Additional Peds Questions (Exam 1)

A 13-year-old adolescent has had a near-drowning experience. The nurse notices the client has labored breathing and a cough. What is the priority intervention? A.Administer 100% oxygen by mask. B. Have the client sit up straight in a chair. C. Check the client's capillary refill time. D. Perform postural drainage every hour.

A. Administer 100% oxygen by mask

The family of a terminally ill client is asking about the benefits of hospice care. Which statement by the nurse provides accurate information? A. Hospice is designed to meet the individual client's needs. B. Hospice uses alternative therapies to find a cure for the illness. C. Hospice is a separate care area located within a hospital setting. D. Hospice is designed to focus on supporting families of clients who are ill.

A. Hospice is designed to meet the individual client's needs.

A nurse is assessing a child who has leukemia. Which of the following are early manifestations of leukemia? (Select all that apply). A. Hematuria B. Anorexia C. Petechiae D. Ulcerations in the mouth E. Unsteady gain

B, C, and E

A nurse is teaching a group of parents about strategies to prevent drowning accidents in children. Which statement by a parent requires intervention by the nurse? A. "Children who know how to swim should be supervised by an adult." B. "We have a small wading pool that our toddler loves to play in." C. "A 4-foot (1.25-meter) fence with a locking gate surrounds our pool." D. "All children riding in boats should wear life jackets."

B. " We have a small wading pool that our toddle loves to play in."

The emergency department nurse is caring for a child who is showing signs of anaphylaxis. The nurse evaluates how comprehensive the history of the child should be and determines that which action takes priority? A. Taking a problem-focused history B. Obtaining a complete and detailed history C. Stabilizing the child's physical status D. Getting the child's history from other providers.

C. Stabilizing the child's physical status

What would be a safe temperature of water to bathe baby Ryan in the tub? A. The water should be 125 °F. B. The water should be 130 °F. C. The water should be 135 °F. D. The water should be 118 °F.

D. The water should be 118 F

The 2-month-old infant needs a capillary blood specimen obtained. In addition to having the father hold the infant, what can the nurse do to comfort the child? Select all that apply. A. Provide a pacifier for the child. B. Give the baby a small amount of sucrose just prior to the procedure. C. Wrap the extremity in a cool towel. D. Give the child an age-appropriate dose of ibuprofen.

A and B

A nurse is providing home care instructions to a parent of a child who is receiving chemotherapy. Which of the following instructions should the nurse include in the teaching? (Select all that apply). A. Manifestations of infection B. Bleeding precautions C. Hand Hygiene D. Homeschooling E. Airborne precautions

A, B and C

A nurse is providing education about introducing new foods to the guardians of a 4 month old infant. The nurse should recommend that the caregiver introduce which of the following foods first? A. Strained yellow vegetables B. Iron-Fortified Cererals C. Pureed Fruits D. Whole Milk

B

A nurse is assessing a 12 month old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel B. Eruption of six teeth C. Birth weight doubled D. Birth length increased by 50%

C

The school nurse is providing information to parents of adolescents about prevention of cervical cancer. Which information is included in the teaching? A. Papanicolaou tests for adolescent girls B. abstinence from sexual intercourse C. vaccine against human papillomavirus (HPV) D. use of condoms for sexually active teens

C. Vaccine against human papillomavirus (HPV)

When reviewing information about the incidence of the various types of childhood cancer, nursing students demonstrate understanding of the information when they identify which type as having the highest incidence? A. Neuroblastoma B. Osteogenic sarcoma C. Non-Hodgkin lymphoma D. Acute lymphoblastic leukemia (ALL)

D. Acute Lymphoblastic Leukemia (ALL)

A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information would be most important for the nurse to include in the child's preoperative plan of care? A. Preparing the child for amputation B. Performing dressing changes to the affected area C. Administering analgesics for pain D. Avoiding further abdominal palpation

D. Avoiding further abdominal palpation

A nurse has received the above hand-off report from the emergency department. The nurse creates a plan of care for the child. What is the nurse's priority in providing care for the child? A. hydration B. infection prevention C. thermoregulation D. gas exchange

D. Gas Exchange

A 5-year-old child is at the pediatric clinic for a well-child visit. Which symptom alerts the health care provider that this child might have acute lymphoblastic leukemia (ALL)? A. joint pain and swelling B. anorexia and weight loss C. abdominal pain, nausea, and vomiting D. lethargy, bruises, and lymphadenopathy

D. Lethargy, Bruises and Lymphadenopathy

A nurse is performing a developmental screening on a 10 month old infant. Which of the following fine motor skills should the nurse expect the infant to perform? (Select all that apply). A. Grasp a rattle by the handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects into a container E. Walks with one hand held

A and C

A nurse is providing teaching to the parent of a child who has a neuroblastoma. Which of the following statements should the nurse include in the teaching? (Select all that apply) A. "Chemotherapy and radiotherapy may be necessary for treatment." B. "Your child will need a bone marrow biopsy." C. "Your child will be paralyzed because of this tumor." D. "Most children are diagnosed around the age of 12." E. "Your child will need surgery for resection of the tumor."

