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Exam (elaborations)

Introduction to Maternity and Pediatric Nursing Final

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What is the correct nursing response to a mother who asks, "How can I get rid of the baby's cradle cap?" - "Rub baby oil on the infant's head and brush the hair out carefully." What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.) - -Use disposable diapers. Avoid plastic bloomer or pants. Change diapers frequently. What should the nurse stress to the mother of a child with impetigo? - Small cuts and bites should be treated promptly. What risk is increased with children who have been diagnosed with infantile eczema? - -Asthma What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace? - Wear the brace over a T-shirt 23 hours a day. What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis? - Ask the child to bend forward at the waist and observe the child's back for asymmetry. The nurse is performing a neurovascular check on a limb in traction. Which findings would be indicative of altered circulation? (Select all the apply.) - -Limb is cool to the touch Capillary refill is 5 seconds What characteristic manifestation would the nurse assessing a child with Duchenne's Muscular Dystrophy document? - Falls frequently and is clumsy Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis? - Applying moist heat packs upon awakening What would the nurse include in planning teaching to parents of a child with Legg-Calve-Perthes disease about the long-term effects of this disease? - Degenerative arthritis may develop later in life. What might the nurse explain as a common treatment for amblyopia? - Patching the good eye to force the brain to use the affected eye What would the nurse instruct the parents of a child who takes dilantin? - Give meticulous oral hygiene. What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure? - Move objects out of the child's immediate area. The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching? - Aviod giving salicylate-containing medications to a child who has viral symptoms. What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment? - Face the child and speak clearly in short sentences. The nurse urges the mother of a 6-month-old child to get her child inoculated with Haemophillus influenzae type B. What does this immunization protect against? - Bacterial meningitis The nurse is caring for a preschooler with a head injury. Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP)? - Increase in blood pressure with a decrease in pulse What will the nurse teach parents when giving instructions for acute conjunctivitis? - Clear the drainage from the inner to the outer aspect of the eye. Which assessments would cause the pediatric nurse to suspect the probability of an ear infection in a 15-month-old child. (Select all that apply.) - Pulling at ears Irritability Rolls head from side to side Temperature of 39.4 C (103 F) Which assessment finding in a child with meningitis should be reported immediately? - Irregular respirations

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Introduction to Maternity and Pediatric
Nursing Final
What is the correct nursing response to a mother who asks, "How can I get rid of the
baby's cradle cap?" - "Rub baby oil on the infant's head and brush the hair out
carefully."

What would the nurse teach parents to do in order to avoid diaper rash? (Select all that
apply.) - -Use disposable diapers.
Avoid plastic bloomer or pants.
Change diapers frequently.

What should the nurse stress to the mother of a child with impetigo? - Small cuts and
bites should be treated promptly.

What risk is increased with children who have been diagnosed with infantile eczema? - -
Asthma

What instruction would the nurse provide to an adolescent who has been fitted with a
Milwaukee brace? - Wear the brace over a T-shirt 23 hours a day.

What intervention is appropriate for a nurse assessing a preadolescent child for
scoliosis? - Ask the child to bend forward at the waist and observe the child's back for
asymmetry.

The nurse is performing a neurovascular check on a limb in traction. Which findings
would be indicative of altered circulation? (Select all the apply.) - -Limb is cool to the
touch
Capillary refill is 5 seconds

What characteristic manifestation would the nurse assessing a child with Duchenne's
Muscular Dystrophy document? - Falls frequently and is clumsy

Which intervention would be helpful in relieving morning discomfort associated with
juvenile rheumatoid arthritis? - Applying moist heat packs upon awakening

What would the nurse include in planning teaching to parents of a child with Legg-
Calve-Perthes disease about the long-term effects of this disease? - Degenerative
arthritis may develop later in life.

What might the nurse explain as a common treatment for amblyopia? - Patching the
good eye to force the brain to use the affected eye

, What would the nurse instruct the parents of a child who takes dilantin? - Give
meticulous oral hygiene.

What is an appropriate nursing action when a child is experiencing a generalized tonic-
clonic seizure? - Move objects out of the child's immediate area.

The nurse is planning to teach parents about prevention of Reye's syndrome. What
information would the nurse include in this teaching? - Aviod giving salicylate-containing
medications to a child who has viral symptoms.

What is the best way for the nurse to communicate with a 10-year-old child who has a
hearing impairment? - Face the child and speak clearly in short sentences.

The nurse urges the mother of a 6-month-old child to get her child inoculated with
Haemophillus influenzae type B. What does this immunization protect against? -
Bacterial meningitis

The nurse is caring for a preschooler with a head injury. Which assessment would lead
the nurse to report the probability of increasing intracranial pressure (ICP)? - Increase in
blood pressure with a decrease in pulse

What will the nurse teach parents when giving instructions for acute conjunctivitis? -
Clear the drainage from the inner to the outer aspect of the eye.

Which assessments would cause the pediatric nurse to suspect the probability of an ear
infection in a 15-month-old child. (Select all that apply.) - Pulling at ears
Irritability
Rolls head from side to side
Temperature of 39.4 C (103 F)

Which assessment finding in a child with meningitis should be reported immediately? -
Irregular respirations

What assessment made by the school nurse would lead to the suspicion of strabismus?
- Child covers one eye to read the chalkboard

What does the nurse explain to parents of a child who experienced a febrile seizure? -
They occur when the temperature rises quickly.

A child is brought to the emergency department after he fell and hit his head on the
ground. Which nursing assessment suggests the child has a concussion? - Cannot
remember what happened to him

A parent reports that her child has begun to do poorly at school and experiences
episodes where he appears to be staring into space. Of which type of seizure is this
behavior a characteristic? - Absence
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