Pediatrics Test #3

A male child who had surgery to correct hypospadias is seen in a primary health care provider's office for a well-baby checkup. The nurse provides instructions to the mother, knowing that which long-term complication is associated with hypospadias? A.Infertility B.Renal anomalies C.Erectile dysfunction D.Decreased urinary output

B.Renal anomalies

The nurse is assisting in admitting to the hospital a 4-month-old infant with a diagnosis of vomiting and dehydration. The nurse assists in developing a plan of care for the infant and suggests which position for the infant? A.Prone position B.Side-lying position C.Modified Trendelenburg's position D.Infant car seat with the head of the seat in a flat position

B.Side-lying position

The nurse is administering medications to a 6-year-old child with nephrotic syndrome. To reduce proteinuria, the nurse would expect which medication to be prescribed? A. Enalapril B.Prednisone C.Furosemide D.Cyclophosphamide

C.Furosemide

A nursing instructor is observing a nursing student caring for an infant with a diagnosis of bladder exstrophy. The nursing student provides appropriate care to the infant by performing which action? A.Covering the bladder with a dry sterile dressing B.Covering the bladder with a wet-to-dry dressing C.Applying sterile water soaks to the bladder mucosa D.Covering the bladder with a non-adhering plastic wrap

D.Covering the bladder with a non-adhering plastic wrap

The nurse is caring for an infant with a diagnosis of Hirschsprung's disease. The nurse should check for which clinical findings that are consistent with Hirschsprung's disease? Select all that apply. A.Fever B.Constipation C.Failure to thrive D.Intolerance to wheat E.Abdominal distention F.Explosive, watery diarrhea

A.Fever B.Constipation C.Failure to thrive E.Abdominal distention F.Explosive, watery diarrhea

A newborn infant is diagnosed with gastroesophageal reflux (GER). The mother of the infant asks the nurse to explain the diagnosis. The nurse plans to base the response on which description of this disorder? A.Gastric contents regurgitate back into the esophagus. B.The esophagus terminates before it reaches the stomach. C.Abdominal contents herniate through an opening of the diaphragm. D.A portion of the stomach protrudes through the esophageal hiatus of the diaphragm.

A.Gastric contents regurgitate back into the esophagus.

A mother brings her 5-month-old daughter into the pediatrician's office with complaints that the child has been vomiting during feedings. The mother also states that the child is sometimes very fussy. Which should be the nurse's initial action? A.Assess the child's growth status. B.Obtain a complete history of the child's feeding habits. C.Assess whether any other children in the family have had the same problem. D.Explain to the mother that the primary health care provider will prescribe a barium swallow and upper gastrointestinal (GI) series.

B.Obtain a complete history of the child's feeding habits.

Which interventions should the nurse include when preparing a plan of care for a child with hepatitis? Select all that apply. A.Providing a low-fat, well-balanced diet B.Teaching the child effective hand-washing techniques C.Notifying the primary health care provider if jaundice is present D.Scheduling play time in the playroom with other children E.Instructing the parents about the risks associated with taking medications F.Arranging for indefinite home schooling because the child will not be able to return to school

A.Providing a low-fat, well-balanced diet B.Teaching the child effective hand-washing techniques E.Instructing the parents about the risks associated with taking medications

The nurse prepares to administer a pancreatic enzyme powder to the child with cystic fibrosis (CF). Which food item should the nurse mix with the medication? A.Tapioca B.Applesauce C.Hot oatmeal D.Mashed potatoes

B.Applesauce

The nurse is reviewing the health record of an infant with a diagnosis of gastroesophageal reflux. Which signs/symptoms of this disorder should the nurse expect to note documented in the record? A.Excessive oral secretions B.Bowel sounds heard over the chest C. Hiccuping and spitting up after a meal D.Coughing, wheezing, and short periods of apnea

C. Hiccuping and spitting up after a meal

A child is diagnosed with lactose intolerance. The child's mother asks the nurse about the disease. Which statement is the appropriate nursing response? A."It is the inability to tolerate sugar found in dairy products." B."It results from the absence of ganglion cells in the rectum." C."It results from increased bowel motility that leads to spasm and pain." D."It is the inability to fully digest the protein part of wheat, barley, rye, and oats."

