Pediatrics Exam 1
What is an appropriate finding for a 3 year old?
They can stand on one foot for a couple seconds
What sign may indicate a rupture in a patient with appendicitis?
Absence or relief of pain
What is contraindication for vaccine administration/
MMR vaccine for immunocompromised
The nurse observes increased drooling in a patient with epiglottitis. What is the best nursing intervention?
Nasogastric intubation
After education, what would indicate for further teaching for respiratory disease?
Notify the provider if the saturation was 100%
What is the first indication of fluid loss?
Weight loss
What are the signs of a child with tracheoesophageal fistula? a. Bubbling at the mouth b. Excessive Salivation c. Drooling d. Cyanosis e. Coughing f. Choking
a. Bubbling at the mouth b. Excessive Salivation c. Drooling d. Cyanosis e. Coughing f. Choking
Which is the appropriate diet for a child with cystic fibrosis? Select all that apply.
a. High protein b. High fat c. High carbs
Immunizations for 1 year old. Select all that apply. a. Varicella b. MMR c. Rotavirus d. IPV e. HPV f. DTap
a. Varicella, b. MMR, d. IPV, f. DTap
What are the signs of dehydration in an infant?
a. reduced temperature b. increased irritability
Which of the following are signs and symptoms of GERD?
a. regurgitation and vomiting b. irritability
What is proper teaching for a child with Hirschsprung disease?
Ostomy is temporary
What indicates understanding of car seat safety?
"I put him in a rear-facing car seat in the middle row of our van"
When providing patient education on car seat safety, which statement by the mom indicates the need for further teaching?
"The baby should see the mom driving"
What is the correct order of developmental psychosocial (Erikson)?
1. Trust vs Mistrust 2. Autonomy vs shame and doubt 3. Initiative vs. guilt 4. Industry vs. Inferiority 5. Identity vs. confusion
What is an abnormal finding of glomerulonephritis?
A BUN of 50
A child is having an acute asthma attack. What should be given?
Albuterol
Which is the priority assessment for a child admitted with two days of vomiting and fever?
Assess weight
During a well-child visit, when should a nurse inspect ear tympanic membrane ?
At the end; most invasive last
How do you know if the cold mist tent is working on a client with laryngotracheobronchitis (LTB)?
Decreased stridor
A 10 year old school aged child is hospitalized for long term, what is the best nursing intervention to help him meet Erikson's stage of industry vs inferiority?
Encourage school work
Of the following, which is the primary reason children with nephrotic syndrome are susceptible to infection?
Generalized edema
What is a priority nursing intervention for a client with esophageal fistula?
Head of the bed elevated and NPO
Best response for toddler throwing a tantrum
Ignore them as long as their
An infant has a high fever of 101.4 and HR of 190. Dad asks why infants heart rate is so high?
Increased rate is associated with fever
A child has currant jelly with mucusy like stool. What condition do these manifestations indicate?
Intussusception
A school aged child with glomerulonephritis presents with peripheral edema and urine output of 35 ml/hr. What diet would you describe?
Low sodium/restrict fluids
What is a common sign of pyloric stenosis?
Projectile vomiting immediately after feeding, without nausea
Which food is appropriate for a patient with celiac disease?
Rice
What is the first sign of puberty in females?
breast buds
A child is visiting for their 6 month well-child visit. What are the expected findings?
closed posterior fontanelle and ability to grasp object (happens around 4 months)
A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. The nurse's best response should be that the: a. blood pressure will stabilize. b. the child will have more energy. c. urine will be free of protein. d. urinary output will increase.
urinary output will increase