PEDI/MAT EXAM 3

How many wet diapers should newborns have in the first 24 hours of life? A. 1 B. 3 C. 5 D. 6

A. 1

Normal newborn heart rate is A. 110 to 160 B. 120 to 140 C. 100 to 130 D. 140 to 190

A. 110 to 160

Newborns have an initial perior of reactivity lasting how long after delivery? A. 15 to 30 minutes B. 30 to 60 minutes C. 60 to 90 minutes D. 90 to 120 minutes

A. 15 to 30 minutes

The initial milk that form and is fed to the newborn is called A. Colostrum B. True milk C. Hind milk D. Fore milk

A. Colostrum

Common causes of intellectal disability include (Select all that apply) A. Very low birth weight B. Autism spectrum disorder C. Head trauma D. Playing sports

A. Very low birth weight B. Autism spectrum disorder C. Head trauma

What medications are given to newborns in the first hour of life? Select all that apply A. Vitamin K B. Erythromycin ointment C. Hepatitis B Vaccine D. MMR

A. Vitamin K B. Erythromycin ointment

Newborn injections are given in the A.Vastus lateralis B. Deltoid C. Ventrogluteal D. Dorsogluteal

A.Vastus lateralis

Which assessment finding alerts the nurse to suspect increased intracranial pressure in an infant? A. Sunken eyes B. Projectile vomiting C. Depressed fontanels D. Narrowing pulse pressure

B. Projectile vomiting

Which statement by C.A.'s cousin would make you suspect the cousin is developing a common complication of diabetes mellitus? A. "I don't think I hear music as well as I used to." B. "My hand trembles constantly when I try to write." C. "I've noticed a blind spot in my vision this last week." D. "My thigh size has increased so much I can't wear jeans."

C. "I've noticed a blind spot in my vision this last week."

The nurse should educate the family that the umbilical cord will fall off in A. 1 to 2 days B. 7 to 10 days C. 10 to 14 days D. 28 days

C. 10 to 14 days

A child fell off his bike and sustained a closed-head injury. Which is a priority for the triage nurse to ask? A. Was anyone else injured in the accident? B. Tell me more about the accident. C. Did he vomit, have a seizure, or exhibit other behavior that was unusual? D. Why was he not wearing a helmet

C. Did he vomit, have a seizure, or exhibit other behavior that was unusual?

Buck's traction with a 10 lb. weight is securing a patient's leg. It is important to check circulation-sensation movement A. Every shift B. Every day C. Every 4 hours D. Every 15 minutes

C. Every 4 hours

W.R.'s birthing parent is concerned with keeping the child safe. Based on the most frequent unintentional injury that occurs during school-age, what would be the most important safety precaution to teach the child? A. Learn to swim strongly. B. Chew each bite of food thoroughly. C. Only use crosswalks when crossing the street. D. Don't exercise more than 15 minutes at a time.

C. Only use crosswalks when crossing the street.

Select the best room assignment for a newly admitted child with bacterial meningitis A. Semiprivate room with a roommate who also has bacterial meningitis. B. Semiprivate room with a roommate who has bacterial meningitis but has received intravenous antibiotics for more than 24 hours. C. Private room that is dark and quiet with minimal stimulation. D. Private room that is bright and colorful and has developmentally appropriate activities available.

C. Private room that is dark and quiet with minimal stimulation.

Which response would the nurse give the mother of an infant with menigitis who is concerned that her toddler at home will feel neglected when she stays at the hospital? A. "Has anything happened to make you feel this way" B. "It's so important to spend your time here with the baby" C. "Try to divide your time evenly between the two children" D. "Can you arrange with someone to stay here when you are at home?"

D. "Can you arrange with someone to stay here when you are at home?"

A toddler is having a tonic-clonic seizure. What should the nurse do first? A. Restrain the child. B. Place a tongue blade in the child's mouth. C. Remove objects from the child's surroundings. D. Check the child's breathing.

D. Check the child's breathing.

Which clinical assessment of a neonate with bacterial meningitis would warrant immediate intervention? A. Irritability B. Rectal temperature of 100.6F C. Quieter than usual D. Respiratory rate of 24 breaths per minute

D. Respiratory rate of 24 breaths per minute

A respiratory rate of 70 is normal for a newborn while sleeping True False

False

Alcohol is safe to use in pregnancy True False

False

All patients with HSV are allowed to have vaginal deliveries True False

False

Dysplasia of the hip is the abnormal placement of the head of the femur in the hip socket True False

True

Establishing respirations is the highest priority for the newborn after delivery True False

True

GBS positive birthing parents can cause infections in the newborn True False

True

In the first few minutes of life it is normal for a newborn to have tachypnea as respirations are being established True False

True

Ortolani's test (maneuver) checks for hip dysplasia by rotating the thighs True False

True

While in the playroom, a school-aged child exhibits twitching of the right arm and leg that almost immediately progessess to a generalized tonic-clonic seizure with clenched jaws. Which action would the nurse take after moving the child to the floor? A. Moving objects away from the child B. Taking the other children to their rooms C. Inserting a plastic airway into the child's mouth D. Positioning a large pillow under the child's head

A. Moving objects away from the child

Mr. and Mrs. Smith's child has hemophilia; which of the following actions would you instruct them to avoid? A. Immobilizing the joint B. Lowering the injured area C. Applying cold to the area D. Applying pressure

B. Lowering the injured area

According to Erikson, the developmental task of a school age child is a sense of: A. professionalism. B. accomplishment. C. initiative. D. learning style.

B. accomplishment.

Assign the APGAR score: Active movement, heart rate is 90, minimum response to stimuli, acrocyanosis, and vigorous cry A. 5 B. 9 C. 7 D. 3

C. 7

Which cause of anemia would the nurse regonize as the most common cause of anemia in 1-year-olds? A. Thalasssemia B. Lead poisoning C. Iron deficiency D. Sickle shape of blood cells

C. Iron deficiency

Which response would the nurse provide the parent of a 2-year-old child who expresses concern that their child still takes a bottle of milk to bed at night? A. Iron-deficiency anemia may occur B. Infantile sucking needs are prolonged C. The child is at increased risk for dental caries D. Milk at bedtime precipitates inner ear infections

C. The child is at increased risk for dental caries

Routine newborn screening includes all of the following except A. Hearing screen B. CCHD C. Metabolic screen D. CBC

D. CBC

The patient has symptoms of nuchal rigity, fever, vomiting, and lethargy. The nurse is preparing for the following A. Blood culture B. Throat and ear culture C. CT scan D. Lumbar puncture

D. Lumbar puncture

Where would the nurse find the area of involvement associated with parietal swelling? A. Over the eyes B. Behind the ears C. At the back of the head D. On top of the skull

D. On top of the skull

A child who has anemia requires a blood transfusion. Which form of blood product is most often used in children? A. Plasma B. Washed RBCs C. Whole blood D. Packed RBCs

D. Packed RBCs

Which sign in the newborn infant would reflect an Apgar score of 1 in the category of respiration? A. Good cry B. Grimace C. Absent respiration D. Slow, weak cry

D. Slow, weak cry

Formula fed babies have what stool characteristics? A. Loose, watery, mushy with a mustard color B. Hard, black tarry stool C. Green seedy stool D. Soft, formed, pale yellow to brownish green

D. Soft, formed, pale yellow to brownish green

Phototherapy is used to treat A. Hyperbilirubinemia B. Hypothermia C. Hyperglycemia D. Hypomagnesemia

A. Hyperbilirubinemia

Which recommedation would the nurse make to the parent about keeping their toddler's spica cast clean? A. "Tuck a folded diaper above the perineal opening" B. Place plactic wrap or duct tape around the perineal edges of the cast" C. "Wipe the wast with a wet cloth and sprinkle it with baby powder" D. "Do the best you can because it will get soiled no matter what you do"

B. Place plactic wrap or duct tape around the perineal edges of the cast"

Veronica is a 14-year-old girl who wears a brace for structural scoliosis; which of the following statements indicate effective use of the brace? A. "I sure am glad that I only have to wear this awful thing at night." B. "I'm really glad that I can take this thing off whenever I get tired." C. "I wonder if I can take the brace off when I go to the homecoming dance." D. "I'll look forward to taking this thing off to take my bath every day."

