Podcast
Questions and Answers
What is the most likely cause of the muscle weakness in male children with the inherited disorder described?
What is the most likely cause of the muscle weakness in male children with the inherited disorder described?
- Genetic mutation leading to lack of dystrophin protein (correct)
- Lack of proper postnatal care
- Viral infection during infancy
- Birth trauma during vaginal delivery
What intervention should the nurse implement when a 2-week-old female infant shows increased respiratory rate and heart rate after surgical repair of an umbilical hernia?
What intervention should the nurse implement when a 2-week-old female infant shows increased respiratory rate and heart rate after surgical repair of an umbilical hernia?
- Wrap the infant tightly and rock in a rocking chair
- Administer a PRN analgesic prescription
- Notify the healthcare provider of these findings (correct)
- Record the findings in the child's record
When observing a 2-year-old girl drinking sweetened soda from a bottle, what information should the nurse discuss with the mother?
When observing a 2-year-old girl drinking sweetened soda from a bottle, what information should the nurse discuss with the mother?
- Drinking soda is related to childhood obesity
- Dental caries are associated with drinking soda (correct)
- Toddlers should be sleeping 10 hours a night
- A 2-year-old should be speaking in 2-word phrases
What should be the nurse's priority intervention for the 5-month-old infant with rapid breathing and difficulty eating after surgical correction of tetralogy of Fallot?
What should be the nurse's priority intervention for the 5-month-old infant with rapid breathing and difficulty eating after surgical correction of tetralogy of Fallot?
Which herbal supplement is likely to help a client experiencing morning sickness at 6 weeks gestation?
Which herbal supplement is likely to help a client experiencing morning sickness at 6 weeks gestation?
What is the most important information for the nurse to provide the mother of the 11-year-old boy with juvenile arthritis who is concerned about pain medication dependence?
What is the most important information for the nurse to provide the mother of the 11-year-old boy with juvenile arthritis who is concerned about pain medication dependence?
After a postpartum client voids 250 ml of urine and the fundus remains deviated and boggy, what action should the nurse take?
After a postpartum client voids 250 ml of urine and the fundus remains deviated and boggy, what action should the nurse take?
When a woman discloses drinking coffee prior to a scheduled c-section to avoid getting a headache, what should the nurse do first?
When a woman discloses drinking coffee prior to a scheduled c-section to avoid getting a headache, what should the nurse do first?
What would be the most appropriate response to the mother of the 4-month-old baby girl regarding introducing solid foods?
What would be the most appropriate response to the mother of the 4-month-old baby girl regarding introducing solid foods?
What should the nurse do first if a client on magnesium sulfate therapy develops slurred speech and decreased reflexes during active labor?
What should the nurse do first if a client on magnesium sulfate therapy develops slurred speech and decreased reflexes during active labor?
What is a common concern for parents regarding infants with tetralogy of Fallot post-surgical correction?
What is a common concern for parents regarding infants with tetralogy of Fallot post-surgical correction?
What is a key factor in managing pain for children with juvenile arthritis?
What is a key factor in managing pain for children with juvenile arthritis?
Why is it important for the nurse to evaluate growth patterns in infants with tetralogy of Fallot?
Why is it important for the nurse to evaluate growth patterns in infants with tetralogy of Fallot?
What should the school nurse do when a middle school student with ADHD is referred for learning problems?
What should the school nurse do when a middle school student with ADHD is referred for learning problems?
What should a mother do first when her child with Kawasaki disease is irritable and has skin peeling on hands and feet?
What should a mother do first when her child with Kawasaki disease is irritable and has skin peeling on hands and feet?
What is an appropriate measure to promote adequate nutrition in a 6-month-old infant with GERD?
What is an appropriate measure to promote adequate nutrition in a 6-month-old infant with GERD?
What can be a common symptom of Kawasaki disease in children?
What can be a common symptom of Kawasaki disease in children?
How can parents best support a child with ADHD in school?
How can parents best support a child with ADHD in school?
What is a key aspect to consider when managing GERD in infants?
What is a key aspect to consider when managing GERD in infants?
