A nurse is assessing a child recently
diagnosed with neuroblastoma. Which
characteristic of the tumor makes early
diagnosis challenging?
A. It presents with frequent seizures
B. It causes severe abdominal pain early in
progression
C. It grows rapidly and causes acute
respiratory symptoms
D. It is often localized and asymptomatic at
first (“silent tumor”)
d
A child presents with signs of increased
intracranial pressure (ICP), and a brain tumor
is suspected. Which diagnostic procedure
should be performed first to ensure safety?
A. EEG
B. Lumbar puncture (LP)
C. MRI
D. Surgical biopsy
C
,A 2-year-old child who predominantly uses
gestures instead of verbal language and has
difficulty following verbal instructions is
likely showing signs of:
A) Cognitive delay
B) Hearing impairment
C) Autism spectrum disorder
D) Visual impairment
A nurse is caring for a 4-year-old child with
an intellectual disability. What is the priority
nursing goal for this child?
A. Achieve grade-level academic performance
B. Focus solely on physical development
C. Provide complete care to reduce effort by
the child
D. Promote optimal development and
independence in self-care
D
A child is diagnosed with bilateral
sensorineural hearing loss. Which of the
following interventions is most appropriate?
A) Removal of cerumen
,B) Placement of pressure equalization tubes
C) Use of cochlear implants
D) Administration of oral corticosteroids
C
A nurse is taking the prenatal history of a
newborn’s mother. Which finding would
require the most immediate follow-up related
to potential neurological outcomes in the
child?
A. The mother consumed one cup of coffee daily
during pregnancy
B. The mother had gestational diabetes managed
with diet
C. The mother used cocaine during the first
trimester
D. The mother had mild morning sickness in the
first trimester
c
Question 2: Select All That Apply
A nurse is educating a group of nursing
students about the importance of prenatal
history in assessing newborns. Which of the
, following statements by the students
indicate understanding?
A. “Prenatal infections can influence the baby’s
brain development.”
B. “Only drug use in the third trimester affects the
fetus.”
C. “Alcohol consumption during pregnancy can
lead to lifelong neurological issues.”
D. “Asking about complications during pregnancy is
not essential unless the baby shows symptoms.”
E. “Early identification of prenatal risk factors
allows for early interventions.”
A, C, E
Why is it essential for a nurse to obtain
detailed prenatal history from parents after
childbirth?
A. To identify genetic diseases only
B. To assess maternal nutritional intake during
pregnancy
C. To determine potential factors affecting the
newborn’s neurological status
D. To predict the baby’s future academic
performance
C