Author Question: Parents ask the nurse for strategies to help their toddler adjust to a new baby. What should the ... (Read 39 times)

jrubin · **on:** Jun 28, 2018

Parents ask the nurse for strategies to help their toddler adjust to a new baby. What should the nurse suggest?

a. Start talking about the baby very early in the pregnancy.
b. Move the toddler to a new bed after the baby comes home.
c. Tell the toddler that a new playmate will be coming home soon.
d. Alert visitors to the new baby to include the toddler in the visit.

Question 2

An infant is diagnosed with transposition of the great vessels. Prostaglandin E1 is given intravenously.

The parents ask how long the child will remain on the prostaglandin E1. What is the appropriate response by the nurse?
a. Prostaglandin E1 will be given intermittently until corrective surgery is performed.
b. Prostaglandin E1 will be given continuously until corrective surgery is performed.
c. Prostaglandin E1 will be given continuously throughout the preoperative and postoperative periods until the child is stable.
d. Prostaglandin E1 will be given intermittently throughout the preoperative and postoperative periods until the child is stable.

dyrone · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Parents can minimize sibling rivalry by alerting visitors to the toddler's needs, having small presents on hand for the toddler, and including the child in the visits as much as possible. Time is a vague concept for toddlers. A good time to start talking about the new baby is when the toddler becomes aware of the pregnancy and the changes occurring in the home in anticipation of the new member. To avoid additional stresses when the newborn arrives, parents should perform anticipated changes, such as moving the toddler to a different room or bed, well in advance of the birth. Telling the toddler that a new playmate will come home soon sets up unrealistic expectations.

Answer to Question 2

ANS: B
To provide intracardiac mixing for a child with transposition of the great arteries, intravenous prostaglandin E1 is administered continuously to keep the ductus arteriosus open to temporarily increase blood mixing and provide an oxygen saturation of 75 or to maintain cardiac output until surgery. It is discontinued after surgery.