Pediatrics Saunders

The nurse provides home care instructions to the mother of a child who had a cleft palate repair 4 days ago. Which statement by the mother indicates the need for further instruction?

"I need to buy some straws for drinking."

The mother of a child with hepatitis A tells the home care nurse that she is concerned because the child's jaundice seems worse. What is the nurse's best response?

"The jaundice may worsen before it resolves."

The nurse is assigned to care for a child who is scheduled for an appendectomy. Select the prescriptions that the nurse anticipates will be prescribed. Select all that apply.

-Initiate an IV line. -Maintain an NPO status -Administer intravenous antibiotics. -Administer preoperative medications.

A 2-year-old child with acute diarrhea has been diagnosed with mild dehydration. Which rehydration methods would the nurse expect the health care provider to prescribe?

Consume oral rehydration fluid, advancing to a regular diet.

The nurse is reviewing the laboratory results for an infant with suspected hypertrophic pyloric stenosis. What should the nurse expect to note as the most likely finding in this infant?

Metabolic alkalosis

A home care nurse instructs the mother of a 5-year-old child with lactose intolerance about dietary measures for her child. The nurse should tell the mother that it is necessary to provide which dietary supplement in the child's diet?

Calcium

The nurse is initiating nasogastric tube feedings in a child. What is the nurse's best action?

Position the child with the head slightly hyperflexed.

A mother and family of a 5-year-old newly diagnosed with diabetes mellitus are very concerned about the child going to school and participating in social events. What would be an appropriate goal to address this concern?

The child and family will integrate diabetes care into patterns of daily living.

A mother brings her 5-week-old infant to the health care clinic and tells the nurse that the child has been vomiting after meals. The mother reports that the vomiting is becoming more frequent and forceful. The nurse suspects pyloric stenosis and asks the mother which assessment question to elicit data specific to this condition?

"Does the vomit contain sour, undigested food without bile, and is the infant constipated?"

The nurse in the hospital is giving at-home feeding instructions to a family whose child is being discharged after being born with a cleft lip. Which statement by the mother would indicate that further teaching is indicated

"I must always feed my baby with a syringe and not use a nipple

Which clinical manifestations are consistently observed in infants who have been diagnosed with congenital hypothyroidism? Select all that apply.

Horse Cry Bradicardia Constipation

An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. The nurse should place the infant in which best position at this time?

Left lateral position

he nurse is reviewing the primary health care provider's prescriptions for a child admitted to the hospital with a diagnosis of sickle cell crisis. The nurse should contact the primary health care provider if what intervention is prescribed?

Meperidine hydrochloride

The clinic nurse is obtaining data about a child with a diagnosis of lactose intolerance. Which data should the nurse expect to obtain on assessment?

Reports of frothy stools and diarrhea

A child is suspected of suffering from intussusception. The nurse should be alert to which clinical manifestation of this condition?

Tender, distended abdomen

A 1-year-old child is diagnosed with intussusception, and the mother of the child asks the student nurse to describe the disorder. Which statement by the student nurse indicates correct understanding of this disorder

"It is a condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel."

The nurse is providing instructions to the parents of a child with a hernia regarding measures that will promote reducing the hernia. The nurse determines that the parents understand care for their child if they make which statement?

"We will provide comfort measures to reduce any crying periods by our child."

The nurse is providing discharge instructions to the mother of a child who had a cleft palate repair. Which statement should the nurse make to the mother?

"You need to use an orthodontic nipple on the child's bottle."

The mother explains that after meals her infant has been vomiting, and now it is becoming more frequent and forceful. During the assessment, the nurse notes visible peristaltic waves moving from left to right across the infant's abdomen. On the basis of these findings, which condition should the nurse suspect?

Hypertrophic pyloric stenosis

A child is admitted to the hospital with a diagnosis of acute rheumatic fever. The nurse analyzes the laboratory results and determines that which finding would confirm the likelihood of acute rheumatic fever?

Increased antibody level

A child is admitted to the hospital with a diagnosis of rheumatic fever. The nurse reviews the blood laboratory findings, knowing that which finding will confirm the likelihood of this disorder?

Increased antistreptolysin-O (ASO titer)

A child is hospitalized because of persistent vomiting. The nurse should monitor the child closely for which problem?

Metabolic alkalosis

The nurse has provided dietary instructions to the mother of a child with celiac disease. The nurse determines that further instruction is needed if the mother states that she will include which food item in the child's nutritional plan?

Oatmeal

Parents bring their child to the emergency department and tell the nurse that the child has been complaining of colicky abdominal pain located in the lower right quadrant of the abdomen. The nurse suspects that the child has which disorder?

