Peds quiz 1

A nurse explains for a mother who has an infant with positional plagiocephaly that the infant needs treatment with a helmet device where reshaping the skull, this treatment with helmet needs?

3 months

1 Month Motor Development

Demonstrates head lag/ strong grasp reflex

A nurse is reviewing the medical record of a child who has a urinary tract infection. Which of the following finding should the nurse recognize as a risk factor?

Diabetes Mellitus

You see that the MD has ordered a water deprivation test, what dx do you think the MD is expecting

Diabetes insipidus

Contraindications for vaccines

Do not give

4 month vaccinations

Dr Hip Dtap, roto, Hemophilia influenza, Polio, Pneumococcal

What do you monitor for with Digoxin

Monitor heart rate- toxicity is change in rhythm.

activity for 4 year old with airborne precautions?

Puzzle

3 month motor development

Raises head and shoulders off mattress when prone, slight head lag/ keeps hands loosely open

A child with hypopituitarism should be prescribed what medication?

Recombinant growth hormone injections are used

Which of the following symptoms is associated with ulcerative colitis?

Rectal bleeding

Expected finding of contact dermatitis on neck and upper chest

Report of exposure to skin irritant

a child ingested kerosene, which is the nurses highest priority?

Respiratory rate

An adolescent is being admitted for acute exacerbation of ulcerative colitis, what should the nurse take first?

Review pt's electrolytes values

tinea corporis (ringworm of the body)

Round erythematous scaling patch

Tinea capitis (ringworm of the scalp) manifest as

Scaly, circumcised lesion w/ alopecia on scalp

planning care of a child who has suspected epiglottis, which is the first actions a nurse should take?

Sit them up right

12 month motor development

Sits down from standing position without assistance. walks with one hand held. / attempts 2 block tower, can turn pages

A nurse explains for a mother who has a child with a seizure that a clonic phase for a seizure remains for?

Sits with pillow props

Impetigo Contagiosa

Staph Reddish macule becomes vesicular Spreads peripherally and by direct contact Erupts easily leaving moist erosion on skin, dries leaving crusty secretions Treatment: compresses of aluminum acetate in water (Burrow's solution), topical antibacterials, antibiotics

diagnostic test for cystic fibrosis

Sweat chloride test

A nurse in reinforcing teaching about nutritional consideration with parents of a toddler. Which of the following states by the parent indicates an understanding of teaching?

The quality of food is more important than the quantity.

further teaching for parent of a newborn who has a prescription for a pulse oximetry

rotate the monitor every 24 hours to avoid burning and skin breakdown (wrong, should be every 3-4hrs to prevent necrosis) ask teacher, ati says 4-8

Expected finding for pediculosis capitis (head lice)

scalp pain

Risk factor fro aquiring pediculosis capitis (head lice)

sharing combs, brushes, hats

infants are at high risk for developing otitis media due to?

shorter eustachian tube

ASO titer

strep throat culture

CHF

take it easy after exercise

Drowning, what will the nurse need to know

temperature and type of liquid and time of submission

Strep throat precaution

throw away tooth brush

Patient in PACU postoperative following a tonsillectomy , which should the nurse do to prevent aspiration?

withhold fluids until the client demonstrates a gag reflex

A child with cystic fibrosis should administer pancreatic enzymes when?

within 30 minutes of meals and snacks to replace enzymes lost with CF

A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?

10% weight loss

Severe infant weight loss

10% weight loss

anterior fontanel closes

12-18 months

posterior fontanel closes

2-3 months

When are solids introduced?

6 months

Infant dentition

6-8 teeth erupt by end of first year. first at 6-10 months

Symptoms of developmental dysplasia of the hip

Asymmetry gluteal folds

Infant age appropriate activities

rattles, stuffed toys, teething toys, pat-a-cake, balls, books, mirrors, brightly colored toys, block playing

DKA insulin

regular insulin

what levels need to be checked for gentamicin to ensure the medication is within therapeutic range preventing hearing damage?

renal tests, creatinine

a 4 year old is diagnosed with laryngeal tracheal bronchitis, what is a sign of impending emergency situation?

restlessness.

