OB Final Review (Nurs 210) - Chapter Questions
A nurse is assessing a child who is in the 3rd percentile for growth. When arranging laboratory and other assessments, the nurse places priority on which endocrine gland?
Pituitary
A child has restrictive cardiomyopathy. What information given to parents by the nurse is correct?
Least common form
The pediatric nurse understands that which endocrine gland is responsible for calcium metabolism?
Parathyroid
The pediatric nurse is monitoring a child for signs of bowel perforation. Which assessment finding supports the diagnosis of a bowel perforation?
Acute pain over affected area
Which explanation by the pediatric nurse is most appropriate for a child with ankylosis?
Adhesions causing joint immobility
The pediatric nurse is promoting anticipatory guidance about safety to the mother of a 10-month-old infant. Which statement is not appropriate for the nurse to include in the teaching session?
Allow your baby to stay alone for short periods of time to promote independence
A nurse notes the diagnosis of 'agoraphobia' on a child's chart. What does the nurse understand this to mean?
Fear of leaving home
A child with cyclical vomiting syndrome is seen i the clinic for another episode of vomiting. Which finding would indicate the need for further assessment by the nurse?
Fever
A 1-year-old child who is HIV positive has a recurrent diaper infection. Which medication does the nurse anticipate teaching the parents about?
Fluconazole (Diflucan)
A child is brought to the ED with a chemical burn to the eye. Which action by the nurse takes priority?
Flushing the eye with saline or water for 15 minutes
A nurse visiting a daycare notices a boy trying to get up off the floor by kneeling, rising to his feet while keeping his hands on the floor, then walking his hands up his legs until he is standing. Which assessment finding does this nurse document?
Gowers' maneuver
An ED physician is preparing to directly visualize the larynx of a child suspected of having epiglottitis. What action by the nurse is most important?
Have an intubation tray at the bedside
A teen is prescribed griseofulvin (Grifulvin V). What teaching does the nurse provide the child and parents?
Have liver enzymes checked every 6 weeks
The pediatric nurse uses the head-to-toe approach when conducting a physical assessment on an infant. Which sequence represents correct technique?
Head circumference, lung sounds, presence of bowel sounds, urine output
A nurse is teaching parents of a child who has an arterial septal defect (ASD) about possible treatment options. Which treatment option does the nurse include in the teaching session?
Heart transplant
A nurse is explaining to a group of students that pediatric patients are at greater risk for fluid and electrolyte imbalances than adults. Which is the best explanation for this condition?
Higher percentage of total body water
The pediatric nurse assesses the toddler's fine motor skills by observing which task?
Holding a spoon to eat
The ED nurse knows that which type of bite has the highest risk of infection?
Human
A teenager participates in outdoor summer sports. The coach finds the teen sitting under a tree obviously dehydrated and with severe muscle weakness. For what electrolyte imbalance should the nurse assess as the priority?
Hyperkalemia
The nurse caring for a child with chronic kidney disease understands that which is the most common complication from this disorder?
Hypertension
A 2-year-old child is discharged from the outpatient surgical unit after having a tonsillectomy. What statement by the parent indicates to the nurse that discharge teaching has been effective?
I will bring my child to the ED if I see excessive swallowing
A child is receiving peritoneal dialysis. Which potential complication does the nurse place greatest emphasis on preventing?
Infection
A child's medical record states he has an altered level of consciousness. What is the priority problem for the nurse to assess for this child?
Infection of the brain or meninges
The nurse assesses a child for Grey-Turner's sign. What technique is most appropriate for the nurse to use?
Inspects for bruising over the flank area
A parent in the pediatric clinic states that she has been giving her 1-year-old aspirin for his fever. What response by the nurse is best?
Instruct the parent not to use aspirin on a child
The pediatric nurse is aware that which is the precipitating cause of Legg-Cave-Perthes disease?
Interruption in blood flow
The nursing instructor is explaining the layers of skin to students. Which layer is inconsistent with knowledge of this topic?
Intradermis
The pediatric ICU nurse receives a report from the ED about a 10-year-old child being admitted with Stevens-Johnson syndrome. Which medication does the nurse prepare to administer to this child?
Intravenous immune globulin (IVIG)
An infant has been fitted with amplification devices for a hearing loss. What will the nurse include in the teaching plan for this infant?
Irritability can indicate the devices are turned up too loud
A parent rushes her child to the emergency pediatric clinic after she picks up her baby from daycare and sees a bright red spot on his cheek that looks as if he was slapped by a caregiver. Which information does the nurse anticipate providing to the mother?
