Peds Final #3

1. A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

a. Beginning resuscitative measures

1. A child with suspected sickle cell disease is scheduled for a hemoglobin electrophoresis. When reviewing the child's history what would the nurse identify as potentially interfering with the accuracy of the results?

a. Blood transfusion 1 month ago

1. The nurse is teaching the parents of a child diagnosed with iron-deficiency anemia about ways to increase their child's intake of iron. The parents demonstrate understanding of the teaching when they identify which foods as good choices for the child? SATA

a. Dried fruits b. Salmon c. Tofu d. Tuna

1. The nurse is assessing a child with aplastic anemia, what would the nurse expect to assess? SATA

a. Epistaxis b. Ecchymoses c. Tachycardia d. Guaiac-positive stool

1. A newborn is suspected of having fetal alcohol syndrome. Which finding would the nurse expect to assess?

a. Flattened maxilla

1. A newborn has been diagnosed with a Group B streptococcus infection shortly after birth. The nurse understands that the newborn most likely acquired this infection form which cause?

a. Mother's birth canal

1. Which information would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice?

a. Pathologic jaundice appears within 24 hours after birth

A child is prescribed monthly injections of vitamin B12. When developing the teaching plan for the family, the nurse would focus on which type of anemia?

a. Pernicious anemia

1. While reviewing a newborn's medical record, the nurse (something) that the chest x-ray shows a ground glass pattern. The nurse interprets this as indicative of.

a. Respiratory distress syndrome

1. A nurse is providing care to newborn. The nurse suspects that the newborn is developing sepsis based on which assessment findings?

a. Temperature instability