What is the best action for the nurse to take upon noticing symmetrical, round, bruise-like blemishes on the chest of a 5-year-old Chinese boy who recently completed antibiotic therapy for pneumonia?
What is the best action for the nurse to take upon noticing symmetrical, round, bruise-like blemishes on the chest of a 5-year-old Chinese boy who recently completed antibiotic therapy for pneumonia?
What is the most appropriate intervention when a parent makes the statement 'We should encourage her to dress in clothing that suits her sexual maturity level' in the context of a girl with precocious sexual development receiving LH-RH treatment?
What is the most appropriate intervention when a parent makes the statement 'We should encourage her to dress in clothing that suits her sexual maturity level' in the context of a girl with precocious sexual development receiving LH-RH treatment?
Why is it important for healthcare providers to schedule an IV pyelogram in a child with an undescended testicle?
Why is it important for healthcare providers to schedule an IV pyelogram in a child with an undescended testicle?
What does a parent's statement 'Our daughter will be on this hormone treatment the rest of her life' imply regarding understanding of LH-RH treatment for precocious sexual development?
What does a parent's statement 'Our daughter will be on this hormone treatment the rest of her life' imply regarding understanding of LH-RH treatment for precocious sexual development?
When auscultating lung sounds post-pneumonia treatment, what would be an inappropriate action by the nurse?
When auscultating lung sounds post-pneumonia treatment, what would be an inappropriate action by the nurse?
Why should healthcare providers ask if the right testis has been seen in the scrotum before other interventions in a child with an undescended testicle?
Why should healthcare providers ask if the right testis has been seen in the scrotum before other interventions in a child with an undescended testicle?
What intervention is most important for the nurse to implement in the scenario described?
What intervention is most important for the nurse to implement in the scenario described?
Which topic is most important for the nurse to include in a nutrition teaching program for pregnant teenagers?
Which topic is most important for the nurse to include in a nutrition teaching program for pregnant teenagers?
Which assessment finding best indicates that the newborn infant is transitioning well to extra-uterine life?
Which assessment finding best indicates that the newborn infant is transitioning well to extra-uterine life?
What is the most appropriate initial management for a patient experiencing preeclampsia?
What is the most appropriate initial management for a patient experiencing preeclampsia?
What is a common complication associated with rapid progression of labor in multiparous women?
What is a common complication associated with rapid progression of labor in multiparous women?
Which laboratory test should be prioritized in a pregnant woman with signs of preeclampsia?
Which laboratory test should be prioritized in a pregnant woman with signs of preeclampsia?
Why is monitoring fetal movements important in pregnant women with Preeclampsia?
Why is monitoring fetal movements important in pregnant women with Preeclampsia?
What is a key consideration when managing hypertension in pregnant women with Preeclampsia?
What is a key consideration when managing hypertension in pregnant women with Preeclampsia?
What should be the nurse's initial action when a diabetic client delivers a jittery, large for gestational age infant?
What should be the nurse's initial action when a diabetic client delivers a jittery, large for gestational age infant?
After a 30-hour labor, what is the priority nursing action for a client who delivers a 9-pound infant vaginally?
After a 30-hour labor, what is the priority nursing action for a client who delivers a 9-pound infant vaginally?
A multigravida client in labor is receiving Pitocin. The nurse has Lactated Ringers 1,000 ml with Pitocin 20 units available. How many ml/hr should the nurse program the infusion pump to deliver?
A multigravida client in labor is receiving Pitocin. The nurse has Lactated Ringers 1,000 ml with Pitocin 20 units available. How many ml/hr should the nurse program the infusion pump to deliver?
What should the nurse prioritize when a term multigravida receiving Pitocin requests pain medication after being medicated with butorphanol 30 minutes ago?
What should the nurse prioritize when a term multigravida receiving Pitocin requests pain medication after being medicated with butorphanol 30 minutes ago?
When assisting in labor augmentation with oxytocin, what should the nurse do if the client starts requesting pain medication?
When assisting in labor augmentation with oxytocin, what should the nurse do if the client starts requesting pain medication?
What could be a potential concern if a multigravida client in labor, receiving Pitocin, suddenly reports feeling lightheaded and dizzy?
What could be a potential concern if a multigravida client in labor, receiving Pitocin, suddenly reports feeling lightheaded and dizzy?
