PEDS FINAL
To test for PKU in the NB, that test must be done at least
24 hours after the infant's first breat or bottle feeding
the nurse has completed the initial assessment and VS for an infant born at 12 noon. the assessment and VS were completed at 1:30 PM. what time will the nurse plan to complete the next set of VS?
2:00 PM
while the nurse is weighing and measuring a toddler during his annual checkup, the toddler's mother mentions that she is thinking of having another child. The toddler is small in stature and seems mildly developmentally delayed. His eyelid folds are short and his nose is flat. He does exhibit short hands with a simian line. What do the toddler's characteristics suggest?
Fetal alcohol syndrome
the nurse is caring for a pregnant woman with gestational diabetes mellitus, which the woman is having great difficulty keeping under control. what effect is rhe woman's condition MOST likely to have on the fetus? The fetus would be classified as
LGA- Large for Gestational Age
which of the following is not included in a gestational age assessment utilizing the Ballard tool?
Moro reflex
RhoGAM must be administered within 72 hours to a
Rh negative mother after delivering and Rh positive infant
surgery is essential and may be performed as an emergency procedure with an infant born with a diaphragmatic hernia
TRUE
when collecting data during an admission interview and examination of a NB, the nurse finds that the NB has cyanosis, tachycardia, and feeding difficulties. these symptoms indicate the NB has which of the following condition?
Tetraology of Fallot
A 21-year-old mother who has decided not to breast-feed is seeking advice about formula-feeding for her NB son before leaving the hospital. at which time should the nurse teach the new mother to burp the baby?
after every 0.5 oz
The nurse is caring for a patient who has gone into labor 6 weeks early and whose amniocentesis has shown a lack of lecithin. In addition to stopping the labor, what is the first thing the nurse should anticipate that will be ordered?
asministering a glucocorticosteroid, (betamethasone) to the mother
A new mother is determined to breast-feed exclusively for the first six months of her baby's life but has to return to work before then and will need to pump and store her expressed breast-milk. How long should a nurse advise this woman to wait, if possible, before introducing the expressed milk into the feeding schedule?
six weeks
the nurse is providing dischage education on NB care at home. the nurse provides instructions that infants need to be placed on their back to sleep. what is the nurse reducing the risk for with this education?
sudden infant death syndrome
you are assigned to care for a couple who have just learned that their son, born yesterday, has died. As you enter the room, you find both parents quietly crying. Your most appropriate response is
"I'm sorry about your son's death"
the nurse is doing nutrition teaching with a group of caregivers of children of all ages. Which of the following statements made by the caregivers would require follow-up by the nurse?
"If my child has good nutrition she won't get childhood illness"
four weeks after the birth of her already large child, the physician has told the pregnant woman that if the baby gets bigger and his lungs are ready, the physician would like to performa cesarean to deliver the baby. The woman asks the nurse what the downside is to having a cesarean rather than a vaginal delivery? what is an appropriate response by the nurse ?
"In a vaginal birth, the baby's chest area is compressed when the baby passes through the birth canal, which expels some excess fluid from her lungs; if that doesn't happen there's a bit higher risk of some respiratory distress. If this is a problem, we're perpared to handle it and it usually resolves itself by the third day."
A woman with a history of PKU tells the that she has decided to try to become pregnant. Her serum phenylalanine level is 10 mg/dL. Which of the following is an appropriate response for the nurse?
"It will best if you cut back on meat, fish, and dairy products before you become pregnant to get you serum phenylalanine levels down under 8 mg."
Prior to discharge the nurse is preparing a NB for sensory perception diagnostic tests. Which tests will the NB have before going home with the mother? select all the apply
auditory brainstem response Otoacoustic emissions
the standard of care and recommendation by the centers for disease control is to administer an immunization to all NB. which immunization is recommended to be administered prior to discharge?
Hep B
weighing a NB is an example of which of a nurse's role in caring for a new mother starting to breast-feed?
assessing NB fluid intake
kernicteris
describes a neurologic complication of unconjugated hyperbilirubinemia in the infant.
the postmature infant is particular need of:
early feeding
which of the following infants is most likely to be at risk for SIDS?
low birth weight male infant born in the winter, mother smokes
when assisting in the delivery of a post-term baby, as soon as the baby's head is delivered, the nurse is most likely to be called upon to help the physician perform what action?
suction the baby's mouth and nose
some preterm babies are fed by gavage because of
weak sucking and swallowing
the major problem encountered with shunts used to treat hydrocephalus is
infection
Infection in the NB infant's eyes at birth:
may be prevented by administration of erythromycin ointment
RhoGAM will be ordered postpartum when which of the following situations occur?
