PEDS FINAL
Urinary tract infections are most commonly caused by
E. coli
A severe, atopic dermatitis, characterized by remissions and exacerbations accompanied by vesicle formation, oozing, crusting, excoriations, and itching is
Eczema
Length must be measured supine until
Age 2
What could suddenly occur in a child with acute epiglottitis.
Airway obstruction
Treatment for a child in sickle cell crisis includes:
IV fluids, oxygen, and analgesics for pain.
When the nurse is performing a treatment, the nurse should
Identity the child before beginning the procedure
What is the communicable disease that requires isolating infected children from pregnant women.
Rubella
Bottle mouth can occur when children go to bed with a bottle that contains
Carbohydrates
The best method when approaching a 2 year old child to listen to breath sounds is
asking the child if the nurse should listen to the front or the back of the client first.
The nurse is reinforcing education to a group of adolescents on acne.
"Hormonal changes are a cause of acne," is a statement that would indicate the teaching has been affective to the adolescent.
When talking to a mother of a 6 month old girl that has just been diagnosed as having an intussusception, she asks what intussusception means. The nurse's best response is
"One portion of her intestine has telescoped into another portion of the intestine."
Vomiting and diarrhea can be very serious in an infant because the infant
loses vital electrolytes and becomes severely dehydrated very quickly.
Adolescents occurs when this age group is
"Trying to fit in"
A nurse is educating the parents of a 10 month old infant on the correct method for instilling eardrops prescribed for the infant when discharged. The statement by the parents,
"We should pull the earlobe down and back," indicates the parents understanding.
A child tests positive for the sickle cell trait, and the parents ask the nurse what this means. The most appropriate response from the nurse would be
"Your child is a carrier but doesn't have the disease."
When the newly admitted 2 year old who was potty trained before admission begins to wet the bed, the mother is frightened. The nurse should inform mother
"the stress of hospitalization makes children regress a little."
The nurse is preparing a toddle for a lumbar puncture. For this procedure, the nurse should place the child
lying on one side, with the back curved
A 2 year old child is showing signs of shock. A 10mL/kg bolus of normal saline solution is ordered. The child weighs 20kg.
200ml should be administered
A newborn baby weighs 7lbs at birth. The nurse anticipate the baby's weight will be
21 lbs at age 1
When reviewing the dietary guidelines for a child with nephrotic syndrome, the practical nurse should reinforce
A high protein diet with the parents.
An infant is admitted with a diagnosis of respiratory syncytial virus (RSV) infection. The type of isolation precautions the nurse would institute in addition to droplet precautions is
Contact precautions
What provides 100% protection from STDs?
Abstinence
Ineffective breathing pattern is a priority nursing diagnosis in a child admitted with
Acute asthma
The best way for the pediatric nurse to establish a good working relationship with parents is to
Answer their questions honestly.
Watching several hours of television has contributed to
Children's obesity
What should never be used in the child's ear canal?
Cotton-tipped applicators
The main characteristic of cystic fibrosis is
Excessive thick mucus
. Cystic fibrosis is a multisystem chronic, incurable condition. It is a major dysfunction of the
Exocrine glad
When a 10 year old child returns for a follow-up examination after a streptococcal infection, his mother asks why a urinalysis is being done. The nurse explains that
Group A B-hemolytic streptococcal infections can be followed by the complication of glomerulonephritis.
indicates the parents understanding of the nurse's discharge instructions about the use of antibiotics.
I'll give my child the full course of antibiotics
The nurse caring for an infant with hydrocephalus would expect to find
Increased head circumference
When a mother asks the nurse about introducing solid foods into the child's diet, the nurse should inform mom to
Introduce one solid food at a time several days apart
During a well-baby visit, Jenny asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to
Introduce rice cereal first
Wilms' tumor is an adenosarcoma found in the
Kidney
The hepatitis B vaccine series should begin at
Newborn
The nurse is caring for a child diagnosed with iron deficiency anemia. The treatment option deemed necessary by the health care provider the nurse reinforce education on is
Oral ferrous sulfate
Oral iron supplements are prescribed for a 6 year old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with
Orange juice
The area of care that deals with children and adolescents is referred to as
Pediatrics
The nurse is caring for an infant with pyloric stenosis should be alert for
Projectile vomiting
A toddler is admitted to the hospital with nephrotic syndrome. The nurse carefully monitors the toddler's fluid intake and output and checks urine specimens regularly with a reagent strip. The nurse is most likely to report
Proteinuria
What can develop if streptococcal infection s are inadequately treated.
