Peds exam 5 with 51 complete solutions.
Peds exam 5 with 51 complete solutions.
The nurse is assessing a 7 year old child at a pediatric clinic. The nurse notices that several
developmental milestones have been missed or late during previous visits. parent states " I know she is
a little slow but she will catch up quickly" how should the nurse respond?
A.Explain that raid development takes place in infancy and early childhood
B.Suggest activities in the home that may improve mental status and physical development
C. Recommend that the child be placed in special classes aimed at promoting development
D. Ask the parent detailed questions about the pregnancy birth and early childhood health. - ANSWER D.
Ask the parent detailed questions about the pregnancy birth and early childhood health.
The nurse is assessing a 4 month old infant during a routine well baby visit. During the neurological
assessment which findings is a reason for concern?
A. when the cheek is brushed the head is turned toward stimuli
B. Toes fan out when the sole of the foot is stroke upward
C. placing a small object in the palm inconsistently elicits a grasp
D. A light puff of air in the face causes the eyes to close - ANSWER A. when the cheek is brushed the
head is turned toward stimuli
The nurse is presenting a class to high school females about decreasing the developmental risks related
to pregnancy. Which info does the nurse consider to be most important?
A. young women should begin taking 600mg of calcium 2x daily
B. All females of child bearing age should take folic acid daily
C. Early prenatal care is essential for a health pregnancy and baby
D. Important fetal development occurs before pregnancy is suspected - ANSWER B. All females of child
bearing age should take folic acid daily
The nurse in the newborn nursery is providing care for a neonate with an open spinal cord defect. The
neonate will be transported to a pediatric surgery hospital ASAP. Which description of the nurse's care
of the neonate is correct?
A. Using aseptic technique , place a sterile plastic bag around the defect and loosely tie it closed
, Peds exam 5 with 51 complete solutions.
B. Place the newborn prone on a loose diaper and cover the defect w/ a second saline-moistened diaper
C. Position the newborn on the side with a moistened dressing on defect; wrap the defect and newborn
in a blanket
D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline , using aseptic
technique - ANSWER D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline
, using aseptic technique
The nurse in the emergency department of a pediatric hospital is providing care for a toddler with a
sudden high fever. The parent states ' she has been grumpy all day and I thought she just needed a nap.
Which finding does the nurse recognize as an indication of an immediate medical emergency?
A.The toddler keeps eyes closed or covers at all times
B. the nurse elicits a positive brudzinki's sign
C. A rash of scattered red bumps is found on the skin
D. The toddler cries when head and neck are moved - ANSWER C. A rash of scattered red bumps is found
on the skin
The nurse in a pediatric unit is providing care for a 2 month old infant just Dx with spinal muscle
atrophy. Which characteristics of the condition does the nurse expect to find during physical assessment
SATA
A. Hyperreflexia in deep tendons
B. few spontaneous movements
C. Deep rapid respirations
D. Fasciculations of the tongue
E. Proximal muscle atrophy - ANSWER B. few spontaneous movements
D. Fasciculations of the tongue
The NICU nurse is providing care for a neonate exhibiting manifestations of congenital Zika syndrome.
Which distinct features does the nurse associate with the syndrome? SATA
A. partially collapsed skull
B. decreased brain tissues
C. damage to the back of the eyes
D. multiple Joint Contractures
Peds exam 5 with 51 complete solutions.
The nurse is assessing a 7 year old child at a pediatric clinic. The nurse notices that several
developmental milestones have been missed or late during previous visits. parent states " I know she is
a little slow but she will catch up quickly" how should the nurse respond?
A.Explain that raid development takes place in infancy and early childhood
B.Suggest activities in the home that may improve mental status and physical development
C. Recommend that the child be placed in special classes aimed at promoting development
D. Ask the parent detailed questions about the pregnancy birth and early childhood health. - ANSWER D.
Ask the parent detailed questions about the pregnancy birth and early childhood health.
The nurse is assessing a 4 month old infant during a routine well baby visit. During the neurological
assessment which findings is a reason for concern?
A. when the cheek is brushed the head is turned toward stimuli
B. Toes fan out when the sole of the foot is stroke upward
C. placing a small object in the palm inconsistently elicits a grasp
D. A light puff of air in the face causes the eyes to close - ANSWER A. when the cheek is brushed the
head is turned toward stimuli
The nurse is presenting a class to high school females about decreasing the developmental risks related
to pregnancy. Which info does the nurse consider to be most important?
A. young women should begin taking 600mg of calcium 2x daily
B. All females of child bearing age should take folic acid daily
C. Early prenatal care is essential for a health pregnancy and baby
D. Important fetal development occurs before pregnancy is suspected - ANSWER B. All females of child
bearing age should take folic acid daily
The nurse in the newborn nursery is providing care for a neonate with an open spinal cord defect. The
neonate will be transported to a pediatric surgery hospital ASAP. Which description of the nurse's care
of the neonate is correct?
A. Using aseptic technique , place a sterile plastic bag around the defect and loosely tie it closed
, Peds exam 5 with 51 complete solutions.
B. Place the newborn prone on a loose diaper and cover the defect w/ a second saline-moistened diaper
C. Position the newborn on the side with a moistened dressing on defect; wrap the defect and newborn
in a blanket
D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline , using aseptic
technique - ANSWER D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline
, using aseptic technique
The nurse in the emergency department of a pediatric hospital is providing care for a toddler with a
sudden high fever. The parent states ' she has been grumpy all day and I thought she just needed a nap.
Which finding does the nurse recognize as an indication of an immediate medical emergency?
A.The toddler keeps eyes closed or covers at all times
B. the nurse elicits a positive brudzinki's sign
C. A rash of scattered red bumps is found on the skin
D. The toddler cries when head and neck are moved - ANSWER C. A rash of scattered red bumps is found
on the skin
The nurse in a pediatric unit is providing care for a 2 month old infant just Dx with spinal muscle
atrophy. Which characteristics of the condition does the nurse expect to find during physical assessment
SATA
A. Hyperreflexia in deep tendons
B. few spontaneous movements
C. Deep rapid respirations
D. Fasciculations of the tongue
E. Proximal muscle atrophy - ANSWER B. few spontaneous movements
D. Fasciculations of the tongue
The NICU nurse is providing care for a neonate exhibiting manifestations of congenital Zika syndrome.
Which distinct features does the nurse associate with the syndrome? SATA
A. partially collapsed skull
B. decreased brain tissues
C. damage to the back of the eyes
D. multiple Joint Contractures
