Kaplan Pediatric A and B NGN Exam
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Cyanotic Congenital Heart Defect (CCHD) -ANS A heart defect that causes poorly
oxygenated venous blood to enter the systemic circulation, leading to symptoms such
as poor feeding, difficulty feeding, and poor weight gain.
Symptoms of CCHD -ANS Reports of poor feeding, difficulty feeding, and poor weight
gain or no weight gain, along with respiratory-related symptoms like cyanosis,
tachypnea, and labored breathing.
Clubbing of the Fingers -ANS A condition that occurs secondary to diseases with low
oxygen levels, often seen in patients with cyanotic congenital heart defects.
Swelling of the Feet -ANS A symptom associated with congestive heart failure, not
directly indicative of cyanotic congenital heart defects.
Position of Comfort for Infants with Hypoxemia -ANS Either flaccid with extremities
extended or side-lying with knees toward chest.
Cyanotic Coloration -ANS Results from hypoxemia, causing pale and dusky skin that is
cool to the touch.
Cystic Fibrosis Dietary Needs -ANS Patients should eat a high-protein, high-calorie diet
to maintain adequate growth.
Pancreatic Enzyme Administration -ANS Enzymes should be taken at the beginning of
a meal, with a snack, or within 30 minutes of eating; one hour after eating is too long.
Stool Frequency in Cystic Fibrosis -ANS Two to three regular stools per day is
appropriate; an increase indicates inadequate pancreatic enzymes.
Swallowing Medication Capsules -ANS The young adult should swallow capsules whole
or sprinkle medication on a small amount of food.
Normal Development in Young School-Age Children -ANS Parents should tolerate
periods of shyness as children experience conflicts regarding independence.
Nightmares in School-Age Children -ANS While school-age children may experience
nightmares, they are more common in preschool children and reflect conflicts.
,Participation in Group Activities -ANS Children should not be forced to participate in
group activities; they are working toward independence.
Punishment for Acts of Independence -ANS It is not appropriate to recommend
punishment for acts of independence in school-age children.
Respiratory-Related Symptoms of CCHD -ANS Symptoms include tachypnea, labored
breathing, pulmonary edema, and sternal retractions.
Circulatory-Related Symptoms of CCHD -ANS Symptoms include tachycardia, heart
murmur, weak femoral pulses, or shock.
Lethargy in Infants with CCHD -ANS The infant may demonstrate lethargy,
hepatomegaly, and failure to thrive.
Tetralogy of Fallot -ANS A type of cyanotic congenital heart disease.
Transposition of the Great Arteries -ANS Another type of cyanotic congenital heart
disease.
Well Baby Check -ANS A checkup following birth where symptoms of congenital heart
defects may be observed.
Enteric Coating -ANS A protective layer on medication capsules that should not be
destroyed by chewing or crushing.
Increased Crying with Physical Activity -ANS Not a typical symptom associated with
cyanotic congenital heart defects.
Warm, Pink, Dry Skin -ANS Not a symptom associated with cyanotic congenital heart
defects.
Pavlik harness -ANS A device used to treat hip dysplasia in newborns to stabilize and
keep the hip joint in proper alignment.
Hip dysplasia -ANS A condition in which the hip joint does not properly form in infants
and young children.
Idiopathic hypopituitarism -ANS A condition characterized by diminished or deficient
secretion of one or more of the pituitary hormones, leading to symptoms such as short
stature and slow growth.
Short stature -ANS A clinical manifestation of idiopathic hypopituitarism where pediatric
clients have a height that is significantly below average for their age.
, Cerebral palsy (CP) -ANS A group of disorders affecting movement and muscle tone,
often characterized by delayed gross motor development.
Myelomeningocele -ANS A birth defect of the spine and spinal cord that can lead to
infection and damage to the brain.
Asepsis -ANS The practice of preventing infection, crucial in caring for infants with
myelomeningocele.
Delayed gross motor development -ANS The earliest indication of cerebral palsy, where
an infant shows significant delays in achieving motor milestones.
Prone position -ANS The position in which an infant is placed on their stomach, often
used for feeding in infants with myelomeningocele.
Skin breakdown -ANS A condition that nurses must monitor for in infants using a Pavlik
harness, requiring checks 2-3 times per day.
Diapering contraindication -ANS A situation where diapering may not be recommended
until after surgical repair of a defect in infants with myelomeningocele.
Height growth curve -ANS A graphical representation used to track a child's growth over
time, where children with idiopathic hypopituitarism typically fall off.
Antidiuretic hormone -ANS A hormone that may be deficient in patients with
hypopituitarism, leading to increased thirst and urination.
Knee socks in Pavlik harness -ANS Socks placed on the client under the foot and leg
pieces of a Pavlik harness to prevent skin irritation.
Surgical repair -ANS The procedure indicated if a Pavlik harness does not achieve the
correct hip placement in a few months.
Floppy body posture -ANS A potential sign of cerebral palsy where the infant displays a
lack of muscle tone.
Tactile stimulation -ANS Gentle stroking and caressing performed by nurses to meet the
sensory needs of infants.
Head control -ANS An important milestone in infant development that may be lacking in
infants with cerebral palsy.
Weight gain in hypopituitarism -ANS A condition where children may gain weight
disproportionately to their height due to hormonal deficiencies.
