Peds Unit 2

The nurse is preparing a child for discharge following a sickle cell crisis. Which statement by the mother indicates a need for further teaching? a) "I put her legs up on pillows when her knees start to hurt." b) "I bought the medication to give to her when she says she is in pain." c) "She has been down, but playing in soccer camp will cheer her up." d) "She loves popsicles, so I'll let her have them as a snack or for dessert."

"She has been down, but playing in soccer camp will cheer her up." Explanation: Following a sickle cell crisis, the child should avoid extremely strenuous activities that may cause oxygen depletion. Fluids are encouraged, pain management will be needed, and the child's legs may be elevated to relieve discomfort, so these are all statements that indicate an understanding of caring for the child who has had a sickle cell crisis.

A newborn is diagnosed with hypospadias and the parents want him to be circumcised. What would be the best response by the nurse? a) Circumcision is usually performed after 1 year old. b) Circumcision with a hypospadias will cause meatal stenosis. c) The foreskin is needed for repair. d) The circumcision may predispose the child to renal failure.

The foreskin is needed for repair. Correct Explanation: A child's foreskin is not removed since it is needed to help repair a hypospadias. Once the hypospadias is repaired, a circumcision can be performed at the same time. Meatal stenosis has to do with the urethral opening diameter, not the placement

Fanconi anemia (FA) is a rare, inherited form of aplastic anemia that is associated with an autosomal recessive inheritance pattern. a) False b) True

True Correct Explanation: Fanconi anemia (FA) is a rare inherited form of aplastic anemia that is associated with an autosomal recessive inheritance pattern. The hematologic abnormalities associated with this disorder may occur with other physical alterations

Choice Multiple question - Select all answer choices that apply. The nurse is preparing to examine the abdomen of a 5-year-old girl. Which of the following would be most appropriate for the nurse to do? Select all that apply. a) Allow her to handle the stethoscope. b) Give her a pacifier to suck on c) Distract her with a conversation about a favorite toy. d) Tell her that she must remain absolutely still. e) Demonstrate the exam on a doll.

• Distract her with a conversation about a favorite toy. • Allow her to handle the stethoscope. • Demonstrate the exam on a doll. Explanation: The older child may become frightened or ticklish during the examination. Demonstrate parts of the examination on a doll or stuffed animal to help put the child at ease and enhance cooperation. Allow the child to handle examination tools. Distract the child with toys or conversation about favorite activities. Telling the child to remain absolutely still would be inappropriate and could add to the child's fear. A pacifier would be appropriate to use for an infant