Peds Exam 3
Hypotension, weak pulses, murmur
A nurse is assessing a 3-year-old child who has aortic stenosis. WHich of the following findings should the nurse expect? (Select all that apply) Hypotension Bradycardia Clubbing of the nail beds Weak pulses Murmur
Orthopnea
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect? A) Weight loss B) Increased urine output C) Bradycardia D) Orthopnea
Auscultating the rate and characteristic of the child's heart sounds
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? Auscultating the rate and characteristic of the child's heart sounds Using a pain-rating tool to determine the severity of the joint pain Identifying the degree of parental anxiety related to the diagnosis Assessing the client's erythematous rash
Patent ductus arteriosus
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow? Coarctation of the aorta Patent ductus arteriosus Tetralogy of Fallot Tricuspid atresia
"Has your son had a sore throat recently?"
A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask? "Has your son had a sore throat recently?" "Was your son born with this cardiac defect?" "Has your child had any injuries recently?" "Have you given your child aspirin in the past 2 weeks?"
90
A nurse is preparing to administer digoxin to a 6-month old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate? 90 100 110 120
Give the child acetaminophen for discomfort
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include? Keep the child home for 1 week Give the child acetaminophen for discomfort Offer the child clear liquids for the first 24 hours Assist the child to take a tub bath for the first 3 days
"I will give my baby high calorie formula."
A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching? "I will feed my baby on a schedule every 4 hours." "I will give my baby high calorie formula." "I will allow my baby to take as much time as needed to finish the bottle." "I will limit my baby's crying to 15 minutes prior to each feeding."
Breast fed
Iron supplementation is indicated for what kind of infants?
Iron deficiency anemia
Microcytic, hypochromic RBCs Tachycardia Pallor Brittle, spoon-shaped fingernails Fatigue & irritability Muscle weakness Delayed growth
6 months
at how many months should BF infants get iron supplementation?
4-6 months
how long do maternal iron stores last?
Hemoglobin & RBC
what does iron help produce?
milk
what should infants & toddlers not drink exclusively?
bone marrow
where is iron transported?
