This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse is assessing an 11-month-old infant and notes that the infant's height and weight are at the ... (Read 64 times)

audie

  • Hero Member
  • *****
  • Posts: 532
on: Jun 28, 2018
A nurse is assessing an 11-month-old infant and notes that the infant's height and weight are at the 5th percentile on the growth chart.
 
  Family history reveals that the infant's two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority?
  1. Alteration in Growth Pattern Related to Parental Anxiety
  2. Alteration in Growth Pattern Secondary to Familial Short Stature
  3. Nutritional Intake: Excessive Secondary to Maternal Feeding Patterns
  4. At Risk for Constitutional Growth Delay Related to Decreased Appetite

Question 2

A nurse asks the mother of a 4-month-old infant to undress the infant. The nurse observes the mother taking off several layers of clothing and knows that the outdoor temperature is 70 degrees Fahrenheit.
 
  Which statement by the nurse is most appropriate in this situation?
  1. My, you are dressing your infant warmly today.
  2. Did you think it was cold when you left your home this morning?
  3. I see that you have many layers of clothing on your baby. This may cause your baby's temperature to rise.
  4. When you leave the office, only put one layer of clothing on your baby.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

IAPPLET

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 28, 2018
Answer to Question 1

Correct Answer: 1
Rationale: The scenario reveals parental anxiety due to marital problems. The most appropriate nursing diagnosis is alteration in growth patterns related to parental anxiety. There is no data that indicates familial short stature. Since height and weight are at the 5th percentile, there is no indication of increased nutritional intake. This infant is not at risk for constitutional growth delay.

Answer to Question 2

Correct Answer: 3
Rationale: In this scenario, the mother has overdressed the infant. The nurse needs to gently inform the mother of this problem and to provide information to the mother on why it is a problem. Just making a statement on how warmly the child is dressed will not accomplish this goal or just telling the mother to only put one layer of clothing on the child does not provide a rationale for the mother to make a better decision the next time, so this statement also is not helpful to the mother.


audie

  • Member
  • Posts: 532
Reply 2 on: Jun 28, 2018
Wow, this really help

AngeliqueG

  • Member
  • Posts: 343
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

There are 60,000 miles of blood vessels in every adult human.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Measuring Patient Height Measuring Patient Height
Assessing for Bulge Sign, Milking the Patella Assessing for Bulge Sign, Milking the Patella
Nurse palpating the patient's brachial artery Nurse palpating the patient's brachial artery
Indicators for assessing local blood flow Indicators for assessing local blood flow
Algorithm for assessing a patient at risk for self-directed violence. Algorithm for assessing a patient at risk for self-directed violence.
Due to compressibility, atmospheric mass gradually “thins out” with height. Due to compressibility, atmospheric mass gradually “thins out” with height.
Video: Anaphylaxis Animation

For a complete list of videos, visit our video library