Maternal final
Palliative care with a child who's chronically ill?
(a) Keep them comfortable (b) Manage the symptoms.
8lbs baby, at one year they should weigh?
24 lbs.
When is it generally recommended that a child return to school with an acute streptococcal pharyngitis?
24-hours after initiating an antibiotic therapy.
Calculate Due date: LMP:
3 months + 7 days.
A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks gestation and a pregnancy that she delivered vaginally at 39 weeks. What is her gravidity and parity using the GTPAL system?
3-1-0-1-0 gravida 3 preterm births1 term births 0 abortions 1 living children 0
At 1 minute after birth the nurse assesses the infant and notes: a heart rate of 80 beats/min, some flexion of extremities, a weak cry, slight grimacing, and a pink body but blue extremities. The nurse would calculate an Apgar score as which number?
5
All but which of the following techniques are acceptable techniques for medication administration to an infant?
Adding the medication to the infant's bottle of formula
Croup: Different types of Respiratory infections in children:
Artificial Airway in emergency.
Postpartum depression is a big deal. Medication administration is Methergine. What is priority?
Assess blood pressure before administering.
Methergine is prescribed for a woman to treat postpartum hemorrhage. What is the priority nursing assessment before administering this drug to the postpartum client?
Blood Pressure
Baby with nausea and vomiting they have anterior bulging fontanels, and you realize head circumference is not normal size.
Brain tumor. Child may be irritable.
3-4months baby with High Heart Rate, lethargic, weight loss, poor skin turgor.
Dehydration
An infant is brought to the emergency department with poor skin turgor, weight loss, lethargy, and tachycardia. What does the nurse suspect is the problem?
Dehydration
Hearing impaired children are at risk for which of the following?
Delayed Language and Speech.
The pediatric nurse is familiar with Kubler-Ross's stages of grief. Parents who are feeling confused and refuse to discuss the disease with any nurse or doctor are in which stage of grief?
Denial
What Stage of grief, Pt/Child diagnose with cancer, they may not want to talk about it?
Denial
The nurse is caring for a laboring client and notes the fetal monitor pattern of accelerations. Which of the following is appropriate?
Document the findings and tell the mother that the monitor indicates fetal well-being
What is bacteria responsible for UTI?
E- coli
Child born Congenital heart disease: Teaching to parents:
Encourage play with other kids
Uterine atony occurs after your patient had a vaginal delivery of her 9 pound baby boy. The initial nursing intervention to prevent hemorrhage is which of the following interventions?
Fundus Massage Give Pitocin
6 weeks pregnant, spontaneous abortion at 13 weeks, stillborn at 39 weeks.
GTPAL 3,1,0,1,0
35. 6- month old baby vomiting and has 21 episodes of diarrhea in the past 10 hours:
Give IV fluids to hydrate.
A 34-week pregnant woman is experiencing preterm labor. What interventions will the nurse provide for her client? Select all that apply
Hook up to fetal monitor. (b) IV therapy, bolus 500 ml fluids (c) Prepare for delivery (d) Get urine sample because UTI could cause Contractions.
Pregnant woman receiving magnesium sulfate: What to assess if you suspect excess magnesium?
Hypoactive reflexes. Disappearance of reflexes.
The nurse determines that a new mother understands the teaching about prevention of newborn abduction if she makes which statement?
I will ask the nurse to attend to my infant if I am napping & my husband is not here."
Child born by a mother on drugs. Child will exhibit:
Incessant crying.
Cardiovascular system changes during pregnancy, 2" trimester, you can expect:
Increase heart rate because more blood volume.
Side effects of Corticosteroids therapy:
Increased appetite
The nurse performs an assessment of the newborn's skin and documents the presence of a yellow coloration of the skin surface, sclera, and oral mucous membranes. What condition is most likely the cause of these findings?
Jaundice
Safe blood transfusions. How long should you transfuse?
Less than 4 hrs.
In preparing to insert an IV into a 5-year-old, then nurse should consider which of the following? Select All That Apply
Let parent hold child Explain with toy Only bring in one IV set in
Which of the following does not predispose the child to urinary tract infections?
Lower urine pH
The pediatric nurse is caring for a child who has been in a motor vehicle collision. The doctor explains to the family that there are serious physical disabilities. The father is upset and states: "I don't know how I will be able to cope. I have two other children. What can I do? What is the nurse's best response?
