Pediatrics Final

The recommended treatment for cow's milk protein allergy is the substitution of cow's milk-based formula for a) Soy milk or a hydrolyzed formula b) Evaporated milk c) Goat's milk d) Whole milk

A

Phenylketonuria (PKU) is a genetic disease that results in the body's inability to correctly metabolize a) Thyroxine b) Phenylalanine c) Glucose d) Phenylketones

B

The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in either of their families has CF. What is the nurses best response based on the understanding of CF? a. Only one parent carries the CF gene. b. Both parents are carriers of the CF gene. c. The inheritance pattern is multifactorial. d. The result is probably a genetic mutation.

B

What does the nurse consider as an appropriate snack for a 2-year-old child? a) Grapes b) Popcorn c) Hot dog sections d) Applesauce

D

Barlow and Ortolani are rarely positive after 3 months of age. T/ F

T

A 6 year old arrives in the ER reporting dizziness and collapses before he can be taken into an examination room. Prioritize in ascending chronological order the steps to take during intial intervention.

1. Establish unresponsiveness 2. Check carotid pulse 3. Begin chest compression 4. Tilt 5. Two rescue breaths

A 3 year old child has a high red blood cell count and polycythemia. In planning care, the nurse would anticipate which goal to help prevent blood clot formation? a) The child won't show signs of dehydration b) The child won't have signs of dyspnea c) The child will be pain free d) The child will attain the 40th percentile of weight for his age

A

A 9-year-old child in the emergency department is diagnosed with Lyme disease. The nurse anticipates that the health care personnel orders will include the administration of a) Doxycycline b) Aqueous penicillin c) Trimetoprim-sulfamethoxazole d) Cefotaxime

A

A premature newborn requires oxygen and mechanical ventilation. Which complications could arise? A. Bronchopulmonary dysplasia, pneumothorax B. Anemia, necrotizing enterocolitis C. Cerebral palsy, persistent patent ductus D. Congestive heart failure, cerebral edema

A

An 8-year-old boy presented to the ED with several days of fever, malaise, and a diffuse rash. The rash started on the face, then nearly resolved before spreading to the rest of the body. His history was otherwise unremarkable, and he denied ever having a similar rash. His immunizations were up to date. He denied any past medical history or chronic medication use. His parents had been giving him ibuprofen and acetaminophen for symptomatic relief. What is your diagnosis? a) Rubella b) Varicella c) Rubeola d) Fifth disease

A

An infant born at 8lbs 2 ounces weighs 13 lbs at the 6-month check up. The RN explains to the parent that: a) We should review the baby's diet to see if we can boost his weight b) We would expect the baby to weigh 24 lbs by this time c) The baby is overweight and should feed less often d) This is appropriate for the age

A

During observation of a child who has undergone cardiac catherization, the nurse notes significant bleeding from the percutaneous femoral catherization site. Which action should be taken first? a) Apply direct, continuous pressure b) Assess pulse and blood pressure c) Seek assistance of an RN d) Check the pulses in the affected leg

A

Select the statement that is TRUE regarding childhood fractures. a) Children's bones contain less collagen than the bones of an adult. b) Children require longer periods of immobilization than adults. c) Intra-articular fractures can result in early osteo-arthritis. d) Trauma is the third leading cause of death in children.

A

The RN is teaching a mom about the development of a newborn diagnosed with OI. Which developmental milestone is a predictor of the potential for ambulation? a) Independent sitting by age 10 months. b) Toilet training by age 18 months. c) Feeding self with a utensil by age 14 months. d) Turning over independently by age 6 months.

A

The Salter-Harris classification system of fractures is used to describe: a) Breaks that involve the epiphysis b) Compound fractures c) Non-displaced fractures d) Stress fractures

A

The home health nurse discovers a family infected with pediculosis. What information can the nurse provide to the mother to start eradication of the lice? a) Comb through the hair with a NIX shampoo b) Shampoo the hair with dish detergent c) Apply a soda-vinegar solution to the hair d) Cover the hair with Vaseline

A

The nurse discusses child-proofing the home for safety with the mother of a 9-month-old. Which statement made by the mother would indicate an unsafe behavior? a) "In the car, she rides in a front-facing car seat" b) "I have a gate at the top and bottom of the stairs" c) "I put covers on all of the electrical outlets" d) "There are locks on all of the cabinets in the house"

