Infant Study set PREP U - W&C

An infant is diagnosed with bronchopulmonary dysplasia. What is a priority problem that the nurse expects to see in the plan of care?

decreased oxygen saturation

The nurse is caring for an infant diagnosed with pyloric stenosis. Which symptom observed by the nurse correlates with this diagnosis

dryness of the lips

Which intervention should be included in the care plan for children with an increased risk of sudden infant death syndrome (SIDS)?

home apnea monitoring

A 3-month-old infant with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority?

instituting droplet precautions

The nurse is reinforcing education about child safety with the parents of a 6 month old who is beginning to crawl. Which point should the nurse include in the education?

keeping furniture with sharp corners out of the area where the infant crawls

When collecting data on a neonate for signs of diabetes insipidus, a nurse should recognize which symptom as a sign of this disorder?

polyuria and polydipsia

The nurse is gathering data and discovers an IV pump with the alarm constantly sounding. The parent states, "That pump has been beeping all night." As the nurse evaluates the site, which data findings indicate an infiltration? Select all that apply.

swelling proximal to the puncture site a feeling of tightness at the IV site coolness and swelling above the infusion site

Which of the following is an early sign of heart failure in an infant with a congenital heart defect?

tachycardia

Four children, each 6 months of age, arrive at the clinic for diphtheria-pertussis-tetanus (DPT) immunization. Which child can safely be immunized at this time?

the child with a runny nose and cough

An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written informed consent for the procedure?

the foster parent

If an infant's I.V. access site is in an extremity, the nurse should:

use a padded board to secure the extremity.

The nurse is teaching parents how to select appropriate toys for their 10-month-old infant. Which statement by the parents indicates effective teaching?

well get a push toy for your baby

After the birth of her first neonate, a mother asks the nurse about the reddened areas ("stork bites") at the nape of the neonate's neck. How should the nurse respond?

"They're normal and will disappear as the baby's skin thickens."

Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is SIDS most likely to occur?

1 week to 1 year, peaking at 2 to 4 months

A nurse is caring for an infant who requires intravenous therapy. The nurse notes that the only available IV pump is in a toddler's room. In which order should the nurse complete the following actions?

1, 2, 3, 4,

A 5-month-old infant with an upper respiratory infection is brought to the clinic. The mother reports that the infant weighed 7 lb (3.2 kg) at birth. Based on the nurse's knowledge of infant weight gain, which current weight would be within the normal range for this infant?

14 lb (6.4 kg)

The nurse assesses a neonate with esophageal atresia for signs of dehydration. Which finding should the nurse expect to see?

A sunken anterior fontanel

The nurse is caring for an infant diagnosed with thrush. Which instruction should the nurse give to a client's mother who will be administering nystatin oral solution?

Administer the drug right after meals by swabbing the mouth.

The nurse is caring for an infant after a cardiac catheterization. Which nursing action is a priority to prevent complications?

Apply pressure if oozing or bleeding is noted.

A 2-month-old with a history of hydrocephalus is admitted to the pediatric unit with pneumonia. The infant's respiratory status deteriorates and the physician explains to the family that the infant requires intensive care. The grandmother convinces the parents to refuse transfer and institute comfort measures. Which action should the nurse take?

Ask to speak to the parents privately without the grandmother present.

When preparing to feed an infant with pyloric stenosis, which intervention should the nurse give highest priority?

Burp the infant frequently.

How should a nurse position an infant when administering an oral medication?

Held in the bottle- or breast-feeding position

Which sexually transmitted disease is preventable through infant vaccination?

Hepatitis B

The nurse is administering medication to a 6-week-old infant. Which factor is the nurse most correct to identify as likely to decrease the infant's ability for drug metabolism?

Inefficient liver function

The nurse must obtain data on a 10-month-old. The child is sitting on the parent's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse would be best?

Initiate a game using stuffed animals.

The nurse is discharging an infant who has been treated in the hospital for bronchiolitis. What education should the nurse reinforce to the parents?

Recognize signs of increasing respiratory distress.

When talking to the parents of a neonate with congenital hypothyroidism, the nurse should encourage which action?

Seek professional genetic counseling.

A 6-month-old is brought to the emergency department with a suspected femur fracture. The parents state that the infant fell from the couch. The X-ray reveals a spiral fracture of the femur. What is the priority action for the nurse to take?

Treat the parents professionally and answer their questions appropriately.

