Final peds Flashcards

Identify the age group of children per Erickson in the development stage of industry vs inferiority

Identify the age group of children per Erickson in the developmental stage of Autonomy vs. Shame & Doubt

Identify the age group of children per Erickson in the developmental stage of Initiative vs Guilt.

Identify the age group of children per Erickson in the developmental stage of Identity vs. Role Confusion.

According to Piaget, adolescents tend to be in what stage of cognitive development?

A 17 month old child should be expected to be in which stage according to Piaget?

A Pediatric Nurse Practitioner (PNP) in the peds clinic is assessing the reflexes of a 6 month old infant. Which of the following reflexes should usually not be seen at this age?

Which of the following reflexes usually disappear in a newborn around 3-4 months of age? (Select all)

The nurse is doing a neurologic assessment on a 2 month old infant after a car accident. Moro, tonic, neck, and withdrawal reflexes are present. The nurse should recognize that these reflexes suggest which of the following?

A parent brings a 6 month old to the pediatric clinic for her well baby examination. Her birth weight was 8.2 lbs. The nurse weighing the infant today would expect her weight to be at least?

What developmental achievements are demonstrated by a 4 y.o child? (Select all) Commonly has an imaginary playmate, Tends to be selfish and impatient, Fears are common

Select the developmental milestones usually seen in children during the toddler stage (1-3 years). (Select all)

At what age can most infants sit steadily unsupported?

A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include in the teaching?

By which age should the nurse expect that an infant will be able to pull to a standing position?

At which age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?

A child begins to blame his father for his parent’s divorce and has displayed intense anger towards his father. In which age group of children is this most likely to occur?

At what age should the nurse expect most infants to be saying Mama or Dada?

Which condition/behavior manifested by an 11 month old infant warrants further evaluation?

You are observing a 5 month old for developmental skills. Which of the following skills would concern you if the infant was not demonstrating?

In terms of gross motor development what should the nurse expect an infant age 5 months to do?

The Pediatric Nursing student is educating a mother who plans to discontinue breast-feeding when the infant is 9 month old. The nursing student should advise her to include which foods in her infant’s diet?

. A nurse is assessing a 2 1⁄2 y.o toddler at a well child visit. Which clinical finding should be reported to the healthcare provider?

At what age is it safe to give infants whole milk instead of commercial infant formula?

During a well-baby visit a parent asks the nurse when she should start giving solid foods. The nurse should instruct her to introduce which solid food first?

A Pediatric nursing student, while assisting in teaching nutrition to new parents, informs them that eating preferences are influenced primarily by the family. At what age is lifelong eating habits usually established?

A 14 month old boy is hospitalized with dehydration. He is inconsolable, screaming, and rejecting your physical contact. What best describes his response?

A school nurse decides to initiate a safety program for increasing the use of bicycle helmets. The program is an example of:

What does the nurse recognize as physical signs of approaching death?(SELECT ALL)

Select the rational for the relationship between children having anemia and lead poisoning.

The Pediatric nurse should begin screening for lead poisoning when a child reaches which age?

Which of the following body systems can be severely affected with an increased lead level in a developing child?

A child has been admitted to the hospital with a blood lead level of 42 mcg/dl. What treatment should the nurse anticipate?

Which is the leading cause of death in infants younger than 1 in the U.S?

What is the leading cause of death in children older than 1 year in the U.S.?

What is the leading cause of death from unintentional injuries in children?

What is the most frequent source of symptomatic lead poisoning in children?

A 12-month-old client has a high blood lead level of 18 mcg/dL. The nurse educates the parents about lead poisoning. Which statements made by the parent indicate that teaching is successful? (Select all that apply.)

A 12-month-old is found to have a moderately elevated blood lead level. Which of the following is the most serious concern for this child?

A child with acetaminophen (Tylenol) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?

The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?

A 7-year-old child has ingested a toxic dose of iron. The parent reports that the child vomited and had gastric pain an hour ago but “feels fine” now. The parent is not sure when the child ingested the iron tablets. What is the appropriate recommendation by the nurse?

The parent of an 8.2 kg 9 month old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put in the car seat is what?

The nurse is ready to perform a physical exam on a 9 month old infant. Where should the nurse place the infant?

Which of the following is the best method for performing a physical examination on a toddler?

The nurse is performing a physical assessment on a 7 y.o child. The parents state that the child has trouble seeing the board at school. What visual impairment should the nurse suspect?

