Maternity chapters 33-35
Laboratory values that are used to identify and monitor disease prograssion for a child with a musculosketal condition include which of the following?
CBC ESR ANA
Which finding in a newborn is suggestive of tracheoesophageal fistula?
Choking on the first feeding
An adolescent is brought to the emergency department. The patient reports decreased urine output, headaches and abdominal swelling. Based on these data, which condition does the nurse suspect?
Chronic glomerulonephritis
Whatt assessments would lead a nurse to suspect Hirschsprung's disease in a 1 month old infant?
Fever Failure Vomitting Diminished peristalsis
The skeletal system grown and develops across childhood. Where does the growth of long bones take place?
Epiphyseal plates
A nurse is caring for a newborn with a congential anonmaly consisting of an abnormal positioning of the urinary meatus. What is the term used for documenting?
Epispadias
A child brought into the ED with suspected appendicititis. What signs and symptoms does the nurse expect to assess?
Guarding rebound tendermess pain on lifting tight when supine
A child is admitted with acute glomerulonephriitis. Which urinalysis result should the nurse anticipate confirming this diagnosis?
Hematuria and proteinuria
Which assesment would the nurse report to the physician immediately?
?
Why are rapid respirations a possible cause of dehydration?
?
What is the highest priority in caring for a child with a newly placed spica cast?
Report any changes in circulation, sensation, and movement.
What is the treatment of choice for a child with intussusception?
A barium enemia
A child weighs 33 lb and has an order for D5 1/2 NS to be infused at 8 mL/kg/hour. How many milliters per hour should the nurse infuse the IV solution?
120
For which patient would the nurse consider the diagnosis of juvenile idiopathic arthritis (JIA)?
6-year old with inflammation in more than one joint that lasts for at least 6 weeks.
The nurse explains the medically accepted definition of constipation is fewer than _______ bowel movement in a 2-week period.
7
A child weighs 50 lb and has an order for Valium (diazepam) 2mg, PO, tid. The safe dosage for children is 1 to 2.5 mg, tid or qid. What is the total daily dosage for this child? Is it safe?
?
A child weighs 88 lb and has an order for morphine sulfate 7.5 mg subcutanelousy every 8 hours prn. The recommended maxium dose for a child is 0.1 to 0.2 mg/kg/dose. What is the safe dosage range for this child?
?
A mother reports that her 2 year old experiences constipation frequently. Which food would the nurse reccomend to include in the child's diet?
?
A patient has been taking naproxen for 6 months for the treatment of juvenile arthritis. The nurse assesses the patient for which sign?
?
The nurse has reviewed dietary restrcitions for celiac disease with concerned parents. Which grain will the nurse explain can be eaten with celiac disease?
?
The nurse is interviewing parents of an infant with pyloric stenonsis. What would the nurse expext the parents to report?
?
The nurse is providing care to a child witha fractured femur who has been in skeletal traction for 2 days. Which assessment finding indicates to the nurse that the patient has peripheral neurovascular imapairment?
Absent pulses
A child is brought to the pediatric clinic because he has been vomitting for the past 2 days. What acid base imbalance would the nurse expect to occur from this persistent vomitting?
Alkalosis
The nurse is speaking to the parent of a 3 year old child who has mild diarrhea. What dietary modification would the nurse advise?
An oral rehydrating solution, such as pedialyte
Which action by the nurse is appropriate for a child who presents in the emergency dept with an ankle injury?
Applying ice to the extremity
Which of the following laboratory tests measures the waste products metabolism excreted via the kidneys?
BUN (blood urea nitrogen)
Which intervention will the nurse perform when feeding a child with pyloric stenosis?
Burp the infant before and during feeding Give the feeding slowly Refeed if the infant vomits
Which type of urine specimen is collected when the nurse places a cotton ball in the diaper of a newborn or infant?
Clean catch
Which type of childhood injury is best described as an impact injury causes hemorrhageing in the soft tissue?
Contusion
Measuring is the priority nursing intervention when caring for a neonate who is born with bladder exstrophy?
Covering the defect with sterile plastic wrap
What description of a child's stool characteristic leads to suspect intussusception?
Currant jelly
The nurse is planning a parent education program about lead poisoning prevention? What will be included regarding primary sources of lead in the community?
Deteriorating paint in older buildings
Which of the following terms would the nurse document for a child with decreased sodium in the bloodstream from excessive diarrhea?
Hyponatremia
Which of the following denotes the average urine output for different age groups?
Infants produce approximately 5 to 10 mL/hour. Toddlers and preschool-aged children produce approximately 15 to 10 mL/hour School-aged children produce approximatelt 10 to 25 mL/hour Adolscents produce approximately 40 to 80 mL/hour Newborns produce approximately 10 mL/hour
A nurse is planning to teach a child's parents about the diagnosis of pyelonephritis. The nurse tells them that the infection is located in which urinary structure?
Kidney
Which imaging test should the nurse anticipate for a patient whose provider wants to visualize hard and soft tissue along with bone marrow without the use of radiation?
Magnetic resonance imaging (MRI)
Which clinical data noted by the nurse during shift assesment indicate that the pediatric client maybe experiencing compartmeny syndrome?
Pain not relieved by pain medication?
Which nursing action is appropriate when providing care to a 7 year old child witha right femur fracture who is placed in Bryant traction while recovering?
Perform frequent repositioning
A mother reports that her child has been scratching the anal area and complaining of itching. What does the nurse suspects based on thsi information?
Pinworms
The nurse is caring for an infant who is diagnosed witha UTI. Which symptoms does the nurse antipate when asessing this infant?
Poor feeding
Which clinical manifestations should the nurse monitor for when conducting a scollosis screenung for a second a schoolage child?
Prominent scapula One sided rib hump Uneven shoulders and hips
Which data does the licensed practical nurse (LPN) report to the charge nurse for an infant suspected of having unilateral developmental dysplasia/dislocation of the hip
Shortened leg on the affected side
A nurse is assessing a child for dehydration. Which of the following signs and symptoms should the nurse report?
Sunken eye sockets Dry skin Lethargy
A nurse recongnizes which of the following signs and symptoms of dehydration for a child who presents with diarrhea and vomiting?
Tachycardia
A male child represents with acute pain the testicle area, nausea, vomiting, and a lump in the scrotal sca. What acute condition does the nurse suspect?
Testicle torsion
The nurse performs a neuromuscular assessment of a child who is in Russell's traction. Which assessment finding indicate the need for further intervention?
The child experiences a pain rating of 6 on an age-appropriate numeric pain rating scale The child has a capillary refill time of more than 3 seconds The child's toes are cold and appear dusky
Which of the following conditions occurs when one or both testicles fall to move into the scrotum before birth?
Undescended testes
The nurse is treating a school-aged child with nephrotic syndrome. Which of the following interevnetions need further instruction?
Use a different scale each day
The nurse is providing care to a 4 year old patient who isexperiencing nocturnal incontinence. Which parental statement indicates the need for further education?
We should limit fluids after lunctime
The nurse is providing care to an infant diagnosed with congential clubfoot. Which parental statement regarding the child's care indicates correct understanding information provided?
We will need to undergo a series of casting procedures to strect and move the deformity into alignment