6 month motor development

rolls back to front/ holds bottle

4 month motor development

rolls from back to side/ grasps object with both hands

5 month motor development

rolls front to back/ palmar grasp dominantly

A nurse is assessing a client who as diabetes insipidus. Which should the nurse expect?

Dehydration

Autism

Delays in communication Distress when routines are changed Unusual gestures instead of words Delayed language development

A nurse is caring for an infant who has a hydrocele. Which of the following action should the nurse take?

Explain to parent that the issue will self-resolve

Piaget's stage 4

Formal operation stage: 12 years onwards -Abstract reasoning (thinking hypothetically) -Meta-cognition (thinking about own thinking) -Dependent on exposure to scientific principles (this final stage is only due to specific environments)

A nurse is caring for a 10 y.o. child who is a diabetic and reports a headache restlessness fatigue and hunger. The nurse should identify that the client is likely experiencing which of the following?

Hypoglycemia

What should the nurse expect to find in the blood test for a patient who has syndrome of inappropriate antidiurectic hormone or SIADH

Hyponatremia

1. A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following action is the nurse priority?

Position the child in side laying

Nurse in ED caring for a 3 year old with high fever, severe dyspena, and drooling what is the priority?

Prepare for nasotracheal intubation

A 3 y.o. patient presents to the ED upon assessment you see the patient has a very round head, abdominal distention, diarrhea and thin extremities, what would you expend the MD dx to be?

Protein energy malnutrition

A nurse is planning care for an infant who has spina bifida and is to undergo a surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

Provide a latex free environment

9 month motor development

Pulls to a standing position, creeps on hands and knees/ dominant hand evident

Clinical manifestation of left heat failure

Pulmonary

Piaget's stage 1

Sensorimotor: Birth to 2 years old -Need for external stimulation -Thinking is doing -Challenge: things do not exist when they are out of sight

8 month motor development

Sits unsupported/ begins using pincer grasp

What age group is commonly suffering from physiological anorexia?

Toddler

Diabetic ketoacidosis manfestations

acetone odor to breath

Bleeding priority

apply pressure (place large gauze over existing)

expecting findings for a child with autism

avoiding eye contact, delay language, limit testing, plays with same toys repetitively

Piaget's stage 2

preoperational stage: 2 to 7 years old -Ability to think logically and symbolically -Rapid language development -Classification, categorization, counting, sorting, and manipulating -Challenge: Failure of conservation (understanding the properties of objects -Challenge: ego-centrism (believes everyone sees the world as they do, cannot appreciate other perspectives (intuitive thought age 4-7)

Epiglottis

prepare for intubation

manifestation of tonsillectomy complication

frequent swallowing

Reyes syndrome

give glucose

Rheumatic fever

history of strep, sore throat

Fever at 101

hold medication

Erikson stage 4

industry vs inferiority 6-12 years, School Age Children. Industry is established when skills and knowledge that allows the child to provide meaningful contributions to society.

first solid food

iron fortified cereal

2 month motor development

lifts head when prone/ hand in open position

Cardiac complications from Marfan syndrome

mitral valve prolapses

Acute gastroenteritis fluids

oral rehydration solution

A nurse explains for a mother who has a child with a seizure that a clonic phase for a seizure remains for?

30-50 seconds

Which hormone is responsible for diabetes insipidus

ADH

A nurse is caring for a pt who has diabetic ketoacidosis, which of the following manifestations should the nurse expect?

Acetone odor breath

White patchy spots under tongue- what information their history would suggest that they may be suffering from thrush

Administration of CCS inhaler >Hx suggest thrush

a client who has an acute asthma exacerbation, which medication will help reduce the symptoms?

Albuterol (beta adrenergic) via nebulizer

2 month vaccinations

B, Dr, Hip Hep B, Dtap, Rotovirus, hemophilia influenza, Polio, Pneumococcal

A nurse is reviewing the laboratory results of an adolescent who has chronic glomerulonephritis. Which of the following findings should the nurse expect?