Appendicitis

The nurse is reviewing the plan of care for a child with a diagnosis of suspected appendicitis. The nurse would question which intervention if noted in the plan of care?

Applying a heating pad to abdomen to promote pain relief

The nurse provides feeding instructions to a parent of an infant diagnosed with gastroesophageal reflux disease. Which instruction should the nurse give to the parent to assist in reducing the episodes of emesis?

Thicken the feedings by adding rice cereal to the formula.

The nurse implements preventive teaching with the parents of an infant with recurring acute otitis media. Which statement indicates that more teaching is needed?

We stopped giving the antibiotics to the baby when her fever subsided."

The nurse has provided dietary instructions to a mother of a child with celiac disease the nurse determines the mother understands the instructions when the mother states to include which food in the child's diet

Corn

The nurse is writing out discharge instructions for the parents of a child diagnosed with celiac disease. The nurse should focus primarily on which aspect of care?

Following a gluten-free diet

An emergency department nurse is performing an assessment on a child with a suspected diagnosis of intussusception. Which assessment question for the parents will elicit the most specific data related to this disorder?

"Can you describe the type of pain that the child is experiencing?

The nurse provides home care instructions to the mother of a child who had a cleft palate repair 4 days ago. Which statement by the mother indicates the need for further instruction? "I need to buy some straws for drinking." The nurse is preparing to care for an infant who has esophageal atresia with tracheoesophageal fistula. Surgery is scheduled to be performed in 1 hour. Intravenous fluids have been initiated, and a nasogastric (NG) tube has been inserted by the health care provider. The nurse plans care, knowing that which intervention is of highest priority during this preoperative period?

Aspirate the NG tube every 5 to 10 minutes.

The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely sign of this condition documented in the record?

Choking with feedings

The nurse is preparing an infant for surgery to treat Hirschsprung's disease. Which assessment finding is priority to identify and treat

Decreased blood pressure and tachycardia

The nurse is preparing to care for a new born infant following creation of a colostomy for a treatment of a imperforated Anus, in the immediate post opt period, the nurse plans to inspect the stoma and Expects to note which findings in the colostomy

Red and edematous

The nurse provides home care instructions to the parents of a child with celiac disease. The nurse should teach the parents to include which food item in the child's diet?

Rice

The nurse is assigned to care for an infant on the first postoperative day after a surgical repair of a cleft lip. Which nursing intervention is appropriate when caring for this child's surgical incision?

Rinsing the incision with sterile water after feeding

The nurse is caring for a 1-year-old child after cleft palate repair. On completion of feeding, the nurse should plan for which appropriate nursing action?

Rinsing the mouth with water

The nurse is caring for a newborn infant after surgical intervention for imperforate anus. The nurse should place the infant in which position in the postoperative period?

Side-lying with the legs flexed

A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine if this child is experiencing a long-term effect of cleft palate, which question should the nurse ask?

"Is the child unresponsive when given directions?"

A child is diagnosed with Hirschsprung's disease. The nurse is teaching the parents about the cause of the disease. Which statement, if made by the parent, supports that teaching was successful?

"Special cells are not present in the rectum, which caused the disease."

Which interventions should the nurse include when creating a care plan for a child with hepatitis? Select all that apply.

-Providing a low-fat, well-balanced diet -Teaching the child effective hand-washing techniques -Instructing the parents to avoid administering medications unless prescribed

A nurse is assessing the status of jaundice in a child with hepatitis. Which anatomical areas will provide the best data regarding the presence of jaundice? Select all that apply.

-The sclera -The nail beds -The mucous membranes

The mother of a child with an umbilical hernia calls the clinic and reports to the nurse that the child has been vomiting and is complaining of pain in the abdominal area. Which instruction to the mother is most appropriate?

Contact the health Care provider

The nurse is reviewing the health care providers documentation in the record of the child admitted with the diagnosis of intussusception. The nurse expects to note that the health care provider has documented which manifestation?

Current Jelly Stools

The nurse is caring for an infant after repair of an inguinal hernia. Which of these assessment findings indicates that the surgical repair was effective?

Absence of inguinal swelling with crying

An infant is seen in the health care provider's office for complaints of frequent vomiting and spitting up after feedings. Findings indicate that the infant is not gaining weight, and gastroesophageal reflux is suspected. Which would the nurse anticipate being prescribed initially in the care of this child?

Administer predigested formula and feed small, frequent feedings.

A child diagnosed with Hirschsprung's disease is beginning to exhibit signs/symptoms of dehydration. Which nursing intervention should be implemented to stabilize the child's hydration status before surgery?

Administering intravenous fluids and electrolytes as prescribed.

The nurse is reviewing the laboratory test results for an infant suspected of having hypertrophic pyloric stenosis. The nurse should expect to note which value as the most likely laboratory finding in this infant?

