The nurse explains to parents why an adenoidectomy is sometimes ...

[Jkov05]

The nurse explains to parents why an adenoidectomy is sometimes indicated with the tonsillectomy. Which of the following is the nurse's best explanation?
 
  a. An adenoidectomy is justified when a child's enlarged adenoids block the flow of air through the nasal passages.
  b. Some surgeons prefer to take out the adenoids at the same time as the tonsillectomy because it saves the child from a second surgery.
  c. Without the tonsils to screen out foreign proteins, the adenoids are more easily infected.
  d. It is hard to take out the tonsils without removing the adenoids, because they often are adhered to each other.

Question 2

After a long labor, the mother is concerned about the swelling of her baby's scalp. The newborn is 24 hours old. The nurse palpates the scalp and finds swelling that extends across the suture lines.
 
  In addition to explaining the probable cause of the swelling and the time of resolution, the nurse explains that the term for this condition is: a. cephalhematoma c. molding
  b. caput succedaneum d. crepitation

[matt]

Answer to Question 1

A

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A Correct. The surgical removal of the adenoids, or adenoidectomy, is indicated when a child's enlarged adenoids block air flow through nasal passages.
B Incorrect. The nurse's best explanation is not that some surgeons prefer to take out the adenoids at the same time as the tonsillectomy, adenoidectomy is only required when the air flow is blocked by the adenoids.
C Incorrect. The nurse's best explanation is not that the adenoids become more easily infected without the tonsils.
D Incorrect. The nurse's best explanation is not that the tonsils and adenoids are not separable during surgery.

Answer to Question 2

B

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A Incorrect. Cephalhematoma will usually develop after 24 hours, indicates rupture of blood vessels and bleeding, but does not extend across the suture lines.
B Correct. Caput succedaneum is often evident after long labor, is swelling of the soft tissues of the scalp. The edema extends across the suture lines, and presents within the first 24 hours following birth.
C Incorrect. Molding describes the misshapen appearance of the head following live birth.
D Incorrect. Crepitation is the noisy discharge of gas from the intestine through the anus.