Which method would be most effective in evaluating the parents' ...

[cmoore54]

Which method would be most effective in evaluating the parents' understanding about their newborn's care?
 
  A) Demonstrate all infant care procedures
  B) Allow the parents to state the steps of the care
  C) Observe the parents performing the procedures
  D) Routinely assess the newborn for cleanliness

Question 2

Which test result would the nurse least likely expect to find in a child diagnosed with Wilms' tumor?
 
  A) CBC within normal limits
  B) Urinalysis positive for blood
  C) Mass on kidney
  D) Elevated HVA with 24-hour urine collection

[Carissamariew]

Answer to Question 1

C
Response:
The most effective means to evaluate the parents' learning is to observe them performing the procedures. Parental roles develop and grow through interaction with their newborn. The nurse would involve both parents in the newborn's care and praise them for their efforts. Demonstrating the procedures to the parents and having the parents state the steps are helpful but do not guarantee that the parents understand them. Assessing the newborn for cleanliness would provide little information about parental learning.

Answer to Question 2

D
Response:
Levels of HVA and VMA will not be elevated with Wilms' tumor; they are elevated with neuroblastoma. CBC, BUN, and creatinine usually are within normal limits. Urinalysis may reveal hematuria or leukocytes. Renal or abdominal ultrasound would reveal a mass on the kidney.