Author Question: The mother of a preschool-age child is pregnant and wants to enroll the child in a child care ... (Read 109 times)

altibaby · **on:** Jun 27, 2018

The mother of a preschool-age child is pregnant and wants to enroll the child in a child care program. When should the nurse suggest that the child be enrolled in this program?

A) By 4 years of age regardless of the pregnancy
B) Now after explaining that the new sibling will take up the mother's time
C) Three months before the baby is born, after the mother stresses that he is growing up
D) Immediately after the baby is born so that the child will feel less jealous and more secure

Question 2

A nurse suspects that a preterm newborn is having problems with thermal regulation. Which of the following would support the nurse's suspicion? (Select all that apply.)

A) Shallow, slow respirations
B) Cyanotic hands and feet
C) Irritability
D) Hypertonicity
E) Feeble cry

joneynes · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
If children are to start preschool or child care, it's best if they can do so either before the new baby is born or 2 or 3 months afterward. That way, children can perceive starting school as a result of maturity and not of being pushed out of the house by the new child. There is no time limit about when a child should start preschool. The mother should not explain to the child that the new baby will be taking up all of the mother's time.

Answer to Question 2

A, B, E
Feedback:
Typically, a preterm newborn that is having problems with thermal regulation is cool to cold to the touch. The hands, feet, and tongue may appear cyanotic. Respirations are shallow or slow, or signs of respiratory distress are present. The newborn is lethargic and hypotonic, feeds poorly, and has a feeble cry. Blood glucose levels are probably low, leading to hypoglycemia, due to the energy expended to keep warm.