Blood pH of 7.50

The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented?

Bright Red Blood And Mucous In The Stool

The parents of a child with a cleft palate are concerned and ask the nurse when the palate will be repaired. The nurse should plan to base the response on which information about cleft palate repair?

Cleft Lip Is Usually repaired the first few weeks of Life

The parents of a newborn with a cleft lip are concerned and ask the nurse when the lip will be repaired. With which statement should the nurse respond?

Cleft Lip Is Usually repaired the first few weeks of Life

An infant born with an imperforate anus returns from surgery after requiring a colostomy. The nurse assesses the stoma and notes that it is red and edematous. Based on this finding, which action should the nurse take?

Document The Findings

The nurse is collecting data on a infant with a suspected diagnosis of Hirschsprung disease. Which question to the mother will mostly elicit information regarding this disorder?

Does the infant have foul smelling ribbon like stool

The clinic nurse reviews the record of an infant and notes that the health care provider has documented a diagnosis of suspected Hirschsprung's disease. The nurse reviews the assessment findings documented in the record, knowing that which sign most likely led the mother to seek health care for the infant

Foul-smelling ribbon-like stools

A parent reports that her child has developed a bloody nose. Which action should the nurse instruct the parent to take to control the bleeding?

Have the child sit with the head tilted forward and hold pressure on the soft part of the nose for a period of 10 minutes.

The nurse is developing a plan of care for a 5 week old infant being admitted with hypertrophic pyloric stenosis who is scheduled for pyloromyotomy. In the preoperative position the nurse should place the infant in which vest position

In an infant seat placed in the crib

The nurse has been assigned to care for a neonate just delivered who has gastroschisis. Which concern should the nurse address in the client's plan of care?

Infection

A mother brings her child to the well-child clinic and expresses concern to the nurse because the child has been playing with another child diagnosed with hepatitis. The nurse prepares to perform an assessment on the child, knowing that which finding would be of least concern for hepatitis?

Left upper abdominal quadrant pain

The mother of an 18-month-old child tells the clinic nurse that the child has been having some mild diarrhea and describes the child's stools as "mushy." The mother tells the nurse that the child is tolerating fluids and solid foods. The most appropriate suggestion regarding the child's diet would be to give the child which items?

Mashed potatoes with baked chicken

A child admitted to the hospital with a diagnosis of gastroenteritis and dehydration weighs 17 pounds 2 ounces (7.8 kg). The parents state that his preadmission weight was 18 pounds 4 ounces (8.3 kg). Based on weight alone, what type of dehydration does the nurse expect?

Moderate dehydration

A home care nurse visits a child with a diagnosis of celiac disease. Which finding best indicates that a gluten-free diet is being maintained and has been effective?

The child is free of diarrhea.

A 3-year-old child is seen in the health care clinic, and a diagnosis of encopresis is made. The nurse expects to provide teaching about which client problem?

Odor

The nurse is assigned to care for a child diagnosed with hemophilia. When reviewing the results of the prescribed laboratory tests, which test should the nurse anticipate to be abnormal?

Partial thromboplastin time (PTT)

After hydrostatic reduction for intussusception, the nurse should expect to observe which client response?

Passage of barium or water-soluble contrast with stools

The parent of a toddler diagnosed with acute lymphocytic leukemia (ALL) tells the nurse that the child has developed epistaxis. The nurse advises the parent to immediately take which action?

Place the child in an upright and leaning forward position.

A 12-year-old girl is admitted to the hospital with suspected appendicitis. What nursing interventions should be implemented preoperatively?

Placing the adolescent in a fetal position, side-lying with legs drawn up to chest

An infant is seen in the health care provider's office for complaints of projectile vomiting after feeding. Findings indicate that the child is fussy and is gaining weight but seems never to get enough to eat. Pyloric stenosis is suspected. Which prescription would the nurse anticipate having the highest priority in the care of this child?

Prepare the family for surgery for the child.

The nurse is assisting the pediatrician in performing an assessment on a newborn suspected of having imperforate anus. Which finding would be noted in this disorder?

Presence of an anal membrane

The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the parent about the child's symptoms?

Projectile vomiting

The nurse is developing a plan of care for an infant after surgical intervention for imperforate anus. The nurse should include in the plan that which position is the most appropriate one for the infant in the postoperative period?

Prone Position

The nurse preparing to admit a 7-month-old infant with febrile seizures should anticipate the need for which equipment when planning care for this infant?

Suction equipment and an airway at the bedside

The clinic nurse is assessing jaundice in a child with hepatitis. Which anatomical area would provide the best data regarding the presence of jaundice?

The Nail Beds