A."It is the inability to tolerate sugar found in dairy products."

A child is admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which findings should the nurse expect to observe? Select all that apply. A.Ascites B.Anorexia C.Weight loss D.Proteinuria E.Decreased serum lipids F. Periorbital and facial edema

A.Ascites B.Anorexia D.Proteinuria F.Periorbital and facial edema

The nurse is monitoring for signs of dehydration in a 1-year-old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided? A.Rectal B.Axillary C.Electronic D.Tympanic

A.Rectal

Which of the following assessment findings would the nurse most expect to find in the child who has been diagnosed with having hypertrophic pyloric stenosis? A) Currant jelly stools and a palpable, hard mass in the right upper quadrant B) Projectile vomiting and hunger soon afterwards C) Weight loss and bloody diarrhea D) Severe, crampy abdominal pain and lethargy

B) Projectile vomiting and hunger soon afterwards

The nurse is reviewing the record of a child scheduled for a primary health care provider's visit. Before data collection, the nurse notes documentation that the child has enuresis. Based on this diagnosis, the nurse plans to focus on which factor when collecting data? A. Bowel function B. Bladder function C. Motor development D. Nutritional status and weight gain

B. Bladder function

The nurse reinforces home-care instructions to the parents of a child with hepatitis regarding the care of the child and the prevention of the transmission of the virus. Which statement by a parent indicates a need for further teaching? A."Frequent hand washing is important." B."I need to provide a well-balanced, high-fat diet to my child." C."I need to clean contaminated household surfaces with bleach." D."Diapers should not be changed near any surfaces that are used to prepare food."

B."I need to provide a well-balanced, high-fat diet to my child."

The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which finding? A.Hematuria B.Bacteriuria C. Glucosuria D.Proteinuria

B.Bacteriuria

The nurse is reviewing the laboratory results of an infant suspected of having hypertrophic pyloric stenosis. Which acid-base disorder would the nurse expect to note in the infant? A.Metabolic acidosis B.Metabolic alkalosis C.Respiratory acidosis D.Respiratory alkalosis

B.Metabolic alkalosis

The nurse is preparing to feed a 1-year-old hospitalized child. The nurse prepares the amount of formula to be given to this child, knowing that generally a 1-year-old consumes approximately which amount? A.90 mL per feeding B.100 mL per feeding C.175 mL per feeding D.380 mL per feeding

C.175 mL per feeding

An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. Which is the best position to place this infant at this time? A.A flat position B.A prone position C.On his or her left side D.On his or her right side

C.On his or her left side

The nurse is assigned to care for an infant with cryptorchidism. One testis cannot be palpated. The nurse anticipates that which diagnostic study will be prescribed to determine where the undescended testis is located in the body? A. Cystocopy B.Abdominal x-ray C.Urodynamic study D.Computed tomography scan

D.Computed tomography scan

A child is seen in the clinic, and the primary health care provider documents a diagnosis of primary nocturnal enuresis. The mother asks the nurse about the diagnosis. Which should the nurse relay to the mother about primary nocturnal enuresis? A.Primary nocturnal enuresis does not respond to treatment. B.Primary nocturnal enuresis is caused by a psychiatric problem. C.Primary nocturnal enuresis requires surgical intervention to improve the problem. D.Primary nocturnal enuresis is common, and most children will outgrow bed-wetting without therapeutic intervention

D.Primary nocturnal enuresis is common, and most children will outgrow bed-wetting without therapeutic intervention

The nurse reviews the record of a 1-year-old child seen in the clinic and notes that the primary health care provider has documented a diagnosis of celiac crisis. Which symptom should the nurse expect to note in this condition? A.Anorexia B.Joint pain C.Constipation D.Profuse, watery diarrhea

D.Profuse, watery diarrhea

The nurse provides feeding instructions to a mother of an infant diagnosed with gastroesophageal reflux (GER). To assist in reducing the episodes of emesis, which instruction should the nurse provide the mother A.Provide less frequent, larger feedings. B.Burp less frequently during feedings. C.Thin the feedings by adding water to the formula. D.Thicken the feedings by adding rice cereal to the formula.