A, B and E - Chemotherapy and Radiotherapy may be necessary for treatment; Diagnostic testing for neuroblastoma includes a bone marrow biopsy; Resection of the tumor is the treatment of choice.

The nurse is providing anticipatory guidance to the parent of a 2-month-old infant in relation to growth and development. Which statement from the parent demonstrates proper understanding? A. "I can expect my infant to be able to raise the head up when on the stomach within the next month." B. "I can expect my infant to become clingy around strangers within the next month." C. "I can expect my infant to be able to hold a rattle within the next month." D. "I can expect my infant to laugh out loud within the next month."

A. "I can expect my infant to be able to raise the head up when on the stomach within then next month."

The nurse is caring for a 7-year-old child with shock. What is the priority treatment in the child's care? A. administering IV fluids B. inotropic support C. intramuscular epinephrine D. dopamine therapy

A. Administering IV Fluids

A 6-month-old has fanning of the toes and dorsiflexion of the big toe seen on physical exam. Based on this finding the nurse should: A. document as a normal finding. B. refer for further evaluation. C. educate the parent about the abnormal finding. D. teach parent to have child wear hard-soled shoes.

A. Document as a normal finding

Mark is a 2-month-old infant who is receiving formula. He has inconsolable crying, is gassy, and constantly draws his legs up. It has been determined that Mark has colic. Which of the following would be most appropriate? A. Encourage the use of a different formula to assess for sensitivity. B. Have his mother feed him more frequently because he is hungry. C. Instruct his mother about the need to consume a regular diet. D. Encourage his parents to sing and play music to comfort him.

A. Encourage the use of a different formula to assess for sensitivity.

Which milestone would the nurse expect an infant to accomplish by 8 months of age? A. Sitting without support B. Creeping on all fours C. Pulling self to a standing position D. Being able to sit from a standing position

A. Sitting without Support

The nurse is assessing reflexes on a neonate. When assessing, which reflex is the nurse most correct to clap during the assessment technique? A. the Moro reflex B. the plantar reflex C. the rooting reflex D. the Babinski reflex

A. The Moro reflex

What would be included in a teaching plan for a child who is not circumcised? A. The foreskin should be retracted gently until resistance is felt. B. The foreskin should be completely retracted by the time the child is 1 year old. C. White discharge under the foreskin needs to be reported to the healthcare provider. D. Soreness under the foreskin is normal.

A. The foreskin should be retracted gently until resistance is felt.

A nurse is providing teaching about dental care and teething to the caregiver of a 9 month old infant. Which of the following statements by the caregiver indicates an understanding of the teaching? A. "I can give my baby a warm teething ring to relieve discomfort." B. " I should clean my baby's teeth with a cool, wet wash cloth." C. "I can give Advil for up to 5 days while my baby is teething." D. "I should place diluted juice in the bottle my baby drinks while falling asleep."

B

A nurse is caring for a toddler who has a Wilms' tumor. Which of the following actions should the nurse take? A. Palpate the child's abdomen to identify the size of the tumor. B. Prepare the child for surgery. C. Teach the parents about dialysis D. Obtain a 24-hr urine specimen from the child.

B - Removal of the tumor occurs within 24-48 hours of admission.

A nurse is providing care to a child hospitalized after an accident that resulted in a substantial loss of blood. The nurse is preparing to administer IV Fluids using a 60 mL syringe attached to the child's IV site. The child's parents ask the nurse why there is no IV bag hanging. What is the best response for the nurse to make? A. "Children need much less fluid than adults." B. "I need to administer small amounts of fluid as quickly as possible." C. Hanging an IV bag would cause the infusion to flow too quickly." D. Your child is too young to receive IV fluids by that method."

