Peds test 1
Hey nurses collecting data from 11-month-old infant. Which of the following clinical manifestation Keeshan's is suggestive of a central nervous system infection?
Bulging fontanel
A nurse is caring for a client immediately after delivery. After assuring a patent airway, which action would be the nurses priority in the care of the infant?
Day the infant and place him in a radiant heat warmer
A nurse is reinforcing teaching to a parent of an answer about bottlefeeding. Which of the following statements by the parent indicates a need for further teaching
Each feeding should last about 15 minutes
A two-month-old infant has just undergone repair of a cleft lip and palate. The surgeon prescribed restraints. The nurse should apply which of the following types of restraints for this infant?
Elbow
A new parent expresses concern to the nurse at her infant has lost so much weight in the first three days of life and wonders if it is because of breast-feeding. The nurse explains that weight loss in the first three days is?
Expected due to diuresis and fluid shifts in the first days of life
A nurse is caring for a 6 month old who is posteroperatice following a myringotomy. Which of the following is an appropritate method to determine the infants pain level?
FLACC pain scale
Nurses educating new parents on risk behaviors for sudden infant death syndrome. Which of the following statements by a parent would indicate a need for additional teaching?
Our baby will sleep in my bed because I am breastfeeding
A nurse is obtainging the length and weight of a 6 minth old infant. Which of the following are appropriate actions
Place dsposable covering on the scale Measure infant drom crown of head to heel of feet Ensure the scale is balanced to 0 prior
A nurses caring for an infant with gastroesophageal reflux. Which of the following is an appropriate action for the nurse to take?
Place in an infant seat after eating
A nurses caring for an infant with spinal bifida. Which of the following is an appropriate action for the nurse to take?
Place in prone position
A nurse is reinforcing teaching to the mother of an infant born small for gestational age. To the following should the nurse include as a cause of this condition?
Placental insufficiency
A nurse is reinforcing tesching to the parent of an infant abkut the introduction of solid foods. fhe nurse should recomment that ehich of ghe following foods to be introduced first?
Iron-fortified cereal
A nurse is collecting data from a seven-month-old infant. Which of the following would indicate the need for further evaluation?
Babbles one syllable sounds
A nurse is attending a CPR class. When performing CPR for an infant the nurse should evaluate circulation by palpating which of the following pulses?
Brachial
A nurse is talking to the parents of a eight month old who will be hospitalized for surgery. Which of the following actions should the nurse explained to the parents will help prepare the infant for the hospital?
Bring the infants favorite blanket to the hospital
A nurse working at a clinic speaks on the telephone with a parent of a two month old and fat the parent tells the nurse that the infant has projectile vomiting following by hunger after meals. Which of the following response by the nurse is appropriate?
Bring your infant into the clinic today to be seen
A nurse is monitoring in infant who is three months old and has sneezing coughing nasal congestion in a minute fever and apenic spells. These findings are associated with which of the following diagnoses
Bronchitis
A nurse is caring for an infant who has a tracgeosophageal fistula. Which of the following findings are associated with this diagnosis?
Choughing Apnea Cyanosis Frothy siliva
A nurse is reinforcing health promotion teaching to the parents of an infant. Which of the following condition should the nurse identify as the leading cause of death among this age group?
Congenital anomalies
A nurse is preparing to examine a postterm into Amilee after delivery. Which of the following findings should she expect to have?
Cracked, peeling skin Moro reflex Hypertonicitt of the extremities
A nurse is preparing to begin chest compressions for an infant. The nurse should perform compressions using which of the following techniques?
Deliver compressions at 1/3 to 1/2 the depth of the chest
A nurse is collecting data from an infant. Which of the following developmental skills as a one-month-old able to do
Follow movements with eyes
A nurse is caring for an infant who is receiving IV therapy. Which assessment findings indicate fluid volume excess? Select all that apply.
