity.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"C"}}

Explanation

1st Trimester (Conception-13 weeks)

Fetus has a heartbeat: The fetal heartbeat can typically be detected around 6 weeks gestation using ultrasound, marking the beginning of cardiac development in the first trimester.

2nd Trimester (14-26 weeks)

Gender can be determined: Gender determination through ultrasound is generally possible around the 18-20 week mark in the second trimester when fetal genitalia are more distinguishable.

3rd Trimester (27-40 weeks)

Surfactant production: Surfactant production by the fetal lungs begins in the third trimester, usually around 24-28 weeks, but continues to increase throughout the remainder of pregnancy.
Sucking occurs: Fetal sucking movements start to develop around the 28th week and become more coordinated as the third trimester progresses.
Fetal respiratory movements begin: Fetal respiratory movements, where the fetus practices breathing by moving the diaphragm, begin in the third trimester to prepare for life outside the womb.
Increase in body fat: The fetus begins to accumulate more body fat in the third trimester, which helps with thermoregulation and provides energy reserves for birth and early postnatal life.

Finding	1st Trimester Conception-13 weeks	2nd Trimester 14-26 weeks	3rd Trimester 27-40 weeks

Gender can be determined	☐	☒	☐
Surfactant production	☐	☐	☒
Sucking occurs	☐	☐	☒
Fetus has a heartbeat	☒	☐
Fetal respiratory movements begin	☐	☐	☒
Increase in body fat	☐	☐	☐

A. Sole creases on heels B. Ruddy skin color C. Flexion of all four (4) extremities D. Scant amount of vernix caseosa

Correct Answer is D

Explanation

A. Sole creases on heels. Sole creases are a sign of maturity and are usually present in full-term infants, not preterm.
B. Ruddy skin color. This is more common in infants with polycythemia or those who are small for gestational age, not specifically linked to prematurity.
C. Flexion of all four extremities. Premature infants typically have less muscle tone and may exhibit less flexion, often appearing more limp or having extended extremities.
D. Scant amount of vernix caseosa. Premature infants typically have more vernix caseosa, which protects their delicate skin in utero. The amount decreases closer to full term, but at 31 weeks, there may still be a moderate amount.

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The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents indicates to the registered nurse that further education is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Identify the trimester when each fetal development finding occurs. Note: Each category must have at least 1 response option selected.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"C"}}

Explanation

The nurse is caring for a newborn born at 31 weeks' gestation. Which assessment finding should the nurse anticipate?

Correct Answer is D

Explanation

A client arrives for her first prenatal appointment. Exhibits What is the correct way for the nurse to document the GTPAL for this client?

The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents indicates to the registered nurse that further education is needed?

A 19-year-old goes to Planned Parenthood clinic with complaints of painful lesions, fever, headache, and vaginal discharge. After testing she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)

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