D. "I'll look forward to taking this thing off to take my bath every day."

Which is the best room assignment for a child admitted with injures that may be related to abuse? A. In an isolation room B. With a firendly older child C. With a child of the same age D. In a room near the nurses' desk

D. In a room near the nurses' desk

Once the newborn is delivered and placed skin to skin what should the nurse do next? A. Dry the infant/cover with dry blankets B. Perform the newborn assessment C. Encourage breastfeeding D. Assign an APGAR score

A. Dry the infant/cover with dry blankets

Which type of fracture is common in preschool children? A. Greenstick B. Transverse C. Compound D. Comminuted

A. Greenstick

A nurse is reviewing cerebrospinal fluid results for a client with meningitis. Which findings indicate viral meningitis? Select all that apply A. Negative gram stain B. Normal glucose content C. Cloudy color D. Normal protein content

A. Negative gram stain B. Normal glucose content D. Normal protein content

Which action is next when a nurse determines that an adolescent with newly diagnosed type 1 diabetes has sufficient knowledge of the disorder? A. Setting goals with the client B. Developing a rapport with the client C. Teaching the client how to give insulin injections D. Instructing the client how to monitor blood glucose

A. Setting goals with the client

A 6-month-old infant is brought to the emergency room. The parents report that he "just won't wake up." Upon physical exam, the only other sign besides the level of consciousness is the presence of retinal hemorrhages. The nurse would suspect what has occurred? A. The infant has been dropped B. The infant has ingested a medication C. The infant has been shaken D. The infant has meningitis

C. The infant has been shaken

Which statement by an adolescent about sickle cell anemia would cause the nurse to conclude that the teaching has been understood? A. "I'll start to have symptoms when I drink less fluid" B. "I'll start to have symptoms when i have fewer platelets" C. "I'll start to have symptoms when I decrease the iron in my diet" D. "I'll start to have symptoms when I have fewer white blood cells"

A. "I'll start to have symptoms when I drink less fluid"

Which statement by an adolescent with hemophilia indicates a need for further teaching? A. "I'll use a stright razor when I start shaving" B. "I plan on trying out for the swim team next year" C. "If i injure a joint, I'll keep it still, elevate it, and apply ice" D. "If i get a little scriath, i can apple gentle pressure for 10 to 15 minutes"

A. "I'll use a stright razor when I start shaving"

Which statement would the nurse include in a teaching session for a school-age client and their parent? Select all that apply A. "Parents of school-age children must learn to let go of control" B. "Strict discipline is the priority over understnading anf tolerance" C. "Peer groups are highly influenctial during this stage of development" D. "Your child may wish to be move involved with peer activites than family acitvites" E. "When a conflict between peers and parents occurs, family values will predominate"

A. "Parents of school-age children must learn to let go of control" C. "Peer groups are highly influenctial during this stage of development" D. "Your child may wish to be move involved with peer activites than family acitvites" E. "When a conflict between peers and parents occurs, family values will predominate"

Which parental statements would the nurse recognize as indicating the need for further education about iron supplements for their preschooler? Select all that apply A. "We will mix the iron with milk to enhance absorption" B. "We will mix the iron with black tea to enhance absorption" C. "We will mix the iron with orange juice to enhance absorption" D. "We will avoid giving our child green tea because it can decrease absorption" E. "We will avoid feeding our child tomatoes because they can decrease absorption"

A. "We will mix the iron with milk to enhance absorption" B. "We will mix the iron with black tea to enhance absorption"

A mother is concerned because her daughter has lost 8 oz 3 days after birth. Which response by the nurse is appropriate? A. "Your baby needs to be checked for a viral illness." B. "This is a normal and expected finding." C. "Your baby is probably just dehydrated." D. "You need to give your baby formula since she has lost weight during breastfeeding."

A. "Your baby needs to be checked for a viral illness."

Which education would the nurse provide the parent of a school-age client about the concrete operational stage of development? Select all that apply A. "Your child will no longer have a rigid, egocentric outlook" B. "Your child will make judements based on conceuptual ideas" C. "Your child will make judgements based on what is actually seen" D. "Your child will evaluate a current situation based on past experiences" E. "Your child will not be able to make decisions based on conservation until adolescence"

A. "Your child will no longer have a rigid, egocentric outlook" B. "Your child will make judements based on conceuptual ideas" D. "Your child will evaluate a current situation based on past experiences"

What is the newborn temperature range? A. 97.7 to 99.4 axillary B. 97.7 to 99.4 rectal C. 97.0 to 98.6 axillary D. 97.9 to 100.4 rectal

A. 97.7 to 99.4 axillary

A child with a seizure disorder is having episodes of daydreaming and dropping a pencil. This is most likely a/an A. Absence B. Akinetic C. Simple spasm D. Tonic-clonic

A. Absence

A child diagnosed with meningitis is having a generalized tonic-clonic seizure, Which should the nurse do first? A. Administer blow-by oxygen and call for help B. Call a code and ask parents to leave the room C. Assess the childs BP and blood glucose D. Tell parents seizures are common with children with bacterial meningitis

A. Administer blow-by oxygen and call for help

Which parent education would the parent include about cast care for an infant? A. Assess the skin at the edges of the cast B. Apply lotion to the skin at the cast's edges C. Immerse the cast briefly during the tub bath D. Cover the damp cast edges with adhesive petals

A. Assess the skin at the edges of the cast

How can the primary nurse be most supportive during a genital examination of a 5-year-old girl whose parent is suspected of sexually abusing her? A. By describing the procedure and staying with the child during the examination B. By explaining that the nurse wants to see if there is "anything wrong down there" C. By asking whether she prefers the nurse or another parent to stay with her during the examination D. By helping the other parent explain the examination and the findings in terms that the child will understand

A. By describing the procedure and staying with the child during the examination

A child is recovering from a diagnosis of meningococcal meningitis adn appears sad and criea frequently. How would the nurse help the child verbalize her thoughts and feelings? A. By telling the child that she seems sad and upset B. By encouraging the parent to speak with their child C. By showing the child some photos of hospitalizes children and having the child tell stories about them D. By havint the child wathc videotapes about sick children and answering any question that the child might have

A. By telling the child that she seems sad and upset

When planning long-term care for a 2-year-old child white cerebral palsy (CP), which is important for the nurse to consider? A. CP is not progressively degenerative B. The effects of CP are unpredictable C. The child probably has some degree of cognitive imapirment (CI) D. The child should have genetic counceling before planning a family

A. CP is not progressively degenerative

A collection of fluid that causes swelling on the newborn head and does cross the suture lines is called A. Caput succedaneum B. Modling C. Cephalohematoma D. Anterior fontanelle

A. Caput succedaneum

Which child is the best roommate option for child admitted in a vasooclusive sickle cell crisis? A. Child with thalasemia B. Child with osteomyelitis C. Child with viral pneumonia D. Child with acute pharyngitis

