MATERNITY/PEDS FINAL EXAM QUESTIONS AND ANSWERS #13
1. When do the anterior fontanels close?: 9-18 months
2. What are symptoms of rheumatic fever?: mild or severe a few days to
6 weeks following a strep throat infection
subcutaneous nodules- painless; develop near the occiput, knuckles, knees, elbows and spine
carditis- assess for CHF; strep attacks the mitral valve; 40-50% of children with rheumatic
fever develop this
polyarthritis- knees, elbows, ankles, wrists, shoulders which come and go
skin eruptions- erythema marginatum; small red circles with a red margin and pale in the center
on the trunk and abdomen (come and go)
chorea (Sydenham's)- involuntary muscle twitching, grimacing, clumsy, jerky, emo- tional and
behavioral instability
3. What causes rheumatic fever?: strep throat infection
genetics may cause an abnormal immune response (autoimmune reaction) autoimmune
reaction to group A beta hemolytic strep which also causes strep throat and scarlet fever
4. What is the best way to minimize anxiety in a hospitalized child?: have them bring a stuffed
animal or toy from home
explain things to them
let them help with their care- autonomy
give them their own medical supplies to practice/play with
5. What is the legal responsibility of a nurse if they suspect child abuse?: re- port to authorities
6. What teeth erupt first?: Lower central incisors; 2 center bottom teeth
7. What are signs/symptoms of jaundice in a newborn baby?: yellow staining of the skin
first appears on the head and face
as levels rise, it progresses to the trunk and then to the extremities
8. When should an infant triple their birth weight?: by the age of 1
9. What discharge teaching should you give a new mom concerning lochia?: if a pad becomes
saturated within 1 hour or if a clot is passed that is golf ball sized or larger, go to the hospital or
call 911
bleeding should lessen 10 days after birth
it is possible to have light bleeding and spotting for up to 6 weeks following delivery
10.What reflex will help a newborn/infant with breastfeeding?: sucking reflex
11.When does parallel play take place?: toddlers; 1-3 years old
12.What is the only area to give an infant an IM injection?: vastus lateralis
13.In a child with cystic fibrosis, what is the cause of foul-smelling frothy stools?: they have poor
fat digestion so they have a higher fat content in their stool
, MATERNITY/PEDS FINAL EXAM QUESTIONS AND ANSWERS #13
14.Why are pancreatic enzymes needed with cystic fibrosis?: in digestion in people with CF, the
small tubes that transport these enzymes out of the pancreas become blocked with mucus.
The enzymes build up in the pancreas instead of reaching the digestive system (specifically,
the lumen of the gut), causing the pancreas to become inflamed
15.What are signs of appendicitis?: nausea vomiting
anorexia
pain at mcburney's point
rebound tenderness
16.What is patient teaching regarding use of a diaphragm?: use spermicide leave diaphragm
inserted for at least 6 hours after having sex
do not leave in for longer than 24 hours
17.What is a tonic-clonic seizure?: a generalized seizure in which the patient loses
conciousness and has jerking movements of paired muscle groups
18. What are classroom (schoolwork) adjustments for a child with ADHD?: -
structure
extra time to complete assignments
some sort of schedule
create goals
19. What part of a child's ear makes them more susceptible to ear infections?-
: eustachian tube; they are shorter than adults
20.How should a baby be positioned to sleep to prevent SIDS?: supine; on their back
there should also be nothing else in the the crib with the baby
21.In tetralogy of fallot, why are the fingers and toes clubbed?: chronic low blood-oxygen
levels
22.What are signs/symptoms of respiratory distress in newborns?: grunting nasal flaring
sternal retractions
23.What should be monitored after receiving an epidural?: respiratory status blood pressure
heart rate
FHR
24.What does clomid do?: oral medication that is often used to treat certain types of female
infertility
works by making the body think that your estrogen levels are lower than they are which causes
the pituitary gland to increase secretion of follicle stimulating hormone and luteinizing hormone