Heart rate of 190 per minute during sleep Periorbital edema Crackles upon ausculation
A nurses caring for a newborn whose mother is positive for the hepatitis B surface antigen in. Which of the following should infant receive?
Hepatitis B immune globulin and hepatitis B vaccine within 12 hours of birth
A nurses caring for an infant who has inadequate motility of part of the intstine resulting in a mechanical obstruction. Which of the following disorders does the infant have?
Hirschsprung disease
A nurse is reinforcing teaching about nutrition to parent of an infant. Which of the following statements by the parent indicates understanding of the teaching?
I should wait to give my baby fruit juice until six months of age
A nurse is collecting data from an infant. Which of the following is a clinical manifestation pyloric stenosis
Projectile vomiting after feelings
Hey nurses talking with a group of young adults about injury prevention during sports activities. Which of the following joint should he explained his most susceptible to sports related injury?
Knee
A nurse is collecting data from an infant. Which of the following is a clinical manifestation Of a large patent ductus arteriosus
Machinery-like crying
A nurses caring for a neonatal who has a Myelomeningocele in as a minute to the newborn intensive care unit to await surgery. Which nurse goal has the highest priority in the care of this
Maintain integrity of the sac
A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching?
My baby will be comforted in the backseat by being able to watch me while I drive
A nurse is planning care for an infant following a surgical procedure. Which of the following pain rating scale should the nurse used to determine the infants level of pain?
Nursing assessment of pain inventory
And yours is collecting data on an infant and a well child check up. But which of the following ages is the birthweight typically doubled?
Six months
Nurses admitting an infant who has respiratory syncytial virus. To which of the following room should the nurse assigned the client?
A private room with contact/droplet precautions
A nurse is caring for an infant who has HydroCephalus. Which of the following manifestation should the nurse expect to find
Dilated scalp veins
A nurses caring for an infant about surgical repair of a cleft lip. The nurse should come for the infant by?
Rocking her with a favorite blanket
A nurse is caring for an infant who has Gastroesophagel reflux. Which of the following findings are associated with this condition?
Vomiting Weight loss Wheezing
A 12 month old if it is brought to the emergency department by the parents an x-ray reveals a fractured clavicle. Which of the following leads the nursery suspect the child has been physically abused?
The parents report that the child fell climbing out of The crib
A nurses caring for a newborn whose mother voice his concerns about sudden infant death syndrome. Which of the following would be appropriate which of the following would be appropriate to include it in a discussion with the mother?
Placing a child on the back when sleeping would decrease the risk of SIDS
A nurse is preparing to administer oral medication to a three-month-old infant. Which of the following action should it should the nurse take to ensure successful administration?
Position the syringe to the side of the tongue
A nurse is collecting data from a nine-month-old infant. Which of the following findings would require further intervention?
Positive moro reflex
A nurse is collecting data on a healthy six-month-old infant in the well-child clinic. Which of the following observations should the nurse expect to make?
Posterior fontanel is closed
A nurses caring for a six week old infant admitted to the pediatric unit for evaluation of suspected pyloric stenosis. Which of the following findings should the nurse expect?
Projectile vomiting
Nurses collecting data from an infant who has a hypertrophic pyloric stenosis. Which of the following findings should the nurse expect?
Projectile vomiting
A nurse is reinforcing car seat safety with the parent of an infant who weighs 10 pounds. Which of the following car seat position should the nurse and indicate in the teaching
Rear facing in the middle of the back seat
A nurse is selecting a toy for hospitalize six-month-old infant. Which of the following toys his developmentally appropriate for this infant?
A soft toy that squeaks or crackles when squeezed
A parent of an 11-month-old child tells the nurse in the providers office that she is concerned about the amount of sleep her daughter is getting. The nurse should explain that by the end of the first year infant should get about how many hours of sleep each night?
14 hr
A nurse is calculating the output of an infant admitted with dehydration. When Wayne a diaper the nurse knows that though 1 g of wet diaper way is equal to which of the following amounts of urine?
