Peds 232 In-Class Quizzes

Children who have experienced sexual abuse may develop which of the following? (Select all that apply.) a. Learning difficulties b. Depression c. Poor self-esteem d. Seductiveness e. HTN f. Substance abuse

a, b, c, d, f a. Learning difficulties b. Depression c. Poor self-esteem d. Seductiveness f. Substance abuse

Which statement by the caregiver of a child with type 1 diabetes indicates a need for further teaching? a. "After each meal my child eats, I should count the carbohydrates consumed and administer insulin accordingly." b. "We hope that we can get an insulin pump in the near future." c. "I should watch for my child to have symptoms of hypoglycemia about a half an hour after giving his Novolog." d. "I need to talk to his teacher each time he changes his grade level or if the teacher has any questions."

a. "After each meal my child eats, I should count the carbohydrates consumed and administer insulin accordingly."

The nurse is assessing a 2-week-old for signs of developmental dysplasia of the hips (DDH). The nurse should expect to find which of the following in an infant with DDH? a. Asymmetry of gluteal and thigh folds b. Limited hip adduction c. Negative Ortolani's maneuver d. Negative Babinski reflex

a. Asymmetry of gluteal and thigh folds

A nurse is teaching the mother of a child with diabetes how to recognize the signs and symptoms of hypoglycemia. What signs and symptoms should the nurse discuss? a. Behavioral changes, increased heart rate, sweating, and tremor. b. Nausea, fruity breath, odor, headache, and fatigue. c. Polydipsia, polyuria, polyphasic, and weight loss. d. Enlarged tongue, hypotonia, easy weight gain, and cool skin temp.

a. Behavioral changes, increased heart rate, sweating, and tremor

The nurse is preparing discharge instructions for a child newly diagnosed with diabetes. The discharge planning will focus on the educational needs of the family. The RN understands which of the following to be accurate? a. Compliance is extremely important to manage diabetes. b. The complications associated with diabetes are minor. c. Diabetes only affects one system of the body. d. The same dose of insulin should be given at the same time each day.

a. Compliance is extremely important to manage diabetes.

The parents of a 4-year-old boy recently diagnosed with Duchenne Muscular Dystrophy are asking questions about the course of the child's disease. The nurse should tell them which of the following? a. Muscular dystrophies are disorders associated with progressive degeneration of muscles, resulting in increasing weakness. b. The child will be able to function normally and will not require special accommodations. c. The extent of the degeneration depends on performing daily physical therapy. d. The weakness that the child is currently experiencing will probably not increase.

a. Muscular dystrophies are disorders associated with progressive degeneration of muscles, resulting in increasing weakness.

The parents of a child with cerebral palsy are learning how to feed their child and avoid aspiration. Which of the following would not be correct to include in the education? a. Place the food on the tip of the tongue b. Place the child in an upright position c. Feed the child foods that are soft and easy to chew d. Feed the child slowly

a. Place the food on the tip of the tongue

Knowing the onset for prescribed insulin tells the nurse which information? a. When the insulin will start to have effects in the body. b. When the insulin will be at maximum effects in the body. c. How long the insulin will have effects in the body. d. When the insulin will be administered.

a. When the insulin will start to have effects in the body

The nurse identifies which of the following adolescents with type 1 diabetes as being at the greatest risk for complications? a. An adolescent with frequent Candida albicans urinary infections. b. An adolescent with an eating disorder. c. An adolescent with a fever and sore throat. d. An adolescent who is on the school's tennis team.

b. An adolescent with an eating disorder

Which of the following assessment findings would most likely alert the nurse to suspect child abuse? a. Reddened and blistered areas on the right lower arm in a splash-like pattern b. Bruising on the forehead of a 3-month-old c. Bruising on lower extremities in a 4-year-old d. A 10-month-old that cries when being assessed

b. Bruising on the forehead of a 3-month-old

Which of the following would be important to include when providing education to the parents of a child newly diagnosed with type 1 diabetes mellitus? a. Restricting activities of the child to prevent hyper or hypoglycemia. b. Rotating insulin injection sites. c. Importance of strict control by parents of testing blood sugar. d. Encourage a high-carbohydrate diet.

b. Rotating insulin injection sites

Knowing the peak for a prescribed insulin tells the nurse which information? a. When the insulin will start to have effects in the body. b. When the insulin will be at maximum effects in the body. c. How long the insulin will have effects in the body. d. When the insulin will be administered.

b. When the insulin will be at the maximum effects in the body

A nurse is teaching the parents of a child with diabetes. What agent(s) should the nurse teach the parents to give immediately if their child suffers a hypoglycemic reaction? a. Intravenous dextrose b. Subcutaneous insulin c. Subcutaneous glucagon d. Oral fast-acting carbohydrate e. Peanut butter and crackers f. Intravenous insulin

c, d c. Subcutaneous glucagon d. Oral fast-acting carbohydrate

Which should the nurse stress to the parents of an infant in a Pavlik harness for treatment of developmental dysplasia of the hip (DDH)? a. Use lotions and powders on the skin to prevent rubbing of straps. b. Remove the harness for diaper changes and bathing. c. Check under the skin at least twice a day for skin irritation. d. Do not place any clothing underneath the harness.

c. Check under the skin at least twice a day for skin irritation.

There are a number of strategies that nurses can utilize to improve the quality of parenting. Which of the following interventions would have the greatest impact to reduce the incidence of abuse? a. Instruct the parents to enforce strict rules for their child's behaviors. b. Encourage parents to find babysitters regularly to provide a break. c. Help parents identify stress relieving techniques to cope with the struggles of parenting. d. Encourage parents to use whatever methods of punishment they feel are appropriate.

c. Help parents identify stress relieving techniques to cope with the struggles of parenting.

Knowing the duration for a prescribed insulin tells the nurse which information? a. When the insulin will start to have effects in the body. b. When the insulin will be at maximum effects in the body. c. How long the insulin will have effects in the body. d. When the insulin will be administered.

c. How long the insulin will have effects on the body

What is a common reason in a child's life that makes them more likely to commit violence against others? a. Watching too much TV b. Birth of a sibling c. Poor self-esteem d. Divorce of parents

c. Poor self-esteem

Which of the following statements regarding neuromuscular or musculoskeletal disorders are true? a. Fractures are more common in children less than 1 year of age due to their rapid growth and limited motor skills. b. The hypotonic infant will feel rigid and display an extended trunk. c. Developmental dysplasia of the hip is more common in males. d. Cerebral palsy is a disorder caused by abnormal development or damage to the motor areas of the brain.

d. Cerebral palsy is a disorder caused by abnormal development or damage to the motor areas of the brain.

An adolescent girl with scoliosis is expected to wear a brace for at least 18 hours a day. Of the following, which is the most likely reason that the girl will not wear the brace for that duration? a. Difficulty in putting the brace on b. Not understanding the importance of wearing the brace c. Pain from the brace d. Self-consciousness about appearance

d. Self-consciousness about appearance

A 10-year-old child has just been diagnosed with type 1 diabetes and the nurse is planning to discharge them in the next 24 hours. Which of the following would be least important to include in the education related to survival skills for the newly diagnosed diabetic. a. Administration of subcutaneous insulin. b. How to perform an accucheck. c. How to count carbohydrates. d. Use of an insulin pump.

d. Use of an insulin pump