A

The nurse is assessing a 1-year-old infant in the pediatric office. What finding should the nurse report to the physician immediately? a) Respiratory rate of 60 breaths per minute b) Fussy behavior c) Pulse rate of 100 beats per minute d) Minimal verbalization

A

The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime. What does self-feeding help to develop in the toddler? a) Sense of independence b) Adequate height and weight c) Healthy teeth d) Good nutrition

A

What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find? a) Expiratory wheezing b) Decreased breath sounds at the lung bases c) Coarse rhonchi d) Fine crackles

A

What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta? a) BP lower in the legs than in the arms b) BP higher on the left side c) BP higher on the right side d) BP lower in the arms than in the legs

A

What will the nurse tell the parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be? a) Oral penicillin for 10 days b) Penicillin until sore throat is gone c) Acetaminophen and plenty of fluids d) Streptococcus immunization

A

Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect? a) A loud, harsh murmur with a systolic thrill b) Cyanosis when crying c) BP higher in the arms thats the legs d) A machinery-like murmur

A

Which childhood vaccine provides some protection against bacterial meningitis, influenza type B, epiglottis, and bacterial pneumonia? a) Hib vaccine b) Varicella vaccine c) Hepatitis B vaccine d) Influenza vaccine

A

Which factors are considered protective factors for SIDS? a) Supine sleeping portion, breastfeeding, updated childhood immunization status b) Side sleeping position, breastfeeding, updated childhood immunization status c) Prone sleeping position, exposure to maternal tobacco use, updated childhood immunization status d) Supine sleeping position, breastfeeding, soft bedding

A

Which finding would be considered abnormal when performing a physical assessment on a 6-month-old infant? a) Anterior fontanel is closed b) Posterior frontal is closed c) Lower incisions have begun to erupt d) Birth weight has doubled

A

Which stage of cognitive development is a 9-year-old child in according to Piaget? a) Concrete operations b) Sensorimotor c) Formal operations d) Preoperational

A

You are admitting a 13 year old patient with a history of asthma to the hospital with complication of acute respiratory distress. What signs and symptoms make you notify that your patient needs immediate attention? a) Stridor and wheezing b) Respiratory rate of 26 breaths/min c) Peak expiratory flow rate of 240 mL/min d) Pulse ox reading of 96%

A

Identify the interventions that can be safely used to manage diaper dermatitis. SATA a) Apply a skin barrier paste such as zinc oxide b) Expose skin to air c) Keep skin surface irritants such as urine and stool off skin d) Blow dry heat on skin with the hair dryer e) Use only cloth diapers

A (But I think B and C too)

Which developmental milestones would the nurse expect a 10 month old infant to display during a routine health maintenance visit? SATA a) Hold his head up b) Self-feeding c) Sitting on a firm surface without support d) Demonstrating good bowel and bladder control e) Walking alone

A, C

A 2-week-old infant is referred for a hip clunk. Examination demonstrates a right hip Ortolani sign. What treatment does the RN anticipate? a) Observation with repeat check-up in 1 month b) Pavlik harness application c) Closed reduction and spica casting d) Open reduction and osteotomy

B

A child with heart failure is given captopril. The nurse should educate the child's parents on which action of captopril? a) Increases vasoconstriction b) Increases sodium excretion c) Decreases sodium excretion d) Increases vascular resistance

B

A nurse-manager appropriately behaves as an autocrat in which situation? a) Planning vacation time for staff b) Directing staff activities if a client has cardiac arrest c) Evaluating a new medication administration process d) Identifying the strengths and weaknesses of a client education video

B

A teenager with heart failure who has been prescribed digoxin asks the nurse, "What's the drug supposed to do?" The nurse responds to the teenager based on the understanding that this drug is classified as: a) Angiotensin converting enzyme inhibitor b) Cardiac glycoside c) Loop diuretic d) Vasodilator

B

Pain scales for infants and their uses include but are not limited to a. CRIES: Crying, Requiring increased oxygen, Inability to console, Expression, and Sleeplessness b. FLACC Pain Assessment Tool: Facial expression, Leg movement, Activity, Cry, and Consolability c. Non-Communicating Children's Pain Checklist (NCCPC): Parent and health care giver questionnaire assessing acute and chronic pain d. Neonatal Pain, Agitation, and Sedation Scale (NPASS): For infants from 3 to 6 months old

B

Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to their child. What is the correct response? a) "The infant has limited ability to produce RBCs" b) "The infant has exhausted maternal iron stores" c) "The infant has need of the iron to support dentition" d) "The infant has ineffective digestive enzymes"

B

Phenylketonuria (PKU) is a genetic disease that results in the body's inability to correctly metabolize: A. glucose. B. phenylalanine. C. phenylketones. D. thyroxine.