B. "I need to administer small amounts of fluid as quickly as possible."

The nurse is providing support to the parents of a 10-year-old boy receiving emergency care. The boy is their foster child. Which statement by the nurse would be most effective? A. "Your child is hypovolemic and he really needs fluid." B. "You can hold your child's hand while this is going on." C. "I think you had better stay out here and wait to hear from us." D. "Because you are not his biological parents, you must wait outside."

B. "You can hold your child's hand while this is going on."

A nurse is completing a dressing change on a 5-month-old in a crib in the procedure room. The wrap needed to complete the care is just beyond the nurse's reach. What action by the nurse is best? A. Stay with the infant and call the name of another health care member to obtain the supply. B. Raise the side rail, gather the needed supply, and then resume care of the infant. C. Use the emergency call button to obtain assistance in getting the needed supply. D. While keeping a close eye on the infant, quickly grab the needed supply from the surrounding area.

B. Raise the side rail, gather the needed supply, and then resume care of the infant.

Which activity will the nurse encourage new parents to complete in order to assist their infant in accomplishing Erikson's developmental task for the first year of life? A. Praise the infant when a new milestone is reached. B. Respond promptly when the infant cries. C. Read age-appropriate books to the infant daily. D. Appropriately enunciate words when speaking to the infant.

B. Respond promptly when the infant cries

A nurse is providing care to a child hospitalized after experiencing respiratory arrest secondary to an asthma exacerbation. The child is scheduled for discharge, but the parents are concerned about the child having a repeat arrest. Which action will best allay the parents' concerns? A. Encourage the parents to take a community CPR class. B. Review early signs and symptoms of respiratory compromise. C. Reassure the parents that the child's condition has resolved. D. Emphasize the importance of maintaining adequate fluid hydration.

B. Review early S&S of Respiratory Compromise

A nurse witnesses a child get hit by a car while riding a bike. The child is lying motionless in the street. What action should the nurse take next? A. Assess the level of consciousness. B. Check the vital signs. C. Ensure a safe environment. D. Check for visible injuries.

C. Ensure a Safe Environment

The nurse is caring for a term neonate suffering from meconium aspiration in the nursery. The nurse reviews orders for a peripherally inserted central catheter (PICC) line placement and intubation. Which statement demonstrates the nurse's knowledge of painful procedures as related to a neonate? A. Newborns are rarely subjected to painful procedures without anesthesia. B. The newborn does not have fully developed pain receptors, and therefore needs little or no pain medication. C. The newborn's pain pathway components are developed enough at birth to experience pain. D. The newborn will not remember pain and does not need analgesia for painful procedures.

C. The newborn's pain pathway components are developed enough at birth to experience pain.

The nurse is teaching the parents of a 15-year-old boy who is being treated for acute myeloid leukemia about the side effects of chemotherapy. For which symptoms should the parents seek medical care immediately? A. earache, stiff neck, or sore throat B. blisters, ulcers, or a rash appear C. temperature of 101°F (38.3°C) or greater D. difficulty or pain when swallowing

C. temperature of 101°F (38.3°C) or greater

The nurse is assessing a 7-year-old child with salicylate toxicity. What will the nurse include in the assessment? Select all that apply. A. Assess for nausea and vomiting. B. Monitor for tachypnea. C. Assess for drooling. D. Assess for bradycardia. E. Monitor for altered mental status.

A and B

A nurse is assessing a child who has rhabdomyosarcoma of the nasopharynx. Which of the following are manifestations of rhabdomyosarcoma? (Select all that apply) A. Enlarged neck lymph nodes B. Pain C. Vomiting D. Epistaxis E. Diplopia

A, B and D

The nurse is teaching the parents of a 2-year-old child how to avoid accidental poisonings. What will the nurse include in the teaching? Select all that apply. A. Cook meats to the recommended temperature. B. Install carbon monoxide detectors C. Follow directions for use for all dangerous substances D. Store detergents in easy to use, personalized containers. E. Keep cleaning supplied in plain sight at all times.

A, B, and C

A nurse is assessing a child who has rhabdomyosarcoma of the upper arm. Which of the following findings should the nurse expect? (Select all that apply) A. Pain B. Discoloration of the skin C. Lymph node enlargement D. Easy bruising E. Palpable mass

A, C and E

A teen mom asks the discharge nurse if it is okay to sleep in bed with her baby. She says her mom always did it with her siblings and it seemed okay. How should the nurse respond? A. "The baby can sleep in your room in an infant crib, but not in an adult bed." B. "Sure, you can do whatever you want, it is your baby." C. "Sure you can, but make sure you use a soft mattress for support." D. "Bed sharing is okay, just make sure the infant is between two people."

