mn 580 peds exam questions with
|\ |\ |\ |\ |\ |\
answers
A mother brings her 9 month infant in for a routine visit. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
milestone would be appropriate for the doctor to ask if the infant
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is meeting?
|\
1. Walking
|\
2. Speaking in two word phrases
|\ |\ |\ |\ |\
3. Rolls back to stomach and stomach to back
|\ |\ |\ |\ |\ |\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔3. Rolls back to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
stomach and stomach to back |\ |\ |\ |\
A 5 day old infant comes in for a newborn checkup. On
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment of the newborn, you note that the skin is jaundice in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
color. The anterior fontanel is slightly sunken. Per mom, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
infant has only had 2 diapers today. The infant is strictly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
breastfed and this is moms first child. She states baby is having
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
trouble latching on. A bilirubin level is sent and comes back at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
18. You identify this newborn to be dehydrated and is most likely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to have breast milk jaundice. Which nursing intervention(s) will
|\ |\ |\ |\ |\ |\ |\ |\ |\
be required for this baby?
|\ |\ |\ |\
1. Phototherapy
|\
2. Providing support and education for the lactating mother
|\ |\ |\ |\ |\ |\ |\ |\
3. Strict monitoring of intake and output
|\ |\ |\ |\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔4. All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,Apgar scores measure heart rate, respiratory rate, reflex
|\ |\ |\ |\ |\ |\ |\ |\
irritability, color and : |\ |\ |\
1. Rigidity
|\
2. Muscle tone
|\ |\
3. Birth weight
|\ |\
4. Capillary refill - CORRECT ANSWERS ✔✔2. Muscle tone
|\ |\ |\ |\ |\ |\ |\ |\
Excessive heat loss results in which of these? |\ |\ |\ |\ |\ |\ |\
1. RDS|\
2. Depletion of glucose levels
|\ |\ |\ |\
3. Jaundice
|\
4. Increase in surfactant levels - CORRECT ANSWERS ✔✔2.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Depletion of glucose levels |\ |\ |\
A mother has just delivered her new baby a few hours ago. She
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
asks the nurse if she can bathe the baby because he has blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on him. The best response from the nurse would be.
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Sure, let me get you some soap and washcloths
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. Why dont you get some rest, there will be lots of time for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bathing
3. Its important that we not bathe the baby too soon after birth.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Lets wait till later in the day.
|\ |\ |\ |\ |\ |\
,4. Sure, but why dont you feed the baby - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔3. Its important that we not bathe the baby too soon after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
birth. Lets wait till later in the day
|\ |\ |\ |\ |\ |\ |\
A 4 week old infant is brought to the ED. Mom states that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
baby hasnt been eating well and has had decreased diapers for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
days. The baby has been sleeping more and has been hard to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
wake up. On |\ |\
assessment, you find that the baby is difficult to arouse, is |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypotonic and temperature is 35.4 rectally. What is an important
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
lab value to check? Choose the best answer.
|\ |\ |\ |\ |\ |\ |\
1. Complete metabolic panel
|\ |\ |\
2. Liver panel
|\ |\
3. Blood glucose
|\ |\
4. PTT - CORRECT ANSWERS ✔✔3. Blood glucose
|\ |\ |\ |\ |\ |\ |\
A pregnant woman with a history of a clotting disorder is required
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to selfadminister heparin during her pregnancy. After delivery,
|\ |\ |\ |\ |\ |\ |\ |\ |\
the infant will be at greater risk for:
|\ |\ |\ |\ |\ |\ |\
1. Low blood sugar
|\ |\ |\
2. Decrease Vitamin K
|\ |\ |\
3. Increased Vitamin K
|\ |\ |\
4. High blood sugar - CORRECT ANSWERS ✔✔2. Decrease Vitamin
|\ |\ |\ |\ |\ |\ |\ |\ |\
K
|\
, A
part of injury prevention is making and keeping infant
|\ |\ |\ |\ |\ |\ |\ |\ |\
appointments.
The required checkups and vaccinations are at:
|\ |\ |\ |\ |\ |\
1. 3 months, 6 months, 9 months
|\ |\ |\ |\ |\ |\
2. 2 months, 4 months, 6 months and 1 year
|\ |\ |\ |\ |\ |\ |\ |\ |\
3. 2 months, 4 months, 6 month, 9 months and 1 year
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. 2 months, 4 months, 9 months and 1 year - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔3. 2 months, 4 months, 6 month, 9 months and 1 |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
year
You are taking care of an infant who was admitted with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dehydration. His weight is 6kg. You have been watching his I & |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Os. What would you expect the infants urinary output to be in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
order to maintain adequate|\ |\ |\
hydration?
