peds

An infant who weighs 7.5 kg is to receive ampicillin 25 mg/kg intrvenously every 6 hours. How many milligrams would the nurse administer per dose? Record your answer using one decimal place.

187.5

A physician orders an intravenous infusion of dextrose 5% in quarter-normal saline solution (D5.25 NSS) to be infused at 7 ml/kg/hour for a 10-month-old infant. The infant weighs 22 lb (10 kg). How many milliliters of the ordered solution would the nurse infuse each hour? Record your answer using a whole number.

70

When administering an I.M. injection to an infant, the nurse should use which site? A. Deltoid B. Vastus lateralis C. Ventrogluteal D. Dorsogluteal

B. Vastus lateralis

Which food would be appropriate for a 12-month-old child with celiac disease? A. pancakes B. waffles C. oatmeal D. rice cereal

D. rice cereal

The physician suspects tracheoesophageal fistula in a 1-day-old neonate. Which nursing intervention is most appropriate for this child? A. Elevating the neonate's head and giving nothing by mouth B. Giving the neonate only glucose water for the first 24 hours C. Avoiding suctioning unless cyanosis occurs D. Elevating the neonate's head for 1 hour after feedings

A. Elevating the neonate's head and giving nothing by mouth

A mother expresses concern that picking up the infant whenever he cries will spoil him. What is the nurse's best response? A. "Babies this young cry when they are hungry; try feeding him when he cries." B. "Babies need comforting and cuddling; meeting these needs will not spoil him." C. "Allow him to cry for no longer than 45 minutes, then pick him up." D. "If it seems as if nothing is wrong, do not pick him up; the crying will stop eventually."

B. "Babies need comforting and cuddling; meeting these needs will not spoil him."

After teaching the parent of an infant who has had a surgical repair for a cleft lip about the use of elbow restraints at home, the nurse determines that the teaching has been successful when the parent makes which statement? A. "We will be sure to keep the restraints on all the time until we come to see the health care provider for a follow-up visit." B. "We will keep the restraints on continuously except when checking the skin under them for redness." C. "After we get home, we will not have to use the restraints, because our child does not suck on his hands or fingers." D. "We will keep the restraints on during the day while he is awake, but take them off when we put him to bed at night."

B. "We will keep the restraints on continuously except when checking the skin under them for redness."

When teaching a group of parents about the potential for febrile seizures in children, which fact should the nurse include? A. These seizures commonly occur after immunization administration. B. The seizures occur as the fever rises. C. Children older than age 3 are most at risk. D. The exact cause is known.

B. The seizures occur as the fever rises.

A 10-month-old child has cold symptoms. The mother asks how she can clear the infant's nose. What would be the nurse's best recommendation? A. Use a cool air vaporizer with plain water. B. Blow into the child's mouth to clear the infant's nose. C. Administer a nonprescription vasoconstrictive nose spray. D. Use saline nose drops and then a bulb syringe.

D. Use saline nose drops and then a bulb syringe.

After undergoing a barium enema, which finding indicates that the infant has adequately evacuated the barium? A. stools that progress from clay-colored to brown B. stool guaiac that is negative C. absence of fecal mass in the lower abdomen D. bowel sounds of 30 per minute

A. stools that progress from clay-colored to brown

Which assessment would be the most important for the nurse to include in the plan of care for an infant experiencing severe diarrhea? A. weighing the infant each day B. checking the anterior fontanel every shift C. monitoring abdominal skin turgor every shift D. monitoring the total 8-hour formula intake

A. weighing the infant each day

The mother of an infant with hemophilia tells the nurse that she is planning to do home teaching when the child reaches school age. She does not want her child in school because the teacher will not watch the child as well as she would. The mother's comments represent what common parental reaction to a child's chronic illness? A. insecurity B. mistrust C. overprotection D. devotion

C. overprotection

The parents of a 3-month-old infant have been told that their infant has died of sudden infant death syndrome. Which intervention is most important to include in the plan of care to assist the parents with their grieving process? A. Give them a package containing the infant's clothing. B. Ask them if they would like to call their religious advisor. C. Reassure them that the infant's death was not their fault. D. Provide an opportunity for them to see the infant.

D. Provide an opportunity for them to see the infant.

The nurse is assessing the development of a 7-month-old. The child should be able to: A. sit without support. B. play pat-a-cake. C. wave bye-bye. D. say two words.

A. sit without support.

A bottle-fed infant, age 3 months, is brought to the pediatrician's office for a well-child visit. During the previous visit, the nurse taught the mother about infant nutritional needs. Which statement by the mother during the current visit indicates effective teaching? A. "I'm giving the baby iron-fortified formula and a fluoride supplement because our water isn't fluoridated." B. "I started putting cereal in the bottle with formula because the baby kept spitting it out." C. "I started the baby on cereals and fruits because he wasn't sleeping through the night." D. "I'm giving the baby skim milk because he was getting so chubby."

A. "I'm giving the baby iron-fortified formula and a fluoride supplement because our water isn't fluoridated."

At a previous visit, the parents of an infant with cystic fibrosis received instruction in the administration of pancrelipase. At a follow-up visit, which finding in the infant suggests that the parents require more teaching about administering the pancreatic enzymes? A. Fatty stools B. Normal stools C. Bloody stools D. Liquid stools

A. Fatty stools

A nurse is reviewing a care plan for an infant undergoing phototherapy under blue florescent lights in an isolette for hyperbilirubinemia. Which intervention should the nurse remove from the care plan? A. Performing frequent visual assessment of jaundice B. Shielding the infant's eyes with an opaque mask to prevent exposure to the light C. Obtaining frequent serum bilirubin levels D. Repositioning the infant frequently to expose all body surfaces

A. Performing frequent visual assessment of jaundice

An infant is being admitted to the hospital with dehydration secondary to viral gastroenteritis. Which room assignment is the most appropriate for this infant? A. a private room B. a semiprivate room with a 10-year-old child with a closed head injury C. a semiprivate room with a 4-year-old child with leukemia D. a semiprivate room with an 8-year-old child who has had an appendectomy

A. a private room

When discussing appropriate iron-rich food selections with the mother of an 11-month-old infant with iron deficiency anemia, which food choices verbalized by the mother indicates successful teaching? A. fruits, cereals, milk, and yellow vegetables B. juices, fruits, fortified cereals, and milk C. eggs, fruits, milk, and mixed vegetables D. eggs, fortified cereals, meats, and green vegetables

D. eggs, fortified cereals, meats, and green vegetables