Author Question: Which expected outcome is developmentally appropriate for a hospitalized 4-year-old child? a. The ... (Read 11 times)

cookcarl · **on:** Jun 27, 2018

Which expected outcome is developmentally appropriate for a hospitalized 4-year-old child?

a. The child will be dressed and fed by the parents.
b. The child will independently ask for play materials or other personal needs.
c. The child will be able to verbalize an understanding of the reason for the
hospitalization.
d. The child will have a parent stay in the room at all times.

Question 2

The nurse caring for a pregnant patient knows that her health teaching regarding fetal circulation has been effective when the patient reports that she has been sleeping:

a. In a side-lying position.
b. On her back with a pillow under her knees.
c. With the head of the bed elevated.
d. On her abdomen.

jaygar71 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback
A Parents need to foster appropriate developmental behavior in the 4-year-old
child. Dressing and feeding the child do not encourage independent behavior.
B Erikson identifies initiative as a developmental task for the preschool child.
Initiating play activities and asking for play materials or assistance with personal
needs demonstrates developmental appropriateness.
C A 4-year-old child cannot be expected to cognitively understand the reason for
hospitalization. Expecting the child to verbalize an understanding for
hospitalization is an inappropriate outcome.
D Parents staying with the child throughout a hospitalization is an inappropriate
outcome. Although children benefit from parental involvement, parents may not
have the support structure to stay in the room with the child at all times.

Answer to Question 2

A

Feedback
A Optimal circulation is achieved when the woman is lying at rest on her side. Decreased uterine circulation may lead to intrauterine growth restriction. Previously it was believed that the left lateral position promoted maternal cardiac output, thereby enhancing blood flow to the fetus. However, it is now known that either side-lying position enhances uteroplacental blood flow.
B If a woman lies on her back with the pressure of the uterus compressing the vena cava, blood return to the right atrium will be diminished.
C Although this position is recommended and ideal for later in pregnancy, the woman must still maintain a lateral tilt to the pelvis to avoid compression of the vena cava.
D Many women will find this position uncomfortable as pregnancy advances. Side-lying is the ideal position to promote blood flow to the fetus.