Pediatric Final

The nurse mother is determined to breast feed child while returning to work expressed week

6 weeks

The nurse is volunteering at a respite care weekend camp for children with chronic conditions. This provided the caregivers with

A chance for rest and refreshment

Which physical assessment data would the nurse find concerning and would warrant reporting to a physician?

A preschooler with 128/90 BP

The parents of a newly admitted client n the peds unit are angry and upset about their child's diagnosis

Acknowledge their grief

In working with infants diagnosed with atopic dermatitis, the nurse anticipates that when these children are older they will likely have a tendency to have which disorder?

Asthma

The parents of a terminally ill child ask the nurse to have a conversation about the illness...

Be direct

The nursing instructor is leading a class discussion on the various aspects of adolescents.

Beginning of puberty

In understanding the cardio and hematology system of the body it is import. The blood cells are formed in the..

Bone Marrow

A 3-minute old newborn starts crying in a. High-pitched manner and cannot be consoled by mother. Which action should the nurse prioritize

Check blood glucose

The nurse is caring for a child with an ileostomy. What nursing intervention will be included in the child's plan of care?

Check for leakage around the stoma

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse Which finding might alert the nurse to this possibility that the child may have been abused?

Child has a burn that has not been treated

Bedwetting ever since returning from fishing trip. Further evaluation needs to be done to rule out what possible explanation for the bedwetting? (long questions)

Child has been sexually abused on fishing trip

The ER nurse is caring for a family who lost an adolescent in a violent car crash. Which initial nursing action best helps the family's?

Cleaning and making the adolescent presentable

The nurse is caring for a child in the ER who is on a cardiac monitor. Which nursing intervention should the nurse prioritize?

Confirm alarms are set at their max and min

The nurse is assessing a group of infants and notes one of the infants has chronic constipation and an enlarged abdomen. The nurse would determine?

Congenital hypothyroidism

Which example should the student point out will best illustrate cephalocaudal growth pattern?

Controlling the head and the neck

The nurse is preparing discharge instructions for a new mother who has been learning to breast feed. Which response should the nurse prioritize when the mother questions her ability to produce enough milk for her infant?

Drink a lot of fluids

The nurse is collecting data from the caregiver of an 8-year old child whose recently started soiling his underwear each day rather than using the toilet to defecate.

Encopresis

The caregiver has tried to get the child to nap but the child gets panicky, immediately. the nurse suspects the child has which condition?

Epiglottitis

The 11-uyear old arrives in the ER presenting the following: nosebleed with no apparent trauma, disorientation...

Experimenting with an inhalant

The nurse is monitoring a newborn who exhibited a large head a birth and is exhibiting an increasing head growth on continued assessment. Which additional finings...

Eyes appear to be pushed downward

Which role of the nurse is the highest propriety when a child is newly diagnosed with a chronic condition?

Facilitator of coping skills

The young mother has been breast-feeding for newborn. However, the nurse is concerned the infant is not thriving and may need to be switched to a formula. When question.....

Galactosemia

The nurse is assisting a primigravida woman make decisions and prepare for her baby. The nurse should point out breast feeding...

HIV infection

Which does the nurse identify as the best indicatory of how a child will react to the diagnosis of a chronic illness?

How the family reacts to the news

The nurse is admitted to the nursery a newborn of a mother who continued to drink alcohol throughout her pregnancy.

Hyperactive and irritable

The nurse is preparing a presentation for a health fair which will illustrate various factors which can contribute to preterm births. Which contribution factor should the nurse prioritize?

Infertility treatment

The parents of an infant diagnosed with phenylketonuria are not sure they agree with

Intellectual disability

Most UTI's are caused in children from what

Intestinal bacteria

In understanding fluid and electrolyte balance, it is important for the nurse to recognize that fluid containing within the body cells is known as...

Intracellular

A group of peds nurse is discussing the diagnoses of muchans syndrome by proxy. Which statement most accurately describes this disorder?

It is seen when on person fabricates or induces illness in another to get attention

The parents are bonding with their newborn when the nurse notes the infant's axillary temperature is 97.2 an hour after birth. Which intervention should the nurse prioritize for the family?

Kangaroo Care

As the nurse helps the child settle into the unit, which nursing intervention should she prioritize?

Monitor for any changes

The nursing instructor is conducting a session with a group of nursing students exploring potential difficulties of newborns involving respiratory concerns. The instructor determines the session is success when the students correctly choose which contributing factor for the transit tachypnea of the newborn?

Often seen with c-section births

The nurse determines the session is successful when the couples correctly choose which reason for the use of an antibiotic ointment?

Prevent infection of the eyes

The pediatric nurse is presenting basic safety trips at a local health fair for families. The nurse should point out the majority of hospital visits for toddlers can be prevented by exerting which precaution?

Safe storing of all chemical substances

Which adolescent behavior problem is most common if the parents have substance abuse problems?

Taking on adult responsibilities

A child who is dying becomes restless and fidgety, then becomes calm and peaceful. The caregivers feel hopeful that the child seems better. Which statement would be the best one for the nurse to tell the caregivers about this pattern?

The pattern is part of dying, the childs death is imminent

The community health nurse is preparing a presentation which will illustrate the various forms of spina bifida for a health fair. Which explanation should the nurse use to explain spina bifida with meningocele?

The spinal meninges protrude through the bony premise and produce cystic sac

The nurse is completing a growth chart of a 2-month old infant at a WCC when asked by the mother what purpose this chart serves, which response by the nurse would be most appropriate.

We are plotting to compare to the previous weight and height

The nurse is caring for a child admitted with asthma. Which clinical manifestations would likely have been noted with this child's diagnosis?

Wheezing