1. When do the anterior fontanels close?: 9-18 months
2. What are symptoms of rheumatic fever?: mild or severe a few days to
6 weeks following a strep throat infection
subcutaneous nodules- painless; develop near the occiput, knuckles, knees, elbows and spine
carditis- assess for CHF; strep attacks the mitral valve; 40-50% of children with rheumatic
fever develop this
polyarthritis- knees, elbows, ankles, wrists, shoulders which come and go
skin eruptions- erythema marginatum; small red circles with a red margin and pale in the center
on the trunk and abdomen (come and go)
chorea (Sydenham's)- involuntary muscle twitching, grimacing, clumsy, jerky, emo- tional and
behavioral instability
3. What causes rheumatic fever?: strep throat infection
genetics may cause an abnormal immune response (autoimmune reaction) autoimmune
reaction to group A beta hemolytic strep which also causes strep throat and scarlet fever
4. What is the best way to minimize anxiety in a hospitalized child?: have them bring a stuffed
animal or toy from home
explain things to them
let them help with their care- autonomy
give them their own medical supplies to practice/play with
5. What is the legal responsibility of a nurse if they suspect child abuse?: re- port to authorities
6. What teeth erupt first?: Lower central incisors; 2 center bottom teeth
7. What are signs/symptoms of jaundice in a newborn baby?: yellow staining of the skin
first appears on the head and face
as levels rise, it progresses to the trunk and then to the extremities
8. When should an infant triple their birth weight?: by the age of 1
9. What discharge teaching should you give a new mom concerning lochia?: if a pad becomes
saturated within 1 hour or if a clot is passed that is golf ball sized or larger, go to the hospital or
call 911
bleeding should lessen 10 days after birth
it is possible to have light bleeding and spotting for up to 6 weeks following delivery
10.What reflex will help a newborn/infant with breastfeeding?: sucking reflex
11.When does parallel play take place?: toddlers; 1-3 years old
12.What is the only area to give an infant an IM injection?: vastus lateralis
13.In a child with cystic fibrosis, what is the cause of foul-smelling frothy stools?: they have poor
fat digestion so they have a higher fat content in their stool
, MATERNITY/PEDS FINAL EXAM QUESTIONS AND ANSWERS #13
14.Why are pancreatic enzymes needed with cystic fibrosis?: in digestion in people with CF, the
small tubes that transport these enzymes out of the pancreas become blocked with mucus.
The enzymes build up in the pancreas instead of reaching the digestive system (specifically,
the lumen of the gut), causing the pancreas to become inflamed
15.What are signs of appendicitis?: nausea vomiting
anorexia
pain at mcburney's point
rebound tenderness
16.What is patient teaching regarding use of a diaphragm?: use spermicide leave diaphragm
inserted for at least 6 hours after having sex
do not leave in for longer than 24 hours
17.What is a tonic-clonic seizure?: a generalized seizure in which the patient loses
conciousness and has jerking movements of paired muscle groups
18. What are classroom (schoolwork) adjustments for a child with ADHD?: -
structure
extra time to complete assignments
some sort of schedule
create goals
19. What part of a child's ear makes them more susceptible to ear infections?-
: eustachian tube; they are shorter than adults
20.How should a baby be positioned to sleep to prevent SIDS?: supine; on their back
there should also be nothing else in the the crib with the baby
21.In tetralogy of fallot, why are the fingers and toes clubbed?: chronic low blood-oxygen
levels
22.What are signs/symptoms of respiratory distress in newborns?: grunting nasal flaring
sternal retractions
23.What should be monitored after receiving an epidural?: respiratory status blood pressure
heart rate
FHR
24.What does clomid do?: oral medication that is often used to treat certain types of female
infertility
works by making the body think that your estrogen levels are lower than they are which causes
the pituitary gland to increase secretion of follicle stimulating hormone and luteinizing hormone
