Peds Final

What is the communicable disease that requires isolating infected children from pregnant women.

Rubella

The nurse should measure urinary output for an infant with dehydration by

weighing the diaper

The nurse know to monitor a child with a diagnosis of pertussis for the development of

whooping cough.

When developing a plan of care for a child with sickle cell disease, the most important nursing intervention would be to administer

analgesics promptly

The best way for the pediatric nurse to establish a good working relationship with parents is to

answer their questions honestly

What indicates the parents understanding of the nurse's discharge instructions about the use of antibiotics.

"I'll give my child the full course of antibiotics"

The best method when approaching a 2 year old child to listen to breath sounds is ask the child if the nurse should

listen to the front or the back of the client first

1. When talking to a mother of a 6 month old girl that has just been diagnosed as having an intussusception, she asks what intussusception means. The nurse's best response is

"One portion of her intestine has telescoped into another portion of the intestine."

To prevent accidental poisoning of a child, medications should be placed in a

locked cupboard.

Vomiting and diarrhea can be very serious in an infant because the infant

loses vital electrolytes and becomes severely dehydrated very quickly.

A nurse is educating the parents of a 10 month old infant on the correct method for instilling eardrops prescribed for the infant when discharged. The statement by the parents, ___ indicates the parents understanding.

"We should pull the earlobe down and back,"

A child tests positive for the sickle cell trait, and the parents ask the nurse what this means. The most appropriate response from the nurse would be,

"Your child is a carrier but doesn't have the disease."

When the newly admitted 2 year old who was potty trained before admission begins to wet the bed, the mother is frightened. The nurse should inform mother

"the stress of hospitalization makes children regress a little."

Adolescents occurs when this age group is

"trying to fit in."

The nurse is preparing a toddle for a lumbar puncture. For this procedure, the nurse should place the child

lying on one side, with the back curved

At what age would an infant be expected to triple his birth weight?

12 months

Length must be measured supine until age

2

1. An infant who weighs 8kg is to receive ampicillin 25mg/kg IV every 6 hours. The nurse should administer __ per dose.

200 mg

A 2 year old child is showing signs of shock. A 10mL/kg bolus of normal saline solution is ordered. The child weighs 20kg. __ should be administered.

200 ml

1. A newborn baby weighs 7lbs at birth. The nurse anticipate the baby's weight will be __lbs at age 1.

21lb

What provides 100% protection from STDs.

Abstinence

What can occur when children go to bed with a bottle that contains carbohydrates.

Bottle mouth

What should never be used in the child's ear canal?

Cotton-tipped applicators

Urinary tract infections are most commonly caused by

E. Coli

When a 10 year old child returns for a follow-up examination after a streptococcal infection, his mother asks why a urinalysis is being done. The nurse explains that

Group A B-hemolytic streptococcal infections can be followed by the complication of glomerulonephritis.

The nurse is reinforcing education to a group of adolescents on acne. ___ is a statement that would indicate the teaching has been affective to the adolescent.

Hormonal changes are a cause of acne

Treatment for a child in sickle cell crisis includes:

IV fluids, oxygen, and analgesics for pain

What can develop if streptococcal infections are inadequately treated.

Rheumatic fever and acute glomerulonephritis

The nurse is reinforcing education for a parent about newborn care and how to prevent SIDS (sudden infant death syndrome). The statement made by the parent that would indicate an understanding of SIDS is

SIDS is an unexplained death of an infant.

what action the practical nurse should implement for a child who has ingested a corrosive product.

Telephone the poison control center and act on their advice

What has contributed to children's obesity.

Watching several hours of television

When gathering data on a preschool child, observation of swelling within the abdomen indicates that a child has a potential

Wilms tumor

A 6 month old infant with uncorrected tetralogy of Fallot suddenly becomes increasingly cyanotic and diaphoretic, with weak peripheral pulses and an increased respiratory rate. The priority action by the nurse should be to place the infant in

a knee-chest position.

A nurse is caring for a child who received a hip spica cast 24 hours ago for hip dysplagia. The data obtained and should be reported to the nurse is

absent pedal pulses

Ineffective breathing pattern is a priority nursing diagnosis in a child admitted with

acute asthma

Whatcould suddenly occur in a child with acute epiglottitis

airway obstruction

Children weighing up to 20lbs must be secured in the

back seat in a rear facing safety seat.

The two main types of medication used to treat asthma are

bronchodilators and ant-inflammatory agents

Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels, the should expect to find

closed anterior and posterior fontanels

An infant is admitted with a diagnosis of respiratory syncytial virus (RSV) infection. The type of isolation precautions the nurse would institute in addition to droplet precautions is

contact precautions.