B

The mother of a 12 month old infant expresses concern about the effect of frequent thumb sucking on her child's teeth. After the nurse educates her about this matter, which response by the mother indicates that the education has been effective? a) I''ll wrap the thumb in a bandage b) Sucking is soothing to the baby c) Thumb sucking should be discouraged at 12 months d) I'll give the baby a pacifier instead

B

The mother of a 6 month infant with atopic dermatitis asks the for advice on bathing the child. Which instructions or information should the nurse give to her? a) Use bubble baths to decrease itching b) Bath the infant every other day c) Bathe the infant twice daily d) The frequency of the infant's baths isn't important in atopic dermatitis

B

The nurse is caring for an infant whose cleft lip was repaired. This infant's postoperative care includes: A. arm restraints, postural drainage, mouth irrigations. B. cleansing the suture line, supine and side-lying positions, elbow restraints. C. mouth irrigations, prone position, cleansing suture line. D. supine and side-lying positions, postural drainage, wrist restraints.

B

The nurse is educating a group of preschool parents about the importance of safety. Which statement by a parent indicates the need for further education? a) "My stairway is always free of clutter" b) "I only leave my child in the car for brief moments" c) "Medications are kept in a locked cabinet" d) "I continue to provide a great deal of indirect supervision for my child"

B

The nurse is planning a safety program for high school students. To what will the nurse relay that most accidental deaths in adolescence are related? a) Drowning b) Automobiles c) Firearms d) Diving injuries

B

The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the power. What does this prevent? a) Halitosis b) Candidiasis c) Irritation of oral membranes d) Discoloration of tooth enamel

B

What could the nurse recommended to a child's mother to encourage a toddler to practice independence? a) Offer a variety of items to choose from to stimulate his mind b) Offer him a choice between two items c) Set the routine herself, but discuss with her toddler how he or she would have done it differently d) Allow the child to determine his own daily routine

B

When teaching a 6-year-old child with sickle cell disease and his family about pain management, which of the following should the nurse discuss? Select all that apply. a) When pain medications are used, all pain will be eliminated. b) Nonpharmacologic methods of pain relief, including heat, massage, physical therapy, humor, and distraction. c) None of the above d) Long-term medication use considers many factors.

B

Which nursing intervention is most appropriate when caring for a child in the immediate femoral postcatherization phase? a) Elevate the HOB 45 degrees b) Encourage the child to remain flat c) Assess vital signs every 2-4 hours d) Replace a bloody groin dressing with a new dressing

B

Which one is the treatment plan for Seborrheic dermatitis? a) Nothing is needed to be done. b) Shampoo with salicylic acid everyday. c) Use NIX shampoo d) Use Permethrin 1%

B

Which vaccine do the Advisory Committee on Immunization Practices and American College of Obstetricians and Gynecologists recommended that pregnant adolescents and women who are not protected against pertussis receive optimally between 27-36 weeks gestation or postpartum priority to discharge from the hospital? a) Td b) Tdap c) IPV d) DTap

B

You are caring for a child with croup that have to be in a cool mist tent, what action would you need to take if the child became frighted and began crying consistently? a) Give the child a toy to play with in the tent b) Place the child in mom's lap and direct cool mist over the child face c) Have the mother make the child stay in the tent d) Notify the physician and get an order for sedation

B

Which of the following condition you will seen in a premature baby? a) Immature immunity (infection) b) Poor thermal regulation c) Mature GI system d) all of the above

B (I think A too)

A nurse is assessing a premature newborn for the possibility of necrotizing enterocolitis (NEC). Which assessment findings should the nurse expect to find if NEC is confirmed? (Select all that apply.) A. Minimal gastric residual B. Abdominal distention C. Apnea and bradycardia D. Urinary output at 2 ml/kg/hr E. Unstable temperature