What approach is the most appropriate when performing a physical assessment on a toddler?

What findings on physical assessment of a neonate would indicate the need for further evaluation?

The nurse is performing of physical examination on a 10-year-old client with abdominal discomfort. Which actions would be appropriate during the examination? Select all that apply.

A nurse in a pediatric clinic is performing a physical examination of a 30-month-old child. Which finding requires further evaluation?

A nurse is planning to complete a physical examination of a toddler. Which approach is an appropriate intervention by the nurse?

The nurse is performing a physical assessment on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C). The parent is concerned about the child's ability to cooperate during the examination. Place the components of assessment in the order the nurse would perform them.

When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This finding is associated with:

Which of the following is the most consistent and commonly used data for assessment of pain in infants?

Which of the following is an important consideration when using the APPT pain rating scale with children?

The components of the FLACC scale include cry, leg movement, facial expression and activity.

What is the most consistent and commonly used indicator of pain in infants?

The nurse is educating a new nurse on identification of pain in children. What does the nurse teach about physiologic measurements in children’s pain assessment?

What self-report pain rating scales can be used in children as young as 3 years of age?

Which of the following pain tool is most appropriate for use in a 10 yr old child with Sickle Cell Anemia, to outline the area of the child’s pain?

The nurse assists with a staff education conference about appropriate nonpharmacological pain-management interventions for newborns and infants. Which of the following strategies should be included in the presentation? (Select all that apply.)

The nurse is caring for a child receiving a continuous intravenous (IV) low dose infusion of morphine for severe postoperative pain. The nurse observes a slower respiratory rate and the child cannot be aroused. The most appropriate management of this child is for the nurse to do which first?

A 5 year old has patient-controlled analgesia (PCA) for pain management after abdominal surgery. What information does the nurse include in teaching the parents about the PCA?

What information does the nurse include when teaching parents about nonpharmacologic strategies for pain management in children?

The nurses caring for a child are concerned about the child’s frequent requests for pain medication. During a team conference, a new nurse suggests they consider administering a placebo instead of the usual pain medication to see how the child responds. The team educates the nurse on why this is not appropriate and bases the decision on what knowledge?

The nurse is caring postoperatively for an 8-year-old child with multiple fractures and other traumatic injuries from a motor vehicle crash. The child is experiencing severe pain. What is an important consideration in managing the child’s pain?

The nurse is caring for a 12-year-old boy who sustained major burns when he put charcoal lighter on a campfire. The nurse observes that he is “very brave” and appears to accept pain with little or no response. What is the most appropriate nursing action?

The nurse is caring for a child with multiple injuries who is comatose. What information is accurate related to pain in this child?

The nurse is caring for an adolescent client receiving intravenous (IV) morphine for severe pain. The nurse observes a respiratory rate shallow, and the client cannot be aroused. What priority nursing action should the nurse take?

What is the single most important factor to consider when communicating with children?

The nurse is having difficulty communicating with a hospitalized 6 yr old. Which technique should be most helpful?

What approach would be best to use to ensure a receptive response from a toddler?

The nurse would make a referral for communication impairment in what situations?

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.

A 10 y.o female seen in specialty peds clinic has a diagnosis of Spina Bifida. On examination the peds nurse observes dark tufts of hair at the lumbar sacral region. Which of the following is the child’s diagnosis?

The pediatric nurse is preparing to admit a 5 y.o with spina bifida cystica that was below the second lumbar vertebra. What clinical manifestations of spina bifida cystica below the second lumbar vertebra should the nurse expect to observe?

A 10 yr old female seen in a specialty peds clinic has a diagnosis of Spina Bifida. On examination the peds nurse observes the spinal sac with meninges and nerves. Which of the following is the child’s diagnosis?

Latex allergy is suspected in a child with spina bifida. What are appropriate nursing interventions to include in care of this patient?

A 4 yr old with Spina Bifida is prepared for a straight catherization by the peds nurse. Which of the following actions by the nurse is recommended for this child?

Spina bifida is one of the possible neural tube defects that can occur during early embryological development. Which of the following definitions most accurately describes meningocele?

The nurse is preparing to admit a 5-year old with spina bifida cystica that was below the second lumbar vertebra. What clinical manifestations of spina bifida cystica below the second lumbar vertebra should the nurse expect to observe? SATA.

A nurse is caring for an infant with myelomeningocele scheduled for a surgical closure in the morning. Which interventions should the nurse plan for the care of the myelomeningocele sac?

