uworld newborn

A nurse is speaking with the parent of a toddler who believes the child has a hearing deficit. Which findings support this suspected diagnosis? Select all that apply. Behavior appears withdrawn Intelligible speech began at age 12 months Monotone speech Seems attentive, nods, and smiles when given directions Speaks with a loud voice

1-3-5

A nurse is caring for a 3-month-old infant who has bacterial meningitis. Which clinical findings support this diagnosis? Select all that apply. Depressed anterior fontanelle Frequent seizures High-pitched cry Poor feeding Presence of the Babinski sign Vomiting

2-3-4-6

When monitoring an infant with a left-to-right-sided heart shunt, which findings would the nurse expect during the physical assessment? Select all that apply. Clubbing of fingertips Cyanosis when crying Diaphoresis during feedings Heart murmur Poor weight gain

3-4-5

Pertussis is characterized by

violent, spasmodic coughing; a high-pitched "whooping" sound on inhalation; and posttussive emesis. The plan of care includes droplet precautions, airway monitoring, antibiotics, and supportive measures (eg, humidified oxygen, oral fluids)

Assessment findings of a 12-month-old child should include a

weight that is approximately triple the birth weight. Expected motor skills include the ability to sit from a standing position without assistance and to use a fully developed pincer grasp.

A nurse is caring for a child with acute glomerulonephritis. Frequent monitoring of which of the following is a priority? Blood pressure (20%) Hematuria (14%) Intake and output (48%) Peripheral edema (17%)

1

The practical nurse is assisting the registered nurse to create a care plan for a 3-year-old client admitted with a pertussis infection. Which of the following interventions should be included? Select all that apply. Institute droplet precautions Monitor for signs of airway obstruction Offer small sips of fluid frequently Place client in a negative-pressure isolation room Request a prescription for cough suppressants

1-2-3

Which assessment findings should the nurse anticipate in a child with suspected acute otitis media (AOM)? Select all that apply. Frequent pulling on the affected ear Refusal to eat Restlessness and irritability Retracted tympanic membranes Severe pain with pressure on the tragus

1-2-3

The nurse is reviewing the plan of care for a 4-year-old client who will receive daily dressing changes for an infected leg wound. Which of the following interventions should the nurse include in the plan of care for a preschool-age child? Select all that apply. Allow the child's parents to stay during the procedure Emphasize that dressing changes are not punishment for misbehavior Encourage the child to voice questions and concerns about the procedure Have the child place bandages on a doll when reinforcing education

1-2-3-4

The practical nurse is performing a physical examination with the registered nurse on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C). Which interventions will enhance the child's cooperation during the examination? Select all that apply. Allow the child to play with the stethoscope Begin with the child in the parent's lap Interact with the parent in a friendly manner Play with the child using a finger puppet Start by taking the child's vital signs

1-2-3-4

The nurse is caring for a child who has had a tonsillectomy. Which of the following are appropriate nursing interventions? Select all that apply. Anticipate ear pain and give acetaminophen as needed Educate parents to expect the child to develop bad breath postoperatively Encourage the child to drink cold liquids through a straw Notify the health care provider about frequent, increased swallowing Use an oral suction device regularly to remove secretions from the back of the throat

1-2-4

The nurse is reviewing anticipatory guidance with the parents of a 6-month-old infant with phenylketonuria. Which statements by the nurse are appropriate? Select all that apply. "A low-phenylalanine diet is required." "Meat and dairy products should not be introduced into the diet." "Phenylketonuria is self-limiting and usually resolves by adulthood." "Special infant formula is required." "Tyrosine should be removed from the diet."

1-2-4

The nurse assists with a staff education conference about appropriate nonpharmacological painmanagement interventions for newborns and infants. Which of the following strategies should be included in the presentation? Select all that apply. Administer an oral sucrose solution to a newborn during a circumcision procedure Apply a cold pack to a newborn's heel 30 minutes before performing a heel stick Assist the parent to hold a newborn skin-to-skin during an immunization injection Offer a pacifier to an infant while performing venipuncture Swaddle an infant while leaving one arm unwrapped during an IV dressing chang

1-3-4-5

The nurse reinforces teaching for the parents of a child with impetigo. Which of the following statements by a parent indicates correct understanding of teaching? Select all that apply. "I should wash my hands before and after touching the infected area." "I will clean the infected area with alcohol before applying the antibiotic ointment." "I will separate my child's towels from other laundry and wash them with hot water." "My child's fingernails should be kept short and well-filed." "The infection could easily spread to other children who come in contact with my child

1-3-5

The nurse is assisting with an education conference for graduate nurses about infant CPR. Which of the following statements are appropriate to include in the teaching? Select all that apply. "A single rescuer responding to an unwitnessed infant arrest should perform 2 minutes of CPR before retrieving a defibrillator." "Depth of chest compressions for infants should be half the depth of the anterior-posterior chest diameter." "Rescuers should place the heel of one hand on the lower sternum when delivering chest compressions to infants." "The ratio of chest compressions to breaths during CPR by a single rescuer is 15:2 for infants." "You should assess the infant's brachial pulse for no longer than 10 seconds."

1-5

The nurse is caring for a newborn with patent ductus arteriosus. Which assessment finding should the nurse expect? Harsh systolic murmur (19%) Loud machine-like murmur (39%) Soft diastolic murmur (23%) Systolic ejection murmur (17%)

2

The nurse is reviewing the medical record of a 4-year-old client with failure to thrive. Which of the following risk factors likely contribute to the client's condition? Select all that apply. Child is the youngest of four children in the home One parent is incarcerated for spousal abuse One parent was diagnosed with anorexia nervosa prior to having children One parent works a full-time job outside the home Parents are concerned about not having enough money to buy food

2-3-5

A nurse is performing an assessment of a 12-month-old child. Which of the following findings would the nurse expect? Select all that apply. Approaches strangers with ease Birth weight is tripled Can skip and hop on one foot Fully developed pincer grasp Sits from a standing position

2-4-5

What communication strategies would the nurse have in place when establishing rapport with the caregiver and an 8-year-old during a health history interview? Select all that apply. Ask only closed-ended questions to obtain information Allow the child to describe their current issue Isolate the child from the parents and interview them separately Maintain an eye level position when speaking with the child Use language that both the child and caregiver can understand

2-4-5

After a recent outbreak of varicella in an elementary school, the practical nurse is assisting with the development of an informative letter to parents. Which of the following instructions are appropriate to include?

Apply calamine lotion to soothe lesions Clip your child's fingernails short Ensure that your child's vaccinations are up to date Keep your child home until lesions have crusted Place mittens on your child's hands when sleeping

The nurse cares for a 4-year-old who is on long-term, strict bed rest.

The nurse cares for a 4-year-old who is on long-term, strict bed rest. Which toy is most appropriate to provide diversion and minimize developmental delays? Board games (22%) Puppets (36%) Soap bubbles (7%) Stacking and nesting toys (33%)

Educational objective:Postoperative tonsillectomy

interventions include close observation for signs of bleeding (eg, frequent swallowing) as well as avoidance of routine oral suctioning and the use of straws. Expected findings include white, fluid-filled exudate in the throat with halitosis, low-grade fever, and referred ear pain.