B, C, E

Large blisters on the skin

Bulla

A 2 year old child is showing signs of shock. A 10 mL/kg bolus of normal saline solution is ordered. The child weighs 20kg. How many mL should be administered? a) 20 mL b) 100 mL c) 200 mL d) 2000 mL

C

A 2 year old child's mother is worried that her little girl have ADHD because "she has so much energy, doesn't pay attention for long, and is always getting into things." Which response is best? a) Set the time-out for her b) "Keep her intake of sugar to a minimum. This will help her settle down." c) "Her behavior is normal. She's exploring and learning about the world around her." d) "I'd suggest taking her to a child psychologist. She probably needs an evaluation."

C

A 6 month old infant with uncorrected tetralogy of fallot suddenly becomes increasingly cynatoic and diaphoretic with weak peripheral pulses and an increased respiratory rate. a) Administer Oxygen b) Administer Morphine c) Place the infant in a knee-chest position d) Place the infant in a fowler's position

C

A 7-year-old child has come to the hospital for a rash for 3 days. Upon inspection of the rash the nurse notes small itchy, blisters across the child's chest, arms, abdomen, and back, some of which have crusts on them and some that are wet and oozing. The child is itching the rash and looks uncomfortable. The child has a temperature of 101F, all other vital signs are WNL. What is your diagnosis? a) Erythema Infectiosum b) Roseola c) Varicella d) Measles

C

A child is scheduled for echocardiography. The nurse is providing education to the child's mother. Which statement about echocardiography indicated the need for further instruction? a) I'm glad my child won't have an IV inserted for this procedure b) I'm glad my child won't need to have dye injected before the procedure c) How am I ever going to explain to my son that he can't have anything to eat before this test? d) I know my child may need to lie on his left side and breathe in and out slowly during the procedure.

C

A child with a ventricular septal repair is receiving dopamine postop. The nurse should educate the child's parents that this medication is most likely to be given for which action? a) To decrease the heart rate b) To decrease the urine output c) To increase cardiac output d) To decrease cardiac contractility

C

A parent is concerned because her infant has a diaper rash. What is the best action the nurse would advise the parent to implement? a) Use commercial diapers wipes to clean the area b) Keep the diaper area covered all of the time c) Apply Zinc oxide and Vitamin A+D on the area d) Change the infant's diaper less frequently

C

During family education regarding coarctation of the aorta, which statement should be included that best describes the condition? a) Absent tricuspid valve b) Narrowing in the area of the aortic valve c) Localized constriction or narrowing of the aortic wall d) Narrowing at some location along the right ventricular outflow tract

C

During the first few days after surgery for cleft lip, which intervention should the nurse do? A. Leave infant in crib at all times to prevent suture strain. B. Keep infant heavily sedated to prevent suture strain. C. Remove restraints periodically to cuddle infant. D. Alternate position from prone to side-lying to supine.

C

On a home visit, the nurse notes that the parents require teaching intervention to protect the 15-month-old child who lives there. What observation would lead the nurse to this conclusion? a) The fireplace has a screen b) The kitchen floor is clean but not shiny c) The dining room has a tablecloth on it d) There are paintings on the wall

C

The RN is doing discharge teaching with the parents of an infant with the Pavlik harness. What information is essential for the nurse to convey? a) Absolutely no padding should be used between the harness and the skin. b) The child must wear the harness on a 2 hour on and 2 hour off schedule. c) The harness strap should be placed at the nipple line. d) Neurologic assessments should be performed every 8-10 hours.