Many parents find the initial news to be overwhelming
Administering iron to a baby: Give with orange juice. Tell patient
May cause black tarry stool, and constipation
Primary complication for bur injury:
NCLEX - burn infection. Thermal burn is Shock
Therapeutic management of the child with acute diarrhea and mild dehydration usually begins with what nursing action?
Oral rehydration solution
Patient had 9-pound baby. What do you do if bleeding more and saturating two pads within 2hrs:
Perform Fundal Massage.
Newborns that may be more at risk for developing cold stress are those infants without sufficient 'brown fat' for thermogenesis. The neonatal nurse will recognize which baby is at the greatest risk?
Post Date Neonate Increase of respiratory rate
Accelerations of fetal heart rate are normal:
Record as normal finding
A 4-year-old child who has croup is admitted to the hospital and wets the bed overnight. When the parent comes to visit the next day, the nurse explains the situation and the parent says, "My child never wets the bed at home, I am so embarrassed." Which of the following is an appropriate response by the nurse?
Regression is normal in the hospitalized child. This is how they respond to stress
Patient comes in, suspect child abuse, with soft injury:
Report to supervisor and authorities.
If you suspect Subdural retinal hemorrhage:
Shaken baby syndrome
Newborn skin assessment. Jaundice happen when not breaking down bilirubin. Look yellowing on skin and eyes.
Treatment is light therapy. (b) Encourage breastfeeding to pass stool.
A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child will begin with which nursing intervention?
Push Oral fluids
What is initial therapeutic intervention for child with Acute diarrhea?
Push Oral fluids
What type of play is noted in all children at times but if this remains the primary form of play for a child it may be a sign of developmental delays?
Solitary play??? On looker???
A nurse is developing a plan of care for a child who is at risk for seizures. What are the nursing interventions that the nurse should perform if the child has a seizure? Select all that apply.
Stay with the child, Move furniture away from the child. Time the seizure. Administer medication, described and record the seizure, call for help, maintain airway, loosen restrictive clothes
Patient having Seizure
Stay with them. (b) Document length and time of seizure.
Several complications can occur when a child received a blood transfusion. What is an immediate sign of an air embolus?
Sudden difficulty breathing Rash Apprehension Sharp chest pain
Fetal well-being is a responsibility of the nurse. How does the nurse assess for fetal well- being? Fetal movement (Kick counts)
Fetal position
Labor dystocia is not progressing normally through labor process: Non pharmacological procedure:
Amniotomy (Artificial rupture of membranes).
A nurse is planning care of an infant. Which of the following would be the most appropriate site to assess a pulse?
Apical or apex
Choose the nursing interventions for a child after a cardiac catheterization. Select all that apply.
Assess the affected extremity for temperature and color. AND Maintain a patent peripheral intravenous catheter until discharge.
A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. What should this suggest to the nurse?
Asthma
Pediatric pain medication,
very effective and metabolizes very quickly.
The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?
Brian playing with his truck next to Kristina playing with her truck
A pregnant client presents to labor and delivery with no prenatal care and it is quickly determined by ultrasound that she is 39 weeks gestation. What laboratory specimens must the nurse obtain which will direct the care given to the client? Select all that apply
CBC Urine Rh Group B
Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible over exertion. Which of the following statements by the nurse is true?
Child needs opportunities to play with peers.
A mother who has been smoking marijuana, using heroine and is pregnant. What do you think will happen to fetus?
Child will have low birth weight. (b) Miscarriage or other complications are a risk. (c) Preterm birth.
Child 8 months old, fell and is unconscious.
Establish Airway! And LOC check. If things are declining do CT scan.
What is the priority nursing intervention when a child is unconscious after a fall?
Establish an adequate airway.
What would predispose children to UTI:
Females with short ureter.
Precaution for child who is immunocompromised.
Hand washing
Prevent hypotension in a patient during labor and they just gotten an epidural:
IV fluids (nothing by mouth)
What is the most critical nursing action in caring for the newborn immediately after birth?
Keep the newborn airway clear Suction-get rid of fluid
Patient is 38 weeks, uncomfortable when sleeping. What is the best side to sleep on?
Left side is best.
Patient who is 25wks gestation have gestational diabetes. Why would you not want patient to go full term?
Macrosomia baby.
To offset the chemotherapy-related effects of nausea and vomiting, the pediatric nurse administers which medication?
Ondansetron
What action is likely to encourage parents to talk about their feeling related to their child's illness?
Open ended questions
During a pediatric nursing orientation session to a new unit, the child-life specialist is introduced as an important member of the heath-care team. What is an important role of the child life specialist?
