OB e Peds e Exam e 2 e Practice e Questions e and e answers e correct e and e verified e 100%(fall e 2024)

OB e Peds e Exam e 2 e Practice e Questions e and e answers e correct e and e verified e 100% (fall e 2024) Respiratory e syncytial e virus e is e the e most e common e cause e of e bronchiolitis. e - e correct e answers -True A e 2-year-old e is e brought e to e the e ER e with e a e temperature e of e 101.5F, e a e barky e cough, e stridor, e and e hoarseness. e Which e of e the e following e interventions e should e the e nurse e prepare e for? e (choose e the e best e answer) A. e Respiratory e treatment e with e racemic e epinephrine B. e A e tracheostomy e set e at e the e beside C. e Informing e the e parents e about e a e tonsillectomy 4. e Immediate e IV e placement e - e correct e answers -A. e Respiratory e treatment e with e racemic e epinephrine Explanation: e The e child e has e signs e and e symptoms e of e croup. e Stridor e is e caused e by e upper e airway e edema e and e is e relieved e by e aerosolized e racemic e epinephrine. e IV e placement e may e not e be e necessary e for e this e child e and e is e not e a e priority e at e this e time. e The e child e is e not e showing e signs e and e symptoms e of e tonsillitis, e informing e the e parents e of e a e tonsillectomy e would e be e inappropriate. e A e tracheostomy e would e only e be e used e for e a e child e with e complete e airway e obstruction. A e 6-month -old e is e admitted e to e the e hospital e with e bronchiolitis. e The e nurse e is e assessing e the e infant. e Which e of e the e following e physical e findings e would e be e of e MOST e concern? e (choose e the e best e answer) A. e The e baby e is e wheezing B. e The e baby e has e mild e retractions C. e The e baby e has e tachypnea D. e The e baby e is e grunting e - e correct e answers -D. e The e baby e is e grunting Explanation: e Grunting e is e a e sign e of e respiratory e failure e and e is e a e very e concerning e physical e finding. e The e other e symptoms e are e common e findings e with e bronchiolitis, e should e be e monitored, e but e are e not e as e concerning e as e grunting. A e pediatric e client e is e admitted e in e status e asthmaticus. e The e parent e reports e that e the e child e is e currently e taking e Singulair, e albuterol, e and e Flovent. e What e is e the e most e important e piece e of e information e that e the e nurse e must e ask e the e parent e in e order e to e best e treat e the e patient? A. e "When e was e your e child's e last e dose e of e medication?" e e B. e "When e was e your e child e last e admitted e to e the e hospital e for e asthma?" e e C. e "What e time e did e your e child e last e eat?" e e D. e "Has e your e child e been e exposed e to e any e of e the e usual e asthma e triggers?" e - e correct e answers -Answer: e A e "When e was e your e child's e last e dose e of e medication?" Explanation: e The e nurse e needs e to e know e what e medication e the e child e had e last e and e when e the e child e took e it e to e know e to e begin e treatment. An e otherwise e healthy e 1 e month e old e infant e presents e to e the e emergency e department e with e persistent e inconsolability, e irritability, e and e eye e tearing e x e 12 e hours. e Which e of e the e following e diagnoses e of e the e eyes e is e the e most e likely e cause e for e this e presentation? e (choose e one e answer) A. e Congenital e glaucoma e B. e Congenital e cataracts e C. e Congential e dacryostenosis e D. e Retinopathy e of e rematurity e (ROP) e - e correct e answers -A. e Congenital e glaucoma You e are e caring e for e a e child e with e amblyopia, e his e right e eye e is e covered e with e a e patch. e Which e eye e would e you e suspect e is e affected e by e amblyopia? e (choose e the e best e answer) A. e Left e eye B. e Both e eyes C. e Right e eye e - e correct e answers -A. e Left e eye The e parent e of e a e 10-month -old e female e brings e the e infant e to e the e pediatrician's e office e with e upper e respiratory e symptoms e (URI) e and e fever. e The e parent e asks e the e nurse e what e can e be e done e at e home e to e improve e the e child's e current e condition. e Which e is e the e nurse's e best e response? e (choose e all e that e apply) A. e "Give e your e baby e Robitussin e at e night e to e reduce e her