Keep your child away from any pregnant women while he is sick
A child has a hearing loss following several ear infections. Which area of assessment as a priority for this child?
Language problems
The nurse working with children understands that in what time frame do symptoms of schizophrenia usually occur?
Late teens and early adulthood
A child has aortic stenosis. What manifestation does the nurse assess for?
Left ventricular failure
A child with a congenital immunodeficiency is scheduled for a routine vaccination. What instruction is most important for the nurse to provide the parent before they leave the clinic?
Let's schedule your return visit to have blood drawn for a titer
The family practice nurse is teaching a student about different types of vaccines. Which information about vaccines is correct?
Live virus vaccines need occasional boosters
A child has a diagnosis of dysthymic disorder. What assessment findings by the nurse are consistent with this condition?
Long-term, less intense depression
The father of a 4-year-old is concerned about his son's reaction to an injury of his friend. He told the nurse that the child stayed in his room over the weekend and cried himself to sleep. When the pediatric nurse questioned the child, he described an argument that he and his friend had about a week prior to his friend's injury. Based on the assessment, what is this preschool child exhibiting?
Magical thinking
A child with special needs has moved into the community. Which healthcare resource should the school nurse direct the child's family toward?
Medical home
The nurse provides anticipatory guidance to parents telling them the maximum water temperature for bathing children is which temperature?
120°F (48.9°C)
The pediatric nurse monitoring electrolytes understands that at what level does hyponatremia pose the threat of causing seizures?
125 mEq/L
A nurse is assessing growth and development in a 4-year-old child. Which sentence indicates the child is probably speaking appropriately for her age?
Play ball with me
According to Piaget, an infant uses his or her senses to learn and explore the environment. Which action is the most appropriate for the nurse to implement to determine object permanence?
Playing the game of peek-a-boo
Which type of lactose intolerance is most prevalent in the pediatric population?
Primary lactase deficiency
Which hormone is partly responsible for ensuring that the ductus arteriosus closes normally?
Prostaglandin
The nurse consults the child life specialist to help plan care for a child who is immobilized and is increasingly anxious. Which is the priority intervention for this child?
Providing diversional activities
Which heart valve prevents regurgitation of blood from the pulmonary artery into the right ventricle?
Pulmonary
A parent calls the clinic to ask about signs and symptoms of impetigo. Which information does the nurse provide?
Pustules that have honey-colored exudate
The nursing faculty explains to a group of students bout the body's immune response. What action by the immune response is most important for its functioning?
Recognizing nonself material and reacting to it
The nurse is caring for a toddler hospitalized after a motor vehicle accident. Based on Erikson's developmental model, which behavior would you anticipate can occur as a result of the hospitalization?
Regression to a previous behavior
An adolescent is experiencing severe acne and has recently been diagnosed with prediabetes. Which medication does the nurse educate the adolescent about?
metformin (Fortamet)
A nurse is assessing children at risk for chronic kidney disease. Which laboratory finding is most consistent with this condition?
pH 7.16
A mother reports seeing 'burrows' on her child's hands. Which medication does the nurse teach the mother about?
permethrin 5% (Elimite)
A nurse suspects an infant of having advanced heart failure. Which clinical manifestation of heart failure did the nurse assess to reach this conclusion?
Enlarged liver
The nurse is teaching a teen and family about systemic lupus erythmatosus. Which information about this disease is correct?
Excessive fatigue makes symptoms worse
The nurse working with children and adolescents knows that what percentage of this population suffers from sleep disorders?
20-25%
The mother of a 26-month-old toddler tells the pediatric nurse that she is having trouble disciplining her daughter. The mother states, "She really knows how to push me to my limit. I don't know what to do with her!" Which response by the nurse is the most therapeutic?
A 2-minute time-out combined with praise for good behavior is very effective for this age group
The pediatric nurse working with at-risk children understands the term 'resilience' to mean which of the following?
Ability of child to use resources to help cope with adversity
What is not a key aspect in a teen's environment that helps when making good decisions?
Ability to use logical thinking
A neonate has the diagnosis of imperforate anus. Which definition of this diagnosis will the nurse provide to the neonate's parents?
Absence of rectal opening
The nurse is providing care to an infant being discharged after surgical correction of choanal atresia. Which topic is appropriate for the nurse to include in the discharge teaching for this infant?
Appropriate technique for cleaning nostrils
A child is brought to the ED, and the parents report frequent episodes of harsh coughing that causes the child's face to turn red. The parents also report the child's eyes are red, and she frequently coughs so hard she vomits. What question by the nurse is most important?
Are her immunizations up to date?
The pediatric nurse is caring for a 5-year-old child in traction related to a broken femur. Which action by the nurse takes priority?