mother is Rh -, baby is Rh+
in caring for the NB who has had a cleft lip repair, which nursing action is the highest priority?
observe the incision for redness and drainage
when juandice appears in the NB within 24 hours after birth it is preferred to as
pathogenic jaundice
when a baby's jaundice DOES require tx
phototherapy is generally utilized
An infant's temperature is 97.2 degree F axillary an hour after birth. Which intervention is appropriate for the nurse?
place the infant under a radiant warmer or in a heated isolette
A NB has secretions in the mouth and nose. What are the first steps the nurse should take to clear the NB airway?
position on the side with his head slightly below the body; use a bulb syringe to clear the mouth, then nose.
the nurse is ensuring a NB is properly identified after birth. What will the nurse do to prevent misidentification of the baby?(select all the apply)
prepare four identification bands after birth apply an identification band to the mother's wrist apply identification bands to the NB's ankle and wrist
Any infant of less than 37 weeks' gestation is considered to be:
preterm or premature
the father of a NB asks the nurse what medications is in the baby's eyes and why it is needed. which should the nurse explain to the father?
prevent infection of the baby's eyes by bacteria which may have been in the vaginal canal
a NB male has been circumcised, has stable temperature, breathing , and HR, and is ready to be discharged from the hospital. What should the nurse teach the parents that might inidicate the NB needs medical attention?
redness at the base of the umbilical cord
an infant born to a mother addicted to drugs:
should be swaddled and kept in a dimly-lighted environment
when working with adolescent, an important aspect of developing open communication with them is to
show interest in the adolescent and develop a rapport before you ask questions
the nurse who is caring for NB Andrew notices that although he has seemed healthy, at 18 hours of age Andrew's abdomen is now distended. By 24 hours he has passed no stool, the nurse will
inform the physician of the findings
a very healthy patient delivered a NB with an immediate Apgar score of 10. The baby has been with the parents for 45 minutes and her parents feel ready to get cleaned up and let the baby be taken care of by the HCP for a little while. What eye care aciton will the nurse now take?
instill antibiotics 0.5 % erythromycin or 1% tetracycline eye drops. if they are available, or 1% silver nitrate if necessary.
the child with a repaired myelomeningocele typically does not demonstrate:
intellectual retardation
which of the following is a complication associated with high arterial blood oxygen levels in a preterm infant?
intraventtricular hemorrhage
Bilirubin
is formed from the normal breakdown of old RBCs
epispadias
is the condition in which the opening of the urinary meatus is located abnormally on the dorsal surface of the glans penis
which of the following does Erikson describe as the psychosocial development task upon which other psychosocial development is built?
learning to trust
before their infant is admitted for cleft lip surgery, in an effort to help the infant adjust after surgery, it would be helpful for the nurse to encourage the family to
let the infant become accustomed to being in elbow restraints
what is the usual range of blood glucose levels for the NB?
45-90
a nurse should advise a woman who has decided against breast-feeding to introduce soft mashed fruits and vegetables into her baby's diet at what age?
6 and 8 months
when weighing and measuring a child at her 6 months old checkup, the nurse would expect to see that over the previous 6 months the infant, who weighed 8 pounds and was 20 inches long at birth, would have gained about
8 pounds and grown 6 inches
NB need to be protected from developing hypothermia, which statement is true?
Consequences of hypthermia in the NB are lethargy and poor feeding
a positive direct Coombs' test indicates:
a presence of antibiotics attached to the infant's RBCs
a 26-year-old, first-time mother who would like to have more children inquires about which birth control methods to use while breast-feeding for NB. what should you advise her about the best birth control method? select all the apply
birth control condoms are the first choice ??
jaundice usually appears in the 2-3
day of life in the healthy, full term NB
when caring for a NB who is jittery and irritable 30 minutes after birth, what should the nurse do?
take blood, using a heel stick, to check for hypoglycemia
what is the medical term for clubfoot?
talipes equinovarus
in considering the stages of development according to Erik Erikson, which of the following would be an example of autonomy?
the child performs tasks by themselve, even when it takes a long time
in evaluating if breast-feeding is going well, what is one positive indication a nurse should look for?
the mother is experiencing uterine contraction
the nurse is providing discharge education to a first-time morther and father on their NB female infant. The father notes the infant has a yellow skin color. how should the nurse explain what the father is noting?
the tint is yellow from jaundice
If rubella vaccine is indicated for the postpartum woman, instruction to her should include:
there are no special instruction needed
what is the first step a hospital nurse should take in preparing a new mother to breast-feeding her infant after delivery?
check the NB's and woman's ID bands to make sure they match
A frustrated mother comes to a 9-month well-baby check-up complaining to you that her son is refusing all of the solid food she gives him. When talking with this mother, the nurse discovers that she has struggled all her life with a a weight problem to being forced to eat all of the foods she was served as a child, she tells the nurse that each time her son pushes food away with his tongue she believes that he doesn't want it. which of the following statements would be most appropriate for the nurse to say to this mother?
