Question

A nurse is providing teaching to a parent about sudden unexpected infant death (SUID). Which of the following statements should the nurse include?

Answer 1

Correct Answers:

"Share a bedroom with your infant for the first 6 months."

Rationale :

🛏️Room-sharing without bed-sharing reduces the risk of sleep-related infant death.

👶The infant should sleep in a separate crib or bassinet near the parent’s bed for at least the first 6 months.

🌙Close proximity allows easier observation, feeding, and comforting during the night.

🛡️The sleep area should contain only a firm, flat mattress with a fitted sheet.

📌Core Message

Safe sleep includes room-sharing for at least 6 months, a separate crib, and a firm surface without loose objects.

Answer 2

Correct Answers:

Administer supplemental oxygen before and after the procedure.

Rationale :

🫁Suctioning temporarily removes oxygen and can cause hypoxemia in an infant.

💨Providing supplemental oxygen before and after suctioning helps maintain adequate oxygen saturation.

❤️Infants can develop bradycardia rapidly when suctioning stimulates the vagus nerve or reduces oxygen levels.

📟The nurse should monitor oxygen saturation, heart rate, and respiratory status throughout the procedure.

📌Core Message

Infants should receive supplemental oxygen before and after suctioning to prevent hypoxemia and bradycardia.

Answer 3

Correct Answers

Blank 1 Correct Option: vocalization
Blank 2 Correct Option: sitting ability

Rationale :

🗣️A 9-month-old infant should demonstrate vocalization, including repetitive babbling such as “mama” or “dada.”

👂Absence of babbling can indicate a hearing, speech, or developmental delay.

🪑A 9-month-old infant should generally be able to sit independently without trunk support.

📋Delayed vocalization and inability to sit independently require further developmental evaluation.

📌Core Message

Absent babbling and inability to sit independently at 9 months can indicate developmental delay and should be reported.

Answer 4

Correct Answers:

Acetylcysteine

Rationale :

💊Acetylcysteine is the antidote for acetaminophen toxicity.

🛡️It restores glutathione, which helps the liver neutralize the toxic acetaminophen metabolite.

🫀Early administration reduces the risk of severe hepatic injury and liver failure.

⏱️The medication is most effective when administered within 8 to 10 hours, but it can still provide benefit when given later.

📌Core Message

Acetylcysteine treats acetaminophen toxicity by restoring glutathione and preventing potentially fatal liver damage.

Answer 5

Correct Answers

Blank 1 Correct Option: stroke
Blank 2 Correct Option: musculoskeletal findings

Rationale :

🧠The child’s sudden right-sided muscle weakness indicates a focal neurological deficit.

🚶The uncoordinated gait suggests impaired motor control following cerebral injury.

🗣️Additional findings of slurred speech, confusion, and blurred vision strongly support an acute stroke.

🩺Cardiac catheterization can rarely dislodge a clot, causing an embolic ischemic stroke.

📌Core Message

Sudden unilateral weakness, slurred speech, visual changes, and poor coordination following catheterization indicate an acute stroke.

Answer 6

Correct Answers

Blank 1 Correct Option: apply 100% oxygen via facemask
Blank 2 Correct Option: initiate a peripheral IV

Rationale :

🫁Applying 100% oxygen increases available oxygen during the infant’s acute hypercyanotic episode.

💙The worsening cyanosis, tachypnea, and oxygen saturation of 78% indicate a Tet spell requiring immediate intervention.

💉A peripheral IV provides rapid access for prescribed fluids and emergency medications.

💧IV fluids can improve circulating volume and pulmonary blood flow, helping reduce right-to-left cardiac shunting.

📌Core Message

An acute Tet spell with severe hypoxemia requires immediate 100% oxygen and IV access for rapid stabilization.

Answer 7

Correct Answers:

"I will steam carrots and cut them into small pieces for her."

Rationale :

🥕Carrots are naturally low in phenylalanine, making them appropriate for an infant with phenylketonuria.

♨️Steaming the carrots creates a soft texture that a 10-month-old infant can manage safely.

🔪Cutting them into small pieces reduces the risk of choking while encouraging self-feeding.

🧠A low-phenylalanine diet prevents accumulation that can cause irreversible neurological damage.

📌Core Message

A child with phenylketonuria requires low-phenylalanine foods, and appropriately prepared carrots are a safe choice.

Answer 8

Correct Answers

Mucous membranes [ Kawasaki Disease ]
Pain characteristics [ Rheumatic Fever ]
Temperature [ Rheumatic Fever ; Kawasaki Disease ]
Skin findings [ Rheumatic Fever ; Kawasaki Disease ]
Laboratory results [ Rheumatic Fever ]
Findings on hands and feet [ Kawasaki Disease ]

Rationale :

👅Red, cracked lips and oral mucosal changes are characteristic findings of Kawasaki disease.