The nurse should recommend that the parents should dress the child in ___ to help prevent urinary tract infections (UTIs).

cotton underpants

The hallmark sign of intussusception is

currant jelly-like stools

A severe, atopic dermatitis, characterized by remissions and exacerbations accompanied by vesicle formation, oozing, crusting, excoriations, and itching is

eczema

A parent brings a child to the ED reporting difficulty swallowing, increased drooling, restlessness, and stridor. The position of comfort is observed to be tripod-sitting position. The nurse suspects

epiglottitis may be concerning.

A 2 year old child comes to the emergency department with inspiratory stridor and a barking cough. The highest priority action by the nurse is to

establish and maintain the airway

A male patient, age 18 months is admitted to the hospital for a bilateral myringotomy because of frequent occurrences of otitis media. Otitis media occurs more frequently in young children than in older children because of the different position and shape of the young child's

eustachian tubes

The main characteristic of cystic fibrosis is

excessive thick mucus

Cystic fibrosis is a multisystem chronic, incurable condition. It is a major dysfunction of the

exocrine glands.

When reviewing the dietary guidelines for a child with nephrotic syndrome, the practical nurse should reinforce a ___ with the parents.

high protein diet

When the nurse is performing a treatment, the nurse

identifies the child before beginning the procedure

A nurse is planning to administer immunizations to a 4 year old who has up-to-date immunizations. The nurse should anticipate administering

inactivated poliovirus (IPV), measles, mumps, rubella (MMR), and varicella.

The nurse caring for an infant with hydrocephalus would expect to find

increased head circumference

When a mother asks the nurse about introducing solid foods into the child's diet, the nurse should inform mom to

introduce one solid food at a time several days apart.

During a well-baby visit, Jenny asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to

introduce rice cereal first

A Wilms' tumor is an adenosarcoma found in the

kidney

The nurse is assigned to care for a male 3 year old on the pediatric unit that has a Wilm's tumor. The appropriate intervention is to avoid

manipulation or pressure on the child's abdomen that could increase the possibility of metastasis.

The nurse's neighbor, age 7 years old, has developed a red, raised rash on her face, neck, and trunk. She also has a temperature of 101.4F and whitish spots on the back of her throat. From these symptoms the nurse knows that the child has

measles (rubeola)

According to Erikson, an infant who was abandoned by his or her primary caregiver is at risk for developing

mistrust

The hepatitis B vaccine series should begin at

newborn

The nurse is caring for a child diagnosed with iron deficiency anemia. The treatment option deemed necessary by the health care provider the nurse reinforce education on is

oral ferrous sulfate.

Oral iron supplements are prescribed for a 6 year old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with

orange juice

The area of care that deals with children and adolescents is referred to as

pediatrics

The nurse is caring for an infant with pyloric stenosis should be alert for

projectile vomiting

A toddler is admitted to the hospital with nephrotic syndrome. The nurse carefully monitors the toddler's fluid intake and output and checks urine specimens regularly with a reagent strip. The nurse is most likely to report

proteinuria

Separation anxiety includes the stages of

protest, denial, and despair.

A parent brings in a 5 year old male patient for his first vaccine. When administering the vaccine to the patient, the nurse knows the patient will

receive one injection today and will receive the second injection at least 4 weeks from today

The nurse is legally responsible for

reporting all suspected and confirmed cases of abuse or neglect.

A nurse preparing to administer immunizations to a 2 month old infant. The nurse should anticipate administering

rotavirus (RV), Haemophilus influenza type b (HiB), Diptheria, tetanus, pertussis (Dtap), and Pnuemococcal (PCV).

While assessing a newborn with a cleft lip, the nurse would be aware that the ___ will most likely be compromised.

sucking ability

When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs the class that the infant should be placed in the ___ position to sleep.

supine

The infant with gastroesophageal reflux is typically treated by

thickening the formula or breast milk with cereal.

A health care provider is preparing to examine the throat of a child diagnosed with acute epiglottitis. A priority nursing responsibility would be to have a

tracheotomy set at the bedside.

A 1 year old child is brought to the emergency department with a mild respiratory infection and a temperature of 101.3 Fahrenheit. Otitis media is diagnosed. The nurse would also expect to find

tugging on the ears.

In a 6 month old infant who is teething, the nurse would expect _____ to erupt first

two lower central incisors

Tetralogy of Fallot consists of four separate cardiac defects

ventricular septal defect, pulmonary stenosis, overriding of the aorta, and right ventricular hypertrophy