Opportunities Interact with the child and patient Therapeutic communication therapies
A nurse is caring for an adolescent who has a newly applied fiberglass cast for a fractured tibia. Immediately following application of the cast, the nurse should recognize that the priority nursing action is to do which of the following?
Perform neurovascular check.
Interventions with a child with Pneumonia:
Promote rest (b) Hydration
Health care setting, you have child life specialist, their role is to provide. (a)
Provide opportunities (b)Interact with the child and patient (c) Therapeutic communication therapies
The clinic is lending a federally approved car seat to an infant's family. The nurse should explain where the safest place is to put the car seat in the vehicle.
Rear facing car seat and the back middle seat
Teaching: Child has allergies:
Teaching: Child Use cold mist vaporizer because it is safer. (b) No feather pillow (c) Not steam b/c will cause burns No carpet
Magnesium sulfate. Why is it given to women with preeclampsia?
To prevents seizures.
A 12-year-old boy is diagnosed with type 1 diabetes. The pediatric nurse explains to the patient's parents that the symptoms of this disease include which of the following?
Unintended Weight loss Excessive intake of water Not SATA
Pain medication before wound debridement because it painful:
Use Morphine, Fentanyl and Midazolam.
Why are cool mist vaporizers vs steam heat humidifiers recommended in home treatment of respiratory tract infections?
Use cold mist vaporizer because it is safer
Care for a child with Impetigo:
Very Infectious, to prevent: Hand washing important children
Teenage patient diagnosed with end stage renal disease. Problems anticipated with:
Want to be independent. (c) May be non-complaint. (d) May be resent control.
Epiglottis:
Watch out for excessive swallowing.
A prescription for morphine sulfate IV bolus has been ordered for a child who is in pain. The nurse preparing to administer the medication realizes that the client appears small for her age. Which of the following actions should the nurse take?
Weight the child and calculate the dose
Pitocin infusing and patient having consistent contraction for few hours. Why would you stop infusion?
You turn hyper stimulation. If contractions too forceful, this baby may not progress. Uterine Hyper-stimulation
While planning postoperative care for the toddler, the nurse recognizes that the child is likely to have which concern based on age?
a. Separation Anxiety b. Have parent room in with pt.
Digoxin toxicity- side effects?
(a) Yellow/green halos (b) Vomiting.
Discharge teaching for a 34weeks pregnant patient: Report:
(a)Bleeding (b) Ruptured membrane. (c) Headache, does not respond to medication.
If 15-16-yr -old going through dialysis at home: Peritoneal dialysis
(has less complications) hemodialysis has a lot of issues.
Diagnosis for a child with anemia:
Activity intolerance related to weakness
73. Asthma patient listening to lung sounds, you would hear:
(A) Expiratory wheezes (b) Non productive cough
3-years old toddler, fell, initially conscious, was vomiting, but not anymore. Suspect brain injury: Interventions:
(a) CT scan (b) Monitor Level of consciousness
Asking the pregnant woman about her use of recreational drugs is an essential component of the prenatal history. The use of recreational drugs may cause harm to the fetus resulting in which obstetrical outcomes? Select all
(a) Child will have low birth weight. (b) Miscarriage or other complications are a risk. (c) Preterm birth.
6-yr- old who is going to have cardiac catheterization procedure, Teaching
(a) Don't use big words (b) Use pictures. (c) Avoid medical jargons.
Preterm labor over 36 or 28weeks gestation. Contractions two to three minutes apart. Happening last three hours.
(a) Hook up to fetal monitor. (b) IV therapy, bolus 500 ml fluids (c) Prepare for delivery (d) Get urine sample because UTI could cause contractions.
Maternal newborn abduction teaching:
(a) ID anklets and on arms (b Compare ID on baby to ID on mom (c) Security on alarm tags (d) Make sure if baby is transported, use crib (e) Do not give baby to anyone without the ID tag.
What infants are at high risk of cold stress.
(a) Preemie (b) Low birth weight. (b) C-section babies (c) Cover with hat
Discipline to child that is appropriate:
(a) Redirection (b) Consequences (c) Time out (d) Removal of privileges. (e) Distraction
81.3-years-old hospitalized. What is concern for that age of development: Concern:
(a) Separation from parents (b) Have parent room in.
SIDS Prevention for the baby:
(a) Sleep on back (b) Remove blankets (C) Remove stuffed toys in crib.