A. "The baby can sleep in your room in an infant crib, but not in an adult bed."

Wilms tumor is suspected in a 5-year-old child. Which action would be avoided? A. abdominal palpation B. fiber intake C. aspirin administration D. rectal suppository use

A. Abdominal Palpation

A child with cancer is receiving vincristine. It is most important to observe this child for which of the following side effects? A. constipation B. diarrhea C. flatulence D. rectal bleeding

A. Constipation

The nurse is preparing clients for diagnostic testing for cancer. Which test is used to differentiate a neuroblastoma from other tumors? A. Urine catecholamine metabolites, homovanillic acid (HVA), and vanillylmandelic acid (VMA) B. Urinalysis C. Serum chemistries D. Complete blood count (CBC) with differential

A. Urine catecholamine metabolites, homovanillic acid (HVA), and vanillylmandelic acid (VMA)

A nursing student compares and contrasts childhood and adult cancers. Which statement does so accurately? A. Adult cancers are more responsive to treatment than are those in children. B. Children's cancers, unlike those of adults, often are detected accidentally, not through screening. C. Environmental and lifestyle influences in children are strong, unlike those in adults. D. Little is known regarding cancer prevention in adults, although much prevention information is available for children.

B. Children's cancers, unlike those of adults, often are detected accidentally, not through screening.

A nurse is caring for a child with Hodgkin disease who is in the induction phase of a chemotherapy regimen. The nurse explains to the parents that the goal of this phase is to: A. destroy any remaining cancer cells. B. kill enough cancerous cells to induce remission. C. destroy any residual cancer cells. D. follow up for recurrent disease or late effects.

B. Kill enough cancerous cells to induce remission

A 9-year-old girl who has fallen from a second-story window is brought to the emergency department. Which assessment would be the priority? A. Evaluating pupils for equality and reactivity B. Monitoring oxygen saturation levels C. Asking the child if she knows where she is D. Using the appropriate pain assessment scale

B. Monitoring oxygen saturation levels

A nurse is caring for a child following an above-the-knee amputation. Which of the following actions should the nurse take? A. Avoid discussing the amputation B. Administer aspirin for phantom pain. C. Prepare the child for a prosthesis fitting D. Maintain the affected limb in the dependent position

C

A nurse is caring for a child who has oral mucositis. Which of the following actions should the nurse take? (Select all that apply). A. Swab the mucosa with lemon glycerin swabs B. Apply viscous lidocaine C. Offer soft foods D. Use a soft, disposable toothbrush for oral care E. Encourage gargling with a warm saline mouthwash

C, D and E

In working with infants, the nurse would expect the posterior fontanel to be closed in an infant who is which age? A. 3 weeks B. 1 month C. 3 months D. 6 weeks

C. 3 months

After teaching a group of nursing students about shock in children, the instructor determines that the teaching was successful when the students identify which type of shock as most common? A. Septic B. Cardiogenic C. Hypovolemic D. Distributive

C. Hypovolemic

The nurse is preparing an in-service program on pediatric cardiopulmonary resuscitation. The nurse would include a discussion that cardiopulmonary arrest in infants and children is most likely the result of: A. Lethal Arrhythmia B. Underlying Heart Disease C. Respiratory Failure D. Neurologic Trauma

C. Respiratory Failure

A 15-year-old boy has been diagnosed with an osteosarcoma of the distal femur. He also demonstrates a chronic cough, dyspnea, and chest pain, along with chronic leg pain. Based on these findings, the nurse should suspect metastasis to which body area? A. Lungs B. Heart C. Brain D. Rib cage

A. Lungs

The nurse is examining an infant who is 4 days old. The nurse puts the infant in a semi-upright position and lets the head fall back (with immediate support). What infant reflex is the nurse testing? A. Moro B. Babinski C. palmar grasp D. root

A. Moro

The student nurse asks the nursing instructor why nurses must be adept at understanding normal growth and development in children when providing care. How should the nursing instructor respond? A. "If a nurse understands normal growth and development, he or she will be able to identify normal milestones in children." B. "By knowing normal growth and development, the nurse is able to identify problems in growth and development." C. "The nurse must understand normal development in order to measure the child's height and weight accurately." D. "Understanding normal growth and development is vital because it allows the nurse to administer the correct doses of medication to children."