What problem is most often associated with myelomeningocele?

One of the most important interventions when caring for an infant with myelomeningocele in the preoperative stage is which?

What childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and bacterial pneuomonia?

. A toddler is admitted to the pediatric unit with presumptive bacterial meningitis. The initial orders include isolation, intravenous access, cultures, and antimicrobial agents. The nurse knows that the antibiotic therapy will begin:

The nurse is planning care for a school-age child with bacterial meningitis. What intervention should be included?

The nurse is planning care for a school age child with bacterial meningitis. What intervention should be included?

A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. What is the appropriate nursing intervention when preparing for a lumbar puncture?

The nurse is admitting a young child to the hospital because bacterial meningitis is suspected. What is a priority of nursing care?

The nurse receives new prescription for a 6-month-old client with bacterial meningitis. Which action is the priority of care?

The nurse is caring for an infant with suspected meningitis and preparing to assist with a lumbar puncture. What is the appropriate nursing intervention?

A nurse is caring for a 3-month-old infant who as bacterial meningitis. Which clinical findings support this diagnosis? Select all that apply.

A 7-month-old infant is admitted to the unit with suspected bacterial meningitis after receiving an initial dose of antibiotics in the emergency department. Frequent assessment of which of the following is most important in the plan of care?

A 7-month-old infant is admitted to the unit with suspected bacterial meningitis after receiving an initial does of antibiotics in the emergency department. Frequent assessment of which of the following is most important in the plan of care?

A pediatric nurse is caring for a newborn in the NICU with clinical manifestations of bulging fontanel and distended scalp veins and separated sutures. Which of the following diagnosis the symptoms suggest?

An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Postoperative nursing care would include what?

A child is brought to the emergency department after experiencing a seizure at school. He has no history of seizures. The father tells the nurse that he cannot believe the child has epilepsy. What is the best response by the nurse? “

After studying about seizures, the student nurse understands which of the following?

The nurse is preparing for the admission of a 9- year-old client with new-onset tonic-clonic seizures. It is important for the nurse to ensure that what is in the room?

A nurse is teaching the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching?

A nurse is teaching the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching?

The school nurse is caring for a child with seizures. What is the initial clinical manifestation of absence seizures that nurse needs to be aware of?

Of the following which are possible signs of Cerebral Palsy (CP) ? Select All.

A child with cerebral palsy is seen in peds specialty clinic and will receive a Botox injection. The peds nurse is aware the treatment is specifically for which of the following conditions?

A 6-month-old infant does not smile, has poor head control, has a persistent Moro reflex, and often gags and chokes while eating. What are these findings are most suggestive of in this infant?

The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child’s spasticity. What is the basis for the nurse’s response?

An infant was assessed in peds clinic with the following symptoms: visible peristalsis, failure to thrive, an infant who is ‘always hungry’, dehydration. What is the likely diagnosis?

The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestations would indicate pyloric stenosis? Select All. -

The parent of a 21-day-old male infant reports that the infant is “throwing up a lot.” Which assessment should the nurse make to help determine if pyloric stenosis is an issue? (Select all that apply.)

The nurse is gathering data on a 5-week- old admitted with a suspected diagnosis of pyloric stenosis. The nurse should expect to find which laboratory value?

a child with pyloric stenosis is having excessive vomiting, which of the following is a potential complication?

A toddler with symptoms of sudden inconsolable screaming or crying, drawing up of the knees to the chest, vomiting, and a tender distended abdomen will probably be diagnosed with which of the following diseases?

A 2 y.o is hospitalized with suspected intussusception. Which finding is associated with intussusception?

The nurse is assessing an infant with intussusception. Which of the following clinical findings should the nurse expect? Select all. -

The nurse is caring for a 2-year-old who is receiving a saline enema for treatment of intussusception. Reporting which client finding to the health care provider (HCP) is most important?

A 2-year-old in the emergency department is suspected of having intussusception. Which assessment finding should the nurse expect?

The nurse is assessing an infant with intussusception. Which of the following clinical findings should the nurse expect? (Select all that apply.)

The nurse assesses a child with intussusception. Which assessment findings require priority intervention?

. The pediatric nurse cares for a 16-year- old client who is scheduled for an appendectomy in the morning. Which of the following interventions are appropriate to support the client’s psychosocial needs? (Select all that apply

A school age child with celiac disease asks for guidance about snacks that will not exacerbate the disease. What snack should the nurse suggest?

