Which is true for emergency contraceptives (ECs).

ECs are birth control pills in higher, more frequent doses

What is priority nursing action for a child with shock?

Ensure adequate tissue oxygenation

The nurse should monitor for which complications of sickle cell Anemia

Mental Stauts Changes, Decreased perfusion

Clinical manifestations of hypoxemia include..

Cyanosis, Delayed growth development, Clubbing, Polycythemia

The nurse is helping a 14-year-old boy who has asthma to administer medication via an inhaler

Teach the adolescent as an adult

A recent finding of a significant genetic abnormality. Which nursing diagnosis is the priority?

Grieving related to abnormal results of genetic testing

Underdevelopment of the left side of the heart

Hypoplastic Left Heart Syndrome

Decompensated Shock manifestations include..

None: These are manifestations of Irreversible shock

When caring for an infant with bladder exstrophy the nurse should plan for which intervention?

Cover the bladder with a non-adhering plastic wrap

For which of the following children would a central venous device be indicated?

A child who is receiving chemotherapy for leukemia

Parents of a child with HF indicated further teaching about digoxin is needed when they say....

If my child vomits after drug, I will repeat the dose

Education of the child with hypertension focuses on

drug therapy, diet control, appropriate exercise

child says they feel strange after trading lunch with a friend. Which assessment is first?

Determining if her throat itches

Ventricular Septal Defect

Abnormal opening between the right and left ventricles

Which S&S indicates Hirschsprungs disease?

Foul smelling ribbon like stools

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PN 270 Exam #3 (New Material)

