Peds Quiz 3

Coarctation of the aorta demonstrates few symptoms in newborns. What is an important assessment to make on all newborns to help reveal this condition? A) Observing for excessive crying B) Assessing for the presence of femoral pulses C) Recording an upper extremity blood pressure D) Auscultating for a cardiac murmur

B) Assessing for the presence of femoral pulses

A nurse is caring for a child who has Hirschsprung disease. Which of the following is an appropriate action for the nurse to take? A.Encourage a high-fiber, low-protein, low-calorie diet. B. Prepare the family for surgery. C. Place an NG for decompression. D. Initiate bedrest.

B. Prepare the family for surgery.

A pediatric client is diagnosed with gastroesophageal reflux disorder (GERD). The nurse is observing a return demonstration of the caregiver preparing and feeding the infant formula. Which observation demonstrates the correct procedure for preventing GERD symptoms? A) Burping the infant after 4 ounces of formula are taken B) Thinning the formula with water prior to feeding C) Positioning the infant upright for a minimum of 30 minutes D) Warming the formula prior to feeding

C) Positioning the infant upright for a minimum of 30 minutes

Parents are told their infant has a hypoplastic left heart. How would the nurse explain this condition to the family?

This is a problem where the left side of the heart did not develop properly.

Cardiogenic shocks happens when there is an impairment in cardiac function

This leads to a decrease/poor cardiac output.

Which of the following defects results in obstruction to blood flow? a. Aortic stenosis b. Tricuspid atresia c. Atrial septal defect d. Transposition of the great arteries

a. Aortic stenosis

The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. Which of the following would the nurse include in the teaching plan? A) Frozen yogurt B) Rye bread C) Creamed spinach D) Fruit juice

D) Fruit juice

A 10-year-old male presents with low-grade fever, nausea, and abdominal pain. The nurse examining him suspects appendicitis and checks for rebound tenderness in what quadrant? A.Upper left B.Upper right C.Lower left D. Lower right

D. Lower right

A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described? A.Refusal to eat B.Vomiting about 2 hours after feeding C.Chronic diarrhea D.Vomiting immediately after feeding

D.Vomiting immediately after feeding

Which problem-based nursing care plan will the nurse indicate as priority for the child following cardiac surgery for Tetralogy of Fallot? A.surgical site infection risk B.acute parental anxiety C.fluid overload risk D.altered cardiopulmonary tissue perfusion risk

D.altered cardiopulmonary tissue perfusion risk

The comment made by a parent of a 1-month-old that would alert the nurse about the presence of a congenital heart defect is: a. "He is always hungry." b. "He tires out during feedings." c. "He is fussy for several hours every day." d. "He sleeps all the time."

b. "He tires out during feedings."

What is a priority intervention post cardiac carherization?

Check pedal pulses, no pulse can indicate a life threatening clot in the lower extremities

Which statements, made by the adolescent following dietary teaching for Crohn disease, indicate correct understanding of the content presented by the nurse? Select all that apply. 1. "I can promote solid stools by increasing fiber in my diet." 2. "Small, frequent meals are preferred over three meals a day." 3. "I should identify foods that cause distress and eliminate them from my diet." 4. "High-calorie dietary supplement shakes can help me to meet my nutritional requirements." 5. "Socialization during my meal times is important even if my parents do not agree with my food choices."

2. "Small, frequent meals are preferred over three meals a day." 3. "I should identify foods that cause distress and eliminate them from my diet." 4. "High-calorie dietary supplement shakes can help me to meet my nutritional requirements."

The nurse is caring for an infant with congenital heart disease. Which, if noted in the infant, should alert the nurse to the early development of heart failure? 1. Paleness of the skin 2. Strong sucking reflex 3. Diaphoresis during feeding 4. Slow and shallow breathing

3. Diaphoresis during feeding

Which assessment data would cause the nurse to suspect that a 3-year-old child has Hirschsprung disease? 1. Clay-colored stools and dark urine 2. History of early passage of meconium in the newborn period 3. History of chronic, progressive constipation and failure to gain weight 4. Continual bouts of foul-smelling diarrhea

3. History of chronic, progressive constipation and failure to gain weight

The nurse is providing care to a pediatric client, diagnosed with inflammatory bowel disease, who is prescribed daily prednisone. Which parental statement regarding administration of this drug indicates correct understanding of the teaching provided by the nurse? 1. "I will administer this medication between meals." 2. "I will administer this medication at bedtime." 3. "I will administer this medication one hour before meals." 4. "I will administer this medication with meals."

4. "I will administer this medication with meals."

A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment supports this newborn's diagnosis? 1. Altered electrolytes; projectile vomiting 2. Currant jelly stools; pain 3. Acute diarrhea; dehydration 4. Failure to pass meconium; abdominal distention

4. Failure to pass meconium; abdominal distention

The student nurse is preparing a presentation on celiac disease. What information should be included? Select all apply. A. "Symptoms of celiac disease include diarrhea, steatorrhea, anemia, and dental disorders." B. "Most children with celiac disease are diagnosed within the first year of life." C."The only treatment for celiac disease is a strict gluten-free diet." D. "Gluten is found in most wheat products, rye, barley and possibly oats." E."The entire family will need to eat a gluten-free diet."

A. "Symptoms of celiac disease include diarrhea, steatorrhea, anemia, and dental disorders." C."The only treatment for celiac disease is a strict gluten-free diet. D. "Gluten is found in most wheat products, rye, barley and possibly oats."