The nurse is to administer IV fluids to an infant. Which safeguard would be most important for the nurse to use?

Use of an infusion pump to regulate the flow rate

The parents of an infant diagnosed with hypothyroidism have been taught to count the infant's pulse. Which intervention should be reinforced in case a high pulse rate is obtained?

Withhold the medication and call the health care provider.

A nurse is caring for a neonate who has hypospadias. His parents are asking about having the baby circumcised before discharge. When reinforcing education with the parents about their child's condition, what should the nurse tell them?

"Circumcision is delayed as the foreskin is needed for surgical correction.

After the nurse has discussed the causes of diabetes insipidus with the parents of a neonate, which statement made by a parent indicates the need for further education?

"Drinking alcohol during my pregnancy caused this condition."

The nurse is teaching the mother of a 5-month-old infant diagnosed with bronchiolitis. Which statement by the mother indicates that teaching has been effective?

"I know that this disease is serious and can lead to asthma."

The nurse is teaching circumcision care to a mother before discharge. Which statement by the mother indicates that teaching was successful?

"I should reapply fresh petrolatum gauze after each diaper change."

A bottle-fed infant, age 3 months, is brought to the pediatrician's office for a well-child visit. During the previous visit, the nurse taught the mother about infant nutritional needs. Which statement by the mother during the current visit indicates effective teaching?

"I'm giving the baby iron-fortified formula and a fluoride supplement because our water isn't fluoridated."

A nurse is teaching the parents of an infant with clubfeet about cast care. Which statement by the father indicates the need for further teaching?

"Immunizations will have to be delayed until the casts come off."

For the last 6 days, a 7-month-old infant has been receiving amoxicillin trihydrate to treat an ear infection. Now the parents report redness in the diaper area and small, red patches on the infant's inner thighs and buttocks. After diagnosing Candida albicans, the physician prescribes topical nystatin to be applied to the perineum four times daily. Medication teaching should include which instruction?

"Inspect your infant's mouth for white patches."

A parent brings her 3-month-old to the clinic for a well-baby examination. Which statement by the parent should concern the nurse?

"She's eating rice cereal and applesauce."

A nurse is reinforcing education with parents about the nutritional needs of their full-term infant, age 2 months, who is breastfeeding. Which response shows that the parents understand their infant's dietary needs?

"We won't start any solid foods now."

A mother and grandmother bring a 3-month-old infant to the well-baby clinic for a routine checkup. As the nurse weighs the infant, the grandmother asks, "Shouldn't the baby start eating solid food? My kids started on cereal when they were 2 weeks old." Which response by the nurse would be appropriate

"We've found that babies can't digest solid food properly until they're 4 months old."

A mother brings her 8-month-old son to the pediatrician's office. When the nurse approaches to measure the child's vital signs, he clings to his mother tightly and starts to cry. The mother says, "He used to smile at everyone. I don't know why he's acting this way." Which response by the nurse would help the mother understand her child's behavior?

"Your baby's behavior indicates stranger anxiety, which is common at his age."

When discharging a 5-month-old infant from the hospital, the nurse checks to see whether the parent's car restraint system for the infant is appropriate. Which restraint system would be safest?

A rear-facing infant safety seat in the middle of the back seat

When discharging a 5-month-old infant from the hospital, the nurse checks to see whether the parent's car restraint system for the infant is appropriate. Which of the following restraint systems would be safest?

A rear-facing infant safety seat in the middle of the backseat

Which action should the nurse include in the plan of care for a 2-month-old infant with heart failure?

Allow the infant to rest before feeding

Which nursing intervention has the highest priority in the care of an infant during the first 24 hours after surgery for cleft lip?

Carefully clean the suture line after feedings using sterile technique.

The skin in the diaper area of a 6-month-old infant is excoriated and red. Which instructions would the nurse give to the parent?

Change the diaper more often.

The NICU nurse is caring for an infant with heart failure. Which nursing intervention is most appropriate?

Cluster nursing activities.

A mother is concerned that she might be spoiling her 2-month-old daughter by picking her up each time she cries. Which suggestion should the nurse offer?

Continue to pick her up when she cries because young infants need cuddling and holding to meet their needs."

A client who has tested positive for the human immunodeficiency virus (HIV) gives birth to her baby. When she asks whether her baby has acquired immunodeficiency syndrome (AIDS), how should the nurse respond?

Your baby may have acquired HIV in utero, but we won't know for sure until the baby is older."