e cough e and e help e her e sleep." B. e "Give e your e baby e aceteaminophen e every e 4 e to e 6 e hours e to e help e reduce e the e fever." C. e "Keep e the e head e of e the e bed e flat e while e your e baby e sleeps." e D. e "Give e your e baby e small e amounts e of e fluid e every e hour e to e prevent e dehydration." E. e "Use e saline e and e bulb e suction e your e baby's e nose e to e keep e the e nasal e passage e open." e - e correct e answers -B e (acetaminophen), e D e (fluids), e and e E e (saline e and e bulb e suction) The e nurse e is e caring e for e a e 22-month -old e male e who e has e had e repeated e bouts e of e otitis e media. e The e nurse e is e educating e the e parents e about e otitis e media. e Which e of e the e following e statements e from e the e parents e indicates e that e they e need e additional e teaching? e (choose e the e best e answer) A. e "My e child e will e have e fewer e ear e infections e if e he e has e his e tonsils e removed." e B. e "If e I e quit e smoking, e my e child e may e have e less e chance e of e getting e an e ear e infection." C. e "My e child e may e need e a e speech e evaluation." e D. e As e my e child e gets e older, e he e should e have e fewer e ear e infections, e because e his e immune e system e will e be e more e developed." e - e correct e answers -A explanation: e Removing e children's e tonsils e may e not e have e any e effect e on e recurrent e ear e infections. e Children e who e have e repeated e bouts e of e tonsillitis e can e have e ear e infections e secondary e to e the e tonsillitis, e but e there e is e no e indicating e in e this e question e that e the e child e has e a e problem e with e tonsillitis. e The e other e answers e all e may e reduce e a e child's e risk e of e ear e infections. During e a e non-stress e test, e the e nurse e notes e that e the e fetal e heart e rate e has e two e variable e decelerations e lasting e 20-30 e each e occurrence. e The e baseline e is e 140bpm e with e moderate e variability e and e one e acceleration e to e 155bpm e during e a e period e of e fetal e movement. e After e 40 e minutes e of e monitoring, e how e should e the e nurse e interpret e this e test? A. e A e negative e test e B. e A e nonreactive e test e C. e An e equivocal e test e D. e A e reactive e test e - e correct e answers -B. e nonreactive e test During e a e home e visit e the e nurse e observes e a e pregnant e client e assess e fetal e activity. e Which e observations e indicate e that e the e client e understands e the e correct e process e for e this e count? e Select e all e that e apply. A. e Drives e while e counting e B. e Begins e counting e 1 e hour e after e a e meal e C. e Watches e TV e while e counting e D. e Assumes e a e side-lying e position e E. e Begins e counting e before e eating e anything e for e the e day e - e correct e answers -B, e D A e newly e diagnosed e type e 1, e insulin -dependent e diabetic e with e good e blood e sugar e control e at e 20 e weeks' e gestation e asks e how e the e diabetes e will e affect e the e baby. e How e should e the e nurse e respond? A. e "Your e baby e might e have e high e blood e sugar e for e several e days." e B. e "Your e baby e will e probably e be e larger e than e average e at e birth." e C. e "As e long e as e you e control e your e blood e sugar, e your e baby e will e not e be e affected e at e all." D. e "Your e baby e may e be e smaller e than e average e at e birth." e - e correct e answers -B e "Your e baby e will e probably e be e alleger e than e average e at e birth" During e the e first e antepartal e visit, e a e client e who e is e at e 10 e weeks' e gestation e learns e of e being e HIV e positive. e Which e client e statement e indicates e an e understanding e of e the e plan e of e care e both e during e the e pregnancy e and e postpartally? A. e "I e should e not e breastfeed e my e baby." B. e "When e my e baby e is e 2 e months e old, e he e or e she e will e be e tested e for e HIV." C. e :If e I e have e a e cesarean e section, e there e is e an e increased e risk e that e my e HIV e will e be e passed e to e my e baby." D. e "I e am e supposed e to e take e highly e active e antiretroviral e therapy e (HAART), e but e only e during e the e first e trimester." e - e correct e answers -A. e "I e should e not e breastfeed e my e baby."