140 termsStudBud Administration331 plays

This quiz is a reveiw of the new material which will be on the upcoming exam

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Questions 140

Answers

1
Anemia is the most common hematological disorder in childhood and infancy:
True
False
2
Which is true for emergency contraceptives (ECs).
ECs are birth control pills in higher, more frequent doses
ECs can be used in place of regular birth control
ECs provide protection against STIs
ECs induce an abortion-like reaction
3
Abnormal opening between the atria
Atrial Septal Defect
Patent Ductus Arteriosus
Ventricular Septal Defect
Coarctation of the aorta
4
What is priority nursing action for a child with shock?
Baseline Vitals
position child flat with legs evaluated
Ensure adequate tissue oxygenation
Keep child warm and calm
5
causes diarrhea, interferes with the body's absorption of fats and carbohydrates
Pinworms
Giardiasis
6
The nurse should monitor for which complications of sickle cell Anemia
Seizures
Mental Stauts Changes
Joint bleeding
Decreased perfusion
7
Allergic Conjunctivitis increases the risk for which of the following?
Acute otitis media
Atopic Dermatitis
Frequent sore throats
Insect bite sensitivity
8
Corticosteroids for systemic lupus erythematosus can exert which major action?
Can mask signs of infection
They can increase liver enzymes.
They can decrease renal function.
They can cause bone marrow suppression.
9
A child born with cleft lip and palate often have other congenital anomalies.
True
False
10
Clinical manifestations of hypoxemia include..
Cyanosis
Delayed growth development
Clubbing
Polycythemia
11
Which of the following is the most frequent route of administration for immunizations?
Intramuscular
Topical
Intradermal
Oral
12
The nurse is helping a 14-year-old boy who has asthma to administer medication via an inhaler
Teach the adolescent as an adult
Offer the adolescent a treat if he uses inhaler correctly
Involve the parents in the administration of the medication.
Allow the adolescent to handle a demo inhaler before
13
Upon assessing the umbilical cord, the nurse would identify which of the following as normal?
Two Veins
One Artery
One Vein
Three arteries
14
Which clinical manifestation is specifically found in aortic stenosis?
Pallor
Hyperactivity
Exercise intolerance
GI disturbances
15
First meconium should be passed 24-36 hours of life
True
False
16
Psychosocial development in infants is based on:
Comfort
Pleasure
Warmth
Trust
17
New borns have a stomach capacity of approximately 10-20 ml
False
True
18
menarche is defined as a woman's first:
Sexual Experience
Signs of breast development
Menstrual Period
Full Hormonal Cycle
19
A recent finding of a significant genetic abnormality. Which nursing diagnosis is the priority?
Parental conflict related to abnormal results of gene test
Grieving related to abnormal results of genetic testing
Risk for harm related to abnormal results of genetic testing
Role strain related to abnormal results of genetic testing
20
Underdevelopment of the left side of the heart
Total Anomalous Pulmonary Venous Connection
Hypoplastic Left Heart Syndrome
Transportation of the great arteries or great vessels
Truncus Arteriosus
21
Which is not a Nursing action in the care of the child with HF:
Mouth Care
Reduce respiratory distress
Maintain nutrition status
Decrease cardiac demands
22
Deficiency of circulating RBC and all other formed elements of blood.
Sickle- Cell Anemia
Iron deficiently Anemia
Aplastic Anemia
Hemophilia
23
Decompensated Shock manifestations include..
Periodic breathing or apena
None: These are manifestations of Irreversible shock
Hypotension
Thready, weak pulse
24
Between the age of 2 and 3, you would expect a toddler to grow an average of:
2-3 inches (6-8cm)
1-2 inches (2-5cm)
4-5 inches (10-12 cm)
3-4 inches (8-10cm)
25
When caring for an infant with bladder exstrophy the nurse should plan for which intervention?
Cover the bladder with a non-adhering plastic wrap
Apply sterile distilled water dressing over bladder mucosa
Keep the bladder tissue dry by covering it with dry gauze.
Cover the bladder with petroleum jelly gauze
26
Narrowing or stricture of the aortic valve
Hypoplastic Left Heart Syndrome
Pulmonic Stenosis
Coarctation of the aorta
Aortic Stenosis
27
For which of the following children would a central venous device be indicated?
A child who is receiving a one-time dose of a medication
A child who is receiving chemotherapy for leukemia
A child who is receiving IV fluids for dehydration
A child who is receiving an IV push
28
After repair of a cleft lip on the right side What is the best position for the infant to be in
On the stomach
Left lateral position
Right lateral position
Prone position
29
Usually associated with dehydration, infection or inflammation
Fever
Abdominal Pain
Vomiting
Nausea
30
Parents of a child with HF indicated further teaching about digoxin is needed when they say....
If more than 1 dose is missed, I will call the doctor
If my child vomits after drug, I will repeat the dose
I will not mix the medication with food
I will take the child pulse before administering the drug
31
Shaken Baby Syndrome can damage the:
Eyes
Neck
Development
Brain
32
An infants head circumference is larger than its chest circumference
False
True
33
which clinical manifestation is noted in a child with acute stage Kawasaki disease?
Conjunctival Hyperaemia
Normal Appearence
Desquamation of the skin
Cracked lips
34