The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest?

An 11-year-old girl with celiac disease was discharged from the hospital. An appropriate teaching was carried out by the nurse if the parents are aware of avoiding which of the following?

Which of the following statements made by the mother of a child recently diagnosed with celiac disease indicates a need for further teaching? “

The school nurse creates a cafeteria menu for a newly enrolled child with celiac disease. Which lunches would be appropriate for this child? Select all that apply.

a school-age child with celiac disease asks for guidance about snack that will not exacerbate the disease, what snack should the nurse suggest?

Parents ask the nurse if there was something that should have been done during the pregnancy to prevent the child’s cleft lip. Which statement should the nurse give as a response?

The parents of an infant with a cleft palate ask the nurse “What follow-up care will our infant need after the repair?” Which is an accurate response by the nurse?

An infant with an isolated cleft lip is admitted to the ICU for pre-op care. Which information should the nurse plan to discuss while educating the parents?(Select all)

In the recovery room, the best immediate post-op position for an infant who had cleft lip repair is?

What is a major long-term problem for a child with a cleft lip and palate?

A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy and anticipates good results. However, the mother refuses to see or hold her baby. What would be included in the initial therapeutic approach to the mother?

The nurse is assessing a 3-month-old infant who was admitted to the floor 18 hours ago after undergoing surgical repair of a cleft lip. Which assessment finding would cause the nurse to be concerned?

The nurse plans care for a pediatric client who has just undergone a cleft palate repair. which of the following interventions should the nurse include in the plan of care? Select all that apply.

A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include?

A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include?

A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium stools. What disease should the nurse suspect?

A pediatric nurse assesses a newborn with symptoms of failure to pass meconium within 48 hrs after birth. Which of the following diseases will be suspected in this newborn?

A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium stools. What disease should the nurse expect?

The nurse is caring for an infant diagnosed with Hirschsprung disease who is awaiting surgery. Which assessment finding requires the nurse’s immediate action?

A newborn had a bowel resection with temporary colostomy for Hirschsprung's disease. The nurse should alert the health care provider (HCP) for which assessment finding post operatively?

The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which MOST LIKELY sign of this condition documented in the record?

Of the following diagnosis, which would the nurse identify as a priority for the infant with tracheoesophageal fistula (TEF)?

The nurse assesses a neonate after spitting up the first feeding and having a coughing episode during the feeding. What assessment finding would indicate possibility of esophageal atresia or tracheoesophageal fistula?

A newborn is being evaluated for possible esophageal atresia with tracheoesophageal fistula. Which finding is the nurse most likely to observe?

a newborn is diagnosed with Tracheoesophageal Fistula at birth. An initial nursing function is to assure that which of the following orders are implemented?

Which of the following pharmacology therapy is used to treat infants and children with Gastroesophageal Reflux Disease (GERD)?

Which of the following parameters would the nurse monitor to evaluate the initial effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)?

The nurse provides feeding instructions to a parent of an infant diagnosed with gastro-esophageal reflux (GER). Which instruction should the nurse give the parent to assist in reducing the episodes of emesis? (Select all that apply)

A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving. What would be the nurse’s best response?

A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis during this acute phase to show?

The nurse notes that a child has lost 3.6 kg (8 lb) after 4 days of hospitalization for acute glomerulonephritis. What is the most likely cause of this weight loss?

What best describes the cause of most cases of acute glomerulonephritis?

In acute glomerulonephritis, what is the nurse is aware that is an early warning sign of encephalopathy?

A client diagnosed with acute glomerulonephritis has pitting edema in both lower extremities, blood pressure of 170/80 mm Hg, and proteinuria. When developing a plan of care for this client, the nurse should include which most accurate indicator of fluid loss or gain?

A nurse is caring for a child with acute glomerulonephritis. Frequent monitoring of which of the following is a priority?

The nurse is evaluating a female child with acute post streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?

A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving. What should be the nurse’s best response?

A 2 y.o child is on prednisone for minimal change nephrotic syndrome (MCNS). Which of the following indicates the effectiveness of prednisone therapy?

A 3 y.o is admitted to the peds unit with minimal change nephrotic syndrome. What clinical manifestations are usually seen with this diagnosis?

Which of the following are clinical manifestations of minimal change nephrotic syndrome, usually seen in children with this disorder?

What are the common clinical manifestations of nephrotic syndrome?

What is included in the therapeutic management of nephrotic syndrome?