A. Child with thalasemia

According to Piaget, which cognitive skills would the nurse expect from a school-age child? Select all that apply A. Classifying objects B. Understanding reversibility C. Having theoretical thoughts D. Describing a process without actually doing it E. Believing personal actions are constantly being scrutinized

A. Classifying objects B. Understanding reversibility D. Describing a process without actually doing it

Which play activites are the most appropriate for a 6-year-old child? Select all that apply A. Coloring book B. Small metal cars C. Simple card game D. Large jigsaw puzzle E. Children's magazines

A. Coloring book B. Small metal cars C. Simple card game

Which nursing intervention is most important in the care of an infant with iron-deficiency anemia? Select all that apply A. Conserving the infant's energy B. Protecting the infant from infection C. Teaching the parents about nutrition D. Telling the parents to offer small, frequent feedings E. Instructing the parents to increase the amount of milk offered

A. Conserving the infant's energy B. Protecting the infant from infection C. Teaching the parents about nutrition

The regulation of type 1 diabetes in an 8-year-old child is best attained with a combination of therapeutic modalities in addition to the administration of insulin. Which modalities should be included in the teaching plan? (Select all that apply.) A. Dietary control B. Regular exercise C. Urine testing for glucose D. Blood glucose moniotoring E. use of oral hypoglycemic agents

A. Dietary control B. Regular exercise D. Blood glucose moniotoring

You are preparing to combine long-acting and short-acting insulin in the care of a child with type 1 diabetes. What nursing action should you include in this procedure? A. Draw up the fast-acting insulin into the syringe first. B. Draw up whichever insulin has an earlier expiry date. C. Draw up the long-acting insulin into the syringe first. D. Shake the syringe vigorously after drawing up the insulins.

A. Draw up the fast-acting insulin into the syringe first.

One principle to be followed for children with type 1 diabetes is to provide for the variability of the child's activity. Which would the nurse teach the child about how to compensate for increase physical activity? A. Eat more food when planning to exercise more than usual B. Take insulin in the morning when extra exercise is anticipated C. Consume foods that contain sugat to compensate for the extra exercise D. An oral hypoglycemic, not injectable insulin, is necessary on days of heavy exercise

A. Eat more food when planning to exercise more than usual

Which is the priority nursing intervention to prevent thrombus formation in tha child with sickle cell anemia? A. Encouraging fluids B. Encouraging bed rest C. Administering oxygen (O2) D. Administering prescribed anticoagulants

A. Encouraging fluids

Which intervention would the nurse provide the parents of an infant with myelomeningocele to facilitate the parent-child relationship during the preoperative period? A. Encouraging the parents to stroke their infant B. Allowing the parents to hold their infant in their arms C. Referring the parents to the Spina Bifida Association of America D. Teaching the parents to use special techniques when feeding the infant

A. Encouraging the parents to stroke their infant

A nurse is teaching about risk factors for seizures. Which should the nurse include? Select all that apply A. Febrile episodes B. Hypoglycemia C. Sodium imbalances D. Low blood lead levels

A. Febrile episodes B. Hypoglycemia C. Sodium imbalances

The best way for a school age child to achieve the developmental task would be to: A. Give the child jobs that the child can successfully complete. B. Be certain that the child knows to pay attention in school. C. Help the child lose weight so the child can be more active. D. Set up a strict schedule of rules for W.R. to follow.

A. Give the child jobs that the child can successfully complete.

Therapeutic management for a child with Juvenile arthritis involves? Select all that apply A. Heat application B. Nurition C. Medication D. Daily activites and exercise

A. Heat application B. Nurition C. Medication D. Daily activites and exercise

What are some methods to regulate temperature in the high rish newborn? Select all that apply A. Incubator B. Radiant warmer C. Skin to skin D. Loose blankets

A. Incubator B. Radiant warmer C. Skin to skin

Which information would the nurse include in the teaching plan of an adolescent who is found to have type 1 diabetes? Select all that apply A. Insulin therapy B. Prophylactic antibiotics C. Blood glucose monitoring D. Oral hypoglycemic angents E. Adherence to the treatment regimen

A. Insulin therapy C. Blood glucose monitoring E. Adherence to the treatment regimen

Which information is important for the nurse to include concerning insulin administration when discussing insulin needs with an adolescent with recently diagnosed type 1 diabetes? A. Insulin will be required throughout life B. Insuling may be taken orally until adulthood C. Insulin needs increase with strenuous exercise D. Insuling needs decrease in the presence of an infection

A. Insulin will be required throughout life

A birthing parent has A- blood, the newborn has A+ blood. Coombs test positive. What should the nurse expect? A. Jaundice B. Hypothermia C. Hypoglycemia D. PKU

A. Jaundice

Which adverse effect would the nurse monitor for after administering vitamin K to a newborn? Select all that apply A. Pain B. Edema C. Jaundice D. Erythema E. Hemolysis

A. Pain B. Edema D. Erythema

What as the psychological concerns with scoliosis? Select all that apply A. Risk for social isolation B. Body image disturbance C. Feelings of fear and anger D. Elevated temperature

A. Risk for social isolation B. Body image disturbance C. Feelings of fear and anger

Which warning sigh would the nurse recognize as indiacting a sild may be a victim of abuse? Select all that apply A. The child doesn't want to be touched by anyone B. The child sleeps for an average of 15 hours a day C. The child frequently visits the emeregency department D. The child suffers from fever and tenderness in the abdomen E. The child looks at the caregiver before answering any question

A. The child doesn't want to be touched by anyone C. The child frequently visits the emeregency department E. The child looks at the caregiver before answering any question

Suppose a child with sickle cell anemia is scheduled to have a splenectomy. You should ensure that the child's parents are aware of what implication of this procedure? A. The child will be prone to pneumococcal infections. B. This may increase the child's risk of type 2 diabetes later in life. C. The child is at risk of venous thromboembolism postoperatively. D. The child will develop reactive leukocytosis.

A. The child will be prone to pneumococcal infections.

C.A.'s cousin has type 1 diabetes mellitus. Which of the following statements best describes the pathophysiology of this disease? A. The pancreas becomes no longer able to produce insulin. B. Insulin is produced but, because of an altered gene, is ineffective. C. The pancreas fails to produce insulin but can be forced to do so. D. Less insulin is produced so extreme hypoglycemia occurs

A. The pancreas becomes no longer able to produce insulin.

Which clinical signs of hydration would the nurse assess in a toddler experiencing a sickle cell crisis? Select all that apply A. Turgor of tissue B. Edema of the ankles C. Specific gravity of urine D. Amount of urinary output E. Texture of mucous membranes

A. Turgor of tissue E. Texture of mucous membranes

Which information will the nurse include when providing education to the family of an adolescent who was recently diagnosed with type 2 diabetes millitus? A. "Yous teen will need insulin injections for the rest of her life" B. "The most important intercentions are good nutrition and portion control" C. "This is a condition where the body produces antibodies against its own cells" D. "This condition causes weight loss and increased appetite, thirst, and urination"

B. "The most important intercentions are good nutrition and portion control"

A pediatric nurse should be aware that diabetes mellitus is said to be present when a fasting blood glucose is over which level? A. 92 mg/dL B. 126 mg/dL C. 152 mg/dL D. 186 mg/dL

B. 126 mg/dL

Which of the following should the nurse expect when caring for a child with absence seizures? Select all that apply A. Loss of consciousness B. Appearance of daydreaming C. Dropping help objects D. Falling to the floor

