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1. When providing care to a new- C. Intracranial hemorrhage
born infant who was born
at 29 weeks' gestation, Rationale: Premature infants have more fragile
the nurse integrates capillaries in the periventricular area than term infants,
knowledge which puts them at
of potential complications, be- greater risk for intracranial hemorrhage. Neonatal
conjunctivitis
ing alert for signs and can occur in any newborn during birth and is caused
symp- toms of what by viruses, bacteria, or chemicals. Facial deformities are
condition? typical of babies of alcoholic mothers. Incomplete
A. Neonatal conjunctivitis myelinization is present in all newborns
B. Facial deformities Reference: p. 1355
C. Intracranial
hemorrhage
D. Incomplete
myelinization
2. The nurse knows that children B. Head trauma
have larger heads in relation
to the body and a higher child hospitalized with Reye syn-
cen- ter of gravity. When drome who is in the acute
develop- ing a teaching
plan for par- ents, the
nurse includes in-
formation about an
increased risk for which
problem?
A. Febrile seizures
B. Head trauma
C. Caput succedaneum
D. Posterior plagiocephaly
3. The nurse is caring for a
,Exam 2/ Final Review ( Peds) -Jersey college Question and
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Rationale: The larger head size in relation to head-first delivery. Posterior plagiocephaly is caused
the body, coupled with a higher center of by early closure of the lamboid suture.
gravity, causes children to hit their head more Reference: p. 1327-1328
readily when involved in motor vehicle
accidents, bicycle accidents, and falls. Febrile
seizures are not related to anatomy or A. Indications of increased intracranial pressure
physiology. Caput succedaneum is an
edematous area on the scalp caused by Rationale: Reye syndrome is characterized by brain
pressure of the uterus or vagina during swelling,
stage of the illness. The nurse liver failure, and death in hours if treatment is not
initiated.
would assess the child Therefore, increased intracranial pressure could occur.
most carefully for what Liver en- zyme levels typically increase. Blood glucose
finding? levels and protein in the urine are not characteristic of
A. Indications of increased this illness
in-
,Exam 2/ Final Review ( Peds) -Jersey college Question and
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tracranial pressure
B. An increase in the Reference: p. 1363
blood glucose level
C. A decrease in the liver
en- zymes
D.A presence of protein
in the urine
4. The physician has
A. Monitor their child's level of sedation.
ordered rectal
diazepam for a
Rationale: Diazepam is useful for home management
2-year-old boy with status
of pro- longed seizures and requires that the parents
epilepticus. Which
be educated on its proper administration. Monitoring
instruction is essential for
the child's level of sedation is key when giving
the nurse to teach the
diazepam because it slows the central nervous
parents? A. Monitor their
system. Parents need to monitor the overall health of
child's level of sedation.
the child, including temperature when needed, but
B. Watch for fever
indicating infection. that has nothing to do with the diazepam. When the
C. Gradually reduce the use of an anticonvulsant is stopped, gradual reduction
dosage as seizures stop. of the dosage is necessary to prevent seizures or status
epilepticus. This is not
D. Monitor for an allergic reac- done without a physician's order. Monitoring for
allergic reac-
tion to the medication that an 18-month-old child has
intracranial arteri- ovenous
malformation. When developing
the child's plan of
5. As a result of seizure
activ- ity, a computed
tomography (CT) scan
was performed and showed
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tions is necessary when any medications
have been prescribed, but is not specific to
diazepam
Reference: p. 1342
C. Hemorrhagic stroke
Rationale: Intracranial hemorrhage or
hemorrhagic stroke is a risk for children with
intracranial arteriovenous malformation. Drug
interactions are a risk for children who are
treated with combinations of anticonvulsants
for epilepsy. Children with hy- drocephalus
are at an increased risk for developmental
dis- abilities. Respiratory paralysis is a risk of
botulism that typically