Maternal Child Exam 4: Prep U Questions (Chapters 39-42)

The nurse is caring for a 10-year-old recently diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse would expect to provide teaching regarding which medication?

Methylphenidate

An 8-year-old girl was diagnosed with a closed fracture of the radius at approximately 2 p.m. The fracture was reduced in the emergency department and her arm placed in a cast. At 11 p.m. her mother brings her back to the emergency department due to unrelenting pain that has not been relieved by the prescribed narcotics. Which action would be the priority?

the girl's symptoms are the classic sign of compartment syndrome, notifying the doctor is the priority

A nurse is assessing a child with suspected drug use. Which characteristics are related to an increased risk of substance use?

-Being a member of a family that has had another member who uses drugs -Being a member of an abusive family -Having behavioral problems -Being a slow learner

The nurse is caring for a child who fractured the arm in an accident. A cast has been applied to the child's right arm. Which actions should the nurse implement?

-Monitor the color of the nail beds in the right hand. -Check radial pulse in the both arms. -Document any signs of pain.

The nurse is caring for a 14-year-old boy in Buck traction for a slipped capital femoral epiphysis (SCFE). What information would the nurse include when completing a neurovascular assessment of the affected leg?

-Pulse -Sensation -Color -Capillary refill

Stage 1 adolescent substance abuse

-infrequent use of substances -low tolerance

A group of students are reviewing information about bone healing in children. The students demonstrate understanding of this information when they state:

A child's bones heal more quickly than those of an adult

The nurse is caring for a 12-month-old with autism spectrum disorder (ASD). What description would you expect to elicit from his mother on history-taking?

Children with ASD seem fascinated by whirling or spinning toys or objects. They are nonverbal and have difficulty forming close relationships.

The nurse is caring for a child with burns in a pediatric hospital. What would be an appropriate nursing diagnosis for this client?

Acute pain related to thermal injuries and procedures

The nurse assists with the application of a full-body plaster cast to a child. The child immediately becomes diaphoretic and reports feeling hot. Which nursing intervention would be indicated?

Advise the child that this is to be expected

A school-age boy is on methylphenidate for ADHD. What negative side effect should the mother be advised to monitor for in the child?

Appetite suppression

The nurse is caring for a child with a fractured femur in traction. Which action will the nurse complete while caring for this client?

Ensure traction weights arehanging freely, not touching the bed or floor

The football coach notices that one of the players has been more energetic and overly happy lately during practice. The player also got in fight with a teammate last week. The coach contacts the health care provider, concerned that the student is using anabolic steroids. What physical sign would the nurse advise the coach to be on the lookout for that would further validate the illicit drug use?

Gynecomastia is a common side effect of prolonged steroid use, as well as liver damage, hypertension, psychotic episodes, and aggression.

A young child has just been admitted to the emergency department with a burn that encompasses the dermis and the underlying dermis. From which type of burn does this child suffer?

Second-degree or partial-thickness burn

A child is admitted to the acute care facility with a burn injury. The nurse would check the child's immunization status, specifically for which of the following?

Tetanus

A 6-year-old client has been diagnosed with an autism spectrum disorder. Which symptoms would the nurse expect the client to display?

The client spends time alone and shows little interest in making friends

In caring for a child in traction, which intervention is the highest priority for the nurse?

The nurse should monitor for decreased circulation every 4 hours

What is a true statement regarding measles?

The typical incubation period is 10 to 12 days. Outbreaks peak in the winter and spring. It is highly contagious and is transmitted by airborne suspended droplets

The nurse is working with a child with altered genitourinary status. The child demonstrates excess fluid volume. Which of the following would the nurse most likely do?

Weigh the child 2 times a day on the same scale.

A 4-year-old boy with nephrotic syndrome has extensive edema. The best intervention to reduce periorbital edema would be to:

elevate the head of the bed

The nurse is caring for a child with nephrotic syndrome. The child is noted to have edema. The edema would most likely be seen where on this child?

eyes

The child with nephrotic syndrome who has ascites and difficulty breathing is probably most comfortable sleeping in which position?

fowlers

The nurse is preparing a teaching plan for the parents of a child with a urinary tract infection (UTI). In educating the parents, the nurse would recommend that the child avoid:

caffeine

What potential side effect of smoking crack should the nurse teach adolescents about to ensure their understanding of the drug's possible impact?

cardiac arrest

The nurse is caring for a child with a severe burn. The treatment for this child during the first 48 hours will be most likely be related to:

hypovolemic shock

A parent brings a child to the pediatric clinic, stating that the child was diagnosed with attention deficit hyperactivity disorder (ADHD). Which symptom does the nurse anticipate finding with this child?

inattention, impulsive, and hyperactivity

manual traction

involves direct pulling by the physician or nurse

Skin traction

involves directly applying pull to the skin

The nurse determines that it is necessary to implement airborne precautions for children with which infection?

measles

The nurse is caring for a child with a broken wrist that has just been placed in a cast. The nurse would elevate the arm to:

to prevent edema

An adolescent male tells the nurse that he has been smoking cigarettes for the last 3 years. The nurse recognizes that this adolescent is at the greatest risk of substance abuse based upon what family history finding?

He has been previously diagnosed with depression.

The nurse is caring for a child who has just been diagnosed with nephrotic syndrome. What health education should the nurse provide to the child and family?

High sodium intake exacerbates the symptoms of nephrotic syndrome

When describing measles to a local parent group, the nurse explains that which of the following is the hallmark clinical manifestation?

Koplik spots

The nursing instructor is teaching a group of pediatric nursing students about the stages of substance abuse in children. Which behavior is associated with Stage 3—Preoccupation with the Mood Swing?

Promises to quit or attempts to quit

To feed lunch to a child with autism spectrum disorder (ASD), which action would be most important for the nurse to take?

repetitive movement would be the most beneficial way to feed the child

The nurse is caring for a child in the postanesthesia care unit following a surgical procedure to place pins in the child's fractured femur. This pin placement is an example of which type of traction?

skeletal

An 18-month-old was brought to the emergency department by her mother, who states, "I think she broke her arm." The child is sent for a radiograph to confirm the fracture. Additional assessment of the child leads the nurse to suspect possible child abuse. Which type of fracture would the radiograph most likely reveal?

spiral fracture

In a patient with suspected compartment syndrome of the arm, what should be done to the affected arm?

the arm should be brought below the level of the heart to facilitate whatever circulation is present

Counter-traction

uses weights, sandbags, or body weight to accomplish pulling