PNU 135 PassPoint PrepU Infant

The nurse is reinforcing education with parents about therapeutic management of their neonate diagnosed with congenital hypothyroidism. Which response by a parent would indicate the need for further education?

"As my baby grows, his thyroid gland will mature and he won't need medications."

A nurse is caring for a neonate who has hypospadias. His parents are asking about having the baby circumcised before discharge. When reinforcing education with the parents about their child's condition, what should the nurse tell them?

"Circumcision is delayed as the foreskin is needed for surgical correction.

A mother is concerned that she might be spoiling her 2-month-old daughter by picking her up each time she cries. Which suggestion should the nurse offer?

"Continue to pick her up when she cries because young infants need cuddling and holding to meet their needs."

The mother of a 3-day-old, breast-fed infant expresses concern that her infant has had two recent diapers that contained a lot of loose, yellowish stool. Which explanation by the nurse is best?

"It's normal for breast-fed infants to pass three or more loose, yellow stools per day."

A nurse is reinforcing education for the parents of a 10-month-old infant on the correct method for instilling eardrops prescribed for the infant when discharged. Which statement by the parents indicates understanding?

"We should pull the earlobe down and back."

The nurse is teaching parents how to select appropriate toys for their 10-month-old infant. Which statement by the parents indicates effective teaching?

"We'll get a push toy for the baby."

The mother of a hospitalized infant appears anxious and displays anger with the staff. Which response is most appropriate?

"You seem upset. Having your child hospitalized must be difficult."

A client who has tested positive for the human immunodeficiency virus (HIV) gives birth to her baby. When she asks whether her baby has acquired immunodeficiency syndrome (AIDS), how should the nurse respond?

"Your baby may have acquired HIV in utero, but we won't know for sure until the baby is older."

A nurse is caring for an infant who requires intravenous therapy. The nurse notes that the only available IV pump is in a toddler's room. In which order should the nurse complete the following actions?1. Remove pump from toddler's room.2. Clean the pump.3. Take pump into infant's room.4. Use the pump.

1, 2, 3, 4

A nurse is feeding a child with a cleft palate. Which nursing action would be a priority?

Burp the infant often.

A health care provider orders an IV infusion of dextrose 5% in quarter-normal saline solution to be infused at 7 mL/kg/hour for a 10-month-old infant. The infant weighs 19 lb (8.6 kg). How many milliliters of the ordered solution should the nurse infuse each hour? Record the answer as a whole number.

60

Before a routine checkup in the pediatrician's office, an 8-month-old infant sits contentedly on the mother's lap, chewing on a toy. When preparing to examine this infant, what should the nurse plan to do first?

Auscultate the heart and lungs.

A nurse who is caring for an 8-month-old diagnosed with respiratory syncytial virus (RSV) is unable to read a medication dosage written in the infant's medical record. After conferring with the supervising nurse, which action would be most appropriate for the nurse to do?

Call the health care provider, and ask for a verbal order to clarify the dosage.

When collecting data on a neonate, the nurse observes a vaguely outlined area of scalp edema. Which term should the nurse use when documenting this observation?

Caput succedaneum

Which nursing intervention has the highest priority in the care of an infant during the first 24 hours after surgery for cleft lip?

Carefully clean the suture line after feedings using sterile technique.

The skin in the diaper area of a 6-month-old infant is excoriated and red. Which instructions would the nurse give to the parent?

Change the diaper more often.

A baby boy has just had surgery to repair his cleft lip. Which nursing intervention is the most important during the immediate postoperative period?

Clean the suture line carefully with a sterile solution after every feeding.

A nurse performs cardiopulmonary resuscitation (CPR) for 1 minute on an infant without calling for assistance. In reassessing the infant after 1 minute of CPR, the nurse finds the infant still isn't breathing and has no pulse. The nurse should then:

call for assistance.

A 6-week-old infant is brought to the clinic for a well-baby visit. To check the fontanels, how should the nurse position the infant?

Seated upright

When talking to the parents of a neonate with congenital hypothyroidism, the nurse should encourage which action?

Seek professional genetic counseling.

A 2-month-old infant arrives in the emergency department with a heart rate of 180 beats/minute and a temperature of 103.1° F (39.5° C) rectally. Which intervention is most appropriate?

Give acetaminophen.

The nurse must obtain data on a 10-month-old. The child is sitting on the parent's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse would be best?

Initiate a game using stuffed animals.

A 3-month-old admitted to the pediatric unit with meningococcal meningitis has just been assessed by the registered nurse. Which nursing intervention has the highest priority at this time?

Instituting droplet precautions

The nurse is observing an infant who may have acute bacterial meningitis. Which finding should the nurse anticipate?

Irritability, fever, and vomiting

An infant goes into cardiac arrest. When delivering chest compressions as part of cardiopulmonary resuscitation (CPR), where should the rescuer place her fingers?

One fingerbreadth below the nipple line, directly over the sternum

A nurse is reinforcing education with a parent on how to reduce the baby's risk of developing otitis media. Which instruction should the nurse be sure is included in the teaching plan?

Place the baby in an upright position when giving a bottle.

During a well-baby visit, a mother asks the nurse about starting her infant on solid foods. The nurse should instruct her to introduce which solid food first?

Rice cereal

A parent is planning to enroll a 9-month-old infant in a day-care facility. The parent asks a nurse what to look for as indicators that the facility is adhering to good infection control measures. The nurse identifies which as an indication of meeting proper infection control standards? Select all that apply.

Soiled diapers are discarded in covered receptacles. Disposable papers are used on the diaper-changing surfaces. Facilities for hand hygiene are located in every classroom.

A neonate is recovering from surgery to repair a cleft lip. What should the nurse do to prevent trauma to the suture line?

Use a bulb syringe with a rubber tip for feedings.

When administering an I.M. injection to an infant, the nurse should use which site?

Vastus lateralis

The parents of an infant diagnosed with hypothyroidism have been taught to count the infant's pulse. Which intervention should be reinforced in case a high pulse rate is obtained?

Withhold the medication and call the health care provider.

An 8-month-old infant has been diagnosed with developmental dysplasia of the hip (DDH). What is the most significant finding the nurse would expect in the perinatal history related to DDH?

breech presentation at birth

An infant is diagnosed with bronchopulmonary dysplasia. What is a priority problem that the nurse expects to see in the plan of care?

decreased oxygen saturation

The nurse is gathering data on a 10-month-old infant during a checkup. Which developmental milestones would the nurse expect the infant to display? Select all that apply.

holding head erect sitting on a firm surface without support bearing majority of weight on legs

Which intervention should be included in the care plan for children with an increased risk of sudden infant death syndrome (SIDS)?

home apnea monitoring

Which complications should the nurse be most concerned about in the first 12 hours of life for a neonate born with a myelomeningocele?

infection

When collecting data on an infant, which condition would alert the nurse as a subtle sign of hypothyroidism?

lethargy

After an infant with a cleft lip has surgical repair and heals, the parents can expect to see which result?

minimal scarring

After an infant undergoes surgical repair of a cleft lip, the physician orders elbow restraints. For this infant, the postoperative care plan should include which nursing action?

removing the restraints every 2 hours

An infant with hypothyroidism is receiving oral thyroid hormone. Which finding should alert a nurse to a potential overdose?

tachycardia, irritability, and diaphoresis

Four children, each 6 months of age, arrive at the clinic for diphtheria-pertussis-tetanus (DPT) immunization. Which child can safely be immunized at this time?

the child with a runny nose and cough

An infant who has been in foster care since birth requires a blood transfusion. Who will the nurse approach to give written, informed consent for the procedure?

the foster mother