PN Pediatrics Questions and Correct
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The nurse is caring for an infant born to a mother who abused
cocaine during her pregnancy. The nurse would likely notice that this
infant:
Ans: cries when touched.
Four weeks before the birth of a client's already large child, the
primary care provider has told the client that if the baby gets bigger
and the baby's lungs are ready, the care provider would like to
perform a cesarean birth. The woman asks the nurse what the
downside is to having a cesarean rather than a vaginal birth. What is
an appropriate response by the nurse?
Ans: "As the baby passes through the birth canal some of the excess fluid
is expelled from the lungs, if that doesn't happen there's a higher risk of
respiratory distress."
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A nursing student is caring for a newborn with a defect in the neural
arch where the posterior laminae of the vertebrae have failed to
close. The nurse knows that this infant is suffering from which
disorder?
Ans: Spina bifida
A nursing instructor is teaching about newborn congenital disorders
and realizes that the student needs further instruction after making
which statement?
Ans: All congenital disorders can be diagnosed at birth.
A nurse is caring for a newborn with a repaired cleft lip. What
intervention can the nurse provide to facilitate drainage of mucus
and secretions to prevent aspiration?
Ans: Position the child on the side
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A nurse is caring for a child with complex esophageal atresia who
will be undergoing surgery for repair. What comment by the parents
indicates further teaching is required?
Ans: "After this surgery is done tomorrow, my baby will be able to eat and
drink"
A nurse is assigned to care for a newborn with esophageal atresia.
What preoperative nursing care is the priority for this newborn?
Ans: Prevent aspiration by elevating the head of the bed, and insert an
NG tube to low suction.
What is the term for a small collection of blood that forms
underneath the skull as a result of birth trauma?
Ans: Cephalhematoma
During a clinical conference, a group of nursing students are
discussing a newborn that is large for gestational age. The instructor
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determines the students have successfully differentiated the
potential cause after choosing which contributing maternal factor?
Ans: Being 30 pounds overweight before getting pregnant
The nurse is preparing a nursing care plan for an infant who was born
with spina bifida with myelomeningocele. Which nursing goal should
the nurse prioritize for this child?
Ans: Preventing infection
It would be best to place an infant with a myelomeningocele in
which position prior to surgery?
Ans: on the stomach (prone)
A newborn is scheduled for casting to correct a talipes disorder. You
would advise her parents that the cast will extend
Ans: Above the knee