B. Appearance of daydreaming C. Dropping help objects

A child is admitted to the pediatric intensive care unit with acute bacterial meningitis. Which intervention would the nurse include in the plan of care? A. Offering clear fluid whenever the child is awake B. Checking the child's level of consciousness hourly C. Assessing the child's blood pressure every 4 hours D. Administering the prescribed oral antibiotic mediation

B. Checking the child's level of consciousness hourly

Which strategy would the nurse use when talking with a 5-year-old child who is a suspected victim of physical abuse? Select all that apply A. Asking about the family's social or legal problems, if any B. Discussing the body parts, using words the child will understang C. Telling the child that it in not the child's fault and no one is going to blame the child D. Telling the child that reporting the abuse to the nurse is the right thing to do E. Allowing the child to talk in the presence of the family members to minimize fear

B. Discussing the body parts, using words the child will understang C. Telling the child that it in not the child's fault and no one is going to blame the child D. Telling the child that reporting the abuse to the nurse is the right thing to do

Which action would help foster acceptance of the diabetic regimen by an adolescent with type 1 diabetes who is brought to the emergency department in ketoacidosis and admits to not adhering to the diabetic regimen? A. Determine what the adolscent had been taught about diabetes B. Encourage the adolescent to express feelings about having diabetes C. Explain to the parents that it is their responsibility to demonstrate their acceptance D. Provide the famile with printed materials about the consequences of ineggectively controlled diabetes

B. Encourage the adolescent to express feelings about having diabetes

Katie is admitted to the intensive care unit of Nurseslabs Medical Center for diabetic ketoacidosis; which of the following is of primary importance when caring for the child? A. Giving I.V. NPH insulin in high doses B. Evaluating the child for cardiac abnormalities C. Limiting fluids to prevent aggravating cerebral edema D. Monitoring and recording the child's vital signs for hypertension

B. Evaluating the child for cardiac abnormalities

A toddler who was physically abused is admitted to the pediatric unit. Which is behavior would the nurse expect when approaching the child? A. Smiling readily when anyone enters the room B. Exhibiting fear of physical contact initiated by anyone C. Beginning to cry when anyone approaches the bedside D. Paying little attention to anyone standing at the bedside

B. Exhibiting fear of physical contact initiated by anyone

Which major group of substances in human milk are of special imortance to the newborn and cannot be reproduced in a bottle formula? A. Amino acids B. Gamma globulins C. Essential electrolytes D. Complex carbohydrates

B. Gamma globulins

Mrs. Lodge's child requires the use of Pavlik harness; which of the following would Nurse Betty do to best assess the mother's ability to care for her child? A. Demonstrate to the mother how to remove and reapply the device. B. Have the mother remove and reapply the harness before discharge. C. Have the mother verbalize the purpose for using the device. D. Request a home health care nurse visit after discharge.

B. Have the mother remove and reapply the harness before discharge.

Which symptoms would the nurse expect in a 3-year-old child with milk iron-deficiency anemia and fatigue? A. Cold, clammy skin B. Increased pulse rate C. Increased blood pressure D. Cyanosis of the nail beds

B. Increased pulse rate

The nurse is teaching the parent of a toddler with a recent diagnosis of hemophilia about the disease. Which area of the body would the nurse include ad the most common site for bleeding? A. Brain B. Joints C. Kidneys D. Abdomen

B. Joints

Which complication associated with type 1 diabetes should the nurse include in the teaching plan for the parent of a newly diagnosed child? A. Obesity B. Ketoacidosis C. Resistance to treatment D. Hypersensitivity to other medications

B. Ketoacidosis

Which would the nurse encourage for a school-age client diagnosed with chronic illness to enhance a sense of accomplishment? A. Wearing make-up B. Making up missed work C. Participating in sports activities D. Participating in creative activities

B. Making up missed work

A child with a left leg cast tells his mother his leg hurts. Which assessment if the nurse's first priority A. Cast intergrity B. Neurovascular integrity C. Musculoskeletal integrity D. Soft-tissue integrity

B. Neurovascular integrity

To prevent further sickle cell crises, you would want to advise parents to do which of the following? A. Encourage them to limit the amount of fluid they consume on warm days. B. Notify their primary care provider if they develop a respiratory infection. C. Encourage S.E. to join a noncontact sport such as track and field. D. Buy over-the-counter iron supplements and give them before bedtime.

B. Notify their primary care provider if they develop a respiratory infection.

Nurse Kevin is assessing a newborn for developmental dysplasia of the hip (DDH); he would expect to assess which of the following? A. Characteristic limp B. Ortolani's sign C. Symmetrical gluteal folds D. Trendelenburg's signs

B. Ortolani's sign

A child sitting on a chir starts having a tonic-clonic seizure with a clenched jaw. Which would be the initial action by the nurse? A. Trying to open the jaw B. Placing the child on the floor C. Calling out for assistance from staff D. Placing a pillow under the child's head

B. Placing the child on the floor

Which of the following immunizations decrease the incidence of bacterial meningitis in children? Select all that apply A. Inactivated polio vaccine (IPV) B. Pneumococcal conjugate vaccine (PCV) C. Diptheria and tetanus toxoids and acellular pertussis vaccine (DTAP) D. Harmophilus influenza type B (HIB) vaccine

B. Pneumococcal conjugate vaccine (PCV) D. Harmophilus influenza type B (HIB) vaccine

Which is the nurse's priority responsibity whe abuse of an 8-year-old child is suspected? A. Treating the child's traumatic injuries B. Protecting the child from future abuse C. Confirming the child's suspected abuse D. Having the child examined by the health care provider (HCP)

B. Protecting the child from future abuse

Tara is an 11-year-old girl diagnosed with type 1 diabetes mellitus (DM). She asks her attending nurse why she can't take a pill rather than shots like her grandmother does. Which of the following would be the nurse's best reply? A. "If your blood glucose levels are controlled, you can switch to using pills." B. "The pills correct fat and protein metabolism, not carbohydrate metabolism." C. "Your body does not make insulin, so the insulin injections help to replace it." D. "The pills work on the adult pancreas, you can switch when you are 18."

C. "Your body does not make insulin, so the insulin injections help to replace it."

A 3-year-old femaleis hospitalized for a femur fractur. What would help foster the child's sense of automoy? A. Allow the child to choose what time to take her oral antibiotics B. Allow the child to have a doll for medical play C. Allow the child to administer her own dose of Keflex via oral syringe D. Allow the child to watch age-appropriate videos

C. Allow the child to administer her own dose of Keflex via oral syringe

The nurse is reviewing the laporatory report of a newborn whose hematocrit level is 45%. Which value denotes a healthy infant? A. Less than 40% B. More than 75% C. Between 45% and 65% D. Between 65% and 75%

C. Between 45% and 65%

A newborn was resuscitated at birth due to poor respiratory effort. Which assessment data would concern the nurse the most at 6 hours after birth? A. Lethargy at most recent feeding attempt B. Cyanotic hands and feet C. Body temperature of 97.0°F D. Respirations of 40 breaths/min

C. Body temperature of 97.0°F

When performing a physical assessment on a girl, age 10, the nurse keeps in mind that the first sign of sexual maturity in girls is A. Axillary hair B. Pubic hair C. Breast bud development D. Menarche

C. Breast bud development

A newborn undergoes surgery to remove a myelomeningocele to detect increased intracranial pressure as early as possible, the nurse should stay slert for which post-operative finding? A. Decreased urine output B. Increased heart rate C. Bulging fontanels D. Sunken eyeballs