D.Thicken the feedings by adding rice cereal to the formula

The nurse is preparing a 2-year-old child with suspected nephrotic syndrome for a renal biopsy to confirm the diagnosis. The mother asks the nurse, "Will my child ever look thin again?" The nurse should respond by giving which statement? A."Do you feel guilty about your child's weight gain?" B."In most cases, medication and diet will control fluid retention." C."Wearing loose-fitting clothing should help conceal the extra weight." D."When children are little, it's expected that they'll look a little chubby."

B."In most cases, medication and diet will control fluid retention."

The nurse caring for a child with nephrotic syndrome reviews the medication record. The nurse notes that prazosin hydrochloride is prescribed for the child. The nurse determines that this medication has been prescribed to achieve which result? A.Reduce proteinuria. B.Control hypertension. C.Decrease inflammation. D.Suppress the autoimmune response.

B.Control hypertension.

You are the awesome nursing teacher with a huge class of 80 students. Yikes. Anyway, in pediatric clinical, you ask the students to differentiate omphalocele and gastroschisis. Which statement, if made by a student, indicates that they were smart and knew the right answer? A) The contents of the omphacele contain organs such as the bladder and uterus while gastroschisis contains pieces of the digestive tract B) With omphacele, the organs are covered with a protective sheath while with gastroschisis the organs protruding from the abdomen are exposed completely. C) In gastroschisis, parts of the intestines protrude through in a sac from the umbilicus while in omphacele, they can protrude from anywhere in the abdominal wall. D) Both disorders consist of portions of the digestive tract protruding out of a dysfunctional abdominal wall, gastroschisis also contains portions of the biliary tract

B) With omphacele, the organs are covered with a protective sheath while with gastroschisis the organs protruding from the abdomen are exposed completely.

The nurse is monitoring for fluid volume deficit in an infant who is vomiting and having diarrhea. The nurse weighs the infant's diaper after each voiding and stool and carefully calculates fluid volume based on which knowledge? A.Each gram of diaper weight is equivalent to 0.5 mL of urine. B.Each gram of diaper weight is equivalent to 1 mL of urine. C.Each gram of diaper weight is equivalent to 2 mL of urine. D.Each gram of diaper weight is equivalent to 2.5 mL of urine.

B.Each gram of diaper weight is equivalent to 1 mL of urine.

The nurse provides instructions to the parents of an infant with gastroesophageal reflux (GER) regarding proper positioning to manage reflux. The nurse should tell the parents that the infant should be maintained in which position? A.A 30-degree angle when supine B.A 60-degree angle when prone C.A 60-degree angle when supine D.A 20-degree angle when side-lying

C.A 60-degree angle when supine

The nurse is reviewing the record of a child with a diagnosis of pyloric stenosis. Which data should the nurse expect to note as having been documented in the child's record? A.Watery diarrhea B.Projectile vomiting C.Increased urine output D.Vomiting large amounts of bile

B.Projectile vomiting

A mother of a child with a diagnosis of intussusception calls the nurse into the hospital room because the child is screaming in pain. Which manifestations of perforation should the nurse report immediately? Select all that apply. A.Fever B.Ribbon-like stools C.Increased heart rate D.Hypoactive bowel sounds E.Profuse projectile vomiting F.Change in the level of consciousness

A.Fever C.Increased heart rate F.Change in the level of consciousness

A mother of an infant diagnosed with Hirschsprung's disease asks the nurse about the disorder. The nurse plans to base the response on which information? A.It is a complete small intestinal obstruction. B.It is a congenital aganglionosis or megacolon. C.It is a severe inflammation of the gastrointestinal tract. D.It is a condition that causes the pyloric valve to remain open.

