Question

question 19
1 pts
the primary care nurse practitioner is performing a pre - surgical clearance. the child is scheduled for a dental exam under anesthesia in two weeks. medication history is pertinent for use of various complementary treatments and remedies for the child. what is the most appropriate next step in caring for this child?

• check coagulation factor levels at this office visit.
• recommend not using the products until the child is older.
• instruct the parents to avoid any herbal supplements or complementary therapy for at least one week before the procedure.
• refer to holistic medicine provider to ensure medications used are safe

question 20
1 pts
the mother of a 6 - month - old infant is distressed because the infant can say “dada” but not “mama” and asks the primary care nurse practitioner why this is when she is the one who spends more time with the infant. how will the nurse practitioner respond?

• “at this age, your baby does not understand the meaning of sounds.”
• “babies at this age cannot make the ‘m’ sound.”
• “this may mean that your baby doesn’t hear well.”
• “most sounds made by babies at this age are accidental.”

Explanation:

Question 19

In pre - surgical (dental under anesthesia) clearance, herbal supplements or complementary therapies can interact with anesthesia or affect coagulation/other physiological processes. Avoiding them for at least a week before the procedure is a standard precaution to ensure safety during the procedure. Checking coagulation factors may not be necessary without a history of bleeding issues or specific supplement use indicating coagulation risk. Recommending not using products until older is too restrictive, and referring to a holistic provider isn't the immediate next step when we can instruct parents to avoid them for the pre - op period.

At 6 months, infants' vocalizations like "dada" or attempts at "mama" are usually accidental, as they are in the pre - linguistic stage of development and do not yet attach meaning to these sounds or have controlled, purposeful speech. Saying the baby doesn't understand sound meaning is partially true but the key point is the accidental nature of the sounds. Infants at 6 months can make the "m" sound (e.g., cooing with "m" sounds), and a lack of "mama" doesn't indicate hearing problems as the baby is making other sounds.

Answer:

Instruct the parents to avoid any herbal supplements or complementary therapy for at least one week before the procedure.

Question 20