Interventions to decrease premenstrual syndrome:
(a) Tell to increase fruit consumption (b) salt intake (c) Decrease sugar and fat
Assessment for preeclampsia regarding urine:
(a) Watch protein of level 3 or 4 (b) Hypertension
An infant weighed 6 pounds at birth. What is the expected weight in pounds at 1 year of age?
18
Standard for School age child to return to school after infection?
24-hours after initiating an antibiotic therapy.
A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 2 cup of juice, 3 oz of gelatin, 1 oz of an ice pop, and 20 ml of ginger ale with medications. How many mL should the nurse chart as the child's intake?
260
A nurse is monitoring an infant with congestive heart failure. Which of the following symptoms alerts the nurse to suspect fluid accumulation and the need to call the provider?
A weight gain of 1 lb in 1 day
A woman arrives at the clinic for a pregnancy test. The first day of her last menstrual period was July 21, 2015. What is her EDD, estimated date of delivery using Naegle's Rule?
APRIL 28
A patient is receiving Magnesium sulfate for the management of pre-eclampsia. A nurse determines that the client is experiencing toxicity from the medication if which of the following is noted on assessment?
Absence of DTR
What is the most appropriate nursing diagnosis for a child with anemia?
Activity intolerance related to generalized weakness
Jose is a 5-year-old child scheduled for a cardiac catheterization. What does the nurse know about preoperative teaching for this child?
Adapted to his level of development so that he can understand Use pictures, do not use medical jargons or big words.
The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. What intervention can the nurse provide to prevent maternal hypotension?
Admin a rapid IV infusion of 500mL of normal saline
Infant with cancer. with chemotherapy. It is for safe and effective Can be given to pediatrics, PRN 6-8 hour
Administer Zofran (Ondansetron)
According to agency policy, the perinatal nurse provides which intrapartal nursing care for the patient with preeclampsia?
Administer magnesium sulfate according to agency policy
The nurse is caring for an adolescent who has just started dialysis. This 15-year-old seems angry, hostile, and depressed. The nurse should recognize this is related to which of the following issues?
Adolescents often resenting the control and enforced dependence imposed by dialysis.
Child just got done with blood transfusion and have trouble breathing, having rash, chest pain. Suspect:
Air emboli.
Most critical action when caring for newborn.
Airway suction-get rid of fluid and hear them cry.
A nurse has identified that her pregnant client has a labor dystocia and is not progrēssing normally through the labor process. The nurse is preparing to augment her labor and will prepare her client for which of the following non-pharmacological procedure?
Amniotomy (Artificial rupture of membranes).
A hospitalized 2-year-old child with croup is receiving corticosteroid therapy and the mother asks why the provider did not prescribe antibiotics? What is the nurse's best response to the mother?
Antibiotics are not indicated unless a bacterial infection is present."
The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is "too wet." The nurse finds the bandage and bed soaked with blood. What is the most appropriate initial nursing action?
Apply direct pressure above catheterization site
Encourage patient to talk of child illness by?
Ask open-ended questions.
A nurse is caring for a child who has been physically abused by a family member. Which of the following is an appropriate statement for the nurse to say to the child?
Assuring the child that the story they are telling is believed Let's talk Not you're fault
A pediatric nurse assesses a 7-month-old infant who was brought to the clinic with symptoms of irritability, nausea, vomiting, and a taut anterior fontanel. Based on the standard growth chart, the nurse notes that the child has an increased head circumference which may indicate which of the following medical conditions?
Brain tumor
Goiter:
Caused by enlarged thyroid gland
Fetal monitor with non reassuring contractions-what do you do? (a)
Change position to lateral side (b) Deliver baby immediately if fetal heart rate is 80.
The perinatal nurse providing care to a laboring woman recognizes a non-reassuring fetal heart rate tracing. An appropriate initial action is to which of the following?
Change position to lateral side (b) Deliver baby immediately if fetal heart rate is 80.
5-year-old little girl has a cyst on leg, they need surgery, child is screaming she does not want to take off underwear and put on gown
Child can leave dress on
An 8-year-old male presents with diagnosis of sickle cell anemia. He is hospitalized and the nurse recognizes which of the following as the initial nursing intervention?
Child fluid intake will improve Hydrate and pain control
comes in, tells you had child at 34 weeks, child screams, child is different from other children. What do you advise?
Children have different temperament, this has noting to do with gestational age. They might not be meeting milestones of other, and may be slower because was born earlier.