B.It is a congenital aganglionosis or megacolon.

The nurse is assigned to care for a child who is suspected of having glomerulonephritis. The nurse reviews the child's record and notes that which findings are associated with the diagnosis of glomerulonephritis? Select all that apply. A.Headache B.Hypotension C.Red-brown urine D. Periorbital edema E.Increased urine output F.A low blood urea nitrogen (BUN) level

A.Headache C.Red-brown urine D. Periorbital edema

The nurse is assigned to assist in caring for a newborn with a colostomy that was created during surgical intervention for imperforate anus. When the newborn returns from surgery, the nurse checks the stoma and notes that it is red and edematous. Which is the appropriate nursing intervention? A.Elevate the buttocks. B.Apply ice immediately. C.Document the findings. D.Notify the registered nurse immediately.

C.Document the findings.

The nurse is assisting with gathering admission assessment data on a 2-year-old child who has been diagnosed with nephrotic syndrome. The nurse collects data knowing that which is a common characteristic associated with nephrotic syndrome? A.Hypotension B.Generalized edema C.Increased urinary output D.Frank, bright red blood in the urine

B.Generalized edema

The nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescriptions should the nurse anticipate to be prescribed? Select all that apply. A.Administer a Fleet enema. B.Initiate an intravenous line. C.Maintain nothing-by-mouth status. D.Administer intravenous antibiotics. E.Administer preoperative medications. F.Place a heating pad on the abdomen to decrease pain.

B.Initiate an intravenous line. C.Maintain nothing-by-mouth status. D.Administer intravenous antibiotics. F.Administer preoperative medications.

An infant returns to the nursing unit following surgery for an esophageal atresia with tracheoesophageal fistula (TEF). The infant is receiving intravenous (IV) fluids, and a gastrostomy tube is in place. The nurse assisting in caring for the infant should ensure that which action is done to the gastrostomy tube? A.Elevated B.Placed to gravity C.Attached to low suction D.Taped to the bed linens

A.Elevated

The nurse provides instructions to the mother of an infant with cleft palate regarding feeding. Which statement by the mother indicates a need for further teaching? A."I need to allow my infant time to swallow." B."I need to use a nipple with a small hole to prevent choking." C."I need to stimulate sucking by rubbing the nipple on the lower lip." D."I need to allow my infant to rest frequently to provide time for swallowing what has been placed in the mouth."

B."I need to use a nipple with a small hole to prevent choking."

An infant, weighing 12 kg, is receiving diuretic therapy, and the nurse is closely monitoring the intake and output. Which is the amount of hourly urine output should the nurse expect as adequate? A.5 to 11 mL/hour B.12 to 24 mL/hour C.25 to 30 mL/hour D.32 to 40 mL/hour

B.12 to 24 mL/hour

A urinalysis has been prescribed for an infant and the nurse plans to collect the specimen. The nurse implements which appropriate method to collect the specimen? A.Catheterizes the infant, using a No. 5 French Foley B.Attaches a urinary collection device to the infant's perineum C.Obtains the specimen from the diaper, using a syringe, after the infant voids D.Monitors the urinary patterns and prepares to collect the specimen into a cup when the infant voids

B.Attaches a urinary collection device to the infant's perineum

The nurse is reinforcing discharge instructions to the parent of a 2-year-old child who has had an orchiopexy to correct cryptorchidism. Which statement by the parent indicates a need for further teaching? A."I'll check his temperature." B."I'll give him medication so he'll be comfortable." C."I'll let him decide when to return to his play activities." D."I'll check his voiding to be sure there are no problems."

C."I'll let him decide when to return to his play activities."