Review With Detailed Questions And
Correct Answers||Latest Exam Already
Graded A+
Cyanotic Congenital Heart Defect (CCHD) -ANS A heart defect that causes poorly
oxygenated venous blood to enter the systemic circulation, leading to symptoms such
as poor feeding, difficulty feeding, and poor weight gain.
Symptoms of CCHD -ANS Reports of poor feeding, difficulty feeding, and poor weight
gain or no weight gain, along with respiratory-related symptoms like cyanosis,
tachypnea, and labored breathing.
Clubbing of the Fingers -ANS A condition that occurs secondary to diseases with low
oxygen levels, often seen in patients with cyanotic congenital heart defects.
Swelling of the Feet -ANS A symptom associated with congestive heart failure, not
directly indicative of cyanotic congenital heart defects.
Position of Comfort for Infants with Hypoxemia -ANS Either flaccid with extremities
extended or side-lying with knees toward chest.
Cyanotic Coloration -ANS Results from hypoxemia, causing pale and dusky skin that is
cool to the touch.
Cystic Fibrosis Dietary Needs -ANS Patients should eat a high-protein, high-calorie diet
to maintain adequate growth.
Pancreatic Enzyme Administration -ANS Enzymes should be taken at the beginning of
a meal, with a snack, or within 30 minutes of eating; one hour after eating is too long.
Stool Frequency in Cystic Fibrosis -ANS Two to three regular stools per day is
appropriate; an increase indicates inadequate pancreatic enzymes.
Swallowing Medication Capsules -ANS The young adult should swallow capsules whole
or sprinkle medication on a small amount of food.
Normal Development in Young School-Age Children -ANS Parents should tolerate
periods of shyness as children experience conflicts regarding independence.
Nightmares in School-Age Children -ANS While school-age children may experience
nightmares, they are more common in preschool children and reflect conflicts.
,Participation in Group Activities -ANS Children should not be forced to participate in
group activities; they are working toward independence.
Punishment for Acts of Independence -ANS It is not appropriate to recommend
punishment for acts of independence in school-age children.
Respiratory-Related Symptoms of CCHD -ANS Symptoms include tachypnea, labored
breathing, pulmonary edema, and sternal retractions.
Circulatory-Related Symptoms of CCHD -ANS Symptoms include tachycardia, heart
murmur, weak femoral pulses, or shock.
Lethargy in Infants with CCHD -ANS The infant may demonstrate lethargy,
hepatomegaly, and failure to thrive.
Tetralogy of Fallot -ANS A type of cyanotic congenital heart disease.
Transposition of the Great Arteries -ANS Another type of cyanotic congenital heart
disease.
Well Baby Check -ANS A checkup following birth where symptoms of congenital heart
defects may be observed.
Enteric Coating -ANS A protective layer on medication capsules that should not be
destroyed by chewing or crushing.
Increased Crying with Physical Activity -ANS Not a typical symptom associated with
cyanotic congenital heart defects.
Warm, Pink, Dry Skin -ANS Not a symptom associated with cyanotic congenital heart
defects.
Pavlik harness -ANS A device used to treat hip dysplasia in newborns to stabilize and
keep the hip joint in proper alignment.
Hip dysplasia -ANS A condition in which the hip joint does not properly form in infants
and young children.
Idiopathic hypopituitarism -ANS A condition characterized by diminished or deficient
secretion of one or more of the pituitary hormones, leading to symptoms such as short
stature and slow growth.
Short stature -ANS A clinical manifestation of idiopathic hypopituitarism where pediatric
clients have a height that is significantly below average for their age.
, Cerebral palsy (CP) -ANS A group of disorders affecting movement and muscle tone,
often characterized by delayed gross motor development.
Myelomeningocele -ANS A birth defect of the spine and spinal cord that can lead to
infection and damage to the brain.
Asepsis -ANS The practice of preventing infection, crucial in caring for infants with
myelomeningocele.
Delayed gross motor development -ANS The earliest indication of cerebral palsy, where
an infant shows significant delays in achieving motor milestones.
Prone position -ANS The position in which an infant is placed on their stomach, often
used for feeding in infants with myelomeningocele.
Skin breakdown -ANS A condition that nurses must monitor for in infants using a Pavlik
harness, requiring checks 2-3 times per day.
Diapering contraindication -ANS A situation where diapering may not be recommended
until after surgical repair of a defect in infants with myelomeningocele.
Height growth curve -ANS A graphical representation used to track a child's growth over
time, where children with idiopathic hypopituitarism typically fall off.
Antidiuretic hormone -ANS A hormone that may be deficient in patients with
hypopituitarism, leading to increased thirst and urination.
Knee socks in Pavlik harness -ANS Socks placed on the client under the foot and leg
pieces of a Pavlik harness to prevent skin irritation.
Surgical repair -ANS The procedure indicated if a Pavlik harness does not achieve the
correct hip placement in a few months.
Floppy body posture -ANS A potential sign of cerebral palsy where the infant displays a
lack of muscle tone.
Tactile stimulation -ANS Gentle stroking and caressing performed by nurses to meet the
sensory needs of infants.
Head control -ANS An important milestone in infant development that may be lacking in
infants with cerebral palsy.
Weight gain in hypopituitarism -ANS A condition where children may gain weight
disproportionately to their height due to hormonal deficiencies.