Croup is an infection not bacterial:
Don't expect antibiotic therapy Want on corticoidsteroid Only manage symptoms
A woman presents to the emergency department with complaints of unilateral lower quadrant abdominal pain and some vaginal bleeding. She relates having a positive home pregnancy test 1 week ago. What should the nurse be concerned about with this patient?
Ectopic pregnancy
An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
Encourage rest, lying on the affected side may promote comfort by splinting the chest and reducing neural rubbing.
Which type of croup is considered a medical emergency?
Epiglottitis
What is the advantage of peritoneal dialysis?
Fewer side effects parents can do at home
Most common trauma on a child being born.
Fracture of the clavicle.
A nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which of the following indicates that the child is bleeding?
Frequent swallowing
The pediatric nurse routinely administers blood products to the patients on the unit. The nurse knows that safe administration includes the following procedure.
Get blood product in 4 hours Assess Vital signs, Stay with the client during the first 15 minutes of infusion.
Dysmenorrhea, patient has pain with menstrual period. What is effective medication:
Give NSAID (Ibuprofen Aleve).
A nurse at the pediatric hotline receives a call from a mother who plans to administer children's aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response?
Give her acetaminophen, not aspirin
Pt discharge teaching. Treating for bacterial pneumonia:
Give instruction how to give medication, do you give in formula? Never mix medication in formula because it breaks down the chemical.
The nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing chemotherapy. The client's mother insists that the client receive treatment. Which of the following nursing actions is appropriate at this time?
Go ahead and start per parent request
Health teaching that the nurse would provide for parents of an immunosuppressed child focuses on which important measure?
Hand washing
After the acute stage and during the healing process the primary complication from burn injury is:
INFECTION
The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. What nursing action should be taken to prevent maternal hypotension?
IV fluids (nothing by mouth) Fluid bolus
Serum alpha fetal protein testing: When? At 16-21 weeks.
If 25weeks gestational age cannot have testing.
A nurse provides home care instructions to the parents of a child with congestive heart failure regarding the procedure for administration of Digoxin. Which statement made by the parent indicates the need for further instructions?
If my child vomits after medication administration, I will repeat the dose
Toddler throws himself on floor. Temper tantrum.
Ignore behavior as long as they are safe.
51.3 ½ son in the hospital starts sucking thumb.
Ignore behavior, Its normal. (Regression)
A toddler's parents ask for suggestions on dealing with temper tantrums. What is the most appropriate recommendation the nurse can share with the parents?
Ignore the behavior as long as the child are safe. Tantrum is way of gaining control
The nurse caring for a pregnant client knows that her health teaching regarding fetal circulation has been effective when the client reports that she has been sleeping in what position?
In a side-lying position.
A student nurse notes that the population of a sexually transmitted infection (STI) health clinic consists largely of teenagers. The nurse explains that adolescents are at a greater risk for contracting STIS because of which factor?
Invisibility. They think they can do anything. No consequences. RISK TAKERS.
Patient broke ankle and have a cast on. Mother says I will have her take a bath and use the hair dryer.
Keep it dry (no hair dryer)
A 10-year-old boy is discharged home from the emergency department after a fracture his left lower extremity. A cast was applied and the nurse gives discharge instructions to the patient and his parents. The nurse notes the parents require additional education when the mother states which of the following?
Keep it dry (no hair dryer), (I will use hair dryer when it is wet)
A nurse is caring for a 4-year-old client who just had abdominal surgery. Which of the following techniques should the nurse use to get the client to take deep breaths? play game
Let's play game of blowing cotton balls across your table.
The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. What is the most essential part of the nursing assessment to detect early signs of a worsening condition
Level of consciousness
Screening at 24 weeks gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. What is the fetus at greatest risk for?
Macrosomia
A 4-year-old child comes into the emergency department. She has a 'frog-like' croaking sound on inspiration, is agitated and is drooling. She insists on sitting upright. What does the nurse recognize as the first action?
Maintain airway
A 30-week pregnant client is receiving magnesium sulfate for preeclampsia. What are the nursing interventions that a nurse will complete while administering magnesium sulfate to this patient? Select all that apply.
Monitor every 4 Calcium gluconate Assess DTR Monitor renal function and cardiac function closely Keep calcium gluconate on hand in case of a magnesium sulfate overdose Monitor deep tendon reflexes hourly Monitor I and O's hourly Notify the physician if urinary output is less than 30 ml per hour.
The nurse knows that all women should perform self- breast exams to identify changes. If a woman telephones your clinic and reports a lump in her breast, what is the nurse's best response to her?