3-year-old child is seen in the health care clinic, and a diagnosis of encopresis is made. The nurse reviews the record, expecting to note which sign as evidence of this disorder? A.Diarrhea B.Malaise anorexia C.Nausea and vomiting D.Evidence of soiled clothing

D.Evidence of soiled clothing

The nurse is reviewing the record of a child admitted to the hospital with nephrotic syndrome. Which finding should the nurse expect to note documented in the record? A.Proteinuria B.Weight loss C.Increased appetite D.Hyperalbuminemia

A.Proteinuria

A nurse caring for a 2-month-old febrile infant is asked to collect a urine specimen for a culture and sensitivity. The nurse collects the specimen by performing which action? A.Catheterizing the infant using the smallest available straight catheter B.Attaching a urinary collection device to the infant's perineum for collection C.Place cotton balls in the diaper and then after the infant voids aspirating the urine with a syringe D.Noting the time of the next expected voiding and preparing to collect the specimen into a cup when the infant voids

A.Catheterizing the infant using the smallest available straight catheter

The nurse is assisting in developing a plan of care for a child diagnosed with acute glomerulonephritis. The nurse should include which intervention in the plan of care? A.Encourage limited activity and provide safety measures. B.Force intake of oral fluids to prevent hypovolemic shock. C.Catheterize the child to strictly monitor intake and output. D.Encourage classmates to visit and to keep the child informed of school events.

A.Encourage limited activity and provide safety measures.

The nurse is admitting a child with a diagnosis of lactose intolerance. Which finding does the nurse expect to note? A.Frothy stools B.Foul-smelling ribbon stools C.Profuse, watery diarrhea and vomiting D.Diffuse abdominal pain unrelated to meals or activity

A.Frothy stools

The nurse is reviewing the postoperative primary health care provider's (PHCP'S) prescriptions for a 3-week-old infant with Hirschsprung's disease admitted to the hospital for surgery. Which prescriptions documented in the child's record should the nurse question? Select all that apply. A.Measure abdominal girth daily. B.Monitor strict intake and output. C.Take temperature measurements rectally. D.Start clear liquid diet after 8 hours postoperative. E.Maintain IV fluids until the child tolerates oral intake. F.Monitor the surgical site for redness, swelling, and drainage

C.Take temperature measurements rectally. D.Start clear liquid diet after 8 hours postoperative.

A nursing student is preparing to conduct a clinical conference, and the topic is hepatitis in children. The nursing instructor advises the student to further research the topic if the student plans to include which information in the discussion? A.The child's stools will be pale and clay-colored. B.Cases of hepatitis should be promptly reported to health care officials. C.Vaccines are available to prevent hepatitis A (HAV) and hepatitis B (HBV). D.Enteric precautions are necessary for hepatitis B (HBV) but not for hepatitis A (HAV).

D. Enteric precautions are necessary for hepatitis B (HBV) but not for hepatitis A (HAV).

The nurse is assisting with preparing a plan of care for a 4-year-old child hospitalized with nephrotic syndrome. Which intervention is most appropriate for this child? A.Provide a high-salt diet. B.Provide a high-protein diet. C.Discourage visitors at mealtimes. D.Encourage the child to eat in the playroom.

D.Encourage the child to eat in the playroom.

The nurse is assigned to care for a child with hypertrophic pyloric stenosis scheduled for a pyloromyotomy. In which position should the nurse place the child during the preoperative period? A.Prone with the head of the bed elevated B.Supine with the head of the bed at a 30-degree angle C.Supine with the head of the bed at a 45-degree angle D.Prone with the head of the bed lowered to promote drainage

A.Prone with the head of the bed elevated

A 2-year-old child is admitted to the hospital with a diagnosis of nephrotic syndrome. In planning care for this child, which nursing intervention should be of highest priority? A.Weigh morning and afternoon. B.Maintain a strict intake and output. C.Dipstick the urine for protein every 4 hours. D.Take vital signs with blood pressure every 2 hours.