BUN 50mg/dL

Scabies management

Bag items that cannot be laundered in a tightly sealed bag for 14 days

7 month motor development

Bears full weight on feet, sits, leaning forward with hands/ moves object from hand to hand

Infant weight gain

Birth weight doubles by 4 to 6 months Birth weight triples by 1 year

developmental expectations within first 5 months of life?

Brings hands to eyes and mouth

A nurse is assessing an 11-month-old infant. Which of the following manifestation is associated with a CNS infection?

Bulging fontanel

10 month motor development

Can change from prone to sitting position / grasps rattle by handle

A nurse who explains for a parent who has a child suspected of bacterial meningitis that CSF collection should show which of the following to be confirmed as bacterial meningitis?

Decreased glucose levels

1. A patient is presenting with metatarsus adductus. Which option best describe the disorder?

Inward turning of the forefoot

A child is admitted for respirator syncytial virus RSV, which action should nurse take?

Keep supplies in toddlers room

A pt admitted with volvulus, this disorder means the intestines are wrapped around what artery?

Mesentery artery is rotated

Manifestations from osteogenesis imperfecta

blue sclera

toys for 12 month old

building blocks

A nurse is preparing to care for a child with a diagnosis of an intussusception prior to surgery. the nurse reviews the childs medical record and expect which of the following findings to be documented?

Current jelly stools

Your patient has to start TPN via the peripheral line. What percent of dextrose should not be started?

Anything over 12.5% should not be started

A nurse is caring for a child who is having a tonic phase seizure. Which of the following considered clinical manifestation? SATA

Apnea lead to cyanosis Tongue might bite Eyes rolls up Loss of swallowing reflex

a nurse is planning care of a 10 month old infant who is 8 hours post-operative following a cleft palate repair. Which of the following interventions should the nurse include in the infants plan of care?

Apply and release elbow restraints every hour

A nurse is assessing a preschooler who has a potassium level of 3.0mmol/L. Which of the following finding should the nurse expect? (Normal K+: 3.7-5.0 > So it is hypokalemia: tetany/muscle excitability, seizures, arrhythmias, CHF)

Arrhythmia

Erikson stage 2

Autonomy vs shame and doubt 1-3 years, toddler. Independence is important. Negativism is used when trying to express independence.

6 month vaccinations

B, Dr, Hip, In Hep B, Dtap, Roto, Hemophilia influenza, polio, pneumococcal, influenza

A nurse is caring for a child who has acute glomerulonephritis. Which of the following action is the nurse's priority?

Check the child's daily weight

Mother calls that 2-month-old child is very hungry lately and projectile vomits after eating what to recommend

Come to the clinic

Piaget's stage 3

Concrete operations stage: 7 to 12 years old -Local analysis, realizes difference between odd and even numbers -Empathy for others Understanding of cause and effects relationships -Challenge: inability for abstract understanding (e.g. adding one to an odd number will make an even number)

A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the following findings should the nurse monitor for as an AE of mannitol?

Confusion

A pediatric patient is being seen for hypothyroidism. What clinical manifestation should you expect?

Cool dry skin, bradycardia, sensitivity to cold, thick lips

LATE clinical manifestations of hypoxemia

Cyanosis

11 month motor development

Cruises or walks while holding onto something/ places objects into container

Patient had just had a tonsillectomy what will you give the patient.

Crushed ice

A nurse is caring for a child who has enuresis. Which of the following is complication of enuresis?

Emotional problems

The nurse should position the child post-operative of ventriculoperitoneal shunt on?

Flat on the unoperated side "Flat, unoperated side -> Gradually elevate HOB"

You are treating a patient with appendicitis; which treatment is contraindicated? (SATA)

Give laxatives, appl heat, give enema

Warts are caused by what virus?

HPV

Adolescent eating

Hearty appetite, eats without family supervision

A nurse is assessing a child who has nephrotic syndrome, which of the following findings should the nurse expect?

Hypotension

A nurse is caring for a child who has influenza, the nurse should identify that which of the following statements by parents indicates a child has an increased risk for Reye syndrome?