In the context of labor augmentation with Pitocin, what should the nurse prioritize before increasing the infusion rate?
In the context of labor augmentation with Pitocin, what should the nurse prioritize before increasing the infusion rate?
What is a crucial assessment to perform on a client receiving Pitocin who begins to experience severe abdominal pain and uterine hyperstimulation?
What is a crucial assessment to perform on a client receiving Pitocin who begins to experience severe abdominal pain and uterine hyperstimulation?
What should the nurse do first upon hearing a baby crying while a multiparous client at 38-weeks gestation is in the bathroom changing into a hospital gown?
What should the nurse do first upon hearing a baby crying while a multiparous client at 38-weeks gestation is in the bathroom changing into a hospital gown?
In the case of a client experiencing hypersystolic or tetanic contractions with variable fetal heart decelerations while on Pitocin, what should the nurse do?
In the case of a client experiencing hypersystolic or tetanic contractions with variable fetal heart decelerations while on Pitocin, what should the nurse do?
When assessing a newborn delivered at 38 weeks gestation who is tremulous, tachycardic, and hypertensive, what is the most important assessment action for the nurse to implement?
When assessing a newborn delivered at 38 weeks gestation who is tremulous, tachycardic, and hypertensive, what is the most important assessment action for the nurse to implement?
What is a key consideration for a nurse when a new infant is receiving positive pressure ventilation after delivery?
What is a key consideration for a nurse when a new infant is receiving positive pressure ventilation after delivery?
For a pregnant client admitted with contractions 5 minutes apart, what should the nurse prioritize if there is no healthcare provider present during delivery?
For a pregnant client admitted with contractions 5 minutes apart, what should the nurse prioritize if there is no healthcare provider present during delivery?
When caring for a newborn with tremors, tachycardia, and hypertension, what additional intervention should the nurse consider?
When caring for a newborn with tremors, tachycardia, and hypertension, what additional intervention should the nurse consider?
In a case where a newborn exhibits signs of respiratory distress post-delivery, what immediate action should the nurse take?
In a case where a newborn exhibits signs of respiratory distress post-delivery, what immediate action should the nurse take?
What is a priority nursing intervention for a postpartum client with persistent uterine atony despite massage and oxytocin administration?
What is a priority nursing intervention for a postpartum client with persistent uterine atony despite massage and oxytocin administration?
What should the nurse do first when the newborn spits up breast milk during a diaper change?
What should the nurse do first when the newborn spits up breast milk during a diaper change?
Why is it important for the nurse to assess the total amount of Pitocin infused in a client experiencing excessive vaginal bleeding postpartum?
Why is it important for the nurse to assess the total amount of Pitocin infused in a client experiencing excessive vaginal bleeding postpartum?
When caring for a newborn with a congenital heart defect, what assessment finding requires immediate intervention?
When caring for a newborn with a congenital heart defect, what assessment finding requires immediate intervention?
Why is it crucial for the nurse to monitor the maternal apical pulse rate in a client experiencing excessive postpartum bleeding?
Why is it crucial for the nurse to monitor the maternal apical pulse rate in a client experiencing excessive postpartum bleeding?
Which action by the nurse is most appropriate when a postpartum client's fundus remains deviated and boggy after voiding 250 ml of urine?
Which action by the nurse is most appropriate when a postpartum client's fundus remains deviated and boggy after voiding 250 ml of urine?
In a client with uncontrolled vaginal bleeding after IV Pitocin infusion, what information is critical for the nurse to provide to the healthcare provider?
In a client with uncontrolled vaginal bleeding after IV Pitocin infusion, what information is critical for the nurse to provide to the healthcare provider?
What is the primary purpose of rubbing or patting a newborn's upper back after feeding?
What is the primary purpose of rubbing or patting a newborn's upper back after feeding?
Why should a nurse assess for bladder distention in a postpartum client with uncontrolled vaginal bleeding?
Why should a nurse assess for bladder distention in a postpartum client with uncontrolled vaginal bleeding?
What is the priority action for the nurse to take when a client complains of vaginal warmth and is experiencing 90-second contractions with fetal heart rate decelerations 30 minutes after the insertion of vaginal prostaglandin gel?
