Nur 3490 Exam 2 - Set 2 UPDATED ACTUAL Questions and CORRECT
Answers
Question: Normal RR for pediatrics child
Correct Answer: RR: 30-60 per min
Question: Nursing considerations when feeding a child with tachypnea
Correct Answer: Normal RR: 30-60 per min Considerations: -Transient tachypnea of the newborn (TTN)
is a term for a mild respiratory problem of babies that begins after birth and lasts about three days. -Other
terms for TTN are "wet lungs" or type II respiratory distress syndrome. --Transient means temporary
--Tachypnea means fast breathing rate
Question: Transient tachypnea of the newborn treatment
Correct Answer: Treatment may include: -Supplemental oxygen given by mask on the baby's face or by
placing the baby under an oxygen hood -Blood tests (to measure blood oxygen levels) -Continuous positive
airway pressure (CPAP) - a mechanical breathing machine that pushes a continuous flow of air or oxygen to
the airways to help keep tiny air passages in the lungs open. ---Tube feedings may also be necessary if the
baby's breathing rate is too high, because of the risk of aspiration of the food. ---Once TTN goes away, the
baby usually recovers quickly and has no increased risk for additional respiratory problems.
Question: Transitory tachypnea of the newborn (TTN) is thought to occur as a result of
Correct Answer: : . Delayed absorption of fetal lung fluid.
Question: A nurse is caring for a newborn with transient tachypnea of the newborn (TTN). Which of the
following responses made by the newborn's mother demonstrates that she understands the newborn's
condition? Select all that apply.
Correct Answer: "Having a caesarean section increased the risk of transient tachypnea of the newborn."
-Due to the extra squeezing's during the C-section, the babies are most at risk for TTN "The healthcare
provider will need chest X-rays to monitor respiratory distress." -Amniotic fluids are trapped in the lungs
causing TTN -Delayed absorption of fetal lung fluid into the body
Question: Benefits of breast milk
Correct Answer: -species specific for human newborns/infants -protects against infection (antibodies
passed over from the mother) -easily digested -skin to skin -bonding
Question: Colostrum
Correct Answer: thin, milky fluid secreted by the breast during pregnancy and during the first days after
birth before lactation begins
Question: A 37 week gravid client states that she noticed a "white liquid" leaking from her breast during a
recent shower. Which of the following nursing responses is appropriate at this time?
Correct Answer: Reassure the mother that this is normal in the 3rd semester -It is normal for colostrum to
be expressed late in pregnancy
Question: According to the recommendations of the American Academy of Pediatrics on infant nutrition
Correct Answer: : Infants should be given only human milk for the first 6 months of life.
Question: Meningitis
, Correct Answer: Inflammation of brain and spinal cord membranes, typically caused by an infection.
Meningitis is usually caused by a viral infection but can also be bacterial or fungal. Vaccines can prevent
some forms of meningitis.
Question: Septic meningitis
Correct Answer: Caused by bacteria ONLY, associated with high mortality and severity -> etiology is
AGE dependent -Medications: Steroids, Antibiotics, Penicillin
Question: Aseptic meningitis
Correct Answer: Caused by viral infection -Usually requires only supportive care such as: --O2
administration --Hospitalizations to monitor closely --Medications: Steroids, Antibiotics, Penicillin
Question: Newborn meningitis S/S
Correct Answer: poor muscle tone weak cry poor feeding bulging fontanels (late sign)
Question: 3mo - 2 years menigitis S/S
Correct Answer: Seizures FEVER and IRRIRABLE muscle rigidity poor appetited bulging fontanelles
Brudzinski's and Kerig's signs
Question: 2 years to adolescence Meningitis presentation
Correct Answer: Seizures (often initial sign) nuchal rigidity POSITIVE BRUDZINSKI'S POSITIVE
KERNIG'S fever, chills, headache, vomiting, irritability, restlessness, PETECHIA or PURPLE RASH
chronic draining ear = bacterial PHOTOPHOBIA IRRITABLE
Question: Brudzinski's sign
Correct Answer: Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed.
-Head is flexed up = knees flexing towards core of body at the same time
Question: Kernig's sign
Correct Answer: Resistance to extension of the child's leg from a flexed position
Question: Meningitis treatment
Correct Answer: --O2 administration (Aseptic) --Hospitalizations to monitor closely (Aseptic)
--Medications: Steroids, Antibiotics, Penicillin (Septic/ both)
Question: The wife of the client diagnosed with septic meningitis asks the nurse, "I am so scared. What is
meningitis?" Which statement would be the most appropriate response by the nurse?
Correct Answer: "This is a bacterial infection of the tissues that cover the brain and spinal cord."
Question: The public health nurse is giving a lecture on potential outbreaks of infectious meningitis. Which
population is most at risk for an outbreak?
Correct Answer: B. Residents of a college dorm -Outbreaks of infectious meningitis are most likely to
occur in dense community groups such as college campuses, jails, and military installations.)
Question: The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical
manifestations would support the diagnosis of bacterial meningitis?
Correct Answer: 3. A positive Kernig's sign -Client unable to extend leg when lying flat and nuchal
rigidity (stiff neck) are signs of bacterial meningitis, occurring because the meninges surrounding the brain
and spinal column are irritated.
