Peds quiz 2

A nurse caring for a newborn diagnosed with a cleft palate will most likely teach the parent to use which of the following when feeding the newborn? A modified shorter nipple A modified longer nipple Breast Standard bottle

A modified longer nipple

A nurse is caring for a 2-week-old infant born prematurely who is diagnosed with extrahepatic biliary atresia. The nurse associates which assessment finding with this diagnosis? Select all that apply. Yellow sclera Irritability Fever Dark brown or black stools Dark urine

Yellow sclera Irritability Dark urine

A 14-month-old infant presents to the emergency room with 'currant-jelly stools', and episodic screaming and crying with legs pulled to the abdomen followed by vomiting. The physician orders a barium enema. When the parent asks why this procedure was ordered, the nurse's best response is which of the following? "A barium enema is needed to diagnose the condition." "A barium enema will help clean out the bowel relieving pressure and pain." "A barium enema is used to both diagnose and treat the suspected condition." "A barium enema is necessary to treat the condition."

"A barium enema is used to both diagnose and treat the suspected condition."

The parent of a 2-year-old expresses concern stating, "I can't get her to eat enough." What is the nurse's correct response? Select all that apply. "A toddler has a reduced caloric need." "It is normal for a toddler to be a picky eater." "By 2 years of age, a child should have quadrupled their birth weight." "Continue to offer healthy choices; they will eat when they get hungry enough." "The stomach of a toddler only holds about 500 mL at a time."

"A toddler has a reduced caloric need." "It is normal for a toddler to be a picky eater." "By 2 years of age, a child should have quadrupled their birth weight." "Continue to offer healthy choices; they will eat when they get hungry enough." "The stomach of a toddler only holds about 500 mL at a time."

A nurse knows the parent understands the nutritional management teaching for their child's Crohn's disease based on which statements? Select all that apply. "A low-fat, low-carbohydrate diet is best." "During inflammatory periods, fiber intake should be increased." "Frequent small meals are recommended." "Nutritional supplements may be needed." "Carbonated beverages should be avoided."

"Frequent small meals are recommended." "Nutritional supplements may be needed." "Carbonated beverages should be avoided."

A 4-week-old male infant is brought to the emergency room by his parent due to new onset of projectile nonbilious vomiting immediately after feedings. On exam, an 'olive-like' mass is palpated on the edge of the upper right quadrant. Surgical intervention is performed to correct the condition. What information should the nurse include in postsurgical teaching? Select all that apply. "Save any wet diapers." "Notify the health-care provider about any vomiting immediately after surgery." "Even if bowel sounds are not present, feedings will begin 6 hours postoperatively." "Feedings will start with Pedialyte." "Short bowel syndrome may be a complication of the surgical intervention."

"Save any wet diapers." "Even if bowel sounds are not present, feedings will begin 6 hours postoperatively." "Feedings will start with Pedialyte."

The parent of a school-age child diagnosed with hepatitis A asks the nurse when the child is able to return to school. What is the nurse's best response? "The child can return to school once blood tests are no longer positive for anti-HAV." "The child can return to school once blood tests are negative for anti-HAV." "The child can return to school a week after the onset of jaundice." "The child can return to school once the jaundice has resolved."

"The child can return to school a week after the onset of jaundice."

A student nurse correctly understands the functions of the small intestine based on which statements? Select all that apply. "Fat breakdown occurs mainly in the duodenum." "The small intestine is primarily responsible for carbohydrates, fats, proteins, minerals, and vitamins. "The ileum absorbs bile salts, vitamins, and chloride." "Amylase and ptyalin in the small intestine break down starches into disaccharides." "The small intestine converts disaccharides to monosaccharides."

"The small intestine is primarily responsible for carbohydrates, fats, proteins, minerals, and vitamins. "The ileum absorbs bile salts, vitamins, and chloride."

A student nurse is learning about signs and symptoms of pancreatitis in the pediatric population. Which statement indicates a need for further remediation? Select all that apply. "A bluish discoloration around the umbilicus is a positive Cullen sign." "Triggers for pancreatitis in children are the same as in adults." "With pancreatitis, serum lipase or amylase can be three times the normal value." "Epigastric pain radiating to the right shoulder is common." "Pancreatitis in young children does not usually present with nausea and vomiting."

"Triggers for pancreatitis in children are the same as in adults." "Epigastric pain radiating to the right shoulder is common." "Pancreatitis in young children does not usually present with nausea and vomiting."

A nurse is caring for a child in the hospital who receives lansoprazole (Prevacid) twice a day for GERD. The child weighs 27 pounds. The ordered dose is 1 mg/kg/day. How many milligrams will the nurse administer at the 0900 dose? Round to the whole number. Enter numeral only.