C.Dipstick the urine for protein every 4 hours

The nurse is assigned to care for a 2-year-old child who has been admitted to the hospital for surgical correction of cryptorchidism. What is the highest priority in the postoperative plan of care for this child? A.Force oral fluids. B.Encourage coughing. C.Test the urine for glucose. D.Prevent tension on the suture.

D.Prevent tension on the suture.

A mother and 7 month old infant present to the pediatric clinic. The infant appears developmentally appropriate and healthy, but the mother tells you that she is exacerbated. She says yesterday her infant had been incessantly crying with vomiting and jelly-like stool. But now is fine. What is the nurse's first action? A) Determine prenatal status of the mother and child B) Prepare the child for immediate surgery C) Palpate the stomach for a mass D) Administer barium enema

C) Palpate the stomach for a mass

The nurse is reinforcing dietary instructions to the mother of a child with celiac disease. Which statement by the mother indicates a need for further teaching? A."I can give my child rice." B."My child loves corn. I will be sure to include corn in the diet." C."I will be sure to give my child vitamin supplements every day." D."I am so pleased that I won't have to eliminate oatmeal from my child's diet."

D. "I am so pleased that I won't have to eliminate oatmeal from my child's diet."

The nurse is collecting data on an infant with a diagnosis of suspected Hirschsprung's disease. Which question to the mother will most specifically elicit information regarding this disorder? A."Does your infant have diarrhea?" B."Is your infant constantly vomiting?" C."Does your infant constantly spit up feedings?" D."Does your infant have foul-smelling, ribbon-like stools?"

D."Does your infant have foul-smelling, ribbon-like stools?"

The nurse is caring for a 1-year-old child following a cleft palate repair. Which solution should the nurse use after feedings to cleanse the child's mouth? A.Sterile water B.Diluted hydrogen peroxide C.A soft lemon glycerin swab D.Half-strength povidone-iodine solution

A.Sterile water

The nurse is assisting in planning discharge instructions to the mother of a child following orchiopexy, which was performed on an outpatient basis. Which is the priority in the plan of care? A.Wound care B.Pain control measures C.Measurement of intake D.Cold and heat applications

A.Wound care

The nurse is reinforcing instructions to the parents of a child with a hernia regarding measures that will promote reducing the hernia. The nurse determines that the parents understand these measures if they make which statement? A."We will encourage our child to cough every few hours on a daily basis." B."We will make sure that our child participates in physical activity every day." C."We will provide comfort measures to reduce any crying periods by our child." D."We will be sure to give our child a Fleet enema every day to prevent constipation."

C."We will provide comfort measures to reduce any crying periods by our child."

A 1-year-old child is diagnosed with intussusception. The mother of the child asks the nurse to describe the disorder. The nurse should base the response on which description of this disorder? A.An acute bowel obstruction B.A condition that causes an acute inflammatory process in the bowel C.A condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel D.A condition in which a distal segment of the bowel prolapses into a proximal segment of the bowel

C.A condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel

A 1-year-old child with hypospadias is scheduled for surgery to correct this condition. The nurse is asked to assist in preparing a plan of care for this child. During this developmental time period, which factor should the nurse take into account? A.Sibling rivalry will cause regression to occur. B.Fears of separation and mutilation are present. C.Embarrassment of voiding irregularities is common. D.Concern over size and function of the penis is present.

B.Fears of separation and mutilation are present.

The nurse is caring for a child who is scheduled for an appendectomy. When the nurse reviews the primary health care provider's preoperative prescriptions, which should be questioned? A.Administer a Fleet enema. B.Maintain nothing per mouth (NPO) status. C.Maintain intravenous (IV) fluids as prescribed. D.Administer preoperative medication on call to the operating room

A.Administer a Fleet enema.

