Child/mother healthcare NUR 211 Quiz

A newborn is diagnosed with esophageal atresia and tracheoesophageal fistula. After the registered nurse provides preoperative teaching, which statement indicates that the parents need additional teaching?

"After this surgery is done tomorrow, my baby will be able to eat and drink"

The registered nurse is caring for an infant with a cleft lip. Which nursing intervention will help to maintain adequate nutrition in this patient? Nursing interventions should include

- Assess infant sucking and swallowing ability - Monitor daily caloric and fluid intake - Record daily weight of the infant - Educate the mother on how to massage her breasts and nipple before nursing the infant - Encourage frequent burping after feeding - Instruct mother who bottle fed to use some cereal to thicken the milk

The registered nurse is caring for a patient with hemophilia A. Which clinical manifestation would the RN expect to find during an admission assessment?

- General - Weakness and orthostasis - Musculoskeletal (joints) - Tingling, cracking, warmth, pain, stiffness, refusal to use joint (young children) - Central Nervous System (CNS) - Headache stiff neck, vomiting, lethargy, irritability, spinal cord syndromes - Gastrointestinal (GI) - HEmatemesis, melena, frank red blood per rectum, abdominal pain - Genitourinary - Hematuria renal colic, post-circumcision bleeding - Other - epistaxis, oral mucosal hemorrhage, hemoptysis, dyspnea (hematoma leading to airway obstruction), compartment syndrome symptoms, contusions, excessive bleeding with routine dental procedures

Which interventions would the registered nurse implement while feeding a post operative cleft palate repair patient? Select all that apply.

- position on side after feedings - feed slowly and use adaptive equipment as needed - Burp frequently (after every 15-30 mL of fluid) - Position upright for feedings - Keep suction equipment and bulb syringe at bedside

Hemophilia is a lifelong disease causing:

- significant morbidity and mortality - Bleeding diathesis and paradoxical thrombosis can occur

The RN is admitting the infant with a tentative diagnosis of intussusception. Which question to the mother would be most helpful in obtaining additional information to confirm intussusception?

History of severe cramping colicky abdominal pain, vomiting that may become bilious with time and dark red and mucoid (currant jelly) stools

The RN places the infant with tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 60-degree angle. Which statement by the mother indicates understanding of the most important reason for this position?

Infants head is elevated in order to prevent reflux of gastric contents and aspiration

Typically, the most obvious sign is a newborn's failure to have a bowel movement within 48 hours after birth.

Other signs and symptoms in newborns may include: Swollen belly Vomiting, including vomiting a green or brown substance Constipation or gas, which might make a newborn fussy Diarrhea In older children, signs and symptoms can include: Swollen belly Chronic constipation Gas Failure to thrive Fatigue

A child is diagnosed with Hirschsprung disease. Which finding would the RN expect the parents to report in the child's history?

Other symptoms may include vomiting, abdominal pain, diarrhea, and slow growth. Symptoms usually become apparent in the first two months of life. Complications may include enterocolitis, megacolon, bowel obstruction, and intestinal perforation.

A client with cystic fibrosis is admitted to the hospital with pneumonia. The registered nurse has Ineffective airway clearance as a primary nursing diagnosis. Which outcome should be the priority?

Shows an effective cough and increased air exchange in the lungs.

The RN is assessing a 4-year-old with Duchenne muscular dystrophy. Which observation indicates that the child has a Gower sign?

Weakness in the lower limbs.

When providing care to a newborn with necrotizing enterocolitis (NEC), which assessment finding would the registered nurse need to report immediately?

abdomen appearing red and shiny