🦵Painful joint movement or migratory polyarthritis is a major manifestation of rheumatic fever.

🔥Fever can occur with both rheumatic fever and Kawasaki disease because both involve systemic inflammation.

🎨A rash can occur as erythema marginatum in rheumatic fever or as a polymorphous rash in Kawasaki disease.

🔬An elevated antistreptolysin O titer indicates a recent group A streptococcal infection, supporting rheumatic fever.

🧤Redness and swelling of the hands and feet are characteristic extremity changes of Kawasaki disease.

📌Core Message

Elevated ASO titer and joint pain support rheumatic fever, while cracked lips and swollen red extremities support Kawasaki disease; fever and rash can occur with both.

Answer 9

Correct Answers:

Initiate contact isolation precautions.

Rationale :

🦠Impetigo is highly contagious and spreads through direct contact with infected lesions or contaminated objects.

🧤Contact precautions reduce transmission to other hospitalized children and healthcare workers.

🛏️The nurse should use appropriate gloves, gowns, hand hygiene, and dedicated equipment.

🧼Lesions should remain covered when possible to limit the spread of infectious drainage.

📌Core Message

Hospital-acquired impetigo requires contact precautions because it spreads easily through direct and indirect contact.

Answer 10

Correct Answers:

"Tell me what you know about your child's illness."

Rationale :

🗣️This open-ended statement encourages the guardians to express their understanding and beliefs.

🧠Their response helps the nurse assess possible denial, misconceptions, and readiness to receive information.

🤝The statement supports therapeutic communication without confronting or judging the guardians.

🫶Assessment allows the nurse to provide individualized emotional support and education.

📌Core Message

An open-ended assessment helps the nurse understand the guardians’ perceptions before offering support.

Findings	Rheumatic Fever	Kawasaki Disease
Mucous membranes
Pain characteristics
Temperature
Skin findings
Laboratory results
Findings on hands and feet

1 :
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID). Which of the following statements should the nurse include?

2 :
A nurse is caring for an infant who has an endotracheal tube in place for mechanical ventilation. Which of the following actions should the nurse take when suctioning the infant's airway?

3 :
A nurse is caring for an infant in the provider's office.

Correct Answers

4 :
A nurse in the emergency department is caring for a preschooler who has acetaminophen toxicity. The nurse should expect the provider to prescribe which of the following medications?

5 :
A nurse on the pediatric unit is caring for a child.

Correct Answers

6 :
A nurse on the pediatric unit is caring for an infant.

Correct Answers

7 :
A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching?

8 :
A nurse is caring for a child in the emergency department.

Correct Answers

9 :
A nurse is caring for a child who has impetigo contagious that developed in the hospital. Which of the following actions should the nurse take?

10 :
A nurse is caring for a child who is terminally ill and whose guardians tell the nurse, "Our child will be fine. After all, we have heard of other children who have survived this same illness." Which of the following responses should the nurse make?

1 : A nurse is providing teaching to a parent about sudden unexpected infant death (SUID). Which of the following statements should the nurse include?

2 : A nurse is caring for an infant who has an endotracheal tube in place for mechanical ventilation. Which of the following actions should the nurse take when suctioning the infant's airway?

3 : A nurse is caring for an infant in the provider's office.

Correct Answers

4 : A nurse in the emergency department is caring for a preschooler who has acetaminophen toxicity. The nurse should expect the provider to prescribe which of the following medications?

5 : A nurse on the pediatric unit is caring for a child.

Correct Answers

6 : A nurse on the pediatric unit is caring for an infant.

Correct Answers

7 : A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching?

8 : A nurse is caring for a child in the emergency department.

Correct Answers

9 : A nurse is caring for a child who has impetigo contagious that developed in the hospital. Which of the following actions should the nurse take?

10 : A nurse is caring for a child who is terminally ill and whose guardians tell the nurse, "Our child will be fine. After all, we have heard of other children who have survived this same illness." Which of the following responses should the nurse make?

1 :
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID). Which of the following statements should the nurse include?

2 :
A nurse is caring for an infant who has an endotracheal tube in place for mechanical ventilation. Which of the following actions should the nurse take when suctioning the infant's airway?

3 :
A nurse is caring for an infant in the provider's office.

4 :
A nurse in the emergency department is caring for a preschooler who has acetaminophen toxicity. The nurse should expect the provider to prescribe which of the following medications?

5 :
A nurse on the pediatric unit is caring for a child.

6 :
A nurse on the pediatric unit is caring for an infant.

7 :
A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching?

8 :
A nurse is caring for a child in the emergency department.

9 :
A nurse is caring for a child who has impetigo contagious that developed in the hospital. Which of the following actions should the nurse take?

10 :
A nurse is caring for a child who is terminally ill and whose guardians tell the nurse, "Our child will be fine. After all, we have heard of other children who have survived this same illness." Which of the following responses should the nurse make?