C. Bulging fontanels

While Andres is being assessed at the clinic, Nurse Shiela observed that the child appears to be small, with an immature face and chubby body build. Her parents stated that their child's rate of growth of all body parts is somewhat slow, but her proportions and intelligence remain normal. As a knowledgeable nurse, you know that the child has a deficiency of which of the following? A. Antidiuretic hormone (ADH) B. Parathyroid hormone (PTH) C. Growth hormone (GH) D. Melanocyte-stimulating hormone (MSH)

C. Growth hormone (GH)

A 6-year-old child has just spent 10 days in skeletal traction for a fractured femur. When doing preoperative teaching prior to the cast application, which is the priority teaching for the parents and child? A. Needing physical therapy for crutch training postoperatively B. Being able to have a walking cast applied after 2 weeks C. Having the cast on for at least 3 to 4 weeks D. Being able to have the cast removed after 12 weeks

C. Having the cast on for at least 3 to 4 weeks

Which signs best indicate increased intracranial pressure (ICP) in an infant? Select all that apply. A. Sunken anterior fontanel. B. Complaints of blurred vision. C. High-pitched cry. D. Sleeping more than usual.

C. High-pitched cry. D. Sleeping more than usual.

What is the purpose of placing a child in cervial traction after ustaining a fractured cervial vertebra? A. Hyperextending the neck maintains an open airway B. Flexing the head prevents stretching of the neck muscles C. Immobilizing the area minimizes injury to the spinal cord D. Aligning the body allows for cerebrospinal fluid to encircle the spinal cord

C. Immobilizing the area minimizes injury to the spinal cord

Which of the following tests is most effective in diagnosing hemophillia? A. Bleeding time B. Complete blood count (CBC) C. Partial thromboplastin time (PTT) D. Platelet count

C. Partial thromboplastin time (PTT)

Which intervention would be included in the plan of care for a child immediately after the application of a spica cast? A. Using the crossbar to turn the child B. Logrolling the child until the cast is dyr C. Performing a neurovascular assessment of the legs D. Drying the cast with a hair dryer on the cool setting

C. Performing a neurovascular assessment of the legs

Which parent education would the nurse provide the parent caring for their infant with cerebral palsy? A. Focus on cognitive rather than motor skills B. Maintain immobility of the mibs with splints C. Preserve muscle tone to prevent joint contractures D. continue to offer a special formula to limit gagging

C. Preserve muscle tone to prevent joint contractures

Which action would the nurse take after finding a child having a tonic-clonic seizure? A. Applying restraints B. Administering oxygen C. Protecting the child from self-injury D. Inserting a plastic airway in the child's mouth

C. Protecting the child from self-injury

A 7-year-old with a fractured femur is in skeletal traction. Which nutrient should the nurse encourage in his diet during this time? A. Vitamin D B. Calcium C. Protein D. Carbohydrates

C. Protein

A 8 y/o is admitted to the hospital with a vaso-occlusive sickle cell crisis,which measure would you give priority? A. Begin active range-of-motion exercises. B. See that S.E. is provided with a protein-rich diet. C. Provide supplementary oxygen therapy to S.E. by face mask. D. Keep S.E. on strict bed rest.

C. Provide supplementary oxygen therapy to S.E. by face mask.

The nurse is assessing a newborn with exstrophy of the bladder. Which other defect is often associated with exstrophy of the bladded and may be of concern to the nurse? A. Absence of one kidney B. Congenital heart disease C. Pubic bone malformation D. Tracheoesophageal fistuala

C. Pubic bone malformation

A patient is having lombar puncture to dettermine if a bacterial infection is present. The best position to keep him in A. Prone for two hours to prevent aspiration, should be vomit B. Semi-Fowler's so he can watch TV for five hours and be entertained C. Supine for several hours, to prevent a headache D. On her right sides to encourage return of CSF

C. Supine for several hours, to prevent a headache

Which sport would the nurse suggect at therapeutic for a 13-year-old adolescent with idiopathic scoliosis while considering that exercise and aviodance of fatigue are essential components of care? A. Golf B. Bowling C. Swimming D. Badminton

C. Swimming

A child with type 2 diabetes is scheduled for abdominal surgery. Which factors are most important for the nurse to consider during the postoperative period? Select all that apply A. infection will likely occur at the surgical site B. Ketoacidosis frequently occurs later in the postoperative period C. The blood glucose level will increase because of the stress of surgery D. Urine test results are the most useful gauge or diabetic control after surgery E. Diabetic control is usually maintained with insulin after surgery

C. The blood glucose level will increase because of the stress of surgery E. Diabetic control is usually maintained with insulin after surgery

Which statement is true about the skeletal system of toddlers? A. The bones of toddles are less pliable than those of older persons B. The bones of toddlers have less cartilage than those of young adults C. The bones of toddlers can be better withstand falls than those of older adults D. The bones of toddlers are more susceptible to osteoporosis than those of women

C. The bones of toddlers can be better withstand falls than those of older adults

The nurse in an emergency department is assessing a young child with a head injury. The child is accompained by a parent. Whcih observation would prompt the nurse to assess the child for abuse? A. The child has Mongolian spots on the back B. The child belongs to a single-parent family C. The child has received care for injures twice earlier D. The child and parent marrate the same story about the injury

C. The child has received care for injures twice earlier

Mark has ADHD and is prescribed stimulants. His father is opposed to stimulants and insists the doctor is "just drugging" his child. Your best response is A. "You will need to speak with the doctors about your concerns" B. "It does seem odd your child is boing prescribed a stimulant when he is already hyperactive. Let me check on that" C. "The stimulant will actually treat his other comorbid pyschiatric conditions" D. "The stimulants help most children with ADHD to focus better"

D. "The stimulants help most children with ADHD to focus better"

The mother of a child with muscular dystrophy asks the nurse what type of diet her son will need to follow. Which advise should the nurse provide? A. There is no special diet necessary for her son. B. A high-protein, high-carbohydrate diet may be helpful. C. Extra creatinine should be added to his diet daily. D. A moderate calorie diet will help him remain ambulatory longer.

D. A moderate calorie diet will help him remain ambulatory longer.

You have successfully drawn up insulin for the child who has type 1 diabetes and are now preparing to inject the insulin. What should you do when injecting insulin? A. Always give insulin in the exact same spot for consistent absorption. B. Never inject insulin into either leg to avoid skin infection at the site. C. Rub the injection site for 10 to 15 seconds afterward to prevent keloid scarring. D. Always rotate sites of injection to avoid fibrotic scarring at the site.

D. Always rotate sites of injection to avoid fibrotic scarring at the site.

The nurse is making room assignments on the pediatric unit. Who is the best choice of roommate for a 10-year-old boy with juvenile idiopathic arthritis? A. An 11-year-old girl with colitis B. A 10 -year-old boy with asthma C. A 10-year-old girll with a fractured femur D. An 11-year-old boy who has undergone splenectomy

D. An 11-year-old boy who has undergone splenectomy

A nurse in the periatric clinical would be most observant for signs of cerebral palsy in a 6-month-old infant in which instance? A. Has a 40-year-old mother B. Exhibiting the Moro reflex C. Delivered by an elective ceasrean birth D. Born at 32 weeks' gestation

D. Born at 32 weeks' gestation

A 9 month old is brought to the ED with bronchiolitis. Which of the following supports a diagnosis of child abuse? A. The child is crying B. The child is sitting quetly in the mother's lap C. The mother refuses to stay with the child during her blood work D. Chest xray shows multiple healed fractured ribs

D. Chest xray shows multiple healed fractured ribs

Although the newborn was just cleaned and examined, the mother notes a red rash consisting of small papules on the face, chest, and back of the newborn. Which condition would the nurse recognize? A. Harlequin sign B. Vernix caseosa C. Nerus flammeus D. Erythema toxicum

D. Erythema toxicum

Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the mother. Which type of heat loss would this intervention prevent? A. Radiation B. Convection C. Conduction D. Evaporation

D. Evaporation

A 7-year-old is diagnosed with Type I diabetes. Many labs are drawn at the time of diagnosis. One lab test that is specific to this type of diabetes is A. Arterial blood gases. B. BUN. C. Ammonia level. D. Glycosylated hemoglobin.

