NRSG 421 Paediatrics/Maternity Study Guide ||
QUESTIONS & ANSWERS 100% VERIFIED!!
a female child, age 6, is brought to the health clinic for a routine checkup. To assess the
child's vision, the nurse should ask:
a) "Do you have any problems seeing different colours?"
b) "Do you have trouble seeing at night?"
c) "Do you have problems with glare?"
d) "How are you doing in school?" correct answers - D
- get a better understanding is school is difficult for them or not, get them to explain further,
tell you more
which age-group is most likely to view illness and hospitalization as a punishment correct
answers preschoolers = not able to concrete think yet beyond this, think they did something
bad
is advil or aspirin safer for a child correct answers - advil
- aspirin only safe over 18, can cause reyes syndrome
which solid foods should you introduce to infants first? correct answers - rice cereal
- introduced at 6 months, fortified (added vitamins and minerals)
- rice over wheat because wheat is a higher allergen
which foods should be avoided for longer in infants? correct answers - cow's milk = until 1
year
- eggs = 9-12 months
- high allergy foods = 9 months = nuts, eggs, wheat, cow's milk, shellfish, soy
- honey = 2 years
why do children have a higher chance on rupturing their appendix? correct answers children
have a harder time communicating their pain, harder to assess pain, appendix gets bigger and
ruptures
when should an infant be able to sit up unsupported? correct answers - 6 months
what is the most common IV fluid ordered for a child with appendicitis? correct answers -
d5NS
- go to isotonic solution in peds, little bit of dextrose
- sick kids have increased metabolism - uses sugar up faster
- don't eat or drink as much
early signs of respiratory distress correct answers · Sitting upright
· Increased respiratory rate
· Irritability
· Increased heart rate
· Retractions
· Use of accessory muscles
· Auscultation - decreased air entry, wheezes
, late signs of respiratory distress correct answers · Change in blood pressure
· RR & HR way higher
· Diaphoretic
· Colour is changing, cyanosis
· Drooling - epiglottitis
Immediately after the birth of a neonate, the nurse dries and positions the neonate. Following
this, the neonate remains apneic. What should the nurse do next?
a) Assign the first APGAR score
b) Start positive pressure ventilation
c) Administer oxygen
d) Start cardiac compressions correct answers - b
- don't use oxygen routinely right away
normal fetal heart rate correct answers 110-160 bpm
variability decreased causes correct answers - sometimes due to sleep
- decreased oxygen
- pain medication
- sedative medications (opioids, benzos)
variable decelerations correct answers - HR up or down, cord compression = VERY BAD
- Prolapsed cord= push head up, change mom position
variability correct answers (variation from baseline) normal 10-25 beats
accelerations correct answers - (good): FHR increase of ≥15 bpm, away from baseline ≥15
sec
types of decelerations correct answers - Early (good- head compression): U shape, mirror
contractions
- Variable (variable- cord compression): V shape, variable timing
- Late (bad- uteroplacental insufficiency): U shape, often subtle, peak after contraction peak
A nurse in a prenatal clinic is assessing a client at 30 weeks' gestation. Which findings lead
this nurse to suspect that the client has mild preeclampsia?
a) Glycosuria, hypertension, seizures
b) Hematuria, blurry vision, reduced urine output
c) Burning on urination, hypertension, abdominal pain
d) Hypertension, edema, proteinuria correct answers - D
preeclampsia correct answers - a complication of pregnancy characterized by hypertension,
edema, and proteinuria
- most often the liver (HELLP syndrome) and kidneys (proteinuria)
other symptoms of preeclampsia correct answers - severe headache
- changes in vision
- upper abdominal pain
- nausea or vomiting
- decreased urine output
QUESTIONS & ANSWERS 100% VERIFIED!!
a female child, age 6, is brought to the health clinic for a routine checkup. To assess the
child's vision, the nurse should ask:
a) "Do you have any problems seeing different colours?"
b) "Do you have trouble seeing at night?"
c) "Do you have problems with glare?"
d) "How are you doing in school?" correct answers - D
- get a better understanding is school is difficult for them or not, get them to explain further,
tell you more
which age-group is most likely to view illness and hospitalization as a punishment correct
answers preschoolers = not able to concrete think yet beyond this, think they did something
bad
is advil or aspirin safer for a child correct answers - advil
- aspirin only safe over 18, can cause reyes syndrome
which solid foods should you introduce to infants first? correct answers - rice cereal
- introduced at 6 months, fortified (added vitamins and minerals)
- rice over wheat because wheat is a higher allergen
which foods should be avoided for longer in infants? correct answers - cow's milk = until 1
year
- eggs = 9-12 months
- high allergy foods = 9 months = nuts, eggs, wheat, cow's milk, shellfish, soy
- honey = 2 years
why do children have a higher chance on rupturing their appendix? correct answers children
have a harder time communicating their pain, harder to assess pain, appendix gets bigger and
ruptures
when should an infant be able to sit up unsupported? correct answers - 6 months
what is the most common IV fluid ordered for a child with appendicitis? correct answers -
d5NS
- go to isotonic solution in peds, little bit of dextrose
- sick kids have increased metabolism - uses sugar up faster
- don't eat or drink as much
early signs of respiratory distress correct answers · Sitting upright
· Increased respiratory rate
· Irritability
· Increased heart rate
· Retractions
· Use of accessory muscles
· Auscultation - decreased air entry, wheezes
, late signs of respiratory distress correct answers · Change in blood pressure
· RR & HR way higher
· Diaphoretic
· Colour is changing, cyanosis
· Drooling - epiglottitis
Immediately after the birth of a neonate, the nurse dries and positions the neonate. Following
this, the neonate remains apneic. What should the nurse do next?
a) Assign the first APGAR score
b) Start positive pressure ventilation
c) Administer oxygen
d) Start cardiac compressions correct answers - b
- don't use oxygen routinely right away
normal fetal heart rate correct answers 110-160 bpm
variability decreased causes correct answers - sometimes due to sleep
- decreased oxygen
- pain medication
- sedative medications (opioids, benzos)
variable decelerations correct answers - HR up or down, cord compression = VERY BAD
- Prolapsed cord= push head up, change mom position
variability correct answers (variation from baseline) normal 10-25 beats
accelerations correct answers - (good): FHR increase of ≥15 bpm, away from baseline ≥15
sec
types of decelerations correct answers - Early (good- head compression): U shape, mirror
contractions
- Variable (variable- cord compression): V shape, variable timing
- Late (bad- uteroplacental insufficiency): U shape, often subtle, peak after contraction peak
A nurse in a prenatal clinic is assessing a client at 30 weeks' gestation. Which findings lead
this nurse to suspect that the client has mild preeclampsia?
a) Glycosuria, hypertension, seizures
b) Hematuria, blurry vision, reduced urine output
c) Burning on urination, hypertension, abdominal pain
d) Hypertension, edema, proteinuria correct answers - D
preeclampsia correct answers - a complication of pregnancy characterized by hypertension,
edema, and proteinuria
- most often the liver (HELLP syndrome) and kidneys (proteinuria)
other symptoms of preeclampsia correct answers - severe headache
- changes in vision
- upper abdominal pain
- nausea or vomiting
- decreased urine output