"The baby needs to learn how to move the food to the back of the mouth for swallowing, so catch the food and offer it again until the baby learns this."
which assessment findings for a one-hour- old infant should the nurse report?
Blood sugar 42mg/dL
after conferring with the care provider, the nurse who is caring for the NB with myelomeningocele can best increase the baby's comfort and development by teaching the parent how to
cuddle the babyin a chest-to-chest position
what is the most important thing that the nurse can teach the family of a NB to prevent abduction while the baby is the hospital?
check the identification badge of any health care worker before he or she takes the baby from the room
a NB male is circumcised, using the Gomco clamp method. What instructions should the nurse include in the discharge plan for his parents?
cover the glans penis with Vaseline
Education to prevent fetal alcohol syndrome should include information about alcohol's effects on the developing fetus. Those effects include which of the following? select all the apply
developmental delays learning disabilities low birth weight
In response to inquiries about producing enough milk for her infant, what is the correct advice a nurse can give a new mother regarding her own nutritional needs while breast-feeding?
drink a lot of fluids
A 10-year old child is scheduled to have surgery tomorrow. To minimize the trauma this child mey experience as a result of hospitalization, which of the following actions would be appropriate for the nurse caring for this child? the nurse should
encourage the child to ask questions and express fears
Name 2 manifestations of respiratory distress in the NB
expiratory grunting Nasal flaring
the preterm infant should be:
fed every 2 hours, 1-10mL at a time
the nurse is providing discharge teaching to a new mother about the baby's feedings schedule. what should the nurse include in these instructions? select all the apply
feed every 2 hours spiiting up is expected frequent vomiting can cause dehydration feeding patterns become irregular in about two weeks
the nurse is working in the nursery. What is the most critical transition time for a NB?
first 12 hours
the nurse should help the new mother find the most comfortable position in which to breast-feed. what position should a nurse recommend for a woman with large breast?
football hold
A pregnant woman who has just discovered that the fetus she's carrying is likely to have Down Syndrome is weighing the consequences of carrying the baby to term. Which of the following statements is most accurate regarding the possible concerns for the child with Down Syndrome? children with Down Syndrome
have a higher risk of developing leukemia that those in the general population
Infants receiving phototherapy above the isolettes to treat hyperbilirumenemia should
have eye shields for protection from the light.
The diagnotic test known as the L/S ratio:
helps assess fetal lung maturity
`Infants receive vitamin K within the first hour after delivery. what is the rationale for this?
helps in formation of clotting factors, to prevent bleeding
The nurse is caring for a 22-hour-old neonate Antonio, who had a good apgar scale, nursed without difficulty, and seemed healthy when the nursing shift began. As the nurse's shift goes on, the nurse notices that the whites of his eyes and his skin have begun to take on a yellow hue? the nurse would report this as a possible indication of what condition?
hemolytic disease
what condition occurs in 70 to 90% of children with meningomylelocele?
hydrocephalus
Over the course of an 8-hour-shift of postoperative care for a child who has had ventriculoatrial shunt replacement, the nurse notes that the child's cry has become increasingly shrill, has projectile vomiting, and a bulging anterior fontannel. The nurse would notify the physician immedialtely because of the possibility that the child might be experiencing
increased intracranial pressure
frequent breast-feeding
throughout the day and night may help prevent jaundice in newborn babies
Infant with Down Syndrome charactically have all of the following EXCEPT
unsteady gait
when educating parents in the maternal-NB unit abour prevention of their infant abduction, what should the nurse teach to prevent abduction ?
use of monitor attached to the baby
which intervention would a nurse implement to best prevent heat loss in a 1-day old NB?
warm all surfaces and objects that come in contact with the NB
what could be considered to be the best practice for the nurse to follow in giving a NB his or her first bath?
wash off all traces of blood amd allow the vernix to remain on the skin.
the nurse is taking a NB to the nursery after delivery. The baby has been cleaned in the labor and delivery suite and swaddled in a blanket and the nurse is going to check the baby's pulse. What must the nurse do first?
wear gloves
