An infant was born at 34 weeks' gestation and is being treated in ...

[HCHenry]

An infant was born at 34 weeks' gestation and is being treated in the NICU for apnea of prematurity. The infant is in an isolette with an apnea monitor and intravenous fluids.
 
  The apnea monitor sounds, and the nurse checks the infant to find the infant is not breathing. The initial intervention by the nurse would be to: 1. Administer oxygen.
  2. Perform back blows and chest thrusts.
  3. Call a code.
  4. Stroke the infant's back.

Question 2

A four-year-old is seen in the clinic for a sore throat. In the child's mind, the most likely causative agent is that the child:
 
  1. Was exposed to someone else with a sore throat.
  2. Yelled at his brother.
  3. Did not eat the right foods.
  4. Did not take his vitamins.

[fraziera112]

Answer to Question 1

4
Rationale 1: If the infant is not breathing, oxygen will not help.
Rationale 2: This is intervention for choking, not apnea.
Rationale 3: A code is not the initial response. If the nurse is unable to restart breathing, then a code should be initiated.
Rationale 4: Tactile stimulation is often sufficient to restart the infant's respirations. Apnea of prematurity is due to immaturity of the respiratory center.
Global

Answer to Question 2

2
Rationale 1: At this age, the child does not yet understand that he can become sick from exposure to someone else who is sick.
Rationale 2: Preschoolers understand some aspects of being sick, but not the cause of illness. They are likely to think that they are sick as a result of something that they have done. They frequently will view illness as punishment.
Rationale 3: Not eating the right foods can be a factor in some illnesses, but this thinking is beyond the level of a four-year-old.
Rationale 4: While not taking his vitamins can be a factor in some illnesses, this thinking is beyond the capabilities of a four-year-old.
Global Rationale: