Maternity and Pediatric Nursing/Chapter 38
A nurse is talking with the parents of a child who has had a febrile seizure. The nurse would integrate an understanding of which of the following into the discussion?
Febrile seizures are benign in nature
When providing care to a newborn infant who was born at 29 weeks' gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of which of the following?
Intracranial hemorrhage
A 10 month old is brought to the emergency department by her parents after they found her face down in the bathtub. The mother said, "I just left the bathroom to answer the phone. When I came back, I found her." Which of the following assessments would be the priority?
Airway, breathing and circulation
A 15 year old adolescent is brought to the emergency department by his parents. The adolescent is febrile with chills that started sudeenly. He states, "I had a sinus infection and sore throat a couple of days ago." The nurse suspects bacterial meningitis based on which of the following?
Complaints of stiff neck, photophobia, vomiting
A nurse is preparing a presentation for an expectent parent group about neural tube defects and prevention. Which of the following would the nurse emphasize?
Folic acid supplementation
A 4 year old boy has a history of seizures and has been started on a ketogenic diet. Which of the following food selections would be most appropriate for his lunch?
Fried eggs, bacon and iced tea
A nurse is providing teaching to the parents of a child who has had a shunt inserted as treatment of hydropcephalus. The parents demonstrate understanding of the teaching when they state which of the following?
He will need more surgeries to replace the shunt as he grows.
The nurse knows that children have larger heads in relation to the body and a higher center of gravity. When developing a teaching plan for parents, the nurse includes information about an increased risk for which of the following problems?
Head trauma
As a result of seizure activity, a computed tomography (CT) scan was performed and showed than an 18 month old has intrancranial anteriovenous malformation. When developing the child's plan of care, the nurse would expect to implement actions to prevent which of the following?
Hemorrhagic stroke
The nurse is caring for a child hospitalized with Reye syndrome who is in the acute stage of the illness. The nurse would assess the child most carefully for which of the following?
Indications of increased intracranial pressure
During class, a student states, "I didn't think children could have strokes. I thought this only occurred in older adults. When responding to the student, which of the following would be most important for the instructor to integrate into the response?
Ischemic strokes are more common than hemorrhagic strokes.
A group of students are reviewing information about head injuries in children. The students demonstrate understanding of this information when they identify which of the following as the most common type of skull fracture in children.
Linear
Hydrocephalus is suspected in a 4-month old infant. Which of the following would the nurse expect to assess?
Lower extremity spasticity
The physician has ordered rectal diazepam (Valium) for a 2 year old boy with status epilepticus. Which of the following instructions is essential for the nurse to teach the parents?
Monitor their child's level of sedation.
A group of nursing students are revieiwng information related to seizures that occur in infants and children. The students demonstrate a need for additional review when they identify which type as common in neonates?
Myoclonic
The nurse assessed a child's level of consciousness, noting that the child falls asleep unless he is stimulated. The nurse documents this finding as:
Obtunded
During a well child visit, the nurse assesses an infant's ability to suck on a pacifier. The nurse is assessing which cranial nerve?
Trigeminal
A nurse is preparing a school aged child for a lumbare puncture. The nurse would expect to position the child in which manner?
On her side with the head flexed forward and knees flexed to the abdomen.
A child with increased intracranial pressure is being treated with hyperventilation. The nurse understands the need for this treatment is based on which of the following?
PaC02 levels decrease, causing vasoconstriciton
Which of the following would lead the nurse to suspect that a child is beginning to develop increased intracranial pressure?
Projectile vomiting
A 4 year old boy has a febrile seizure during a well child visit. W hich of the following would be a priority?
Protecting the child from harm during the seizure.
The nurse has developed a teaching plan for the family of a 2 year old boy who holds his breath when he gets frustrated. Which of the of the following will be most important to include in this pan?
Stay close to prevent injury when he gets frustrated.
A nurse is preparing a presentation for a local health fair about meningitis and has developed a display that list the following causes. Which of these would the nurse highlight as the most common cause of meningitis in newborns?
Streptococcus group B
A 16 year old boy complains to the school nurse of headaches and a stiff neck. Which of the following signs and symptoms would alert the nurse that the child may have bacterial meningitis?
Sunlight is "too bright"
The nurse inspect the eyes of a child and observes that the sclera is showing over the top of the iris. The nurse documents this finding as
Sunsetting
The nurse is caring for an 8 year old boy who has chronic epilepsy. Which of the following would be most important to address when teaching the child and parents about living with this condition?
Support for maintaining self esteem because of his altered lifestyle.
A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. Which of the following would the nurse include in the child's discharge instructions?
Wake him every 2 hours to check his movement and responses.