A hospitalized child with minimal change nephrotic syndrome is receiving high dose prednisone. What nursing goal is appropriate for this child?

A disorder in which the basement membrane of the glomeruli becomes permeable to plasma proteins describes which of the following disorders?

The nurse is caring for a 7-year-old client diagnosed with nephrotic syndrome who will be discharged soon. Which statement by the parent indicates the need for further teaching?

A nurse is reviewing the laboratory values for a 3-year-old client with nephrotic syndrome. The nurse interprets the results to most clearly reflect which physiologic process related to nephrotic syndrome?

a child is admitted for minimal change nephrotic syndrome. The nurse recognizes that the child’s prognosis is related to what factor?

A full-term male has hypospadias. Which statement describes hypospadias?

Hypospadias refers to what?

The nurse has assessed 4 children. Which finding requires immediate follow-up with the health care provider?

An infant in the NICU was born with hypospadias, which of the following should be avoided when a child has such condition

To assist in the prevention of urinary tract infections (UTIs) in children, which of the following is one of the best recommendations the nurse should make to parents?

A young child is diagnosed with vesicoureteral reflux. What is a common recurrent complication in a child with this diagnosis?

What factors predisposes the urinary tract to infection?

A nurse is teaching the parent of a 6-year-old with a urinary tract infection (UTI) how to avoid repeat infections. Which statements by the patient indicate that the teaching has been effective? Select all that apply

which of the following instructions would be included in the preventive teaching plan about urinary tract infections for a preschool female child?

What child has a cyanotic congenital heart defect?

a nurse in the neonatal intensive care unit discovers a cyanotic newborn with excessive frothy mucus in the mouth. What should be the nurse’s first action?

The nurse receives report on 4 pediatric clients on a telemetry unit. Which client should the nurse assess first?

The nurse has received report on 4 pediatric clients on a telemetry unit. Which client should the nurse assess first?

A child with heart failure is in Lanoxin(digoxin). The laboratory value a nurse must closely monitor is which?

What is an early sign of heart failure that would be recognized by the nurse?

What would be included in nursing care of an infant with heart failure?

What structural defects constitute tetralogy of Fallot?

A 2 y.o child diagnosed with tetralogy of Fallot becomes upset, crying, and thrashing around when a blood specimen is obtained. The childs color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first?

What heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?

A nurse is teaching the parents of an infant with tetralogy of Fallot. Which of the following actions should the nurse include to reduce the incidence of hypercyanotic spells? Select all that apply. The nurse is planning care for a child being

A nurse is assisting a new mother as she is breastfeeding her infant. The infant has been diagnosed with tetralogy of Fallot. During feeding, the infant becomes cyanotic and is having difficulty breathing. What should be the nurse's first action?

1. The home health nurse is visiting an infant who recently had surgery to repair tetralogy of Fallot. Which of the following signs of heart failure should the nurse teach the parents to report to the health care provider? (Select all that apply.)

Which of the following actions by the school nurse is most important in the prevention of rheumatic fever(RF)?

What sign/symptom is a major clinical manifestation of rheumatic fever(RF)?

A nurse is reviewing the laboratory values of a child with rheumatic heart disease. Which finding does the nurse conclude is related to this condition?

What is included in the therapeutic management of the child with rheumatic fever?

Which of the following organism is responsible for the development of rheumatic fever?

A 4 y.o child seen in the ER has symptoms of Kawasaki Disease(KD). Of the symptoms listed below which can potentially develop and pose a high risk for children with KD?

Which of the following medication is commonly used to treat Kawasaki’s Disease(KD)?

A child is recovering from Kawasaki’s Disease(KD). The child should be monitored for which?

The nurse is providing discharge instructions to nurse report to the health care provider that could the parent of a child with Kawasaki disease. The possibly delay the procedure?

The nurse is planning care for a child being admitted with Kawasaki disease and should give priority to which nursing intervention?

A 12-month-old with Kawasaki disease received IV immunoglobulin (IVIG ) 2 months ago. The child is in the clinic for follow-up and scheduled immunizations. Which vaccine should be delayed? Select all that apply.

When caring for the child with Kawasaki disease, what should the nurse know to provide safe and effective care?

A child diagnosed with Coarctation of Aorta is scheduled for a f/u visit. While assessing the pediatric nurse would expect to find which of the following symptoms?

What clinical finding may be present in an older child with Coarctation of the Aorta?

