The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

Kimberly and Amanda share clay to each make things.

Brian playing with his truck next to Kristina playing with her truck.

Adam playing a board game with Kyle, Steven, and Erich.

Danielle playing with a music box on her mother's lap.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Kimberly and Amanda sharing clay to each make things represents cooperative play, not parallel play. Cooperative play involves interaction and collaboration between children, whereas parallel play involves children playing side by side without interacting.
Choice B rationale:
Brian playing with his truck next to Kristina playing with her truck demonstrates parallel play. In parallel play, children play independently but alongside others, showing interest in what others are doing but without direct interaction.
Choice C rationale:
Adam playing a board game with Kyle, Steven, and Erich represents cooperative play, not parallel play. Cooperative play involves shared activities and collaboration, while parallel play involves independent activities in proximity to others.
Choice D rationale:
Danielle playing with a music box on her mother's lap is an example of solitary play, where a child plays alone without regard to others. Solitary play is common in younger children and is different from parallel play.

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Correct Answer is B

Explanation

Choice A rationale:

A respiratory rate of 10 bpm (breaths per minute) is significantly below the normal range for an adult but is within the normal range for a newborn. Since the question does not specify the client's age, this information is insufficient to identify it as a complication of magnesium sulfate administration.

Choice B rationale:

A blood pressure of 148/94 is elevated and could be a complication of magnesium sulfate administration. Magnesium sulfate is used to manage pregnancy-induced hypertension, so if the blood pressure remains high or increases further, it could indicate an inadequate response to the treatment or a potential complication.

Choice C rationale:

Deep tendon reflexes of +2 are within the normal range and are not indicative of a complication related to magnesium sulfate administration. In fact, magnesium sulfate can cause muscle weakness and decreased deep tendon reflexes, so an absence of reflexes or extremely diminished reflexes might be a cause for concern.

Choice D rationale:

A urine output of 70 ml/hour is within the normal range for an adult, but without additional information, it is not indicative of a complication related to magnesium sulfate administration. Monitoring urine output is essential to assess renal function and fluid balance, but in this context, it does not provide specific information about the effects of magnesium sulfate.

A. Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient. B. Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection. C. Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract. D. The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.

Correct Answer is C

Explanation

Choice A rationale:

Most mothers do not have a diet deficient in vitamin K that would result in the infant being deficient. Vitamin K is essential for blood clotting, and it is generally present in adequate amounts in a well-balanced diet.

Choice B rationale:

Vitamin K does play a role in the synthesis of prothrombin, a clotting factor in the liver, but it is not the primary reason for administering vitamin K to newborns. The main reason is the absence of vitamin K-synthesizing bacteria in the newborn's intestinal tract.

Choice C rationale:

The correct answer. Newborns do not have the bacteria in their intestines necessary to produce vitamin K, which is crucial for blood clotting. Without sufficient vitamin K, newborns are at risk of bleeding disorders, including a potentially fatal condition called vitamin K deficiency bleeding (VKDB).

Choice D rationale:

While it's true that the supply of vitamin K from the mother to the baby is limited during pregnancy and breastfeeding, the main reason for administering vitamin K to newborns is the absence of bacteria that can synthesize vitamin K in the infant's intestinal tract.

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The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Magnesium Sulfate is being administered intravenously to a client for pregnancy-induced hypertension.Which assessment finding should the nurse identify as a complication of this treatment?

Correct Answer is B

Explanation

The nurse administers vitamin K to the newborn for which reason?

Correct Answer is C

Explanation

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