B. "By knowing normal growth and development, the nurse is able to identify problems in growth and development."

The nursing student identifies which technique as the correct one to use when giving oral medications to an infant? A. Use a dropper and squirt the liquid quickly into the back of the infant's mouth. B. Use a dropper and slowly inject the liquid into the side of the infant's mouth. C. Use a dropper and let it rest on the infant's tongue when squirting the medicine. D. Allow the child to lay flat while giving the liquid medication to relax the child.

B. Use a dropper and slowly inject the liquid into the side of the infant's mouth.

A nurse is planning care for an infant who is scheduled to have a lumbar puncture. Which of the following actions should the nurse include in the plan of care? A. Cleanse the thoracic area of the infant's back with an antiseptic solution. B. Apply a eutectic mixture of local anesthetic cream just before the procedure begins. C. Restrain the infant during the procedure to prevent movement. D. Position the infant with his head extended and chin raised.

C - Restraining the infant during the procedure to prevent movement will decrease potential for injury. It is an appropriate action for the nurse to take.

A nurse is caring for a child who is experiencing neuropathy due to chemotherapy. Which of the following are manifestations of neuropathy? (Select all that apply). A. Constipation B. Skin Breakdown C. Foot Drop D. Jaw Pain E. Hemorrhage Cystitis

C and D

The mother of a 6-week-old infant reports she doesn't know if her child recognizes her face yet. What response by the nurse is most appropriate? A. "Recognition of faces and voices will come with time." B. "Don't worry. He knows you are his mother." C. "Since about 4 weeks of age your child has been able to recognize those who are around him often." D. "Recognition of this type begins around 8 weeks of age."

C. "Since about 4 weeks of age your child has been able to recognize those who are around him often."

An adolescent is brought to the emergency department after attempting to overdose on acetaminophen about 2 hours ago. The adolescent's serum acetaminophen level is significantly elevated. Which of the following would the nurse expect to administer? A. N-acetylcysteine B. sodium bicarbonate C. naloxone D. deferoxamine

A. N-acetylcysteine

The nurse is reviewing the medical record of a child diagnosed with Hodgkin lymphoma at the asymptomatic stage. Which would the nurse identify as typically the first sign reported by the child? A. painless, enlarged lymph node B. anorexia C. weight loss D. night sweats

A. Painless, enlarged lymph node

A 7-year-old girl is in the intensive care unit following a bicycle accident. Which would be most helpful in providing support to the girl's parents? A. Providing honest answers in a reassuring manner B. Giving them brief explanations of procedures C.Describing the treatment plan for their daughter D. Encouraging them to read to their daughter

A. Providing honest answers in a reassuring manner.

The parents of a newborn diagnosed with a chronic illness ask the nurse, "How will this effect our newborn's growth and development?" Which nursing response is most appropriate? A. "Your newborn will likely need intensive therapy to be able to function with limited assistance." B. "It is common for newborns with chronic illness to grow and develop at a slower pace." C. "Growth and development will be measured and discussed at each appointment." D. "There is no way to tell about your newborn's growth and development at this young age."

B. "It is common for newborns with chronic illness to grow and develop at a slower pace."

A nurse is caring for an adolescent who has a new diagnosis of osteosarcoma. Which of the following actions should the nurse take first? A. Ensure that the adolescent has a referral for a psychiatrist visit B. Prepare a teaching plan to educate the adolescent in detail about the diagnosis and treatment C. Spend time with the adolescent to answer any questions D. Perform a mental status examination to assess the adolescent's thought patters.

C

A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments is an indication to continue NPO status? A. Abdominal girth 1 cm larger than yesterday B. Report of pain at the operative site C. Absent bowel sounds D. Passing flatus every 30 minutes

C - Absent bowel sounds are an indication that gastrointestinal motility is absent and a reason to continue with NPO status.

A nurse is providing care to a 14-year-old child hospitalized after an overdose of fentanyl. Which aspect of the plan of care should the nurse prioritize? A. hydration B. perfusion C. cognition D. oxygenation

D. Oxygenation

The nurse is working with a family whose daughter is dying of a brain tumor. When addressing the situation with the child's sibling, the nurse should prioritize what consideration? A. the sibling's stages of growth and development B. the age difference between the client and siblings C. the family's cultural background D. the family's interaction with each other

A. The siblings stages of growth and development

The nurse is preparing to assess a 13-year-old child in the emergency department with opioid toxicity. What will the nurse include in the assessment? Select all that apply. A. Assess for slowed respiratory rate and apnea B. Evaluate mental status C. Monitor for bradycardia D. Assess for hypoglycemia E. Monitor for bleeding

A, B, and C

A treatment team meeting is focused on care of children with bone tumors. The nurse is most correct to identify which characteristics anticipated in a client diagnosed with osteogenic sarcoma? Select all that apply. A. More girls than boys are affected. B. The most common site is the distal femur. C. More black people are affected than white people. D. The lungs are a common site of metastasis. E. The cure rate is extremely low.