Which clinical finding may be present in an older child with Coarctation of the Aorta?

A child diagnosed with Coarctation of aorta is scheduled for a follow up visit. While assessing, the pediatric nurse would expect to find which of the following symptom?

A 4 y.o male is rushed to the emergency dpt during an acute severe prolonged asthma attack and is unresponsive to usual treatment. The condition is referred to as which of the following?

.A school age child has asthma. The nurse should teach the child that if a peak expiratory flow rate is in the yellow zone that means that the asthma control is what?

.What drug is usually given first in the emergency treatment of an acute severe asthma episode in a young child?

.Which of the following describes moderate persistent asthma symptoms?

An initial action of the nurse in caring for a child with Status Asthmaticus is which of the following?

A nurse is evaluating the management of a child with a history of asthma. Which statement from the mother quires further investigation?

The nurse assesses a child who has been treated for an acute asthma exacerbation. Which client assessment is the best indicator that treatment has been effective?

Which pediatric respiratory presentation in the emergency department is a priority for nursing care?

The school nurse assesses and 8-year-old with a history of asthma. The nurse notes mild wheezing and coughing. Which action should the nurse perform first?

Which of the following test aids in the diagnosis of cystic fibrosis(CF)?

A parent prepares to administer pancreatic enzymes to an infant with cystic fibrosis. As per education she received the best action to administer the enzymes is which of the following?

Which of the following is usually affected in cystic fibrosis, resulting in excess multisystem mucus build up that is difficult to clear?

The nurse is teaching a mother how to perform chest physiotherapy and postural drainage on her 3-year-old child, who has cystic fibrosis. What would the nurse include in the instructions for performing percussion?

A school-age child with cystic fibrosis takes four enzyme capsules with meals. The child is having one to two bowel movements per day. The nurse action in regard to the pancreatic enzyme is based on the knowledge that the dosage is what?

The mother of a 6-year-old child with cystic fibrosis (CF) has received instruction on the use of pancreatic enzymes. Which statement made by the mother indicates a need for further teaching? “

The nurse is caring for a 4-year-old client with cystic fibrosis who uses a high- frequency chest wall oscillation (HFCWO) vest for chest psychotherapy. After reinforcing education with the client’s parents, which statement by a parent requires further teaching?

The nurse has provided teaching about home care to the parent of a 10-year-old with cystic fibrosis. Which of the following statements by the parent indicate that teaching has been effective? Select all that apply.

A 6-month-old client has been diagnosed with cystic fribrosis. Which of the following would be appropriate for the registered nurse to teach the parents?

The nurse cares for a child newly diagnosed with cystic fibrosis. What should be included in the clients multidisciplinary plan of care to be discussed with the parents?

A home health nurse is managing care for an adolescent client with cystic fibrosis. Which of the following potential complications should the nurse consider when developing a nursing care plan?

The nurse has provided teaching about home care to a parent of a 10- year-old with cystic fibrosis. Which of the following statements by the parent indicates that teaching has been effective? Select all that apply

The nurse is teaching the parents of a child diagnosed with cystic fibrosis will advise the parents to choose foods that satisfy which recommended diet?

What childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and bacterial pneuomonia?

During the assessment of a 9 y.o child the nurse notes excessive drooling, the child is fearful refuses to lay down. Which condition does the nurse suspect?

A 5 y.o is seen in the urgent care clinic with the following history and symptoms:sudden onset of severe sore throat after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2 F(39.0 C), clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on these symptoms and history, the nurse anticipates a diagnosis of?

The triage nurse is assessing an unvaccinated 4-month-old infant for fever, irritability, and open-mothers drooling. After the infant is successfully treated for epiglottis, the parents wonder how this could have been avoided. Which response by the nurse would be the most appropriate?

The nurse in a clinic is caring for an 8- month-old with a new diagnosis of bronchiolitis due to respiratory syncytial virus (RSV). Which instructions can the nurse anticipate reviewing with the parent?

.A 2 y.o has been placed in contact isolation because of diagnosis of respiratory syncytial virus(RSV)bronchlolitis. The father questions why the staff is wearing masks and gowns every time someone comes into the room. What is the best response by the nurse?

A 2 month old seen in peds clinic has symptoms of tachypnea, retractions, anorexia, apneic spells, copious nasal secretions and wheezing. Which of the following do these symptoms best describe?