A child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about the signs of possible incarcerated hernia. The nurse tells the parents that which manifestation requires primary health care provider (PHCP) notification by the parents? A.Pain B.Diarrhea C.Constipation D.Increased flatus

A.Pain

The nurse is assisting in developing a plan of care for a 10-year-old child diagnosed with acute glomerulonephritis. Following review of the plan of care, the nurse determines that which intervention is the priority for the child? A.Promoting bed rest B.Restricting oral fluids C.Encouraging visits from friends D.Allowing the child to play with the other children in the playroom

A.Promoting bed rest

The nurse is planning care for a child with hemolytic-uremic syndrome (HUS). The child has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to include which interventions in the care of the child? Select all that apply. A.Provide adequate nutrition. B.Restrict fluids, as prescribed. C.Institute measures to prevent infection. D.Monitor the arteriovenous (AV) fistula. E.Administer blood products to treat severe anemia. F.Anticipate the child will have central nervous system involvement.

A.Provide adequate nutrition. B.Restrict fluids, as prescribed. C.Institute measures to prevent infection. E.Administer blood products to treat severe anemia. F.Anticipate the child will have central nervous system involvement.

The nurse is checking the status of jaundice in a child with hepatitis. Which location should the nurse check to ascertain if the child is jaundiced? A.The mucous membranes B.The skin in the sacral area C.The skin in the abdominal area D.The membranes in the ear canal

A.The mucous membranes

The nurse reinforces home care instructions to the parents of an infant following surgical intervention for imperforate anus and tells the parents about the procedure for anal dilation. Which statement by the parents indicates the need for further teaching? A."I need to use a water-soluble lubricant." B."I will insert a glycerin suppository before the dilation." C."I will insert the dilator no more than 1 to 2 cm into the anus." D."I need to use only dilators supplied by the primary health care provider."

B."I will insert a glycerin suppository before the dilation."

A 4-year-old child is hospitalized for severe gastroenteritis. The child is crying and clinging to the mother. The mother becomes very upset and is afraid to leave the child. Which nursing intervention would be most appropriate to alleviate the child's fears and the mother's anxiety? A.Reassure the mother that the child will be fine after she leaves. B.Ask the mother if she would like to stay overnight with the child. C.Give the mother the telephone number of the pediatric unit, and tell the mother to call at any time. D.Tell the mother to bring the child's favorite toys the next time she comes to the hospital to visi

B.Ask the mother if she would like to stay overnight with the child.

An 18-month-old child is being discharged after surgical repair of hypospadias. Which postoperative nursing care measure should the nurse stress to the parents as they prepare to take this child home? A.Leave diapers off to allow the site to heal. B.Avoid tub baths until the stent has been removed. C.Encourage toilet training to ensure that the flow of urine is normal. D.Restrict the fluid intake to reduce urinary output for the first few days.

B.Avoid tub baths until the stent has been removed.

A mother and 7 month old infant present to the pediatric clinic. The infant appears developmentally appropriate and healthy, but the mother tells you that she is exacerbated. She says yesterday her infant had been incessantly crying with vomiting and jelly-like stool. But now, the infant appears fine. Which of the following GI disorders does the nurse suspect? A) Hypertrophic pyloric stenosis B) Celiac's disease C) Intussusception D) Encopresis

C) Intussusception

The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the mother should elicit information about the cause of this disease? A."Has your child had any diarrhea?" B"Have you noticed any rashes on your child?" C."Did your child recently complain of a sore throat?" D"Did your child sustain any injuries to the kidney area?"

C."Did your child recently complain of a sore throat?"

The child with cryptorchidism is being discharged after orchiopexy, which was performed on an outpatient basis. The nurse should reinforce instructions to the parents about which priority care measure? A.Measuring intake and output B.Administering anticholinergics C.Preventing infection at the surgical site D.Applying cold, wet compresses to the surgical site

C.Preventing infection at the surgical site

A parent with a 6-year-old child diagnosed with enuresis discusses with the nurse the measures that are being taken to help her child. Which statement by the parent indicates a need for further teaching? A."I make sure that my child goes potty before going to bed." B."I have my child help with changing the wet sheets in the morning." C."I take away privileges such as TV time when the bed is wet in the morning." D."I make sure that my child does not have anything to drink 2 hours before bedtime."

