NR 328 Exam 1 Pediatric Questions and Answers

NR 328 Exam 1 Pediatric Questions and AnswersNurse is teaching child-safety classes to parents of preschoolers. Which is helpful to prevent foreign body aspiration? A. Knowledge of the most common objects that preschoolers aspirate. B. Knowledge of the therapeutic management of foreign body aspiration. C. Knowledge of the risks associated with foreign body aspiration. D. Knowledge of the signs and symptoms of foreign body aspiration. Rationale: A. Without knowing what objects preschoolers most commonly aspirate, it is difficult to teach parents what objects to keep out of reach of the child, and what objects they should avoid having in the house. Nurses are in a position to teach prevention in a variety of settings. They can educate parents singly or in groups about hazards of aspiration in relation to the developmental level of their children and encourage them to teach their children safety. Parents should be cautioned about behaviors that their children might imitate (e.g., holding foreign objects, such as pins, nails, and toothpicks, in their lips or mouth) 4. Which of the following is the leading cause of death in infants younger than 1 year of age? A. Sudden infant death syndrome B. Respiratory distress syndrome C. Congenital anomalies D. Infections specific to the perinatal period Rationale: C. Congenital anomalies are the leading cause of death in the first year of life. 5. A previously "potty-trained" 3yr old has reverted to wearing diapers while hospitalized. What explains this behavior? A. Developmental delays occur because of the hospitalization. B. Regression is frequently seen during hospitalization. C. The child was too young to be "potty-trained." D. The child is experiencing urinary urgency because of hospitalization. Rationale: B. Regression is expected and normal for all age-groups when hospitalized. Nurses should assure the parents this is temporary and the child will return to the previously mastered developmental milestone when back home. This does not indicate a developmental delay. The