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1. Respirations are initiated at birth as a result of:
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. . An increase in the PO2 and a decrease in PCO2.
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. . The continued functioning of the foramen ovale.
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. . Chemical, thermal, and mechanical factors. .. .. .. ..
. . Drying off the infant. .. .. ..
2. Explain the primary nursing interventions that should be implemented for a newborn
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diagnosed with respiratorydistress syndrome (RDS).
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. . Administering oral medications and encouraging breastfeeding .. .. .. .. ..
. . Providing supplemental oxygen and monitoring vital signs .. .. .. .. .. ..
. . .. Performing regular physical therapy and administering vaccinations
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. . Encouraging skin-to-skin contact and limiting fluid intake .. .. .. .. .. ..
3. The main complication of neonatal jaundice is:
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. . Lack of voiding and stooling.
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. . Bilirubin encephalopathy. ..
. . The need to immediately stop breastfeeding.
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. . Increased risk of infection. .. .. ..
4. The ChildAbuse Prevention andTreatmentAct of 1974 requires reporting of:
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. . Child abuse cases when they involve neglect.
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. . Child abuse cases when they involve health care personnel.
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, . . Child abuse cases when they involve parents.
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. . All child abuse cases.
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5. What are the common risk factors associated with neonatal jaundice?
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. . Infection during pregnancy .. ..
. . Low birth weight .. ..
. . Maternal diabetes ..
. . All of the above
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6. Anurse is preparing to perform a physicalassessment on a preschooler. Which action is
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most appropriate for the nurse to take?
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. . Always examine ears and eyes first.
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. . Listening to and looking in the ears of the child's stuffed animal first.
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. . Perform the examination in private without parents or siblings.
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Avoid asking the child if you can perform a part of the examination, as the typical
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response is "no".
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7. Aparent reports that their 2-year-old child experiences breath holding spells when upset. What
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is the most appropriate nursing intervention to
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recommend?
. . Advise the parent to ignore the behavior to prevent reinforcement
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. . Suggest the parent to hold the child tightly during the episode
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. . Encourage the parent to seek immediate medical attention each time it occurs
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. . Instruct the parent to remain calm and provide comfort to the child
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,8. Anurse is preparing to conduct a health assessment on a 5-year-old child who appears
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anxious. Which approach should the nurse take to facilitate effective communication and
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gather accurate information?
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. . Use a direct and serious tone to establish authority.
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. . Engage the child in a brief game oractivity before starting the assessment.
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.. Ask the child to describe their symptoms in detail without any prompts.
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. . Conduct the assessment without involving the child's caregiver.
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9. Anurse observes multiple bruises on a 5-year-old child during a routine
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check-up. The child appears fearful and withdrawn. What should the nurse's immediate course of
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action be?
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. . Ignore the signs and continue with the check-up
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. . Ask the child directly if they are being abused
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. . Document the findings and report the suspicion to child protective services
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. . Discuss the observations with the child's parents before taking any action
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10. What is the definition of breath holding spells in pediatric patients?
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. . Atemporary cessation of breathing due to emotional distress
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. . A condition where infants hold their breath during sleep
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. . A reflexive action that occurs during feeding
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. . An involuntary response to environmental stimuli
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, 11. Explain the significance of understanding asthma management in pediatric nursing and its
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impact on patient outcomes.
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. . It helps nurses to prescribe medications.
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.. It allowsfor better communication with families about treatment plans.
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. . It ensures that nurses can perform surgical interventions.
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. . It is not significant as asthma is a minor condition.
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12. Which of the following is a key nursing care consideration for preterm infants?
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. . Maintaining a warm environment to prevent hypothermia .. .. .. .. .. ..
. . Encouraging early oral feeding regardless of gestational age .. .. .. .. .. .. ..
. . Limiting parental involvement to reduce stress .. .. .. .. ..
. . Using standard-sized diapers to promote comfort
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13. What does NAS stand for in the context of neonatal nursing?
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. . Neonatal Abstinence Syndrome .. ..
. . Neonatal Acute Stress .. ..
. . Neonatal Anemia Syndrome .. ..
. . Neonatal Asphyxia Syndrome .. . .
14. Why is atraumatic care important in pediatric nursing, and how does it benefitthe
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child?
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. . It minimizes pain and stress, promoting a more positive healthcare experience
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. . It allows for quicker procedures without parental involvement
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