This topic contains a solution. Click here to go to the answer

Author Question: A nurse is assessing an 11-month-old infant and notes that the infant's height and weight are at the ... (Read 95 times)

audie

  • Hero Member
  • *****
  • Posts: 532
A nurse is assessing an 11-month-old infant and notes that the infant's height and weight are at the 5th percentile on the growth chart.
 
  Family history reveals that the infant's two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority?
  1. Alteration in Growth Pattern Related to Parental Anxiety
  2. Alteration in Growth Pattern Secondary to Familial Short Stature
  3. Nutritional Intake: Excessive Secondary to Maternal Feeding Patterns
  4. At Risk for Constitutional Growth Delay Related to Decreased Appetite

Question 2

A nurse asks the mother of a 4-month-old infant to undress the infant. The nurse observes the mother taking off several layers of clothing and knows that the outdoor temperature is 70 degrees Fahrenheit.
 
  Which statement by the nurse is most appropriate in this situation?
  1. My, you are dressing your infant warmly today.
  2. Did you think it was cold when you left your home this morning?
  3. I see that you have many layers of clothing on your baby. This may cause your baby's temperature to rise.
  4. When you leave the office, only put one layer of clothing on your baby.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

IAPPLET

  • Sr. Member
  • ****
  • Posts: 333
Answer to Question 1

Correct Answer: 1
Rationale: The scenario reveals parental anxiety due to marital problems. The most appropriate nursing diagnosis is alteration in growth patterns related to parental anxiety. There is no data that indicates familial short stature. Since height and weight are at the 5th percentile, there is no indication of increased nutritional intake. This infant is not at risk for constitutional growth delay.

Answer to Question 2

Correct Answer: 3
Rationale: In this scenario, the mother has overdressed the infant. The nurse needs to gently inform the mother of this problem and to provide information to the mother on why it is a problem. Just making a statement on how warmly the child is dressed will not accomplish this goal or just telling the mother to only put one layer of clothing on the child does not provide a rationale for the mother to make a better decision the next time, so this statement also is not helpful to the mother.




audie

  • Member
  • Posts: 532
Reply 2 on: Jun 28, 2018
Gracias!


tkempin

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Excellent

 

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.

Did you know?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

Did you know?

According to the FDA, adverse drug events harmed or killed approximately 1,200,000 people in the United States in the year 2015.

For a complete list of videos, visit our video library