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NUR 412 Nursing Concepts for Pediatric Patients Exam 3 Questions and Correct Answers, With Complete Solution, Updated 2024. Actual Exam Questions.
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NUR 412 Nursing Concepts for Pediatric Patients Exam 3 Questions and Correct Answers, With Complete Solution, Updated 2024. Actual Exam Questions.

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  • March 18, 2024
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  • 2023/2024
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NUR 412: Nursing Concepts for Pediatric
Patients Exam 3 Questions and Correct Answers, With
Complete Solution. Updated 2024, 234 Questions and
Answers.
Which of the following is an important consideration in understanding the
reactions of parents when their infant is born with physical defects?
A. Grief lasts until the defects are repaired.
B. Denial is a common maladaptive reaction.
C. The psychologic reaction is similar to that with the death of an infant.
D. Reactions of health professionals to the birth of an infant do not affect parents'
reactions.
C. The psychologic reaction is similar to that with the death of an infant.
An infant who was born yesterday is scheduled for surgery tomorrow. Which of
the following interventions in the preoperative period will be the most helpful in
assessing postoperative pain in this neonate?
A. Assess neonate's behavior.
B. Interview mother about neonate's behavior.
C. Ask mother what measures comfort neonate.
D. Assess neonate's response after inducing pain.
A. Assess neonate's behavior.
An infant is born with anencephaly. When discussing this condition with the
parents, the nurse should know that:
A. Many treatment options exist.
B. Immediate surgery is necessary.
C. The condition is incompatible with life.
D. The child will have permanent disabilities.
C. The condition is incompatible with life.
Which of the following problems is most often associated with
myelomeningocele?
A. Biliary atresia
B. Hydrocephalus
C. Craniosynostosis
D. Tracheoesophageal fistula
B. Hydrocephalus
Latex allergy is suspected in a child with spina bifida. Appropriate nursing
interventions include which of the following?
A. Avoid using any latex product.
B. Use only nonallergenic latex products.
C. Teach family about long-term management of asthma.
D. Administer medication for long-term desensitization.
A. Avoid using any latex product.

,An infant with hydrocephalus is hospitalized for surgical placement of a
ventriculoperitoneal shunt. Postoperative nursing care should include which of
the following?
A. Monitor closely for signs of infection.
B. Place child with operated side of the head on the bed.
C. Pump the shunt reservoir often to maintain patency.
D. Maintain Trendelenburg position to decrease pressure on the shunt.
A. Monitor closely for signs of infection.
Which of the following clinical manifestations of developmental dysplasia of the
hip would be seen in the newborn?
A. Lordosis
B. Ortolani sign
C. Trendelenburg sign
D. Telescoping of the affected limb
B. Ortolani sign
A newborn with congenital clubfoot is being treated with successive casts. The
parents ask why so many casts are required. The nurse should explain that:
A. Casts are needed for the traction.
B. Each cast is good for only 6 weeks.
C. Surgical intervention will not be necessary.
D. They allow for gradual stretching of tight structures.
D. They allow for gradual stretching of tight structures.
Which of the following is a major long-term problem for a child with cleft lip and
palate?
A. Faulty dentition
B. Nutritional deficits
C. Aspiration pneumonia
D. Abnormally small maxilla
A. Faulty dentition
A newborn was admitted to the nursery with a complete bilateral cleft lip and
palate. The physician explained the plan of therapy and its expected good results.
However, the mother refuses to see or hold her baby. Initial therapeutic approach
to the mother should be which of the following?
A. Encourage her to express her feelings.
B. Suggest holding baby but without eye contact.
C. Restate what the physician has told her about plastic surgery.
D. Recognize that attachment usually does not occur until after initial surgery.
A. Encourage her to express her feelings.
The nurse assesses the neonate immediately after birth. Esophageal atresia or
tracheoesophageal fistula is suspected if which of the following is present?
A. Jaundice
B. Absence of sucking
C. Hyperactive bowel sounds
D. Excessive amount of frothy saliva in the mouth
D. Excessive amount of frothy saliva in the mouth

