Pediatrics Chapter 21

A nurse is assessing an adolescent who comes to the clinic for a follow-up. During the history, the adolescent tells the nurse that she often experiences pain with her menstrual periods. When gathering additional information, which question would be most appropriate for the nurse to ask?

"Do you have any nausea or vomiting when you have the pain?"

A nurse is caring for a 12-year-old girl recently diagnosed with end-stage renal disease. The nurse is discussing dietary restrictions with the girl's mother. Which response indicates a need for further teaching?

"She can eat whatever she wants on dialysis days."

The caregiver of a 1-year-old son calls the nurse, upset that his wife has just told him that their son is being given a hormone. His wife says that the pediatrician called it human chorionic gonadotropic hormone but that is all she understood. The nurse most accurately clarifies the caregiver's question by making which of the following statements regarding the son's treatment?

"The doctor is hoping that the hormone will cause your son's undropped testes to move into their proper place."

The nurse is conducting a presentation for a group of nurses who work with adolescents. The group of nurses discusses dysmenorrhea. Which of the following statements is most accurate related to dysmenorrhea?

A contributing factor in dysmenorrhea is the increased secretion of prostaglandins.

A 10-year-old girl is experiencing acute renal failure due to dehydration. The nurse is preparing to administer IV fluid. Which of the following interventions should the nurse take in caring for this child?

Administer the IV fluid slowly

You obtain a history from the mother of a child with glomerulonephritis about how he became ill. Which of the following would you expect her to tell you she noticed?

Dirty green urine

The human papillomavirus (HPV) is commonly passed on from a pregnant woman to her fetus.

False

When developing the preoperative plan of care for an infant with bladder exstrophy, which of the following would the nurse least likely include?

Placing the infant in a side-lying position

Which measure would help an adolescent relax best during a pelvic examination?

Show her a speculum prior to the exam.

The nurse is taking a health history of a 12-year-old boy presenting with scrotal pain. Which assessment finding would indicate testicular torsion?

Sudden onset of severe scrotal pain with significant hemorrhagic swelling

The caregiver of a child being treated at home for acute glomerulonephritis calls the nurse reporting that her daughter has just had a convulsion. The child is resting comfortably but the caregiver would like to know what to do. The nurse would instruct the caregiver to do which of the following actions?

Take the child's blood pressure and report the findings to the nurse while the nurse is still on the phone.

The nurse is collecting data for a child diagnosed with acute glomerulonephritis. Which of the following would the nurse likely find in this child's history?

The child recently had an ear infection.