Most lumps are benign But still come in to get checked
Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacological therapy for pain relief is
Nonsteroidal antiinflammatory drugs (NSAIDS).
Child with sickle cell anemia. Interventions:
Pain Management (b) Hydration
is described as enhancing the quality of life by keeping the patient comfortable in the face of a terminal condition such as cancer.
Palliative Care
Know that to do parallel play....
Playing side by side, not together
A new mother expresses concern regarding sudden infant death syndrome. She asks the nurse how to position the new infant for sleep. What is the nurse's best response to this new mother?
Position baby on back rather than belly.
Heart failure child-getting Lasix-encourage parents to give foods high in:
Potassium
For what medical issues is magnesium sulfate administered to pregnant women?
Preeclampsia To prevents seizures.
The clinic nurse is assessing the complete blood count results for a 23-year-old pregnant woman. The patient's hemoglobin is 9.0 g/dL. This laboratory finding places the patient's pregnancy and or fetus at risk for which pregnancy issue?
Preterm Birth and intrauterine growth restriction.
An infant has an elevated bilirubin and the provider has requested phototherapy at the mother's bedside. What education should the nurse provide to the mother regarding use of the bili lights? Select all that applies.
Protect genital area Encourage intake Cover eyes Monitor skin temperature closely Reposition the new born every 2 hours Cover the newborn eyes with eye shields or patched Encourage 2 to 3 hours of feeding. Only keep the child with the diaper.
RICE
R: Rest, allows to heal I: Ice for first 48 hours at 15 min, intervals to decrease C:compression E: elevation
Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a child's self- esteem. Which discipline is appropriate? Select all that apply
Redirection, Consequences, Time out, Removal of privileges, Distraction
A nurse performs an admission assessment on a child and suspects physical abuse. Based on this suspicion, the primary legal nursing responsibility is which of the following?
Report the case in which pain and abuse is suspected to local authority
Magnesium sulfate toxicity:
Respiration of less than 10.
48. Acute Respiratory Distress Syndrome. (ARDS) What is your primary assessment?
Retraction (b) Tachypnea (Higher heart rate)
You have a child comes with croup, the first thing you do as a nurse is to:
Secure/Maintain Airway.
A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. The nurse should expect which injury?
Shaking baby syndrome
What is the most immediate threat to life in children with thermal injuries?
Shock.
Car seat safety instruction when discharge patient:
Sit in back, middle rear facing
A nurse In the newborn nursery is monitoring a newborn infant for respiratory distress syndrome. Which assessment signs, if noted in the newborn would alert the nurse to the possibility of this syndrome?
Tachypnea and retraction
The student nurse is preparing education for the parents of a 6 year old that will begin iron supplementation following a diagnosis of iron deficient anemia. What should be included in the education? Select all that apply
Take with oJ
16-yr-old that felt a lump on breast?
Tell her to come in and get checked.
If you have a mother and her hemoglobin, 7.0,8.0,9 - What will happen to the developing fetus?
The fetus will have Decrease oxygen and Restriction intrauterine growth.
Infant with right side congestive heart failure, (CHF) what to tell mother?
Weight gain over 1lb per day is concerning
Type 1 diabetes mellitus in a 10- year- old, most common manifestation
Weight loss
What are two interventions for patient after cardiac catheterization?
a. Maintain IV line (they could bleed out) need to push fluids b. Color, Motion, Sensitivity (they may not be perfusing properly)
Which of the following are signs and symptoms that a pregnant woman should report immediately to her health care provider? Choose all that apply:
a. Vaginal bleeding. b. Rupture of membranes. c. Heartburn accompanied by severe headache.
Autism spectrum
disorder-Read about
Major risk for increase STI's in teenagers?
in teenagers? Invisibility. They think they can do anything. No consequences. Risk takers.
A nurse is assessing a newborn born to a mother who is addicted to drugs. Which assessment finding would the nurse expect to note during the assessment of this newborn?
incessant crying
A mother brings her 15-month-old child to the clinic. During the nursing assessment, the mother makes the following comments. Which comment warrants further investigation?
my son is not crawling yet
A nurse in a well-child clinic is assessing a 6 month old infant. Which of the following assessments should the nurse expect to make?
posterior fontanel is closed
How to read APGAR
score: 5
A nurse is teaching a parent of a toddler about nutrition. Which of the following should be included in the teaching?
.
Patient had cardiac catheterization and has soaked bandage.
Apply pressure above site.