,Which of the following is the earliest clinical manifestation of biliary atresia?
A. Jaundice
B. Vomiting
C. Hepatomegaly
D. Absence of stooling
A. Jaundice
The nurse is caring for a neonate born with an omphalocele. Initial management
after delivery includes:
A. Beginning breast-feeding
B. Supine positioning with nasogastric feedings
C. Covering the omphalocele with saline-soaked gauze and plastic drape
D. Using radiant warmer to dry sac and maintain neutral thermal environment
C. Covering the omphalocele with saline-soaked gauze and plastic drape
An infant has just been born with a symptomatic congenital diaphragmatic
hernia. Care of the infant in the preoperative period should include which of the
following?
A. Feedings with sterile water only
B. Immediate endotracheal intubation
C. Bag and mask ventilation as needed
D. Positioning with head and chest lower than abdomen
B. Immediate endotracheal intubation
Hypospadias refers to which of the following?
A. Absence of a urethral opening
B. Penis shorter than usual for age
C. Urethral opening along dorsal surface of penis
D. Urethral opening along ventral surface of penis
D. Urethral opening along ventral surface of penis
Mr. and Mrs. Wilson have a newborn with ambiguous genitalia. Tests are being
done to assist in gender assignment. The parents tell the nurse that family and
friends are asking what caused the baby to be this way. The nurse's intervention
should include which of the following?
A. Explain the disorder so they can explain it to others.
B. Help parents understand that this is a minor problem.
C. Encourage parents not to worry while the tests are being done.
D. Suggest that parents avoid family and friends until the gender is assigned.
A. Explain the disorder so they can explain it to others.
Which of the following is a clinical manifestation of increased intracranial
pressure in infants?
A. Irritability
B. Photophobia
C. Vomiting and diarrhea
D. Pulsating anterior fontanel
A. Irritability
The Glasgow Coma Scale consists of an assessment of:
A. Pupil reactivity, motor response.
B. Level of consciousness, verbal response.

, C. Eye opening, verbal and motor response.
D. Intracranial pressure and level of consciousness.
C. Eye opening, verbal and motor response.
The nurse is doing a neurologic assessment on a child whose level of
consciousness has been variable since sustaining a cervical neck injury 12 hours
ago. Which of the following is the most essential in this assessment?
A. Reactivity of pupils
B. Doll's head maneuver
C. Oculovestibular response
D. Funduscopic examination to identify papilledema
A. Reactivity of pupils
The nurse is caring for a child with multiple injuries who is comatose. The nurse
should recognize that pain:
A. Cannot occur if the child is comatose.
B. May occur if the child regains consciousness.
C. Requires astute nursing assessment and management.
D. Is best assessed by family members who are familiar with the child.
C. Requires astute nursing assessment and management.
The nurse is caring for a 2-year-old girl who is unconscious but stable after a car
accident. Her parents are staying at the bedside most of the time. Which of the
following is an appropriate nursing intervention?
A. Suggest that parents go home until she is alert enough to know they are
present.
B. Encourage parents to hold, talk, and sing to her as they usually would.
C. Use ointment on lips but do not attempt to cleanse teeth until swallowing
returns.
D. Position her with proper body alignment and head of bed lowered 15 degrees.
B. Encourage parents to hold, talk, and sing to her as they usually would.
Why are infants particularly vulnerable to acceleration-deceleration head
injuries?
A. Anterior fontanel is not yet closed.
B. Nervous tissue is not well developed.
C. Scalp of head has extensive vascularity.
D. Musculoskeletal support of head is insufficient.
D. Musculoskeletal support of head is insufficient.
The nurse should recommend medical attention if a child with a slight head injury
experiences which of the following?
A. Vomiting
B. Sleepiness
C. Headache, even if slight
D. Confusion or abnormal behavior
D. Confusion or abnormal behavior
A 3-year-old child is hospitalized after submersion injury. The child's mother
complains to the nurse, "This seems unnecessary when he is perfectly fine." The
nurse's best reply would be which of the following?
A. "He still needs a little extra oxygen."

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