1mL
A nurses caring for a hospitalized two-month-old infant his mother brings an expressed breastmilk. Then if it takes 2 ounces of breast milk at 0800, 3 oz at 1100, and 2.5 oz at 1300. Which of the following should the nurse report as the client intake for the shift?
225 mL
A nurse is assisting with in mission of a six-month or if it who has dehydration. When she tracks the clients urinary output which of the following amount should indicate to the nurse at the treatment has corrected the fluid about?
2mL/kg/hr
A nurse is calculating the intake for an infinite client at the end of an eight hour shift. For all oral intake, the infant ihad 10 mL of medication, one 3 ounce bottle of formula, and 12 ounce bottle of juice. In addition, the event at IV and using at 200 mL per hour via an IV pump. The nurse should document that infants total intake as which of the following
320 mL
A nurse is preparing to administer oxygen via hood therapy to an infant who is born at 30 weeks just station. Which of the following is the highest safe level of oxygen that can be administered to a premature infant
70%
A nurse is assisting in the delivery sweet notes the newborn has a pink trunk and head blushing hands and feet and flexed extremities five minutes after birth. He has a soft cry a heart rate of 130 per minute and abdominal respiration to 40. The nurse caring for the infant should document which Apgar score?
8
A first-time mother who is breast-feeding tells the nurse she is concerned about her and Infants hydration. Which nursing observation is appropriate to use in evaluating the adequacy of an infants hydration.
The number of wet diapers per day
A nurse is collecting data on an intravenous site located in the left hand of an infant. Which of the following findings indicate in infiltration?
Adema in the palm of the hand
When administering a liquid medication to attend-month-old infant who is crying, which of the following approaches by the nurse minimizes the possibility of aspiration?
Administer the medication with the needle a syringe placed in the buccal pouch
A nurse is caring for an infant who is 24 hour postoperative following a cleft palate repair. Which of the following is an appropriate action by the nurse?
Administering opioids for pain
A nurse is caring for a 10 month old infant who is in a cast for developmental dysplasia of the hip. which of the following strategies should the nurse implement to promote the infant growth and development
Allow infant to stand in the crib
A nurse is planning care for an infant. Which of the following would be the most approximate site to assess a pulse?
Apex of the heart A nurses caring for a four-year-old child who has hydrocephalus as an infant and is admitted with malfunctioning for a tow truck he kill shot. Finally new shot placement, the nurse conducts a post operative check. Which of the following findings requires immediate action by the nurse
A 2 month old infant has hust undergone repair of a cleft palate. The nure should contribute which of the following interventions to the client plan of care?
Apply and release elbow restraints every 2 hours
A client delivers a 6 lbs. 12 oz. male infant at 39 weeks of gestation. The nurse caring for the client 14 hours after delivery makes the following observations:Brest soft, fundus firm, uterus slightly deviated to the right; lochi moderate rubra, t- 100 P 88 R 18. Which of the following actions should the nurse perform
Asked the client to empty her bladder
Nurse is reinforcing teaching about umbilical cord care for a client who is about to be discharged with her and fit. Which of the following instruction should the nurse include
Avoid any unnecessaey handling of the cord
A nurse is providing hone safety information to the parents of an 11-month okd infant. Which of the follwoing should be included?
Avoid grapes and popcorn Position the crib away from windows
A nurse observes a parent of an infant administer a prescribed oral medication. Which of the following actions by the parent indicates a need for further instruction?
Shins infant in a supine position
Nurse is collecting data on an infant who has possible cerebral palsy. Which of the following manifestations of cerebral palsy should the nurse expect to find
Sits with pillow props at eight months
A nurses caring for a four-year-old child who has hydrocephalus as an infant and is admitted with a malfunctioning ventriculoperitoneal shunt . Following a new shunt placement, the nurse conducts a post operative check. Which of the following findings requires immediate action by the nurse
Sleepy and very difficult to arouse
A nurse is assisting with the care of an infant diagnosed with spinal bifida. Which of the following actions by the nurse is appropriate?