C."I take away privileges such as TV time when the bed is wet in the morning."

The nurse is providing information to the mother of a child with nephrotic syndrome regarding the edematous appearance of the child. Which statement should the nurse make to the mother? A."Children always look a little bit fat, so don't be concerned." B."Dress the child in loose-fitting clothing to hide the extra weight." C."The fluid retention should be controlled by medication and diet." D."The child will always have this appearance, and preparing the child for the body image change is important."

C."The fluid retention should be controlled by medication and diet."

The nurse reinforces instructions to the mother about dietary measures for a 5-year-old child with lactose intolerance. The nurse should tell the mother that which supplement will be required as a result of the need to avoid lactose in the diet? A.Fats and vitamin A B.Zinc and vitamin C C.Calcium and vitamin D D.Thiamine and vitamin B

C.Calcium and vitamin D

The nurse reviews the record of an infant who is seen in the clinic. The nurse notes that a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF) is suspected. The nurse expects to note which most likely manifestation of this condition in the medical record? A.Incessant crying B.Coughing at nighttime C.Choking with feedings D.Severe projectile vomiting

C.Choking with feedings

The nurse is reviewing the health record of a child with a diagnosis of celiac disease. Which clinical manifestation should the nurse expect to note documented in the health record? A.Frothy diarrhea B.Foul-smelling ribbon stools C.Profuse watery diarrhea and vomiting D.Diffuse abdominal pain unrelated to meals or activity

C.Profuse watery diarrhea and vomiting

The nurse assists in preparing a plan of care for the infant with bladder exstrophy. The nurse identifies which immediate problem as the priority for the infant? A.Infection B.Elimination C.Skin disruption D.Lack of parental understanding

C.Skin disruption

The nurse is monitoring a newborn with a suspected diagnosis of imperforate anus. Which assessment finding is unassociated with this diagnosis? A.The presence of stool in the urine B.Failure to pass a rectal thermometer C.The passage of currant jelly-like stool D.Failure to pass meconium in the first 24 hours after birth

C.The passage of currant jelly-like stool

The parents of a newborn have been told that their child was born with bladder exstrophy and the parents ask the nurse about this condition. Which response should the nurse give to the parents about bladder exstrophy? A."It is a hereditary disorder that occurs in every other generation." B."It is caused by the use of medications taken by the mother during pregnancy." C."It is a condition in which the urinary bladder is abnormally located in the pelvic cavity." D."It is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

D."It is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

A child is diagnosed with intussusception. The nurse collects data on the child, knowing that which is a characteristic of this disorder? A.The presence of fecal incontinence B.Incomplete development of the anus C.The infrequent and difficult passage of dry stools D.Invagination of a section of the intestine into the distal bowel

D.Invagination of a section of the intestine into the distal bowel

The nurse has reinforced dietary instructions to the mother of a child with celiac disease. The nurse determines that the mother understands the dietary instructions if she indicates eliminating which products? Select all that apply. A.Rice B.Corn C.Millet D. Oatmeal E.Rye crackers F.Wheat bread

D.Oatmeal E.Rye crackers F.Wheat bread

The nurse is assisting a primary health care provider with an assessment of a child with a diagnosis of suspected appendicitis. In assessing the intensity and progression of the pain, the primary health care provider palpates the child at McBurney's point. What response does the nurse expect the child to have during the examination? A.Pain in the upper right side B.Pain when extending the leg C.Pain when the right thigh is drawn up D.Pain in the lower right side between the umbilicus and the iliac crest

D.Pain in the lower right side between the umbilicus and the iliac crest

A 2-year-old child is diagnosed with constipation due to encopresis. Which description is a characteristic of this disorder? A.Anorexia in the evening B.Incomplete development of the anus C.The infrequent and difficult passage of dry stools D.Invagination of a section of the intestine into the distal bowel

C.The infrequent and difficult passage of dry stools