The 17-year-old single mother of a 2-month-old infant comes to the clinic and tells the nurse, "Sometimes no matter what I do my baby won't stop crying. I hold him up in the air and shake him until he stops
" Based on these statements by the mother, what is the first action by the nurse?
a. Teach the mother about the dangers of shaking a baby
b. Report child abuse to the appropriate authorities
c. Teach the mother other methods to stop the baby from crying
d. Encourage the mother to obtain more support from a significant other
A
In this item, safety is the first concern. The mother needs education about the dangers of shaking the baby. Abusive head trauma (AHT), formerly known as shaken-baby syndrome, is a form of child abuse that causes severe brain injury. However, in this item it appears that the mother is open and honest with her concern and does not know the dangers of shaking the baby. Further assessment and questioning are indicated prior to reporting child abuse. Additionally, it is most important to first teach the mother the dangers of shaking the baby; then, the nurse can proceed with offering suggestions on managing a crying baby.
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A spinal tap must be done on a 9-year-old boy. While he is waiting in the treatment room, the nurse observes that he seems composed. When the nurse asks him if he wants his mother to stay with him, he says, "I am fine."
How should the nurse interpret this situation? a. This child is unusually brave. b. He has learned that support does not help. c. Nine-year-old boys do not usually want a parent present during the procedure. d. Children in this age group often do not request support even though they need and want it.
Which site is used for skin punctures in infants who are not walking?
a. The big toe b. The heel c. The thumb d. The earlobe
When patient-focused care is delivered,
A. patient services are scheduled and coordinated with many departments. B. patient needs and convenience are always the primary concern. C. the physician makes most of the decisions about patient care. D. many different staff members carry out specific tasks for the patient.
MC Client instructions for an oral cholecystogram study include
A. The client cannot have dinner and is npo from 6 p.m. until the test is completed. B. Contrast dye tablets are given the night before the test. C. Water is given in large quantities throughout the night. D. A fat-free breakfast is given hour before the test.