Assess neurovascular status every 4 hours
A mother is complaining to the nurse that her 3-year-old child often has difficulty falling and staying asleep. The following day, the child is cranky and uncooperative. Which action by the nurse is the most appropriate?
Assess the child's usual nighttime routine
A three-year-old with a history of hydrocephalus has recently undergone a ventriculo-peritoneal shunt insertion. Which post operative intervention is the most appropriate?
Assessing for signs of infection and for neurological function
The pediatric nurse is providing care to a pediatric patient with primary adrenal insufficiency. Which item in the patient's history is the most likely cause of this condition?
Autoimmune destruction
A pediatric nurse is offering a health prevention lecture in the community. Which topic is appropriate to include in this lecture?
Avoiding area is infested with mosquitoes can be helpful in preventing encephalitis
A child has severe Crohn's disease that has not responded to any pharmacological therapies. Which classification of medication does the nurse anticipate being added to the medication regime?
Biological agents
What will the nurse assess with the pediatric patient to determine hematochezia?
Blood in the stool
The mother of a 7-year-old girl brings her daughter to the pediatricians office for an annual examination. On assessment, the pediatric nurse notes signs or symptoms that may suggest a diagnosis of precocious puberty. Which assessment finding is inconsistent with the nurses knowledge of this condition?
Brittle hair
During a well-baby visit, the pediatric nurse initiates teaching related to health promotion and prevention of illness. Which nursing statement is appropriate to include in the teaching session?
Call the pediatrician if you notice a change in the baby's activity level or feedings
A child with cardiomyopathy is prescribed a beta blocker. Which drug does the nurse teach the parents about?
Carvedilol (Coreg)
A child is being assessed with the Ishiara Test plates. The nurse understands that this tests what part of neurological function?
Color blindness
A nurse is providing anticipatory guidance to the parents of a preschool-aged child regarding discipline. Which information is most beneficial?
Consequences should be natural and fit the behavior
A nurse is caring for a child hospitalized with possible channelopathy. What nursing action is most important for this child?
Continuous cardiac monitoring
A nurse is teaching a community parent group about various childhood genitourinary diseases. Which prevention method does the nurse teach the parents related to hemolytic uremic syndrome?
Cook ground beef to an internal temperature of at least 160°F (71.1°C)
A nurse is reviewing laboratory findings in a child suspected of having Addison's disease. Which finding would be consistent with this condition?
Cortisol 2 mg/dL
A nurse is reviewing the laboratory values for a child with a genitourinary condition. Which lab value would require the nurse to intervene as the priority?
Creatinine 3.6 mg/dL
Which pediatric gastrointestinal disease is characterized by 'skipped' areas of lesions?
Crohn's disease
A nurse is providing community education on preventing mosquito-borne diseases in children. Which instruction is most appropriate for the nurse to provide?
DEET-containing repellent can be sprayed on the clothes
When preparing a 4-year-old child for a procedure, the pediatric nurse must be aware of the child's developmental status. Which nursing action demonstrates awareness of the child's developmental status?
Demonstrating the procedure on the child's teddy bear
The nurse reads on a child's medical record that he has a heliotropic violaceous rash around his eyes. Which disease process does the nurse suspect?
Dermatomyostitis
A child has otitis externa with a swollen ear canal. What intervention does the nurse teach the parents for instilling eardrops?
Drop the medication onto the cotton ear wick
A 6-week-old infant is admitted to the hospital with possible hypertrophic pyloric stenosis. Which symptom is most descriptive of pyloric stenosis in infants?
Emesis usually occurs after a feeding and is projectile
The nurse is working with the family of a child diagnosed with nonalcoholic fatty liver disease. Which nurse action is the priority?
Encouraging all family members to make healthy lifestyle changes
The clinic nurse is evaluating a teen who reports extreme fatigue and a sore throat. On physical exam, the nurse notes swollen, tender occipital lymph nodes and an enlarged area on abdominal palpation. Which diagnostic testing does the nurse anticipate being ordered as the priority?
Monospot test
What information about pediatric respiratory anatomy and physiology is important for nursing care?
Newborns are obligatory nose breathers
The nurse is caring for a 16-year-old admitted with suspected bacterial pneumonia. Which action by the nurse takes priority?
Obtain a sputum sample for culture
A child has the following behaviors: deliberately tries to annoy people, displays frequent anger and resentment, and blames others for all her problems. What disorder could this child have?
Oppositional defiant disorder
A child presents in the pediatric clinic where the parent reports that his facial features appear coarser than before and new onset of hyperhidrosis. Which diagnostic test does the nurse prepare the patient and parent for?