The nurse should plan to implement which measure for a child with hemolytic- uremic syndrome
Care for the arteriovenous fistula
Administer analgesics as prescribed
Encourge foods high in potassium
Restrict fluid as prescribed
35
The most common cardiac defect in children with down syndrome
Ventricular Septal Defect
Obstructive Defect
Patent Ductus Arteriosus
Atrial Septal Defect
36
Education of the child with hypertension focuses on
drug therapy, diet control, appropriate exercise
Ensuring ventilation, vasopressors, antibiotics as needed
symptomatic relief to minimize skin discomfort
Remove accumulated fluid and sodium (decrease preload)
37
Which is predictable of growth and development?
Rate
Sequence
38
Which is not a S&S of a genitourinary infection in infants?
swelling of the face
Fever
Foul- smelling urine
Persistent diaper rash
39
child says they feel strange after trading lunch with a friend. Which assessment is first?
Checking if she has any nausea
Determining if her throat itches
Asking if she has a rash anywhere
Asking about abuse
40
which is not a S&S of genitourinary infection in children?
Seizures
Excessive thirst
abdominal or back pain
Blood in urine
41
Ventricular Septal Defect
Incomplete fusion of the endocardial cushions
Narrowing or stricture of the aortic valve
Abnormal opening between the right and left ventricles
Narrowing at the entrance to the pulmonary artery
42
Acute infectious diarrhea is the leading cause of death of children worldwide
True
False
43
Intestinal infection caused by tiny parasitic worms.
Pinworms
Giardiasis
44
Nursing Care for a child with Kawasaki Disease would include..
Administration of gamma globin
Administration of TPA
Administration of Red Blood Cells
Administration of Antibiotics
45
What lab result would support the diagnosis having systemic lupus erythematosus (SLE).
Leukocytosis
Thrombocytopenia
Increased hematocrit
Increased C3 levels
46
Which S&S indicates Hirschsprungs disease?
Diarrhea
Foul smelling ribbon like stools
Projectile Vomiting
Regurgitation of feedings
47
Partial or complete replacement of normal HBG with abnormal hgbSC
Hemophilia
Aplastic Anemia
Iron deficiency Anemia
Sickle- Cell Anemia
48
Which organ most sensitive to shock.
Lung
Heart
Kidney
Brain
49
Infants and children have proportionately lesser amount of body water than do adults
False
True
50
Refers to arterial oxygen less than normal: Identified by decreased O2 saturation
Polycythemia
Hypoxemia
Clubbing
Hypoxia
51
Can lead to death of intestinal tissue & in some cases, perforation in the intestinal wall.
Giardiasis
Dehydration
Necrotizing Enterocolitis
Hirschsprung disease
52
Which is true in differences affecting the pharmacokinetics of drugs administered to children
Absorption of IM administered drugs is fairly constant.
Absorption of drugs by subcutaneous injection is increased
PO drugs are absorbed more quickly in children than adults.
Topical drugs are absorbed more quickly in children
53
Certain objects may become symbolic to a toddler. The best example of this is:
Bedtime routine
Grandma and Grandpa
A special blanket
54
Is an acute systemic vasculitis of unknown cause
Systemic Hypertension
Shock
Infective endocarditis
Kawasaki Disease
55
The nurse is administering a crushed tablet to an 18-month-old infant.
Place the crushed tablet in the infant's formula.
Mix the crushed tablet with a small amount of applesauce
Crushed tablets should only be mixed with water
Mix the crushed tablet with the infant's cereal.
56
A child is hospitalized for persistent vomiting. The nurse should monitor for which problem?
Metabolic alkalosis
Hyperactive bowel sounds
Metabolic acidosis
Diarrhea
57
High BP, bounding pulses in arms weak or absent femoral pulses & cool lower extremities
Pulmonic Stenosis
Patent Ductus Arteriosus
Coarctation of the aorta
Aortic Stenosis
58
At what age does a toddler have the same hearing as an adult?
3 year
1 year
2 year
59
infants age 9-12 months who are stopping breastfeeding, cannot have whole cow’s milk
True
False
60
Obstruction of the lumen of the appendix, usually by hardened fecal matter
Pinworms
Intestinal atresia or stenosis
Acute Appendicitis
Hirschsprung disease
61
An infant with HF is receiving diuretic therapy. How should the nurse assess urine output?
Comparing intake with output
Measuring the amount of water in formula
Inserting a urinary catheter
Weighing the diapers
62
which contraceptive method provides protection against sexually transmitted infections (STIs)?
Intrauterine system
Condoms
Oral Contraceptives (OCs)
Tubal ligation
63
Which nursing diagnosis is the priority for primary immunodeficiency
imbalanced nutrition related to poor appetite
Ineffective protection related to impaired humoural defenses
delayed growth and development related to chronic illness
Acute pain related to inflammatory processes
64
Regression indicates a toddler is trying to:
Establish their place in the family
Establish dominance
Establish sense of security
65
The nurse is assessing a newborn and suspects Down syndrome based on which of the following?
Large tongue compared to mouth
Rigid joints
Nystagmus
Downward slant to the eyes
66
Inguinal hernias occur more commonly in term infants
False
True
67
Which of the following findings is congruent with the presence of a genetic disorder?
Auscultation reveals the presence of wheezing.
Inspection reveals low-set ears with lobe creases.
Observation shows nasal congestion and excess mucus
Inquiry determines the child had feeding problems
68
