SAFE MATERNITY & PEDIATRIC NURSING CARE SECOND EDITION by Luanne Linnard-Palmer

• Which immunization is typically administered at birth to prevent hepatitis B? • A) MMR • B) DTaP • C) Hepatitis B • D) Varicella • C) Hepatitis B • What is the priority nursing intervention for a child experiencing an acute asthma exacerbation? • A) Administer oxygen • B) Administer bronchodilators • C) Perform chest physiotherapy • D) Administer antibiotics • B) Administer bronchodilators • Which developmental milestone should a 4 -month -old infant be able to achieve? • A) Rolling over • B) Sitting independently • C) Grasping objects • D) Crawling • A) Rolling over • What is a common side effect of the medication acetaminophen (Tylenol)? • A) Hypertension • B) Constipation • C) Bradycardia • D) Excessive bleeding • B) Constipation • Which of the following is a sign of dehydration in an infant? • A) Increased urine output • B) Sunken fontanelle • C) Flushed skin • D) Increased activity level • B) Sunken fontanelle • What is the recommended position for an infant to sleep to reduce the risk of sudden infant death syndrome (SIDS)? • A) On the back • B) On the side • C) On the stomach • D) Elevated with pillows • A) On the back • Which of the following is a complication of untreated congenital hypothyroidism in infants? • A) Type 1 diabetes • B) Cerebral palsy • C) Intellectual disability • D) Cardiac arrhythmias • C) Intellectual disability • What is the priority nursing action when caring for a child with meningitis? • A) Administering antipyretics • B) Monitoring neurologic status • C) Administering antihistamines • D) Providing a quiet environment • B) Monitoring neurologic status • Which intervention should be included in the care plan for a child with celiac disease? • A) Increase gluten intake • B) Encourage whole wheat products • C) Provide a gluten -free diet • D) Limit fruit and vegetable intake • C) Provide a gluten -free diet • Which of the following is a clinical manifestation of Kawasaki disease? • A) Erythema marginatum • B) Bradycardia • C) Strawberry tongue • D) Petechiae on the trunk • C) Strawberry tongue • What is the priority nursing intervention for a child experiencing a febrile seizure? • A) Administering antipyretics • B) Placing the child in a cold bath • C) Maintaining a patent airway • D) Administering anticonvulsant medication • C) Maintaining a patent airway • Which of the following statements about the administration of intramuscular (IM) injections in infants is true? • A) Inject into the gluteal muscle • B) Use a 25 -gauge needle for injections • C) Aspirate before injecting the medication • D) Administer no more than 1 mL per site • D) Administer no more than 1 mL per site • What is the appropriate technique for administering eye drops to a newborn? • A) Direct the drops onto the cornea • B) Apply pressure to the lacrimal sac after instilling the drops • C) Pull down on the lower eyelid while administering the drops • D) Hold the dropper 2 inches away from the eye • C) Pull down on the lower eyelid while administering the drops • What is the primary nursing consideration when caring for a child with hemophilia? • A) Administering anticoagulant medications • B) Avoiding intramuscular injections • C) Encouraging vigorous physical activity • D) Administering iron supplements • B) Avoiding intramuscular injections • Which of the following statements is true regarding the administration of medication through a nasogastric tube (NGT) in children? • A) Crush all medications before administration • B) Administer medications directly from the syringe without dilution • C) Flush the NGT with 10 mL of water before and after medication administration • D) Elevate the head of the bed to at least 45 degrees during administration • C) Flush the NGT with 10 mL of water before and after medication administration • What is the priority nursing intervention for a child with diabetic ketoacidosis (DKA)? • A) Administering insulin as ordered • B) Monitoring blood glucose levels every 8 hours • C) Administering intravenous fluids and electrolytes • D) Encouraging the child to eat a high -carbohydrate diet • C) Administering intravenous fluids and electrolytes • Which of the following conditions requires airborne precautions in the pediatric population? • A) Varicella • B) Rotavirus • C) Respiratory syncytial virus (RSV) • D) Clostridium difficile infection • A) Varicella • What is the recommended method for performing chest compressions during pediatric cardiopulmonary resuscitation (CPR)? • A) Place the heel of one hand on the sternum just below the nipple line • B) Use two fingers for compressions in infants younger than 1 year • C) Compress the chest to a depth of at least 2 inches • D) Deliver compressions at a rate of 80 per minute • B) Use two fingers for compressions in infants younger than 1 year • Which of the following actions should the nurse prioritize when caring for a child with croup? • A) Administering corticosteroids as ordered • B) Placing the child in a supine position • C) Providing oxygen via a non -rebreather mask • D) Administering anticoagulant therapy • A) Administering corticosteroids as ordered • What is the primary nursing intervention for a child experiencing anaphylaxis? • A) Administering epinephrine via intramuscular injection • B) Administering antihistamines as ordered • C) Encouraging the child to drink fluids • D) Applying cold compresses to the affected area • A) Administering epinephrine via intramuscular injection • What is the appropriate nursing action when administering medication to a pediatric patient? • A) Use adult dosages to ensure effectiveness. • B) Administer medications without consulting the healthcare provider. • C) Calculate medication dosages based on the child's weight. • D) Encourage the child to self -administer medications. • C) Calculate medication dosages based on the child's weight. • What is a priority nursing intervention for a child experiencing an allergic reaction? • A) Administer antipyretics. • B) Provide comfort measures. • C) Administer epinephrine. • D) Apply cold compresses. • C) Administer epinephrine. • Which developmental milestone is typically achieved by a 12 -month -old infant? • A) Walking independently • B) Rolling over • C) Grasping objects