C

The RN recognizes the intubation and mechanical ventilation are indicated for a patient in status asthmatics when a) Forced vital capacity >75% b) Patient has a nasal flare c) Decreased LOC and O2 saturation of 85% develop d) Pulsus paradoxus is greater than 40 mm HG

C

The mother of a 2 1⁄2 year old has planned a play date with another 2 year old. She should expect that they would: a) Share are trade their toys while playing b) Play together with little conflict c) Play alongside each other but not actively together d) Only play with one or two toys are a time

C

The nurse is admitting a young child to the hospital because of bacterial meningitis is suspected. What is the major priority or nursing care? a) Set the cool mist for patient b) Give the patient SABA c) Administer antibiotic therapy as soon as it is ordered d) Administer sedatives and analgesics on a prevention schedule to manage pain

C

The nurse is checking for capillary refill on a school aged kid in Bryant's traction. How long does it take for the toe to regain color if adequate perfusion is assessed? a) 5 seconds b) 6 seconds c) 3 seconds d) 4 seconds

C

The parent of a toddler tells the nurse, "My daughter's appetite has decreased. Thank goodness she loves to drink milk." What is the most appropriate response. a) "Have you tried offering her finger foods?" b) "Has she become a fussy eater, too?" c) "How much milk dose she drink in a day?" d) "Has your daughter been sick recently?"

C

What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy? a) Chocolate milk b) Cold drink c) Green popsicle d) Orange juice

C

What is the treatment plan for Scabies? a) Zinc oxide b) Permethrin 1% c) Permethrin 5% d) Lindane

C

When caring for the child with Reye syndrome, what is the priority nursing intervention? a) Prevent skin breakdown b) Do ROM exercises c) Monitor I and O's d) Observe for petechiae

C

Which behavior should the nurse expect a two-year-old child to exhibit? a) Build a house with blocks b) Ride a tricycle c) Display possessiveness of touch d) Look at a picture book for 15 min

C

Which case would most warrant a report of potential child abuse? a) A dislocated elbow in a 5-year-old reported to have been pulled by the hand when running toward the street b) A subdural hematoma in a 9-year-old reported to have fallen backward off a skateboard c) A femur fracture in an 8-month-old who was reported to have fallen off the bed. d) Partial thickness burns on the face and chest of a 4-year-old reported to have pulled a pot off the stove

C

Which childhood vaccine provides protection against streptococcal infections, such as otitis media, sinusitis, and pneumonia? a) MMR vaccine b) Rotavirus vaccine c) Pneumococcal vaccine d) Hib vaccine

C

Which condition may lead to sinus arrest or sinus pause in a child? a) Hypokalemia b) Hyperthermia c) Valsalva maneuver d) Decreased intracranial pressure

C

Which intervention is most appropriate when caring for an infant with heart failure? a) Limit fluid intake b) Avoid using infant seats c) Cluster nursing activities d) Place the infant prone or supine

C

Which is the most appropriate nursing action when planning care for a child with CF? a) Administer pancreas with protein food at mealtime b) Provide chest physiotherapy before meals every day c) Ensure high-protein, high-calorie diet d) Assess weight monthly

C

Which statement indicates that the child's parents understand how to perform respiratory therapy? a) We give her respiratory treatments when she is coughing a lot. b) We do her postural drainage before the aerosol therapy. c) We give the aerosol followed by postural drainage before meals. d) She needs respiratory therapy every day when she has an infection.

C

While counseling a parent about the treatment plan for an infant with congenital clubfoot, the nurse explains that: a) All babies with this condition need surgery to correct the misalignment b) Surgery is needed if the child does not grow out of the condition c) Casting is the first step, with a new cast every week for about 3 months d) Tendon lengthening is necessary to ensure ambulation

C

You are caring for a child with epiglottis. On assessment of the child what would indicate to you that the child is experiencing airway obstruction? a) The child is coughing b) The child has allow grade fever and complains of sore throat c) The child is learning forward with the chin thrust out d) The child is leaning backwards and supporting himself with his hands and arms

C

A child receives prednisone after a heart transplant. Which adverse reaction to prednisone would a nurse monitor for in this child? a) Weight loss b) Hyperprexia c) Anorexia d) Poor wound healing

D

A father asks why his child with tetralogy of Fallot seems to favor a squatting position. What is the nurse's best response? a) Squatting decreases arterial blood flow away from the heart b) Squatting is a common resting position when a child is tachycardic c) Squatting increases the workload of the heart d) Squatting increases the return of venous blood back to the heart

D

A mother is taught to administer digoxin to her 6 month old infant at home. Which statement by the mother indicated the need for additional education? a) I'll count the baby's pulse before every dose b) I'll make sure the pulse is regular before every dose c) I'll measure the dose carefully d) I'll withhold the medication if the pulse is below 60

D

A neonate with a patent ductus arteriosus was delivered 6 hours earlier and is being held by his mother. As the nurse enters the room to assess the neonate's vital signs, the mother says "The physician says that my baby has a heart murmur. Does that mean he has a bad heart?" Which response by the nurse would be most appropriate? a) He'll need more test to determine his heart condition b) He'll require oxygen therapy at home for a while c) He'll be fine. Don't worry about him. d) The murmur is caused by a natural opening which can take a day or two to close. It's a normal part of your baby's transition.

