NCM 109 Quiz: Care of Mother and Child at Risk, Therapeutic Play Scenarios

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Questions and Answers

What is the term for an abnormal collection of air or gas in the pleural space, which may interfere with normal breathing?

Nitric oxide test

Apical subpleural bleb

Spontaneous pneumothorax

Pneumothorax (correct)

What is the purpose of fractional exhaled nitric oxide (FeNo) tests?

To diagnose pneumothorax

To measure how much nitric oxide is in your breath (correct)

To measure lung function

To assess the effectiveness of medication

What is the primary cause of spontaneous pneumothorax?

Inflammation of the airways

Underlying lung disease

Rupture of the apical subpleural bleb (correct)

Viral respiratory infection

What is an important part of home care measures for individuals with respiratory problems?

All of the above Signup and view all the answers

What is the purpose of preparing the child for a CXR?

To diagnose pneumothorax Signup and view all the answers

What is essential for the administration of medications in children with respiratory problems?

Instructing the child in self-administration Signup and view all the answers

What is a characteristic of small varicoceles?

They present as soft lumps above the testicle, usually on the left side of the scrotum Signup and view all the answers

What is a risk factor for varicoceles?

Premature birth or low birth weight Signup and view all the answers

What is a diagnostic tool used to assess varicoceles?

Color-flow Doppler Ultrasound Signup and view all the answers

What is a management option for varicoceles?

Catheter-directed Embolization Signup and view all the answers

What is a complication associated with varicoceles?

Testicular cancer Signup and view all the answers

What is a characteristic of retractile testicles?

They allow the testicle to move in and out of the scrotum Signup and view all the answers

When caring for a child who requires daily medicine injections, which toy would provide the best therapeutic play?

A syringe to practice injections Signup and view all the answers

What is a key difference in body composition between children and adults that makes diarrhea more devastating in infants?

Higher proportion of fluid Signup and view all the answers

During therapeutic play, a 4-year-old child draws a girl with a head and body but no arms or legs. What is the best action in response?

Tell the girl to finish the drawing Signup and view all the answers

What is a key consideration when planning play experiences for a 4-year-old confined to bed?

Planning activities that require minimal movement Signup and view all the answers

Why is it important to avoid performing procedures during family visits?

To minimize family anxiety Signup and view all the answers

What is a key role of the nurse when it comes to caring for a child who has a medical condition?

To provide education and support to the parents Signup and view all the answers

What is the primary reason for a woman with endometriosis to experience infertility?

Scarring of the fallopian tubes Signup and view all the answers

What is the primary purpose of stimulation in the management of infertility?

To induce ovulation Signup and view all the answers

What is a common complication of infertility treatment?

Multiple pregnancies Signup and view all the answers

What is the primary reason for using NSAIDS in the management of infertility?

To alleviate pain and discomfort Signup and view all the answers

What is the primary purpose of egg retrieval in the management of infertility?

To retrieve eggs for future use Signup and view all the answers

What is a common manifestation of endometriosis?

Dull, throbbing pain in the lower abdomen Signup and view all the answers

What is an appropriate way to provide therapeutic play for a 3-year-old girl hospitalized for eye surgery?

Providing a doll and syringe for therapeutic play. Signup and view all the answers

How should you respond to a 3-year-old girl's statement, 'You won't watch TV again when I tell you not to!' during therapeutic play?

Explain that nurses never give injections into eyes. Signup and view all the answers

What is the best action to take when a school-aged child needs 5 units of regular insulin administered in the playroom?

Inject the insulin in the playroom; insulin injections do not hurt. Signup and view all the answers

How should you respond to a 2-year-old girl playing roughly with a truck?

Try to divert her attention to a different toy. Signup and view all the answers

What is the significance of providing a doll and syringe for therapeutic play to a 3-year-old girl hospitalized for eye surgery?

It allows her to express her feelings about the upcoming surgery. Signup and view all the answers

Why is it essential to have a supportive attitude when caring for a 3-year-old girl hospitalized for eye surgery?

It promotes the child's sense of security and reduces anxiety. Signup and view all the answers

Study Notes

Play Therapy and Child Development

A 4-year-old child may draw people with only three or four body parts.
Providing a tray of dry oatmeal for "sand" and a doll with a syringe can facilitate therapeutic play.
A 3-year-old girl can engage in role-playing with a doll and syringe, sticking the syringe in the doll's eye.

Administering Medications to Children

When administering insulin to a school-aged child, it is best to inject it in a private area, not in the playroom.
The child should be prepared and educated about the injection process.

Pediatric Care and Assessment

A 2-year-old girl may exhibit rough play, such as playing roughly with a truck.
In assessing a child's development, it is essential to consider cultural and religious factors.

Infertility and Reproductive Health

Endometriosis, pelvic inflammatory disease, uterine fibroids, and IUD use are risk factors for infertility.
Steps in assisted reproductive technology include stimulation, egg retrieval, insemination and fertilization, embryo culture, and embryo transfer.
Complications of infertility treatment include multiple pregnancies, which increase the risk of low birth weight and premature birth.

Respiratory Care and Management

Symptoms of respiratory distress include dull, throbbing pain in the lower abdomen, pain that radiates to the lower back and thighs, sweating, and dizziness.
Management of respiratory distress includes NSAIDs, exercise, rest, and oxygen therapy.

Cryptorchidism and Varicocele

Cryptorchidism is the absence of a testicle in the scrotum, and it increases the risk of testicular cancer.
Varicocele is an abnormal collection of air or gas in the pleural space, which can cause the lungs to collapse.
Risk factors for varicocele include low birth weight, family history, and maternal exposure to pesticides during pregnancy.

Nursing Considerations

Nursing considerations for respiratory distress include monitoring respiratory status, providing humidified oxygen, and preparing for a chest X-ray.

Child Development and Growth

Children differ from adults in body composition, with higher proportions of fluid and extracellular fluid.
Diarrhea can be devastating in infants due to their high fluid content and shorter intestine length.

Therapeutic Play and Child Development

A 4-year-old child may draw incomplete or distorted body parts, indicating possible mental health concerns.
Therapeutic play experiences, such as providing a doll with a cast or a stuffed bear with a Band-Aid, can facilitate age-appropriate play for a confined child.

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Description

Review key concepts and nursing considerations for caring for mothers and children at risk or with problems. Topics include respiratory care, nutrition, and laboratory tests.

NCM 109: Care of Mother and Child at Risk

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