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NUR 122- Peds Test 2-Gastrointestinal & Genitourinary Study Guide Questions and Correct Answers the Latest Update and Recommended Version

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NUR 122- Peds Test 2-Gastrointestinal & Genitourinary Study Guide Questions and Correct Answers the Latest Update and Recommended Version

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NUR 122- Peds Test 2-Gastrointestinal &
Genitourinary Study Guide Questions and
Correct Answers the Latest Update and
Recommended Version
Which of the following will the nurse recognize as a major goal of treatment for children with

cerebral palsy?

✓ Promoting a maximum level of independence



The nurse is teaching the familiy about nephrotic syndrome and explains the clinical

manifestations are due to which of the following?

✓ Increased permeability of the glomeruli



A 2 year old is admitted to the neurosurgical unit following a head injury. The nurse is using

the Glasgow Coma Scale to measure neurological functioning. Which of the following

assessment findings indicate the lowest level of functioning for this child?

✓ No response to painful stimuli



The nurse is caring for a 4-month old infant who has had an isolated cleft lip repair. What is

the best position for the child in the immediate postoperative period?

✓ Supine




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A 2 month old infant is brought to the pediatric clinic. The infant has had vomiting and

diarrhea for 24 hours. The infant is irritable and his anterior fontanel is sunken. Which of the

following will help confirm the diagnosis of dehydration?

✓ Analysis of serum electrolytes



A nurse is caring for a newborn infant with spina bifida (myelomeningocele) who is scheduled

for surgical closure of the sac. In the preoperative period, the priority nursing diagnosis would

be:

✓ Risk for infection



A nurse is caring for a child recently diagnosed with cerebral palsy and the parents of the

child ask the nurse about their disorder. The nurse bases her response on understanding that

cerebral palsy is:

✓ A chronic disorder characterized by impaired muscle movement and posture.



The nurse is caring for a 4 year old who weighs 15 kg (33lbs). At the end of a 10- hour

period, the nurse notes the urine output to be 150 mL. The nurse determines that the urinary

output for this child during the period is:

✓ within the expected range of output---(child normal range is 0.5 to 1ml/kg/hr)



Urinary output ranges:




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✓ Check: The normal range for 24-hour urine volume is 800 to 2000 milliliters per day
(with a normal fluid intake of about 2 liters per day). Oliguria is urine output < 500 mL
in 24 h (0.5 mL/kg/h) in an adult. Oliguria is urine output < 1 L in 24 h (1 mL/kg/h) in
a child.



Calculating urinary output:

✓ Check: Pediatric Urine Output Calculation. The expected urine output for an adult is >
0.5mL/kg/hour, so an average adult of 70kg would be expected to produce 35-
40ml/hour of urine. For children, the expected urine output is closer to 1ml/kg/hour. The
normal urine output for adults is 1 ml/min, regardless of weight.



The predominant signs of or symptoms of hydrocephalus are different in infants as compared

to older children.

✓ True (due to anterior and posterior fontanels closures in infants)



The nurse is caring for a 14 year old girl with celiac disease. The nurse knows that the patient

understands the diet instructions by ordering which of the following meals?

✓ cheese, banana slices, rice cakes and whole milk (must be gluten free)



GI differences in a pediatric patient:

✓ Small stomach capacity (spits up more if full & fed more often in smaller amts); relaxed
cardiac sphincter (When relaxed, a sphincter allows materials to pass through the
opening. When contracted, it closes the opening.); bowel mvmts several x per day;
decreased enzymes (difficulty digest proteins except for breast milk); belly distention from
gas (colicky, gasey); immature liver (decreased enzymes for digestion); usually health
babies, sometimes premies



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