Therapeutic management focuses on restoring function of bone, immunosuppressive therapy
Hemophilia
Iron Deficiency Anemia
Aplastic Anemia
Sickle Cell Crisis
69
Refers to reactions involving known or unknown non immunological mechanisms.
Food Allergy/ Hypersensitivity
Food Intolerance
70
The score that assesses an infants adaptation to extrauterine life immediately after birth is:
DDST-II
FTT
SBS
APGAR
71
Who has the biggest impact on a toddler's self concept?
Siblings
Parents
Teachers
Grandparents
72
Which intervention is appropriate in treatment plan for a infant with hypospadias?
Circumcision is to be delayed to save tissue for repair
Vital signs should be taken daily to check for UTI
Catheterization if the infant does not void
Caution should be used when straddling the infant on a hip
73
In fetal circulation: which structure is the opening between the right and left atrium?
Ductus arteriosus
Ductus venosus
Foramen ovale
Umbilical artery
74
The nurse is administering a liquid medication to a 3-year-old using an oral syringe.
Let the toddler swallow in between giving PO medication
Keep the child's hand away from the oral syringe
Direct the liquid toward the anterior side of the mouth.
Give all of the drug in syringe at one time with one squirt.
75
An infant is diagnosed with GERD . What parent teaching should be done to reduce emesis
Thicken the formula by adding rice cereal to the formula
Thin the feedings by adding water to the formula
Burp the infant less frequently during meals
Provide less frequent, larger feedings
76
which test would be done the earliest to evaluate for chromosomal abnormalities
Fetal nuchal translucency
Triple screen
Chorionic villi sampling
Amniocentesis
77
Sequestrian Sickle Cell Anemia:
Life threatening: death can occur in minutes
Pooling of blood in spleen leads to circulatory collapse
Usually triggered by a viral infection
Results in profound Anemia
78
Irritability is common in child with this disorder
Heart Failure
Hypertension
Kawasaki Disease
Shock
79
A child has leukemia & receiving chemotherapy. They develop low platelet count What is priority
Initiate protective isolation precautions
Initiate bleeding precautions
Monitor temperature every 4 hours
Monitor closely for signs of infection
80
Pathological consequences include hypotension, tissue hypoxia and metabolic acidosis
Diabetes Type 1
Coarctation of the aorta
Heart Failure
Shock
81
Which sport activity should the nurse recommend a child with hemophilia:
Field Hockey
Swimming
Basketball
Soccer
82
Which is the first symptom of appendicitis
Right lower quadrant pain
Nausea
periumbilical pain
Fever
83
3-day-old girl with Down syndrome whose mother had no prenatal care. What is priority?
Imbalanced nutrition, related to the effects of hypotonia
impaired physical mobility related to poor muscle tone
Deficient knowledge: presence of a genetic disorder
Delayed growth and development due to cognitive impairment
84
Reactions involving the immunological mechanisms
Food Intolerance
Food Allergy/ Hypersensitivity
85
Define Polycythemia
An increased number of red blood cells
is the blue discoloration in the mucous membranes
reduction in tissue oxygenation that is caused by low 02 sat
A thickening & flattening of the tips of the fingers & toes.
86
Refers to a group of bleeding disorders resulting from deficiency of specific clotting proteins
Hemophilia
Sickle Cell Anemia
Iron Deficiency Anemia
Aplastic Anemia
87
Which is not a S&S of severe hypoxia?
Fatigue with poor feeding
Tachypnea
Weight Gain
Dyspnea
88
The nurse should include which teaching to prevent otitis externa in their children?
wearing ear plugs when swimming
Using a hair dryer on high to dry ear canals
Daily ear cleaning with cotton swabs
Using hydrogen peroxide to dry the canal skin
89
What would you expect the average 3 year old to weigh?
30 lb (13.6kg)
20 lb (9kg)
40 lb (18.1kg)
90
A child has difficulty reading, headaches and dizziness but normal visual screening. They have?
Myopia
Nystagmus
Astigmatism
Hyperopia
91
The four main concerns of toddler health are accidents, vision problems, dental carries, and:
Screen Time
Traffic safety
unhealthy snacking
Respiratory & ear infections
92
Which nursing interventions are implemented in the care of a child with leukemia?
Reduce exposure to environmental organisms.
Maintain the child in a semiprivate room
Ensure anyone entering the childs room wears a mask.
Apply firm pressure to needle stick area for 10 mins
93
Which is predictable of growth & development?
Rate
Sequence
94
Narrowing at the entrance to the pulmonary artery
Aortic Stenosis
Transportation of the great arteries and vessels
Pulmonic Stenosis
Total Anomalous Pulmonary Venous Connection
95
What is true for primary nocturnal enuresis?
Requires surgical intervention to imporve
outgrown with therapeutic intervention
Is caused by a psychiatric problem
Does not respond to treatment
96
Diet that exclude meat from their diet but will consume dairy projects and rarely fish
Lacto Vegetarian
Semi Vegetation
Lacto-ovo
Macrobiotic
97
Which is not a S&S of Hypersensitivity
Abdominal pain
wheezing
Seborrheic dermatitis
growth failure
98
Which is not a S&S of GI dysfunction in children?
Erythema
Abdominal Pain
Fever
Nausea
99
What is the basis for moral development in infants?
Pleasure and Pain
Innocence
Fear of Punishment
Comfort
100
At what age would you expect an infant to stop playing and listen to a noise?
3- months
1-3 months
6-9 months
101
Which age does a child develop 20/20 vision?
Nine or ten