1. 0.52 ml/kg/hr
|\ |\
2. 0.52.5 ml/kg/hr
|\ |\
3. 13 ml/kg/hr
|\ |\
4. As long as he is having wet diapers it doesnt matter -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔3. 13 ml/kg/hr |\ |\ |\ |\
A mother brings her newborn daughter to the ER with concerns
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that she is having vaginal bleeding. You know this is normal and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
called what? |\
|\ |\ |\ |\ |\ |\
answers
A mother brings her 9 month infant in for a routine visit. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
milestone would be appropriate for the doctor to ask if the infant
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is meeting?
|\
1. Walking
|\
2. Speaking in two word phrases
|\ |\ |\ |\ |\
3. Rolls back to stomach and stomach to back
|\ |\ |\ |\ |\ |\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔3. Rolls back to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
stomach and stomach to back |\ |\ |\ |\
A 5 day old infant comes in for a newborn checkup. On
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment of the newborn, you note that the skin is jaundice in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
color. The anterior fontanel is slightly sunken. Per mom, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
infant has only had 2 diapers today. The infant is strictly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
breastfed and this is moms first child. She states baby is having
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
trouble latching on. A bilirubin level is sent and comes back at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
18. You identify this newborn to be dehydrated and is most likely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to have breast milk jaundice. Which nursing intervention(s) will
|\ |\ |\ |\ |\ |\ |\ |\ |\
be required for this baby?
|\ |\ |\ |\
1. Phototherapy
|\
2. Providing support and education for the lactating mother
|\ |\ |\ |\ |\ |\ |\ |\
3. Strict monitoring of intake and output
|\ |\ |\ |\ |\ |\
4. All of the above - CORRECT ANSWERS ✔✔4. All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,Apgar scores measure heart rate, respiratory rate, reflex
|\ |\ |\ |\ |\ |\ |\ |\
irritability, color and : |\ |\ |\
1. Rigidity
|\
2. Muscle tone
|\ |\
3. Birth weight
|\ |\
4. Capillary refill - CORRECT ANSWERS ✔✔2. Muscle tone
|\ |\ |\ |\ |\ |\ |\ |\
Excessive heat loss results in which of these? |\ |\ |\ |\ |\ |\ |\
1. RDS|\
2. Depletion of glucose levels
|\ |\ |\ |\
3. Jaundice
|\
4. Increase in surfactant levels - CORRECT ANSWERS ✔✔2.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Depletion of glucose levels |\ |\ |\
A mother has just delivered her new baby a few hours ago. She
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
asks the nurse if she can bathe the baby because he has blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on him. The best response from the nurse would be.
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Sure, let me get you some soap and washcloths
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. Why dont you get some rest, there will be lots of time for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bathing
3. Its important that we not bathe the baby too soon after birth.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Lets wait till later in the day.
|\ |\ |\ |\ |\ |\
,4. Sure, but why dont you feed the baby - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔3. Its important that we not bathe the baby too soon after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
birth. Lets wait till later in the day
|\ |\ |\ |\ |\ |\ |\
A 4 week old infant is brought to the ED. Mom states that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
baby hasnt been eating well and has had decreased diapers for 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
days. The baby has been sleeping more and has been hard to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
wake up. On |\ |\
assessment, you find that the baby is difficult to arouse, is |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypotonic and temperature is 35.4 rectally. What is an important
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
lab value to check? Choose the best answer.
|\ |\ |\ |\ |\ |\ |\
1. Complete metabolic panel
|\ |\ |\
2. Liver panel
|\ |\
3. Blood glucose
|\ |\
4. PTT - CORRECT ANSWERS ✔✔3. Blood glucose
|\ |\ |\ |\ |\ |\ |\
A pregnant woman with a history of a clotting disorder is required
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to selfadminister heparin during her pregnancy. After delivery,
|\ |\ |\ |\ |\ |\ |\ |\ |\
the infant will be at greater risk for:
|\ |\ |\ |\ |\ |\ |\
1. Low blood sugar
|\ |\ |\
2. Decrease Vitamin K
|\ |\ |\
3. Increased Vitamin K
|\ |\ |\
4. High blood sugar - CORRECT ANSWERS ✔✔2. Decrease Vitamin
|\ |\ |\ |\ |\ |\ |\ |\ |\
K
|\
, A
part of injury prevention is making and keeping infant
|\ |\ |\ |\ |\ |\ |\ |\ |\
appointments.
The required checkups and vaccinations are at:
|\ |\ |\ |\ |\ |\
1. 3 months, 6 months, 9 months
|\ |\ |\ |\ |\ |\
2. 2 months, 4 months, 6 months and 1 year
|\ |\ |\ |\ |\ |\ |\ |\ |\
3. 2 months, 4 months, 6 month, 9 months and 1 year
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. 2 months, 4 months, 9 months and 1 year - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔3. 2 months, 4 months, 6 month, 9 months and 1 |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
year
You are taking care of an infant who was admitted with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dehydration. His weight is 6kg. You have been watching his I & |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Os. What would you expect the infants urinary output to be in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
order to maintain adequate|\ |\ |\
hydration?
1. 0.52 ml/kg/hr
|\ |\
2. 0.52.5 ml/kg/hr
|\ |\
3. 13 ml/kg/hr
|\ |\
4. As long as he is having wet diapers it doesnt matter -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔3. 13 ml/kg/hr |\ |\ |\ |\
A mother brings her newborn daughter to the ER with concerns
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that she is having vaginal bleeding. You know this is normal and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
called what? |\