What is the priority action for the nurse to take when a client complains of vaginal warmth and is experiencing 90-second contractions with fetal heart rate decelerations 30 minutes after the insertion of vaginal prostaglandin gel?
When should the nurse initiate chest compressions based on the assessment findings provided?
When should the nurse initiate chest compressions based on the assessment findings provided?
What information is the nurse obtaining through an amniocentesis for a fetus estimated to weigh 8 pounds at 36-weeks gestation?
What information is the nurse obtaining through an amniocentesis for a fetus estimated to weigh 8 pounds at 36-weeks gestation?
What should the nurse do first when a woman who delivered a normal newborn 24 hours ago expresses concerns about frequent urination?
What should the nurse do first when a woman who delivered a normal newborn 24 hours ago expresses concerns about frequent urination?
What action should the nurse prioritize for a client whose labor is being augmented with an oxytocin infusion and requests an epidural for pain control?
What action should the nurse prioritize for a client whose labor is being augmented with an oxytocin infusion and requests an epidural for pain control?
What should the nurse consider as concerning when a client delivered normally 24 hours ago reports frequent urination?
What should the nurse consider as concerning when a client delivered normally 24 hours ago reports frequent urination?
Which maternal condition requires immediate intervention when present during labor induction using vaginal prostaglandin gel?
Which maternal condition requires immediate intervention when present during labor induction using vaginal prostaglandin gel?
What action should the nurse prioritize when a client experiences uterine hyperstimulation following intravaginal prostaglandin gel administration?
What action should the nurse prioritize when a client experiences uterine hyperstimulation following intravaginal prostaglandin gel administration?
Study Notes
Labor and Delivery
- A client at 38 weeks gestation with contractions 5 minutes apart needs immediate attention; the nurse should inspect the client's perineum first.
- A client receiving oxytocin (Pitocin) to augment early labor with hypersystolic or tetanic contractions and variable fetal heart decelerations requires the nurse to decrease the rate of the Pitocin infusion.
Newborn Care
- A newborn delivered at 38 weeks gestation who is tremulous, tachycardic, and hypertensive may indicate maternal cocaine use; the nurse should obtain a drug screen for cocaine.
- A newborn's transition to extra-uterine life is indicated by flexion of all four extremities.
Postpartum Care
- A multigravida client who has just given birth vaginally after a 30-hour labor is at risk for uterine hemorrhage; the nurse should observe for signs of uterine hemorrhage.
- A client who has just given birth and is experiencing vaginal bleeding after IV Pitocin infusion requires the nurse to notify the healthcare provider, providing information on the total amount of Pitocin infused, maternal blood pressure, and maternal apical pulse rate.
Pediatric Care
- A 2-week-old infant with an umbilical hernia requires the nurse to wrap the infant tightly and rock them in a rocking chair if they are experiencing increased respiratory and heart rates.
- A 2-year-old girl who is drinking sweetened soda from a bottle needs the nurse to educate the mother about the risks of dental caries and childhood obesity.
Medication and Treatments
- A client with gestational diabetes receiving oxytocin (Pitocin) infusion for labor augmentation needs the nurse to decrease the rate of the Pitocin infusion if the client is experiencing hypersystolic or tetanic contractions with variable fetal heart decelerations.
- A client who delivered a full-term infant and is experiencing excessive vaginal bleeding after IV Pitocin infusion requires the nurse to notify the healthcare provider, providing information on the total amount of Pitocin infused, maternal blood pressure, and maternal apical pulse rate.
Pediatric Conditions
- A child with juvenile arthritis needs the nurse to educate the mother about the importance of giving pain medication around the clock to control pain.
- A child with Kawasaki disease needs the nurse to instruct the mother to place the child in a quiet environment and apply lotion to hands and feet.
Herbal Supplements
- A client experiencing morning sickness at 6 weeks gestation may benefit from taking ginger, a herbal supplement that helps alleviate nausea.
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Description
Test your knowledge on muscular dystrophy and related conditions including the inheritance pattern, impact on muscles, and potential causes. Explore scenarios involving muscle damage in infants and children.