The nurse is administering an enteral feeding to a child with a gastrostomy tube (G-tube). Which action will the nurse take when administering a prescribed feeding through the client's G-tube? A. Check for gastric residual before starting feeding. B.Position the client with the head of the bed at a 20° angle. C.Use a syringe plunger to administer the feeding. D.After feeding, flush the tube with a small amount of saline and leave the G-tube open for 2 minutes.

A. Check for gastric residual before starting feeding.

A nurse is teaching a parent of an infant about gastrointestinal reflux disease (GERD). Which of the following should be included in the teaching? (Select all that apply.) A. Offer small frequent feedings. B. Thicken formula with rice cereal. C. Use a bottle with a one-way valve. D. Position baby upright for 1 hr after feedings. E. Use a wide based nipple for feedings.

A. Offer small frequent feedings. B. Thicken formula with rice cereal. D. Position baby upright for 1 hr after feedings.

A nurse is assessing an infant. Which of the following are clinical manifestations of hypertrophic pyloric stenosis? (Select all that apply.) A. Projectile vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage-shaped abdominal mass E. Constant hunger

A. Projectile vomiting B. Dry mucus membranes E. Constant hunger

A nurse is caring for an infant. Which of the following are clinical manifestations of coarctation of the aorta? (Select all that apply.) A. Weak femoral pulses B. Cool skin of lower extremities C. Severe cyanosis D. Clubbing of the fingers E. Heart failure

A. Weak femoral pulses B. Cool skin of lower extremities E. Heart failure

A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful? A."We should not stop this medication abruptly." B."We might notice some of the medication in her stool." C."She might lose some weight initially." D."This drug helps to control the abdominal cramping."

A."We should not stop this medication abruptly."

The nurse is reinforcing dietary teaching with the caregiver of a child diagnosed with celiac syndrome. Which foods would be permitted in the diet of the child with celiac syndrome? Select all that apply A.Applesauce B.Bananas C.Skim milk D.Rye bread E.Wheat bread

A.Applesauce B.Bananas C.Skim milk

A nurse is caring for a 4-month-old infant who has Tetralogy of Fallot and experiences a hypercyanotic spell. Which of the following actions should the nurse take A.place infant knee to chest B.start CPR C. IV adenosine D.intubate

A.place infant knee to chest

Signs and Symptoms of Appendicitis

Abdominal pain in the right lower quadrant Rigid abdomen Decreased or absent bowel sounds Fever Diarrhea or constipation Lethargy Tachycardia Rapid, shallow breathing Anorexia Possible vomiting

The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, which of the following would the nurse most likely find? A) Sausage-shaped mass in the upper mid abdomen B) Hard, moveable, olive-shaped mass in the right upper quadrant C) Tenderness over the McBurney point in the right lower quadrant D) Abdominal pain in the epigastric or umbilical region

B) Hard, moveable, olive-shaped mass in the right upper quadrant

After teaching the parents of a child diagnosed with celiac disease about nutrition, the nurse determines that the teaching was effective when the parents identify which foods are appropriate for their child? Select all answers that apply. A) Wheat germ B) Peanut butter C) Carbonated drinks D) Shellfish E) Jelly

B) Peanut butter C) Carbonated drinks D) Shellfish E) Jelly

A nurse is caring for a 2-year-old child who is cyanotic and is in the hospital for a cardiac catheterization to repair cardiac defects. The child will be transferred to the pediatric ICU following the procedure. Which of the following an appropriate nursing action when providing care to this child? A. Place on NPO status for 12 hr prior to the procedure. B. Check for iodine or shellfish allergies prior to the procedure. C. Elevate the affected extremity following the procedure. D. Limit fluid intake following the procedure

B. Check for iodine or shellfish allergies prior to the procedure.

A nurse is assessing an infant. Which of the following should the nurse recognize as clinical manifestations of heart failure? (Select all that apply.) A. Bradycardia B. Cool extremities C. Peripheral edema D. Increased urinary output E. Nasal flaring

B. Cool extremities C. Peripheral edema E. Nasal flaring

The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should include which of the following? a. Parents can meet all the child's needs. b. Child needs opportunities to play with peers. c. Constant parental supervision is needed to avoid overexertion. d. Child needs to understand that peers' activities are too strenuous.

b. Child needs opportunities to play with peers.

The nurse should recognize that congestive heart failure (CHF) is which of the following? a. Disease related to cardiac defects b. Consequence of an underlying cardiac defect c. Inherited disorder associated with a variety of defects d. Result of diminished workload imposed on an abnormal myocardium

b. Consequence of an underlying cardiac defect

Ventricular septal defect has the following blood flow pattern: a. Mixed blood flow b. Increased pulmonary blood flow c. Decreased pulmonary blood flow d. Obstruction to blood flow from ventricles

b. Increased pulmonary blood flow

A cardiac defect that allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side can result in: a. cyanosis. b. congestive heart failure. c. decreased pulmonary blood flow. d. bounding pulses in upper extremities.

b. congestive heart failure.

A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness. The hemoglobin on admission is 6.4 g/dl. After notifying the practitioner of the results, the nurse's priority intervention is to: a. reduce environmental stimulation to prevent seizures. b. have the laboratory repeat the analysis with a new specimen. c. minimize energy expenditure to decrease cardiac workload. d. administer intravenous fluids to correct the dehydration.

c. minimize energy expenditure to decrease cardiac workload.

A child diagnosed with tetralogy of fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first? a) obtain an order for sedation for the child b) assess for an irregular heart rate and rhythm c) explain to the child that it will only hurt for a short time d) place the child in knee-to-chest position

d) place the child in knee-to-chest position