Oral glucose tolerance test
A child is admitted to the intensive care unit following a motor vehicle crash. The student nurse uses the Glasgow coma scale to evaluate the child's neurological status. When using this tool, for which assessment as the registered nurse intervene?
Orientation
The nurse reads on a child's chart that she is having a tempanocentesis. For what medical condition is this warranted?
Otitis media
A nurse assesses a middle school child and finds a BMI in the 92nd percentile. What category does this place the child in?
Overweight
In the ED, a 10-year-old child complains of dizziness, palpitations, sweating, and tingling sensations. The mother tells the nurse that recently her child has been talking about the fear of dying. The pediatric nurse analyzes these behaviors as signs and/or symptoms related to what condition?
Panic disorder
A child has been diagnosed with long QT syndrome. The nurse counsels the family to have genetic testing. Which family members does the nurse encourage to be tested?
Parents and all siblings
Which nursing action is appropriate when assessing an obturator sign on pediatric patient?
Passively rotate flexed right thigh
A parent brings a child to the clinic and reports the child has episodes of sweating, headaches, and heart palpitations. Which medication does the nurse provided education to the parents on?
Phenoxybenzamine (Dibenzyline)
A child has lice. The parent wants to know what to do with the child's stuffed animals. Which response by the nurse is most appropriate?
Seal in a plastic bag in the garage for 2 weeks
A school-aged child is brought to the clinic by a parent who reports enuresis and malodorous urine. A routine urinalysis is normal. Which action by the nurse is best?
Send urine for a culture and sensitivity
A nurse reads the diagnosis of neurogenic club foot on an infants chart. Which other diagnosis does the nurse expect to find when reviewing the medical record?
Spina bifida
The pediatric nurse is admitting a child with a history of seizure activity. What will the nurse ensure is at the bedside to implement seizure precautions?
Suction equipment
A nurse is providing anticipatory guidance to the parents of an infant. The nurse explains that, for children of this age, the most common fatal injury is which of the following?
Suffocation
A child has been diagnosed with a pituitary tumor. What medical management does the nurse prepare the child and family for?
Surgical removal
The nurse is providing care to a child diagnosed with lordosis. Which common term might the parents have heard to describe this condition?
Swayback
What is the nurse's responsibility in educating families about how to care for their child at home after minor surgery?
Teaching about the signs and symptoms of infection
A nurse admitting a child to the ICU is told the child has risus sardonicus. Which disease process does the nurse suspect the child has?
Tetanus
A nurse notes that a child has the diagnosis of echolalia on her chart. What assessment finding does the nurse expect with this condition?
The child repeats the last heard words or sounds
The 10-year-old child is receiving preoperative teaching prior to a tonsillectomy. Which response by the nurse uses a developmentally appropriate explanation of the operation?
The doctor will give you special sleeping medicine before she operates
A nurse is planning an educational class for new families based on Duvall's family development theory. Based on the theory, how are family stages determined?
The oldest child in the family
The nurse is preparing a 7-year-old child to have a cast removed from his leg. Which statement would be most appropriate to prepare the child for the procedure?
The sound of the cast saw is very loud and may be a little scary
The parents of a toddler ask the nurse how to best prepare the toddler for a planned medical procedure. What should the nurse recognize when answering the toddler's parents?
The use of short explanations can best help the toddler understand the planned procedure
There are many myths regarding children and pain levels. Which statement regarding pain management in pediatrics is true?
The use of special pain scales allows children to better express their level of pain
The nurse working with children knows that which burn is the most common type of burn in the pediatric population?
Thermal
The pediatric nurse understands that which classification of fracture has the most potential to affect growth?
Type V
The nurse is teaching home care to the parents of a child with chronic sinus infections. What information does the nurse provide?
Using decongestant sprays for more than 3 days can cause rebound swelling
The parents of a child diagnosed with Kawasaki's disease ask the nurse to explain the disease and symptoms. Which response by the nurse is the most appropriate?
Vasculitis affecting all organs of the body
A child with diabetes insipidus is being monitored for fluid balance. Which assessment is the most accurate way to determine fluid balance?
Weight
When assessing for primary skin lesions on children, what does the nurse specifically look for?
Wheals
The pediatric nurse is aware that the child with cystic fibrosis has discharge planning needs. Which is important to communicate to the family during discharge teaching?
When and how to administer pancreatic enzymes
A nurse is teaching a parent group about potty training. Which information does the nurse provide?
Your child may show interest in toileting at around 2 years of age
How many children does the nurse understand die of child abuse each day?
greater than 5
