PEDIATRIC NURSING EXAM Q&A

1.The mother asks the nurse about her 9-year-old child's apparent need for between-meal snacks, especially after school. When developing a sound nutritional plan for the child with the mother, which of the following would the nurse need to keep in mind? Select one: A. Neurologic development B. Social development C. Motor development D. Language development 2.Which of the following would the nurse use as the primary underlying concept for developing a teaching plan for a group of teenagers about safety? Select one: A. tendency for overexertion B. use of drugs and alcohol C. increased peer pressure D. feelings of being invulnerable 3.A healthy, 2 yea-old toddler is brought to the well-baby clinic for a checkup. When assessing the infant's anterior fontanel the nurse expects it to be: Select one: A. sunken. B. bulging. C. closed. D. open. 4.Which of the following signs in present in the newborn indicates presence of Hirschsprung disease? Select one: A. Presence of gastric peristaltic wave from left to right across epigastric area during or immediately after feeding B. Failure to pass meconium stools 24 – 48 hours after birth C. Complaint of severe abdominal pain and passage of bile stained fecal emesis D. Passage of bulky foul smelling fatty stools 5.Metro Manila Developmental test or MMDST is done to children ages: Select one: A. 2 weeks to 6 ½ years old B. 1 month to 6 years old C. 1 year old to 7 years old D. Immediately after birth to 7 years old 6.A nurse-midwife has documented that the fetus is at positive 1 (+1) station. This means that the fetal presenting part is: Select one: A. 2 cms above the symphysis pubis B. 1 cm below the symphysis pubis C. 1 cm below the ischial spines D. 2 cms above the ischial spines 7.Approximately 90 minutes after birth, the nurse encourages the mother of a term neonate to do which of the following? Select one: A. Feed the neonate. B. Povidone-iodine (Detadine) solution. C. Change the neonate's diaper. D. Allow the neonate to sleep. 8.The nurse is conducting teaching characteristics of Toddlers to parents. Included in the description of a Toddler is that: Select one: A. The child starts exploring the inside and outside world with supervision (exploratory stage) B. Children follows the rules and regulations set by parents and significant others (age of conformity) C. Child starts to act, talk and dress like people they know (imitative stage) D. The child starts to justify answers to questions asked ( age of reason) 9.In assessing the patient condition using the IMCI strategy, the first thing that the nurse should do is to: Select one: A. check the level of consciousness B. ask what are the child's problem C. check for the general danger signs D. check for the main symptoms 10.The nurse is planning the care of a newborn diagnosed with cleft lip and palate. Which of the following is a priority for the nurse to focus on in the period immediately following diagnosis? Select one: A. Assessment of parental understanding of treatment options B. Referral to craniofacial malformation specialist C. Referral to counselor to assist with adjustment to diagnosis D. Assessment of newborn feeding