D

A teen with moderate scoliosis asks how long she needs to wear the brace before her back will become straight. The nurse's best response is: a) The brace is worn 23 hours/day for a year to straighten the spine b) The doctor will determine how long it will take based on your history c) There is no way to tell how long it takes, but we will monitor you d) The brace doesn't straighten the spine, it only slows progression of the curve.

D

Priority nursing considerations for a child with pneumonia are a) Knowledge deficit b) Impaired skin integrity c) Fluid overload d) Respiratory compromise

D

The mother of a 1-month old infant tells the nurse she worries that her baby will get meningitis like her oldest soon did when he was an infant. The nurse should base her response on which statement? a) Often a genetic predisposition to meningitis is found b) Meningitis does not transfer by droplets c) Meningitis rarely occurs during infancy d) Vaccination to prevent Haemophilus influenzae type B meningitis has decreased the frequency of this disease in children

D

The nurse is admission parents of a 10-year-old boy about the most developmentally supportive experiences for their son. What is the best experience for this child according to Erikson's theory? a) Having a girlfriend b) Constant variety of activities c) Feeling healthy and strong d) Successful performance in Little League

D

The parent of child with asthma asks the nurse about the condition. Which description of asthma would be most accurate? a) Chronic lung disease caused by damage of the alveoli b) Infection of the lower airway, most commonly caused by the viral agent c) Inflammation of the pulmonary parenchyma d) Disease of the airway characterized by constriction of the bronchi

D

What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old? a) Coloring a picture in a coloring book b) Looking at a comic book c) Playing a game of "I Spy" with the nurse d) Completing a 20-piece jigsaw puzzle

D

What will the nurse teach the child with CF to take in order to facilitate digestion and absorption of nutrients? a) Water-soluble minerals b) Salt supplements c) Fat-soluble vitamins d) Pancreatic enzymes

D

What would be the most common adverse reaction a nurse might observe after administering enteric coated erythromycin? a) Weight gain b) Constipation c) Increased appetitie d) Nausea and vomiting

D

When caring for their infant, a parent asks you, "Is Emily in a lot of pain? How would you know since she can't really tell you?" The best answer to this question is a) "Infants don't feel pain as we do because their pain receptors are not fully developed yet." b) "The nurses give pain medication before she really feels the pain" c) "We assess her pain using an infant pain assessment tool and give the medicine as needed" d) "although we try to give her medicine before she feels pain, we watch her very closely and use different techniques to help relieve the pain"

D

Which finding would be considered abnormal when performing a physical assessment on a 6-month-old infant? a) Posterior fontanel is closed b) Lower incisors have begun to erupt c) Birth weight has doubled d) Anterior fontanel is closed

D

Which is an important nursing consideration in preventing the complications of congenital hypothyroidism (CH)? A. Assess for family history of CH. B. Assess mother for signs of hypothyroidism. C. Be certain appropriate screening is done prenatally. D. Be certain appropriate screening is done on newborn.

D

While working at a clinic, a pediatrician is assisting in examining patients who come for treatment. A 3-year-old boy, is brought to the clinic with a facial rash. According to the mother, the rash started 4 days ago as little red bumps below his nose. The rash has spread around his mouth and chin. The rash also has changed in appearance to flat, straw colored with fluid-filled pustules. What is your diagnosis? a) Varicella b) Mumps c) Roseola d) Impetigo

D

Which one(s) are the sign and symptom of esophageal-atresia? a) All of the above b) Bluish after each feed attempt since birth c) Difficult in breathing since birth d) Coughing after immediate (1st) feeding e) Excessive salivation since birth

E (maybe D too)

flat, distinct, discolored area of skin less

Macule

Solid or cystic raised spot

Papule

Small fluid-filled blister on skin

Vesicle