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Exam 1 Burns Pediatric Primary Care

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The PNP is performing a well baby examination on a 2 month old infant who has gained 25 grams per day in the last interval. The mother is nursing and tells the NP that her infant seems fussy and wants to nurse more often. What will the NP tell her? - answer-the infant may be going through an expected growth spurt The mother of a 6 week old breastfeeding infant tells the PNP that her baby, who previously had bowel movement with each feeding, now has a BM once every third day. What will the NP tell her? - answer-This may be normal for breastfed babies The mother of a 3 month old child tells the PNP that it is "so much fun" now that her infant coos and smiles and wants to play. What is important for the NP to teach this mother? - answer-How to read the infants cues for overstimulation The parent of a 5 month old is worried b/c the infant becomes fussy but doesn't always seem interested in nursing. What will the NP tell the parent? - answer-The infant may be expressing a desire to play or to rest. The mother of a 6 month old is distressed because the infant can say "dada" but not "mama" and asks the PNP why this is when she is the one who spends more time with the infant. How will the NP respond? - answer-"At this age, your baby does not understand the meaning of sounds"

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EXAM 1 Burns Pediatric Primary Care

Exam
A mother brings her 9 month infant in for a routine visit. What milestone would be
appropriate for the doctor as if the infant is meeting? - answer-Rolls back to stomach
and stomach to back




A 5 day old infant comes in for newborn checkup. On assessment — skin is jaundice,
anterior fontanelle is slightly sunken, only had 2 diapers today, infant has trouble
latching on, mom's first child. Bilirubin is sent and comes back at 18. The baby is most
likely having breast milk jaundice. Which nursing intervention is required? - answer-All
of above — Phototherapy, providing support and education for the lactating mother,
strict monitoring of intake and output




Excessive heat loss results in which of these:

1. RDS

2. Depletion of glucose levels

3. Jaundice

4. Increase in surfactant levels - answer-Depletion of glucose levels




4 week old infant brought into ED. Mom states the baby hasn't been eating well and has
had a decreased diaper for 2 days. The baby has been sleeping more and it has been
hard to wake up. On assessment, you find that the baby is difficult to arouse, is
hypotonic, and temperature is 35.4 rectal. What is an important lab value to check? -
answer-Blood glucose

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