D. Glycosylated hemoglobin.

A nurse is assessing a 4-month old infant with meningitis. Which of the following should the nurse expect? A. Depressed anterior fontanel B. Constipation C. Presence of rooting reflex D. High-pitched cry

D. High-pitched cry

Which would absence of the Babinski reflec indicate during a newborn assessment? A. Hypoxia during labor B. Neurological injury during birth C. Hyperreflexia of the muscular system D. Immaturity of the central nervous system (CNS)

D. Immaturity of the central nervous system (CNS)

Six weeks after birth an infant is found to have developmental dysplasia of the hip. The nurse explains to the parents the benefits of early treatment. Which is the rationale for the immediate institution of corrective measures? A. Mobility will be delayed if correction is postponed B. Traction is effective is it is used before toddlerhood C. Infants are easier to manage in spica casts than are toddlers D. Infants' cartilaginous hip joints promote molding of the acetabulum

D. Infants' cartilaginous hip joints promote molding of the acetabulum

In children diagnosed with sickle cell disease (SCD), tissue damage results from which of the following? A. Air hunger and respiratory alkalosis due to deoxygenated red blood cells. B. Hypersensitivity of the central nervous system (CNS) due to elevated serum bilirubin levels C. A general inflammatory response due to an autoimmune reaction from hypoxia D. Local tissue damage with ishemia and necrosis due to obstructed circualtion

D. Local tissue damage with ishemia and necrosis due to obstructed circualtion

Name for the newborn birthwark that is a blue-gray color and often resembles a bruise A. Hemangioma B. Milia C. Erythema toxicum D. Mongolian spot

D. Mongolian spot

Newborns can become dehydrated easier than adults. This is explained by which statement? A. Newborns do not have as many fluid choices as adults. B. The large amount of body fluids are mainly extracellular fluid in a newborn. C. Adults get sick more often. D. Newborns lose more fluids through insensible water loss.

D. Newborns lose more fluids through insensible water loss.

The practive of separating parents from their newborn immediately after birth and limiting their time with the infant during the first few days after felivery contradicts studies related to which? A. Early rooming-in B. Taking-in behviors C. Taking-hold behaviors D. Parent-child attachment

D. Parent-child attachment

A spica cast was put on Baby Betty after an unfortunate incident to immobilize her hips and thighs; which of the following is the priority nursing action immediately after application? A. Keep the cast dry and clean B. Cover the perineal area C. Elevate the cast D. Perform neurovascular checks

D. Perform neurovascular checks

Which intervention is appropriate for the nurse to teach the parent of a child with Duchenne muscular dystrophy? A. Maintain a high-calorie diet B. Institute seizure precautions C. Restrict the use of larger muscles D. Perform range-of-motion exercises

D. Perform range-of-motion exercises

Client has suspected meningitis and decreased level of consiousness. Which action schould the nurse take? A. Place the client in NPO status B. prepare the client for liver biopsy C. Position the client in dorsal recumbant D. Put the client in a protective environment

D. Put the client in a protective environment

A child iss being admitted with the diagnosis of meningitis. Select the procedure the nurse should do first A. Administration of intravenous antibiotics B. Placement of a Foley catheter C. Administration of maintenance intravenous fluids D. Send the spinal fluid and blood samples to the laboratory for cultures

D. Send the spinal fluid and blood samples to the laboratory for cultures

After a seizure do not offer food or liquids until the child completely awakens and swallowing rreflex has returned True False

True

Scoliosis is a spinal deformity that is usually diagnosed during the preadolescent growth spurt True False

True

Status epilepticus is prolonged seizure activity lasting 30 minutes or longer? True False

True

The newborn can be submerged in bathwater starting 12 to 24 hours after delivery True False

False

The vitamin K vaccine is given to all newborn to prevent jaundice True False

False

The nurse understands which to be the reason vitamin K is routinely administered to newborns? A. Lack of vitamin K leads to faulty blood clotting. B. Vitamin K is important for digestion of milk. C. Vitamin K is important for lung maturity. D. Lack of vitamin K is caused by immature liver action.

A. Lack of vitamin K leads to faulty blood clotting.

Normal respiratory rate in the newborn is A. 30 to 60, regular B. 30 to 60, irregular C. 40 to 80, regular D. 40 to 80, irregular

B. 30 to 60, irregular

The newborn should have how mnay wet diapers per day starting at 6 days of life A. 4 to 5 B. 6 to 8 C. 10 to 12 D. 14

B. 6 to 8

What is the first newborn stool called? A. Meconium B. Colostrum C. Transition stool D. Uric acid crystals

A. Meconium

A full-term infant admitted to the newborn nursery has a blood glucose level of 35 mg/dL. Which of the following actions should the nurse perform at this time? A. Feed the baby formula or breast milk B. Assess the baby's blood pressure C. Tightly swaddle the baby D. Monitor the baby's urinary output

B. Assess the baby's blood pressure

The nurse is aware that cloudy cerebrospinal fluid (CSF) most likely indicates A. Viral meningitis B. Bacterial meningitis C. Sepsis D. No infection

B. Bacterial meningitis

A 2-month-old infant with celevral palsy has speech therapy involved. Parents ask why is speech therapy involved? A. Speech theraphist will help assist with babbling B. to ensure vocalization C. speech therapist will help with tongue and jaw movements to help with feeds D. Many mmembers of the health-care team are involved in your child's care

C. speech therapist will help with tongue and jaw movements to help with feeds

Before completing the newborn metabolic screen, the newborn should eat for 12 hours True False

False

Both breast milk and formula should be heated up in the microwave before feeding to a baby True False

False

Bradycardia is a sign of NAS True False

False

Jitteriness and tremors are a sign of respiratory distress syndrome True False

False

An APGAR score of 7 at 5 minutes is considered normal True False

True

Bilirubin is the lab test used to monitor for jaundice True False

True

Brief periods of apnea are normal in the newborn True False

True

Decorticate posturing indicates flexor posturing True False

True

Which newborn would be at the highest risk for developing respiratory distress syndrome? A. A newborn born at 33 6/7 weeks B. A newborn born at 42 weeks C. A newborn born at 37 1/7 weeks D. A newborn born at 39 5/7 weeks

A. A newborn born at 33 6/7 weeks

A neonate is under phototherapy for elevated bilirubin levels. The baby's stools are now loose and green. Which of the following actions should the nurse take at this time? A. Discontinue phototherapy B. Notify the healthcare provider C. Take the baby's temperature D. Assess the baby's skin integrity

A. Discontinue phototherapy

Which is the cause of milk anemia in toddlers? A. Drinking skin milk B. Drinking fruit juice C. Increased milk intake D. Increased intake of fruits