Taking in auxiliary temperature on the newborn
A nurse is reinforcing teaching to the parent of a six-month-old infant about car seat safety. Which of the following statements by the parent indicates a need for further information?
The car seat is front facing the back passenger seat
And nurses obtaining an infant vital signs. The heart rate is 180 per minute and the temperature is 40°C or 140 is Fahrenheit. The father asked the nurse why is my baby's heartbeat in so fast? Which of the following is an appropriate response by the nurse?
The fever is causing an increase in your babies heart rate
A nurse is gathering data on a 10-month-old infant. Which of the following findings should be reported to the provider?
The infant does not sit steadily without support
A nurse is reinforcing teaching with the mother of a nine-month-old infant regarding appropriate dietary choices. Which of the following observations by the nurse indicates a need for further teaching?
The infant drinks 2 quarts of whole milk a day
And yours is Ed missing a six-month-old infant. Which of the following observation indicates to the nurse that the infant is experiencing pain?
The infant whimpers and is difficult to console
A nurse is collecting data form an infant with trisomy 21 (Down's syndrome). Which of the following are common characteristics
Transverse palmar creases Protruding tongue
A nurse is caring for an infant with diaper dermatitis. Which of the following is an appropriate action by the nurse
Use a moisturizer to wipe urin from the skin
A nudse is reinforcing discharge tesching with the parent sod a preterm infant who had a prescribtion for home oxygen and pulse oximetry monitioring. Which of the following statements bu the parents infocates a need for further teaching
We will rotate the problem of the pulse oximeter every 24 hours
Nurse is caring for an infant who is dehydrated and requires therapy. The nurse should monitor the infants response to therapy by
Weighing the infant at the same time every day
Hey nurse is planning care for an infant who was diagnosed with PKU. Which of the following is an appropriate action for the nurse to take?
Initiate a controlled diet by eliminating protein
A nurse is reinforcing teaching to the mother of a two-month-old who has Palvlik harness applied one week earlier for the treatment of developmental hip dysplasia. Which of the following statements made by the mother indicated understanding of the teaching?
I put a shirt under the straps of the Harness
A nurse is reinforcing teachings about food choices with the mother of an eight-month-old month old infant which of the following statements by the mother indicates a need for further teaching?
I will give my child strained carrots and mashed egg yolks
A nurse is reinforcing teaching with the parent of an infant who has gastroesophageal reflux. Which of the following statements bu the parents indiciates an understand of the teaching?
I will jeep my baby in an upright position after feedings
A nurse is collecting data from an infant that has coarctation of the aorta. Which of the following is a clinical manifestation?
Increase blood pressure in arms and decrease blood pressure in the legs
A nurses caring for a six month old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Increase crying episodes
A nurse is reinforcing teaching to a parent about initiating an iron fortified formula to a four month old infant. Which of the following should be inclued it in the teaching
Infants iron source starts to deplete
A nurse is caring for a male infant admitted with a palpable mass in the upper right quadrant and passage of stools mixed with blood and mucus. Which of the following diagnoses are these findings associated with?
Intussusception
A nursery nurses admitting a term newborn following a cesarean section birth. The nurse observes that the infant skin is slightly yellow. This find it indicates the newborn is experience a complication related to which of the following?
Maternal/newborn blood group incompatibility
A six month old infant has had surgery to correct intussuception. The surgeon has prescribed clear liquids by mouth. The nurse correctly administers which of the following?
Oral electrolyte solution
Nurse in the emergency department is caring for an infant who has ingested lye. Which of the following is an appropriate action of the nurse?
Observe for increasing restlessness A first-time mother who is breast-feeding tells the nurse she is concerned about her and Vince hydration. Which nursing observation is appropriate to use in evaluating the aqua adequacy of an infants hydration.
A nurse is caring for an infant who has congenital heart defect. Which of the following is associated with increased pulmonary blood flow?
Patent ductus arteriosus