What illnesses does respiratory hygiene and cough etiquette by the Centers for Disease Control and Prevention (CDC) prevent? R

.A 5 y.o is admitted with bacterial pneumonia. What signs and symptoms should the nurse expect to assess with this disease process?

The Hib conjugate vaccine protects an infant against what diseases? (Select all that apply.)

A 2 y.o is scheduled to have a tonsillectomy. How would you educate the patient?

The nurse is giving discharge instructions to the parents of a 5-year-old child who had a tonsillectomy 4 hours ago. Which of the following statements by the parent would indicate a correct understanding of the teaching?

When planning care for an 8 y.o boy with Down syndrome, the nurse should:

The home health nurse is planning care for a 3- year-old boy who has Down syndrome and is on continuous oxygen. He recently began walking around furniture. He is spoon fed by his parents and eats some finger foods. What is the most appropriate goal to promote normal development?

What is one of the major physical characteristics of a child with Down syndrome?

A child with Down syndrome may be screened for what before participating in some sports?

What intervention should be included in the nursing care of a child with autism spectrum disorder(ASD)?

.What intervention should be included in the nursing care of a child with autism spectrum disorder(ASD)?

Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal functioning in which area with onset before age 3 years?

Which of the following should be included in the nursing care of a child with autism spectrum disorder(ASD)?

What is a common clinical manifestation of autism?

Which of the following should be included in the nursing care of a child with autism spectrum disorder (ASD):

When performing developmental screenings in the well-child clinic, the registered nurse understands that which child is at highest risk of developing autism spectrum disorder?

A child with autism spectrum disorder is being admitted to an acute care unit. Which is the most important nursing action?

In a child with sickle cell anemia (SCA), adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia–ischemia cycle. What information should the nurse share with parents in a teaching plan?

In a child with sickle cell anemia (SCA), adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia–ischemia cycle. What information should the nurse share with parents in a teaching plan?

Child with sickle cell crisis, which signs and symptoms shows a child is having minor cerebral attack?

What is a priority nursing consideration when caring for a child with sickle cell anemia?

The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. The nurse would explain what concerning narcotic analgesics?

Which of the following pain tool is most appropriate for use in a 10 yr old child with Sickle Cell Anemia, to outline the area of the child’s pain?

A teenage client with sickle cell disease is admitted with a diagnosis of crisis. The client’s current prescription is morphine 2 mg intravenous push every 4 hours prn. The client appears comfortable while watching television and tells the nurse “I have severe intolerable pain”, and rates it at a “10”. What action should the nurse take?

The nurse is triaging a 7-year-old with sickle cell crisis. The client is short of breath and vomiting and has severe generalized body and joint pain. Which assessment finding requires the most immediate intervention?

In a child with sickle cell anemia, adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia-ischemia cycle. What information should the nurse share with parents in a teaching plan?

A child with severe anemia requires a unit of red blood cells (RBC’s). The nurse explains that the transfusion is necessary for which reason.

Select the rational for the relationship between children having anemia and lead poisoning.

Select from the list below a reason for ‘innocent’ heart murmur in infants:

An overweight toddler is diagnosed with iron deficiency anemia. Which is the most likely explanation for the anemia?

The client nurse is caring for several clients during well-child visits. The nurse should recognize each client as most as being the most at risk for anemia?

The nurse is teaching the family of a child, age 8-years-old, with moderate hemophilia about home care. What should the nurse tell the family to do to minimize joint injury?

The school nurse is caring for a child with hemophilia who fell on his arm during recess. What supportive measures would the nurse implement first?

The nurse receives 4 prescriptions for a child diagnosed with hemophilia A who was brought to the emergency department following an injury on the school playground. The child has vomited once and has a headache. Which prescription should the nurse carry out first?

The clinic nurse supervises a student nurse who is preparing to administer routine vaccinations to a child diagnosed with hemophilia period which instructions should the clinic nurse provide to the student?

The nurse is planning teaching for the parents of a child newly diagnosed with hemophilia will include information about which long- term complication?

The nurse provides discharge teaching for the parents of a child newly diagnosed with hemophilia A. Which statements by the parents indicate that teaching has been effective? Select all that apply.

A 3 y.o with a Wilms tumor is returning to the unit after surgery to remove the tumor. Which of the following is the highest post-op priority for the nurse?

Where are Wilms tumors (nephroblastomas) located?

The nurse is admitting a 4-year-old diagnosed with Wilms tumor. The child is scheduled for a right nephrectomy in the morning. A

A child has been diagnosed with a Wilms tumor. What should preoperative nursing care include?