C. Increased milk intake

The nurse teaches a new mother how to position her newborn during feedings. which is the best way to evaluate if the teaching is effective? A. Develop a basic teaching plan B. Ask the mother if she understands C. Observe the mother feeding the infant D. Determine the mother's readiness to learn

C. Observe the mother feeding the infant

The nurse is assessing a 2-day-old newborn who is irritable, pale, and not interested in eating. Which of the following additional signs is an indicator of bacterial infection in the newborn? A. Increased white blood cells B. Increased neutrophils C. Subnormal temperature D. Cough

C. Subnormal temperature

A child is unresponsive following a motor vehicle crash in the emergency department. Which should the nurse do first? A. Stabilize the child's neck B. Implement seizure precautions C. Clean the child's laceration with soap and water D. initiate IV access for the child

A. Stabilize the child's neck

What percent of weight is normal for a baby to lose in the first few days of life? A. Up to 10% B. Up to 5% C. Up to 15% D. Up to 20%

A. Up to 10%

Which clincial finding would the nurse recognize as a sign that an infant's intracranial pressure has increased? A. Hypoactive reflexes B. Increased pulse rate C. Decreased blood pressure D. Tension of the anerior fontanel

D. Tension of the anerior fontanel

Which education would the nurse provide the parent of a 6-month-old infant with a hip spica cast about cast cleanliness? A. The entire cast should be wrapped in plastic B. Special precaustions are unnecessary for diapering C. Baby powder should be sprinkled lightly sround the diaper area D. The cast edges in the perineal area should be covered with plastic wrap

D. The cast edges in the perineal area should be covered with plastic wrap

Most sensitve exam to assess neurological status is Level of Conciousness? True False

True

Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics should be included in the plan of care? a. Aerobic exercise to improve oxygenation b. Fluid restraint to 1 qt (1 L)/day c. A high-iron, high-protein diet d. Proper hand washing and infection avoidance

d. Proper hand washing and infection avoidance

A baby is grunting in the neonatal nursery. Which of the following actions by the nurse is appropriate? A. Place a pacifier in the baby's mouth B. Check the baby's diaper C. Have the parents feed the baby D. Assess the respiratory rate

D. Assess the respiratory rate

When a child injures the epiphyseal plate from a fracture, the damage may result in which of the following? A. Rheumatoid arthritis B. Permanent nerve damage C. Osteomyelitis D. Bone growth disruption

D. Bone growth disruption

The nurse plans to teach a 7-year-old child with recently diagnosed type 1 diabetes how to give insulin injections. Which would be included in the first lesson? Select all that apply A. Explaining why insulin is needed B. Offering a booklet to read at home C. Inviting the child's friends to participate in the lesson D. Providing a syringe for the child to practice manipulating E. Seeking a return demonstration of how to give an injection to be doll

A. Explaining why insulin is needed D. Providing a syringe for the child to practice manipulating E. Seeking a return demonstration of how to give an injection to be doll

A client has delivered her infant by cesarean birth. The nurse monitors the newborn's respiration closely, because infants born via the cesarean method are prone to atelectasis. Why does this occur? A. The ribcage is not compressed and released during birth B. The sudden temperature change at birth causes aspiration C. There is usually oxygen deprivation after a cesarean birth D. There is no gravity during the birth to promote drainage from the lungs

A. The ribcage is not compressed and released during birth

The nurse places a school-aged child with bacterial meningitis in isolation with droplet precautions. Which is the purpose of these precautions? A. They keep the child away from ininfected people B. The infectious process is interrupted as quickly as possible C. The child is protected from contracting a secondary infection D. They prevent the development of a hospital-acquired infection

A. They keep the child away from ininfected people

For which reason would the nurse advise a parent to avoid cow's milk in a 7-month-old infant? Select all that apply A. Cow's milk is not tolerated by infants B. Cow's milk is a potential source of botulism toxin C. Cow's milk increases the risk of milk product allergies D. Cow's milk is a poor source of iron and vitamins C and E E. Cow's milk is too concentrated for an infant's kidneys to manage

C. Cow's milk increases the risk of milk product allergies D. Cow's milk is a poor source of iron and vitamins C and E E. Cow's milk is too concentrated for an infant's kidneys to manage

A mother who intends to breastfeed is advised by her sister to use formula for the first few days until her "real" milk comes in. Which is the nurse's best response regarding this information? A. Suggest that the mother use formula to supplement for the first 2 days. B. Discuss with the mother that her "real" milk will not come in if she uses formula and does not nurse the baby right away. C. Discuss that colostrum is all the nutrition a baby needs the first few days of life. D. Advise the mother to disregard any suggestions by her sister about newborn nutrition.

C. Discuss that colostrum is all the nutrition a baby needs the first few days of life.

Which nursing iintervention for a child admitted with mild head concussion and no cervica injury is most appropriate A. Keep head of bed flat, side rails up, and safety measures in place B. Observe for drainage from any orifice and notify physician immediately C. Elevate head of bed, side rails up, and safety measures in place D. Continually stimulate the child to keep awake to check neurological status

C. Elevate head of bed, side rails up, and safety measures in place

An infant is born with a sac protruding through the spine, CSF, meninges, and nerve roots. This condition is A. Spina Bifida Occulta B. Meningocele C. Myleomeningocele D. Anencephaly

C. Myleomeningocele

The nurse in the newborn nursery is monitoring an infant for jaundice related to ABO incompatility. Which blood type does the mother usually have to cause this imcompatibility? A. A B. B C. O D. AB

C. O

Which is the most important safety measure for the nurse to institute immediately when a 2-year-old child has a seizure? A. Monitoring the child's vital signs B. Padding the side rails of the toddler's crib C. Placing the child in the side-lying position D. Bringing suction equipment to the bedside

C. Placing the child in the side-lying position

Which intervention will be delayed until the newborn is 36 to 48 hours old? A. Vitamin K injection B. Test for blood glucose level C. Screening for phenylketonuria D. Test for necrotizing enterocolotis

C. Screening for phenylketonuria

Assisting in the initiation of breastfeeding is a role of the nurse. When should the nurse recommend that a newborn have the initial feeding? A. After the first bath B. Once the temperature has stabilized C. After newborn labs are drawn D. Within the first 30 minutes after birth

D. Within the first 30 minutes after birth

Mrs. Baker was instructed by the nurse on foods to encourage her child's diet concerning the latter's iron deficiency anemia. Which of the following if stated by the mother would indicate the need for further instruction? A. Fish B. Lean meats C. Whole-grain breads D. Yellow vegetables

D. Yellow vegetables

Convection heat loss is when the newborn loses heat due to a cold solid object it comes in direct contact with True False

False

Lubar puncture measures arterial fluid from the kidneys True False

False

Meconium aspiration is a normal labor event True False

False

Newborns born via cesarean dilvery have a lower risk of respiratory distress True False

False

Preterm newborns are typically found to have long fingernails on exam True False

False

Stomach sleeping is the prefered position to prevent SIDs in a newborn True False

False

When performing phototherapy PO intake should be restricted True False

False

Hypoglycemia in a newborn is a blood glucose below 70 mg/dL True False

Flase

Which clincial sign or reflec entails spasm of the hamstring muscles during leg extension? A. Kernig sign B. Babinski reflex C. Chvostek sign D. Cremasteric reflex

A. Kernig sign

A mother who used methadone during her pregnancy and delivered a term newborn. What should the nurse monitor for? A. Neonatal abstinence syndrome B. Hyperglycemia C. Jaundice D. Anemia