I give my child aspirin to reduce his fever

A nurse is caring for an adolescent who has spina bifida and is paralyzed from waist down. Which of the following statements by the client should indicate that to the nurse a need for further teaching?

I only need to catheterize myself twice every day

A nurse is discharging a client who came to the outpatient clinic with an ankle sprain. Which of the following statements should the nurse identify as an indication that the client understands?

I'll apply ice to my ankle today and tomorrow.

Which of the following considered treatment for a child who has nephrotic syndrome? SATA

IV albumin "For hypoalbuminemia" CCS (Steroids) "For inflammation" Diuretics

Kawasaki

IVIG and aspirin fever cause tachy

Erikson stage 5

Identity vs confusion 12-20 years, adolescents. Differnt roles to develop sense of personal identity.

nutritional needs for a preschooler who has cystic fibrosis, what should be included in the plan?

Increase fat content of diet to 40% of total calories

Erikson stage 3

Initiative vs guilt 3-6 years, preschooler. They want to learn as much as possible. Guilt can occur when they think they have misbehaved.

1-1.5 year vaccinations

MAD, HPV Measles, mumps and rubella, Hep A, Dtap, Hemophilia, pneumococcal, varicella

1. A nurse is assessing a client who is brought to the emergency room with burn injuries. Which of the following findings should the nurse identify as a deep partial thickness burn (2nd degree)?

Mottled, red to white in color w/ blister

A nurse is assessing a preschooler who has a calcium level of 8.0mg/dL. Which of the following findings should the nurse expect?

Muscle tremors

1. Duchenne muscular dystrophy. Which of the following manifestations should the nurse expect to find?

Muscular weakness in lower extremities and pseudohypertrophy

S/S of digoxin toxicity

N&V Diarrhea Abd pain Headache Dizziness Confusion Delirium

toddlers often use what to express autonomy

Negativism

A nurse is providing teaching to a parent of child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make?

Normal bone growth will be affected.

Most indicative of hearing impairment for an infant

Not being startled by loud sudden noises or not turning towards sound at 7 months

You are treating a 3 month old patient who is suffering from a pyloric stenosis. What signs and symptoms do you anticipate?

Olive shaped mass in RUQ, projectile vomiting after vomiting

taking fluticasone for asthma, which adverse effect should be monitored?

Oral candidiasis

1. Child abuse is suspected and reported test result come back and it shows that the patient has what disorder that can commonly be mistaken for child abuse

Osteogenesis imperfecta

Statements regarding SIDS

Placing baby on back with help prevent SIDS

further information for the medication: Dornase alfa pulmozyme

Thinning mucus

Celiac disease, what risk factor?

Trisomy 21

Erikson stage 1

Trust vs mistrust 0-12 months, infant. trust is established through care, feeding and love

A nurse is instructing parents of a newborn on the foods that are to be introduced based on age. The first foods should be rice cereal. What should the next foods me?

Vegetables

4-6 year vaccinations

Very DIM Varicella, Dtap, Polio, measles, mumps, rubella

Instructions for a child that is post operative following a cardiac catheterization

Wait 3 days before taking a bath.

The nurse completes parent education related to treatment for a pediatric client with congenital clubfoot. Which statements by the parent indicates the need for further education?

We are happy this is the only cst our baby will need.

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

Weight loss

Encopresis what is it

When child doesn't go to bathroom because he is too distracted

Teaching for new diagnosis of atopic dermatitis

Your provider may recommend a daily a daily antihistamine to help control your symptoms

What is mononucleosis?

cause by an infection with epstein barr virus

Acute glomerulonephritis

check daily weight

Patient arrives to ED diagnosed with hepatitis A, the parents asked how their child could have transmitted it?

contracted from contaminated water

A nurse is assessing a 9 year old child who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should be documented.

hyperpigmentation

A nurse is assessing an infant following a motor vehicle crash. Which of the following finding should the nurse monitor to identify increase intracranial pressure?

increased sleeping

A NICU nurse received a newborn with gastroschisis, the nurse knows that newborn baby is at risk for the following (SATA)

injury, infection, hypothermia

Child suctioning

no more than 10 seconds