During an assessment, a preschool-age child tells the nurse about ...

[olgavictoria]

During an assessment, a preschool-age child tells the nurse about having 12 siblings. The nurse is aware that the child has two older brothers. What should the nurse respond to this child?
 
  A) I guess you don't know much about counting yet..
  B) Don't lie to me. That's never a nice thing to do to someone..
  C) Does it make you feel more important when you add on brothers?
  D) That is a good pretend answer but tell me the names of the brothers you really have..

Question 2

After determining that a newborn is in need of resuscitation, which of the following would the nurse do first?
 
  A) Dry the newborn thoroughly
  B) Suction the airway
  C) Administer ventilations
  D) Give volume expanders

[akemokai]

Answer to Question 1

D
Feedback:
Stretching stories to make them seem more interesting is a phenomenon frequently encountered in preschoolers. This kind of storytelling should not be encouraged. The child should be helped to separate fact from fiction. The nurse should ask the child to say the names of the brothers the child really has. The nurse should not insult the child's counting ability. The nurse should not accuse the child of lying or making the child seem more important by having more brothers.

Answer to Question 2

A
Feedback:
If resuscitation is need, the nurse must first stabilize the newborn by drying the newborn thoroughly with a warm towel and provide warmth by placing him or her under a radiant heater to prevent rapid heat loss. Next the newborn's head is placed in a neutral position to open the airway and the airway is cleared with a bulb syringe or suction catheter. Breathing is stimulated. Often handling and rubbing the newborn with a dry towel may be all that is needed to stimulate respirations. Next ventilations and then chest compressions are done. Administration of epinephrine and/or volume expanders is the last step.