A 1-month-old infant is admitted to the pediatric unit and diagnosed with bacterial meningitis. Which findings by the nurse support the diagnosis?

fever, change in feeding pattern, vomiting, or diarrhea

After surgery to repair a cleft lip, an infant has a Logan bar in place. Which postoperative nursing action is appropriate?

Holding the infant semi-upright during feedings

Which nursing intervention is essential in the care of an infant with cleft lip and palate?

Involve the parents in the infant's care.

The nurse is observing an infant who may have acute bacterial meningitis. Which finding should the nurse anticipate?Which sexually transmitted disease is preventable through infant vaccination?

Irritability, fever, and vomiting

A nurse is caring for an infant with meningitis. Which nursing action is a priority?

Maintain an adequate airway.

A 2-month-old infant arrives in the emergency department with a heart rate of 180 beats/minute and a temperature of 103.1° F (39.5° C) rectally. Which intervention is most appropriate?

give acetaminophin

A neonate born 18 hours ago with myelomeningocele over the lumbosacral region is scheduled for corrective surgery. Preoperatively, what is the most important nursing goal?

Preventing infection

An infant requires cardiorespiratory monitoring. A nurse must locate and clean the necessary equipment, move it into the infant's room, and secure it to the bedside wall-mounting device. Which principles should a nurse use to complete this task safely?

Principles of infection control and ergonomics

To obtain the most accurate measurement of an infant's height (length), the nurse should measure which of the following?

Recumbent height with the infant supine

The nurse is obtaining data from a 1-month-old infant during a routine examination at a family health center. Which method does the nurse use to test for Babinski sign?

Stroke the bottom of the foot to determine if there's fanning and dorsiflexion of the big toe.

An 11-month-old infant with bronchopulmonary dysplasia and a tracheostomy experiences a decline in oxygen saturation from 97% to 88%. The infant appears anxious and the heart rate is 180 beats/minute. Which intervention is most appropriate?

Suction the tracheostomy tube.

The nurse is preparing to administer pediatric eye drops to a 9 month old. Which of the following interventions would be in the nurse's plan of care? Select all that apply.

Wash hands. Place the drop in the conjunctival sac. Put on gloves. Pull the lower lid down.

While caring for a 2-day-old neonate, a nurse notices the left side of the neonate reddens for 2 to 3 minutes. The nurse interprets this as suggestive of what finding?

harlequin color change

Which plan is most appropriate for a discharge home visit to parents who lost an infant to sudden infant death syndrome (SIDS)?

as soon after death as possible

An 8-month-old infant has been diagnosed with developmental dysplasia of the hip (DDH). What is the most significant finding the nurse would expect in the perinatal history related to DDH?

breech presentation at birth

A nurse performs cardiopulmonary resuscitation (CPR) for 1 minute on an infant without calling for assistance. In reassessing the infant after 1 minute of CPR, the nurse finds the infant still isn't breathing and has no pulse. The nurse should then:

call for assistance.

A 1-year-old infant is hospitalized with a diagnosis of eczema. Which signs and symptoms does the nurse expect to observe?

exudative, crusty, papulovesicular, erythematous lesions on the cheeks, scalp, forehead, and arms

A nurse is caring for an infant with congenital clubfoot. After the final cast has been removed, which member of the health care team will most likely help the infant with leg and ankle exercises and provide the parents with a home exercise regimen?

physical therapist

A nurse is caring for a neonate with congenital hypothyroidism. Which data should the nurse anticipate ?

puffy eyelids

After an infant undergoes surgical repair of a cleft lip, the physician orders elbow restraints. For this infant, the postoperative care plan should include which nursing action?

removing the restraints every 2 hours

Which developmental milestone would the nurse expect an 11-month-old infant to have achieved?

sitting independently

The nurse is collecting data on an 8-month-old infant during a wellness checkup. Which of the following is a normal developmental task for an infant this age?

sitting without support

When presenting an informational series on infant safety, which appropriate development milestone for the 4-month-old infant would the nurse stress could jeopardize the infant's safety?

turns from abdomen to back

Which precaution should a nurse caring for a 2-month-old infant with respiratory syncytial virus (RSV) take to prevent the spread of infection?

wear gown, gloves, and mask

A nurse admits an infant diagnosed with pyloric stenosis. Which nursing intervention should the nurse complete first?

weigh the infant

The nurse is collecting data for an infant with diabetes insipidus. What data obtained requires immediate intervention by the nurse?

weight loss