Answers
Question: Normal RR for pediatrics child
Correct Answer: RR: 30-60 per min
Question: Nursing considerations when feeding a child with tachypnea
Correct Answer: Normal RR: 30-60 per min Considerations: -Transient tachypnea of the newborn (TTN)
is a term for a mild respiratory problem of babies that begins after birth and lasts about three days. -Other
terms for TTN are "wet lungs" or type II respiratory distress syndrome. --Transient means temporary
--Tachypnea means fast breathing rate
Question: Transient tachypnea of the newborn treatment
Correct Answer: Treatment may include: -Supplemental oxygen given by mask on the baby's face or by
placing the baby under an oxygen hood -Blood tests (to measure blood oxygen levels) -Continuous positive
airway pressure (CPAP) - a mechanical breathing machine that pushes a continuous flow of air or oxygen to
the airways to help keep tiny air passages in the lungs open. ---Tube feedings may also be necessary if the
baby's breathing rate is too high, because of the risk of aspiration of the food. ---Once TTN goes away, the
baby usually recovers quickly and has no increased risk for additional respiratory problems.
Question: Transitory tachypnea of the newborn (TTN) is thought to occur as a result of
Correct Answer: : . Delayed absorption of fetal lung fluid.
Question: A nurse is caring for a newborn with transient tachypnea of the newborn (TTN). Which of the
following responses made by the newborn's mother demonstrates that she understands the newborn's
condition? Select all that apply.
Correct Answer: "Having a caesarean section increased the risk of transient tachypnea of the newborn."
-Due to the extra squeezing's during the C-section, the babies are most at risk for TTN "The healthcare
provider will need chest X-rays to monitor respiratory distress." -Amniotic fluids are trapped in the lungs
causing TTN -Delayed absorption of fetal lung fluid into the body
Question: Benefits of breast milk
Correct Answer: -species specific for human newborns/infants -protects against infection (antibodies
passed over from the mother) -easily digested -skin to skin -bonding
Question: Colostrum
Correct Answer: thin, milky fluid secreted by the breast during pregnancy and during the first days after
birth before lactation begins
Question: A 37 week gravid client states that she noticed a "white liquid" leaking from her breast during a
recent shower. Which of the following nursing responses is appropriate at this time?
Correct Answer: Reassure the mother that this is normal in the 3rd semester -It is normal for colostrum to
be expressed late in pregnancy
Question: According to the recommendations of the American Academy of Pediatrics on infant nutrition
Correct Answer: : Infants should be given only human milk for the first 6 months of life.
Question: Meningitis
, Correct Answer: Inflammation of brain and spinal cord membranes, typically caused by an infection.
Meningitis is usually caused by a viral infection but can also be bacterial or fungal. Vaccines can prevent
some forms of meningitis.
Question: Septic meningitis
Correct Answer: Caused by bacteria ONLY, associated with high mortality and severity -> etiology is
AGE dependent -Medications: Steroids, Antibiotics, Penicillin
Question: Aseptic meningitis
Correct Answer: Caused by viral infection -Usually requires only supportive care such as: --O2
administration --Hospitalizations to monitor closely --Medications: Steroids, Antibiotics, Penicillin
Question: Newborn meningitis S/S
Correct Answer: poor muscle tone weak cry poor feeding bulging fontanels (late sign)
Question: 3mo - 2 years menigitis S/S
Correct Answer: Seizures FEVER and IRRIRABLE muscle rigidity poor appetited bulging fontanelles
Brudzinski's and Kerig's signs
Question: 2 years to adolescence Meningitis presentation
Correct Answer: Seizures (often initial sign) nuchal rigidity POSITIVE BRUDZINSKI'S POSITIVE
KERNIG'S fever, chills, headache, vomiting, irritability, restlessness, PETECHIA or PURPLE RASH
chronic draining ear = bacterial PHOTOPHOBIA IRRITABLE
Question: Brudzinski's sign
Correct Answer: Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed.
-Head is flexed up = knees flexing towards core of body at the same time
Question: Kernig's sign
Correct Answer: Resistance to extension of the child's leg from a flexed position
Question: Meningitis treatment
Correct Answer: --O2 administration (Aseptic) --Hospitalizations to monitor closely (Aseptic)
--Medications: Steroids, Antibiotics, Penicillin (Septic/ both)
Question: The wife of the client diagnosed with septic meningitis asks the nurse, "I am so scared. What is
meningitis?" Which statement would be the most appropriate response by the nurse?
Correct Answer: "This is a bacterial infection of the tissues that cover the brain and spinal cord."
Question: The public health nurse is giving a lecture on potential outbreaks of infectious meningitis. Which
population is most at risk for an outbreak?
Correct Answer: B. Residents of a college dorm -Outbreaks of infectious meningitis are most likely to
occur in dense community groups such as college campuses, jails, and military installations.)
Question: The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical
manifestations would support the diagnosis of bacterial meningitis?
Correct Answer: 3. A positive Kernig's sign -Client unable to extend leg when lying flat and nuchal
rigidity (stiff neck) are signs of bacterial meningitis, occurring because the meninges surrounding the brain
and spinal column are irritated.