6

A nurse caring for a child during a severe episode of Crohn's disease expects which of the following to be part of the treatment plan? Select all that apply. Antibiotics Enema Gastric decompression TPN Biologic therapy

Antibiotics Gastric decompression TPN Biologic therapy

A child with recent placement of a temporary colostomy after surgical correction of Hirschsprung's disease is being discharged home. Signs of complication from stricture to be taught to the caregivers should include: Select all that apply. Constipation Vomiting Diarrhea Abdominal distention Fever

Constipation Vomiting Diarrhea

A nursing instructor teaching a group of student nurses about malabsorption disorders will not include: Lactose intolerance Celiac disease Short bowel syndrome Crohn's disease

Crohn's disease

A nurse caring for an older child with suspected Hirschsprung's disease would expect which of the following to be part of the child's history? Select all that apply. Diarrhea Delayed passage of first meconium Failure to thrive Male UTIs

Delayed passage of first meconium Failure to thrive Male

An older child is diagnosed with hepatitis A. All of the following symptoms are indicative of the icteric stage of the disease in this child except: Diarrhea Jaundice Hepatomegaly Clay-colored stool

Diarrhea

A parent brings their 3-year-old child to the health-care provider's office for complaints of no bowel movement in last 5 days with the previous bowel movement being hard and causing straining to pass. The child has just started toilet training within the last month. On assessment, the child is growing well, has a normal diet with adequate intake, and has no signs or symptoms of illness. When considering the best outcomes for this family, what should the nurse include in teaching about constipation? Select all that apply. Ensure adequate hydration. Restriction of refined carbohydrates. Establishment of regular toilet time and sitting on the toilet for 5-10 minutes at a time. Daily bowel cleansing medication. Steps for administering an enema.

Ensure adequate hydration. Restriction of refined carbohydrates. Establishment of regular toilet time and sitting on the toilet for 5-10 minutes at a time.

Discharge instructions for a child who has just had a Nissen fundoplication should include all of the following except which ones? Select all that apply. Fruit juices should be avoided. How to make the hole in a bottle nipple smaller. Due to the surgical correction, position after feeding is no longer an issue. Instructions on how to change the temporary ostomy device. The procedure should correct the issues with constipation.

How to make the hole in a bottle nipple smaller. Instructions on how to change the temporary ostomy device. The procedure should correct the issues with constipation.

An oncoming nurse is obtaining report from the outgoing nurse for a 3-week-old infant with suspected volvulus. The nurse taking over care of the infant knows which of the following signs and symptoms are consistent with volvulus? Select all that apply. Intermittent green vomiting Palpable epigastric mass Bloody stool A 'bird's beak' appearance seen on barium enema Recent upper respiratory infection

Intermittent green vomiting Palpable epigastric mass Bloody stool A 'bird's beak' appearance seen on barium enema

A student nurse learning about assessment findings consistent with a diagnosis of intussusception needs further instruction when stating which of the following are associated with this condition? Select all that apply. Episodic abdominal pain with vomiting Crying and drawing up of legs to the abdomen Palpable 'olive-shape' abdominal mass Ribbon-like stools Dehydration

Palpable 'olive-shape' abdominal mass Ribbon-like stools

When evaluating a child for possible appendicitis, the most reliable diagnosis is the following symptoms occurring in what order? Periumbilical pain Right lower quadrant pain High fever Abdominal pain subsides

Periumbilical pain Abdominal pain subsides Right lower quadrant pain H

A nurse caring for a child post-op from a volvulus teaches the caregiver about which potential long-term complication? Short bowel syndrome Vomiting Feeding intolerance Constipation

Short bowel syndrome

A student nurse is reviewing the chart of a child diagnosed with irritable bowel syndrome. The chart states the child has hematochezia. The student nurse knows this means the child has: Tarry stools Stools with red blood Blood in the urine Vomit containing blood

Stools with red blood

Upon assessment of an infant, the condition in the figure is noted. The nurse caring for the infant knows all of the following are true regarding the condition except which of the following? This defect usually begins at the end of the first trimester in utero. It is more common in African American children. Most will spontaneously resolve. This defect is caused by a protrusion of bowel through the inguinal canal.

This defect is caused by a protrusion of bowel through the inguinal canal.

A nurse teaching nutrition to a group of newly diagnosed adolescents with celiac disease should include which foods in the list of restricted items? Select all that apply. Millet Wheat Oat Hydrolyzed vegetable protein Corn

Wheat Oat Hydrolyzed vegetable protein