A. Neonatal abstinence syndrome

Which statement would cause the nurse to conclude that discharge instruction ragarding cast care have been understood by a teenager? A. "If I get itchy around the cast, I'll rub the itchy area gently" B. "If I get itchy around the cast, I'll pat the area with an alcohol swab" C. "If I get itchy around the cast, I'll ask by doctor for a prednisone prescription" D. "If I get itchy around the cast, I'll sprinkle a layer of power around the itchy spots"

A. "If I get itchy around the cast, I'll rub the itchy area gently"

Which newborns are at risk for hypoglycemia? Select all that apply A. Newborn with diabetic mother B. Post-term newborn C. LGA newborn D. Pre-term newborn

A. Newborn with diabetic mother B. Post-term newborn C. LGA newborn

A 12-year-old experiences absence seizures. Which of the following is a typical manifestation of this type of seizure? A. Rapid blinking for 10 seconds B. Spastic stiffening of all muscles C. "Marching" spasms of the left or right arm D. Stupor from which it is difficult to be roused

A. Rapid blinking for 10 seconds

Which of the following is TRUE about sickle cell disease (SCD)? Select all that apply. A. Sickle cell anemia (SCD) is an inherited disorder of the hemoglobin in blood. B. Sickle cell anemia requires the inheritance of two sickle cell genes. C. Sickle cell train, which is the inheritance of one sickle gene, almost never causes problems D. Virtually all of the major symptoms of sickle cell anemia are the direst result of the abnormally shaped red blood cells obstructing the flow of blood. E. The contemporary treatment of sickle cell anemia is focused primarily toward managing the individual features of the illness as the occur.

A. Sickle cell anemia (SCD) is an inherited disorder of the hemoglobin in blood. B. Sickle cell anemia requires the inheritance of two sickle cell genes. C. Sickle cell train, which is the inheritance of one sickle gene, almost never causes problems D. Virtually all of the major symptoms of sickle cell anemia are the direst result of the abnormally shaped red blood cells obstructing the flow of blood. E. The contemporary treatment of sickle cell anemia is focused primarily toward managing the individual features of the illness as the occur.

Which finding is indicative of abnormal newborm breathing? Select all that apply A. Stridor B. Mottling C. Bradypnea D. Nasal flaring E. Expiratory grunting

A. Stridor B. Mottling C. Bradypnea D. Nasal flaring E. Expiratory grunting

Which situation would lead the nurse to suspect that a child has been abused? A. The 6-month-old infant with a fractured femur B. The 7-year-old girl who had a near-drowning experience C. The 14-year-old boy who overdosed on acetaminophen D. The 18-month-old toddler with a concussion

A. The 6-month-old infant with a fractured femur

Which symptoms would the nurse recognize as indicative of increase intracranial pressure in a 3-year-old child? Select all that apply A. Vomiting B. Headache C. Irritability D. Tachypnea E. Hypotension

A. Vomiting B. Headache C. Irritability

A 3-year-old boy hax X-linked Duchenne muscular dystrophy, but neither of his parents has muscular dystrophy. Which statement indicates that the parents understand how the disorder is transmitted? A. "Our sons or daughters may have the disease" B. "Our daughters may be carriers of the disease" C. "We each contributed a gene that gave our son the disease" D. We know that out other son probably won't get the disease"

B. "Our daughters may be carriers of the disease"

A 6-month-old infant with meningitis flexes his necks, and involantary flexion of hips/ knees occurs. This is a what sign? A. Nuchal rigidity B. Brudzinski C. Kernig D. Cushing triad

B. Brudzinski

Term for painful, hard, swollen breasts A. Mastitis B. Engorgement C. Enhancement D. Inflammation

B. Engorgement

A child with sickle cell anemia is admitted to the pediatric unit in a vasoocclusive crisis. Which interventions would be implemented after the pain is under control? Select all that apply A. Antibiotics B. Rehydration C. Oxygen (O2) therapy D. Nutritional supplements E. Psychological counceling

B. Rehydration C. Oxygen (O2) therapy

Which instruction does the nurse include when teaching parents how to keep a cast clean? A. Cover the cast with a peice of plastic B. Remove surface dirt with a damp cloth C. Rub soiled areas with a diluted bleach solution D. Scrub the cast with a mild abrasive, using a stiff brush

B. Remove surface dirt with a damp cloth

A toddler has just had a cast applied for a fractured wrist. The wrist an elbow are immobilized. Which information would the nurse include in the home care instructions before discharge? Select all that apply A. Resume usual activities B. Report swelling of fingers C. Keep the affected shoulder immobilized D. Elevate casted arm when the child is standing E. Lower the casted arm when the child is lying down

B. Report swelling of fingers D. Elevate casted arm when the child is standing

Which of the following are signs of respiratory distress in the newborn? Select all that apply A. Coughing B. Retractions C. Grunting D. Nasal flaring

B. Retractions C. Grunting D. Nasal flaring

What are the causes of pathological jaudice? Select all that apply A. Normal physiology B. Rh incompatability C. ABO incompatability D. Breastfeeding

B. Rh incompatability C. ABO incompatability

Name for yellow/green stool after the first 24 hours of life is called A. Meconium B. Tansitional C. Newborn D. Bilirubin

B. Tansitional

The parents of a 2-year-old boy bring him into the physician's office in December for the complaint of cold symptoms for 4 days. The nurse notices that the child does not have shoes or socks on. The parents are upset when the physician orders a social services consult. What is the rationale for the consult? A. The parents waited four days to bring the child into the office. B. The child does not have shoes or socks on in December. C. The parents are upset with the physician. D. The child has a viral illness.

B. The child does not have shoes or socks on in December.

When the nurse is completing an assessment of a child suspected of having diabetes mellitus, which of the following is most suggestive of the disease? A. The child has been obese for at least 4 or 5 years. B. The child has to void more than the average child. C. The child reports feeling constantly "full" or "stuffed." D. The child has abdominal pain from an enlarged liver.

B. The child has to void more than the average child.

Which pediatric assessment finding indicates a need for genetiv consultation? Select all that apply A. Slate gray nevi B. Visual or hearing problems C. Family history of hypertension D. Development and speech delays E. Excessive bleeding or excessive clotting

B. Visual or hearing problems D. Development and speech delays E. Excessive bleeding or excessive clotting

A mother planning to bottle feed asks you which form of formula is the most economical to use. Which of the following would you include in your response? A. Prepackaged, individually prepared bottles B. The condensed type that requires water to dilute C. The powder type, which is combined with water D. The ready-to-pour liquid type

C. The powder type, which is combined with water

An 8-year-old girl visits the school nurse and repots that she no longer wants to visit her grandfather in his home because he "hugs me too tight and touches me down there" (pointing to her genitals). She has told her parent that she does not want to spend the weekedn with her grandparents, but her patent says that she has no choice. What is the most appropriate action by the nurse? A. Planning a home visit to discuss with the parent what the child has shared with the nurse B. Advising the child to again tell her parent why she does not what to go to her grandfather's house C. Arranging a meeting with the prinicpal and the parent to discuss the possibility of child molestation D. Reporting the alleged abuse to the local child proctective agency and enouraging an investigation before the weekend visit

D. Reporting the alleged abuse to the local child proctective agency and enouraging an investigation before the weekend visit

The nurse walks into the room and the child is having a seizure. Which of these actions should the nurse take? A. Insert a padded tongue blade in the patient's mouth B. The nurse should restrain the child to prevent him from injuring himself C. The nurse should call the pberator to page for seizure assistance D. The nurse should clear the are and position the client safely

D. The nurse should clear the are and position the client safely