When taking a history on a child with a possible diagnosis of ...

[skymedlock]

When taking a history on a child with a possible diagnosis of cellulitis, what should be the priority nursing assessment to help establish a diagnosis?
 
  a. Any pain the child is experiencing
  b. Enlarged, mobile, and nontender lymph nodes
  c. Child's urinalysis results
  d. Recent infections or signs of infection

Question 2

What factor found in maternal history should alert the nurse to the potential for a prolapsed umbilical cord?
 
  a. Oligohydramnios
  b. Pregnancy at 38 weeks of gestation
  c. Presenting part at station 3
  d. Meconium-stained amniotic fluid

[sultana.d]

Answer to Question 1

D
Feedback
A Pain is important, but the history of recent infections is more relevant to the
diagnosis.
B Lymph nodes may be enlarged (lymphadenitis), but they are not mobile and are
nontender. Lymphangitis may be seen with red streaking of the surrounding
area.
C An abnormal urinalysis result is not usually associated with cellulitis.
D Cellulitis may follow an upper respiratory infection, sinusitis, otitis media, or a
tooth abscess. The affected area is red, hot, tender, and indurated.

Answer to Question 2

C
Feedback
A Hydramnios puts the woman at high risk for a prolapsed umbilical cord.
B A very small fetus, normally preterm, puts the woman at risk for a prolapsed
umbilical cord.
C Because the fetal presenting part is positioned high in the pelvis and is not well
applied to the cervix, a prolapsed cord could occur if the membranes rupture.
D Meconium-stained amniotic fluid shows that the fetus already has been
compromised, but it does not increase the chance of a prolapsed cord.