What is included in the postoperative care of a preschool child who has had a brain tumor removed?

Which of the following describes the pathophysiology of leukemia?

What are the most common signs and symptoms of leukemia related to bone marrow involvement?

. Several 12-month-old infants are brought to the clinic for routine immunizations. Which situation would be most important for the nurse to clarify with the provider before administering the vaccination?

The nurse is caring for pediatric client with end stage leukemia who is on comfort care and is unresponsive. The child's parents ask, “how can you tell if my child is in pain?” which of these would the nurse describe as signs of discomfort? Select all that apply

A toddler is admitted to the hospital and report leg pain an fever. Assessment reveals the toddler is pale with body bruises. The health care provider suspects acute lymphoblastic leukemia (ALL). The nurse will inform the parents that confirmation of the disease will be determined by which test?

a 7 year old child with acute lymphatic leukemia is on steroids. A common side effect of corticosteroid (prednisone) therapy is? ANS: weight gain

Which of the childhood cancers listed below have a genetic link as a causative factor?

A 2-year-old is suspected of having retinoblastoma. The nurse recognizes which sign as being most characteristics of this disease?

The nurse is interpreting a tuberculin skin test. If the nurse finds a result of an induration 5 mm or larger in which should the nurse document this finding as positive?(SELECT ALL)

The most recent laboratory results for a 12- month-old who is HIV-positive show a CD4 lymphocyte count of 500/mm3 and a CD4 lymphocyte percentage of 10%. The nurse anticipates administering which immunizations? Select all that apply.

The nurse is assessing a 4 y.o boy in the pediatric clinic. Which behaviors by the client would concern the nurse for possible Duchenne muscular dystrophy? Select all.

Duchenne Muscular Dystrophy (DMD) has which of the following inheritance patterns?

A young boy has just been diagnosed with pseudohypertrophic (Duchenne) muscular dystrophy. What is included in his plan of care for his family?

Which of the following statements best describes Duchenne (pseudo-hypertrophic) muscular dystrophy (DMD)?

A 4-year-old boy is diagnosed with Duchenne muscular dystrophy. Which nursing teaching is most appropriate to reinforce for the child’s parents?

The nurse teaches the mother of a young child with Duchenne’s muscular dystrophy about the disease and its management. Which of the following states by the mother indicates successful teaching?

The nurse is caring for an infant with osteogenesis imperfecta admitted with a new fracture. The client also has old fractures in multiple stages of healing but no bruising, abrasions, or redness of the skin. What nursing intervention should be included in the plan of care?

Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fracture using fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3- year-old?

A 12 y.o child is seen in specialty clinic has ill fitting clothes, a rib hump and hip asymmetry, recently noticed by parents. Which of the following is the likely diagnosis of this child?

When does idiopathic scoliosis become most noticeable?

At which of the following ages is recommendation made by the American Academy of Pediatrics (AAP), for pre-adolescent and adolescent females to be screened for Scoliosis?

The nurse is preparing an adolescent girl for surgery to treat scoliosis. What would the nurse include?

A 14-year-old is scheduled for surgery to treat scoliosis. The child will be hospitalized for about a week and then discharged home to recuperate for 3-4 weeks before returning to school. What is the best activity the nurse can recommend to promote age-specific growth and development during this time?

Which of the following treatment is the best method for a 7-month-old infant with Developmental Dysplasia of the Hip (DDH)?

What clinical manifestations of developmental dysplasia of the hip would be assessed in a newborn?

A 2-month-old recently diagnosed with developmental dysplasia of the hip (DDH) is beginning treatment with a Pavlik harness. Which instructions should the nurse provide to the parents?

The nurse is assessing a 4-week-old infant during a routine office visit. Which assessment finding is most likely to alert the nurse to the presence of right hip developmental dysplasia?

The parent of a newborn is concerned about the possibility of the child developing hip dysplasia. Which intervention should the nurse encourage to help reduce the risk in this newborn?

A 3-month-old with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness. Which statement made by the parent indicates a need for further instruction?

The parent of a newborn is concerned about the possibility of the child developing hip dysplasia. Which intervention should the nurse encourage to help reduce the risk in this newborn?

A 3-month-old child with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness. Which statement made by the parent indicates a need for further instruction?

You have learned that in babies and children with developmental dysplasia (dislocation) of the hip (DDH), the hip joint has not formed normally. Which of the following is the most common form of DDH?