18-24 months
Six or seven
Three or four
102
Cool, pale extremities, decreased skin turgor, poor capillary filling are S&S of which shock?
Irreversible
Compensated
Decompensated
103
HIV is not spread by casual contact
False
True
104
When analyzing results of urinalysis which result would show epispadias?
Hematuria
Bacteriuria
Proteinuria
Glucosuria
105
You would expect an infants weight to double by:
5 months
3 months
A year
8 months
106
Provide IM epinephrine and corticosteroid as ordered.
Kawasaki Disease
Septic Shock
Anaphylaxis
Systemic Hypertension
107
An infant has a machinery like murmur on auscultation & signs of HF. What is the disorder?
Ventricular septal defect
Aortic stenosis
Atrial septal defect
Patent ductus arteriosus
108
Patching of the eye, would be most appropriate for which condition?
Myopia
Astigmatism
Amblyopia
Hyperopia
109
Which of the following would be the best communication to prepare the child for a radiograph?
Im going to use a big camera to take pics inside the body
We need to look inside at some of your organs
We are going to take some X-rays of your body.
X-rays are not painful; you won't feel a thing
110
A toddler should be able to balance on one foot around age 2.
True
False
111
Abdominal pain caused by intestinal contractions in infants is called:
Chron's disease
Colic
Celiac
112
The nurse suspects periorbital cellulitis based on which of the following S&S?
Altered visual acuity
Reddened conjunctiva
Evidence of discharge
purplish discolouration of eyelid
113
What food item should be included in a child's diet that has celiac disease.
Oatmeal
Rye Toast
Rice
Wheat Bread
114
ITP is characterized by the following:
Purpura
All of the above
Thrombocytopenia
Normal bone marrow with normal # of immature platelets
115
Which lab result will be abnormal in a child with hemophilia?
Hematocrit level
Hemoglobin Level
Platelet count
Partial thromboplastin time
116
Constipation in a exclusively breastfed infant is almost unknown.
False
True
117
Which is not an effect of anemia on children?
Delayed sexual maturation in older children
Decreased cardiac circulation and turbulence
Growth Restriction
May lead to a cardiac failure
118
Has a three year-old developed respect for authority?
No
Yes
119
Which of the following events would the nurse expect to have occurred first before menses?
Growth spurt
Onset of menses
Development of breast buds
Evidence of pubic hair
120
5-month-old with family HX of food allergies. Further teaching is needed when the parents say..
Peanuts in any form should be avoided
I should continue breastfeeding until at least 6 months.
She cannot have any cow's milk
Any kind of fruit is acceptable
121
Which nursing interventions are appropriate for hemophilia?
RICE
Recognize and control bleeding
Prevent crippling effects of bleeding
Promote close supervision and a safe environment
122
An infant with a sunken fontanel may indicate which disorder?
Pinworms
Hirschsprung disease
Dehydration
Acute diarrhea
123
Deficiency of RBC, WBC and thrombocytes
Leukopenia
Thrombocytopenia
Petechiae
Pancytopenia
124
Which is not a nursing intervention for an acute exacerbation for sickle cell anemia?
Administer analgesics
Maintain hydration
prevent exposure to infection
Ensure adequate activity
125
BP readings would only be done in children less than 3 years of age who have high risk factors
True
False
126
Which of the following is the factor most affecting this property of drugs in children?
Body Composition
Body Surface
Weight
Immature body systems
127
Clinical manifestations of compensated shock include
increased urinary output
Normal blood pressure
Cyanosis
Thirst
128
The nurse should assess an infant with CHD for which early sign of HF.
Slow and Shallow Breathing
Tachycardia
Cough
Pallor
129
Caused by diminished production and increased destruction of red blood cell
Aplastic Crisis
Sequestration
130
Which is not a maternal risk factors of CHD
Maternal age younger than 40 years
Rubella During Pregnancy
Type 1 diabetes
Alcoholism
131
Which is not a precipitating factor for sickle cell crisis related to sickle cell anemia:
Stress
Infection
Trauma
Fluid overload
132
What is first priority when providing support to a family of a child with a genetic abnormality
Teaching the family to maintain emotional strength
Using measures to promote growth and development
Establishing a trusting relationship
Assisting with scheduling follow-up visits
133
Which is not a nursing consideration for treating a infant with dehydration?
Monitor for respiratory depression
Monitor Vital Signs
Monitor input and output
Assess fontanel
134
The nurse would Administer borad spectrum antibiotics for..
Mucocutaneous Lymph Node Syndrome
Septic Shock
Systemic Hypertension
Anaphylaxis
135
What exercise helpful to maintain mobility in a child with juvenile idiopathic arthritis?
Using a treadmill
Playing basketball
Jogging every other day
Swimming
136
Hypovolemic Shock is a Reduction in the size of vascular compartment
False
True
137
Checking an infants reflexes assesses:
Central Nervous System
Hearing
Temperament
Signs of neglect
138
Caused by inadequate supply of dietary iron
Aplastic Anemia
Sickle- Cel Anemia
Hemophilia
Iron deficiency Anemia
139
Which S&S would indicate a diagnosis of pyloric stenosis?
Increased urine output
projetile vomiting
Watery Diarrhea
Vomiting large amounts of bile
140
When would you expect an infant to sit unassisted?
4 months
10 months
8 months
6 months

PN 270 Exam #3 (New Material) Flashcards | StudBud