Rheumatic fever and acute glomerulonephritis
The nurse is reinforcing education for a parent about newborn care and how to prevent SIDS (sudden infant death syndrome). The statement made by the parent that would indicate an understanding of SIDS is
SIDS is an unexplained death of an infant.
the action the practical nurse should implement for a child who has ingested a corrosive product is to
Telephone the poison control center and act on their advice is
In a 6 month old infant who is teething, the nurse would expect
The 2 lower central incisors to erupt first
An infant who weighs 8kg is to receive ampicillin 25mg/kg IV every 6 hours.
The nurse should administer 200mg per dose.
At 12 months an infant would be expected to
Triple his birth weight
A 1 year old child is brought to the emergency department with a mild respiratory infection and a temperature of 101.3 Fahrenheit. Otitis media is diagnosed. The nurse would also expect to find
Tugging on the ears
The nurse should recommend that the parents should dress the child in cotton underpants to help prevent
UTIs
Tetralogy of Fallot consists of four separate cardiac defects:
VSD, pulmonary stenosis, overriding aorta, right ventricular hypertrophy
The nurse should measure urinary output for an infant with dehydration by
Weighing the diaper
The nurse know to monitor a child with a diagnosis of pertussis for the development of
Whooping cough
When gathering data on a preschool child, observation of swelling within the abdomen indicates that a child has a potential
Wilms tumor
A nurse is caring for a child who received a hip spica cast 24 hours ago for hip dysplagia. The data obtained and should be reported to the nurse is
absent pedal pulses
The nurse is legally responsible for reporting
all suspected and confirmed cases of abuse or neglect.
The nurse is assigned to care for a male 3 year old on the pediatric unit that has a Wilm's tumor. The appropriate intervention is to
avoid manipulation or pressure on the child's abdomen that could increase the possibility of metastasis.
The two main types of medication used to treat asthma are
bronchodilators and ant-inflammatory agents.
Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels, the should expect to find
closed anterior and posterior fontanels.
he hallmark sign of intussusception is
currant jelly-like stools.
A health care provider is preparing to examine the throat of a child diagnosed with acute epiglottitis. A priority nursing responsibility would be to
have a tracheotomy set at the bedside
A nurse is planning to administer immunizations to a 4 year old who has up-to-date immunizations. The nurse should anticipate administering
inactivated poliovirus (IPV), measles, mumps, rubella (MMR), and varicella.
The nurse's neighbor, age 7 years old, has developed a red, raised rash on her face, neck, and trunk. She also has a temperature of 101.4F and whitish spots on the back of her throat. From these symptoms the nurse knows that the child has
measles (rubeola)
According to Erikson , an infant who was abandoned by his or her primary caregiver is at risk for developing
mistrust
A male patient, age 18 months is admitted to the hospital for a bilateral myringotomy because of frequent occurrences of otitis media. Otitis media occurs more frequently in young children than in older children because
of the different position and shape of the young child's Eustachian tubes.
A parent brings in a 5 year old male patient for his first vaccine. When administering the vaccine to the patient, the nurse knows the patient will receive
one injection today and will receive the second injection at least 4 weeks from today.
To prevent accidental poisoning of a child, medications should be
placed in a locked cupboard
Separation anxiety includes the stages of
protest, denial, and despair.
A nurse preparing to administer immunizations to a 2 month old infant. The nurse should anticipate administering
rotavirus (RV), Haemophilus influenza type b (HiB), Diptheria, tetanus, pertussis (Dtap), and Pnuemococcal (PCV).
Children weighing up to 20lbs must be secured in
the back seat in a rear facing safety seat.
While assessing a newborn with a cleft lip, the nurse would be aware that
the sucking ability will most likely be compromised.
When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs the class that the infant should be placed in
the supine position to sleep.
The infant with gastroesophageal reflux is typically treated by
thickening the formula or breast milk with cereal.
When developing a plan of care for a child with sickle cell disease, the most important nursing intervention would be
to administer analgesics promptly.
2 year old child comes to the emergency department with inspiratory stridor and a barking cough. The highest priority action by the nurse is
to establish and maintain the airway.
A 6 month old infant with uncorrected tetralogy of Fallot suddenly becomes increasingly cyanotic and diaphoretic, with weak peripheral pulses and an increased respiratory rate. The priority action by the nurse should be
to place the infant in a knee-chest position.