B and D

A nurse is conducting a well-baby visit with a 4 month old infant. Which of the following immunizations should the nurse plan to administer to the infant? (Select all that apply). A. Measles, Mumps and Rubella (MMR) B. Polio (IPV) C. Pneumococcal Vaccine (PCV) D. Varicella E. Rotavirus Vaccine (RV)

B, C and E

A nurse is assessing a child who has neuroblastoma of the adrenal gland. Which of the following are manifestations of metastasis from the primary site? (Select all that apply). A. Weight Gain B. Bone Pain C. Periorbital Eccymoses D. Proptosis E. Weight Loss

B, C, D, and E

A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure? A. "Let your child continue to attend preschool as much as possible." B. "Keep your child at home and spend as much one-on-one time with her as possible." C. "Keep your child out of school but invite some friends over for play dates." D. "Plan special outings with just the family during the time the child would normally have been at school."

A. "Let your child continue to attend preschool as much as possible."

The pediatric nurse examines the radiographs of a client that indicate lesions on the bone. This finding is indicative of: A. Ewing sarcoma. B. Hodgkin disease. C. non-Hodgkin lymphoma. D. neuroblastoma.

A. Ewing Sarcoma

A nurse is caring for a terminally ill 7-year-old child who is hospitalized and is wishing to go home. What type of referral will allow the child to receive care at home? A. hospice care B. clergy/pastoral care C. home health care D. respite care

A. Hospice Care

A child who has been diagnosed with a terminal brain tumor states, "I'm dying." What is the best response by the nurse? A. "Each moment of every day, we all are getting closer to dying." B. "Tell me more." C. "Yes, you are dying." D. "God has very special plans for you."

B. Tell me more

A nurse is caring for a child who has throbocytopenia. Which of the following actions should the nurse take? (Select all that apply). A. Monitor for manifestations of bleeding B. Administer routine immunizations C. Obtain rectal temperatures D. Avoid peripheral venipunctures E. Limit visitors

A and D

A child with cancer has developed neutropenia and is in isolation with neutropenic precautions. What nursing assessment takes priority for this child? A. infection symptoms B. vital signs C. mucositis D. bleeding

A. Infection Symptoms

A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information? A. "This is a primitive reflex known as the plantar grasp." B. "This is a primitive reflex known as the palmar grasp." C. "This is a protective reflex known as rooting." D. "This is a protective reflex known as the Moro reflex."

B. "This is a primitive reflex known as the palmar grasp."

The nurse is identifying outcomes for care provided to a new mother whose infant continues to spit up after feedings. Which outcome would be the most appropriate? A. The baby will have forceful episodes of vomitus only once a day. B. The baby will have less episodes of spitting up after sitting upright after a feeding. C. The baby will spit up a large amount of vomitus only after the last feeding of the day. D. The baby will have fewer episodes of spitting up when the type of formula is changed.

B. The baby will have less episodes of spitting up after sitting upright after a feeding.

A nurse is teaching the parent of a child who has a Wilms' tumor. Which of the following statements should the nurse include in the teaching? (Select all that apply). A. "Your child will need to have chemotherapy for 12 months." B. "Wilms' tumors are typically genetic in nature." C. "Surgery is done usually within 48 hours of diagnosis." D. "Palpating the tumor could cause spread of the cancer." E. "Further treatments will start immediately after surgery."

C, D, and E - Prompt removal of the tumor is best practice for treatment of Wilms' tumor; Palpating the tumor could cause rupture of the encapsulated tumor; Chemotherapy and/or radiation are started immediately after surgery.

A child is brought to the emergency department in severe respiratory distress. As the nurse begins an assessment, the child becomes unresponsive and stops breathing. The nurse calls for help and the health care team begins resuscitative measures. The nurse attempts to escort the child's parent from the room but the parent refuses to leave. Which is the best action for the nurse to take? A. Gently take the parent by the hand and lead him or her from the room. B. Tell the parent that family members are not allowed in the room during resuscitation. C. Ask someone from pastoral care to take the parent to the waiting room. D. Allow the parent to stay in the room but remain at the parent's side for support.

D. Allow the parent to stay in the room but remain at the parent's side for support.