A young infant is admitted to the hospital unit with physical ...

[Yi-Chen]

A young infant is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
 
  1. I was walking up the steps and slipped on the ice, falling while carrying my baby.
  2. The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor.
  3. I placed the baby in the infant swing. His six-year-old brother was running through the house and tripped over the swing, causing it to fall.
  4. I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor.

Question 2

Following hospital discharge for treatment of gastroesophageal reflux, the home health nurse visits the family. Which finding made by the nurse during the visit requires the nurse to intervene?
 
  1. The infant's formula has rice cereal added.
  2. The mother hold the infant is a high Fowler's position while feeding.
  3. After feeding, the infant is placed in an infant seat.
  4. The mother draws up the ranitidine (Zantac) in a syringe for oral administration.

[pikon]

Answer to Question 1

2
Rationale 1: This statement is plausible from a developmental perspective.
Rationale 2: Developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.
Rationale 3: This statement is plausible from a developmental prospective.
Rationale 4: This statement is plausible from a developmental prospective.
Global Rationale:

Answer to Question 2

3
Rationale 1: Rice cereal thickens the formula and helps prevent regurgitation. This is appropriate.
Rationale 2: This position will help prevent regurgitation and is appropriate.
Rationale 3: Infant seats are not recommended as they put pressure on the abdomen and may contribute to regurgitation.
Rationale 4: Since dosing is small, it is appropriate to use a syringe for accurate measurement.
Global

[Yi-Chen]

Excellent

[jackie]

TYSM