Pediatrics Final Exam Study Questions Graded A+!!! And Answers

Infants born to drug-dependent mothers may exhibit all of the following clinical manifestations EXCEPT: A. tremors and restlessness B. frequent sneezing C. coordinated suck and swallow reflex D. high-pitched, shrill cry - ANS C. coordinated suck and swallow reflex The nurse recognizes which of the following as true about the infant diagnosed with neonatal abstinence syndrome (NAS)? A. Methadone treatment by the mother will prevent withdrawal reaction in neonates B. Meconium sampling for fetal drug exposure is less accurate than neonatal urine sampling because it does not take into account recent drug use by the mother. C. Mothers of NAS infants usually do not want the pregnancy or the infant D. The most severe symptoms are observed in the infants of mothers who have taken large amounts of drugs over a long period. - ANS D. The most severe symptoms are observed in the infants of mothers who have taken large amounts of drugs over a long period. The nurse can expect the infant with fetal alcohol syndrome to exhibit which of the following assessments? A. Normal prenatal growth patterns B. Normal feeding patterns C. Thicker upper lip and longer palpebral fissures D. Irritability - ANS D. Irritability Which one of the following regarding palliative care is FALSE? A. Serves to hasten death B. Provides pain and symptom management C. Promotes optimal functioning and quality of life D. Addresses issues faced by the family regarding death and dying - ANS A. Serves to hasten death Pediatric nurses report that a common obstacle to the provision of good palliative care is: A. parents who do not understand the concept of palliative care B. communication with practitioners is inadequate C. uncertainty about the goals of care D. the cost of providing palliative care is excessive - ANS C. uncertainty about the goals of care When communicating with dying children, the nurse should remember that: A. older children tend to be concrete thinkers B. when the children can recite facts, they understand the implications of those facts C. if children's questions direct the conversation, the assessment will be incomplete D. games, art and play provide a good means of expression - ANS D. games, art and play provide a good means of expression When assisting parents in supporting their dying child, the nurse should stress the importance of honesty; if parents are honest and openly discuss their fears, the child more likely to: A. discuss his or her fears B. ask fewer distressing questions C. lose his or her sense of hope D. do all of the above - ANS A. discuss his or her fears Fear of the unknown is one of the greatest threats to seriously ill children of which age-group? A. Toddlers B. Preschoolers C. School-age children D. Adolescents - ANS C. School-age children Separation is one of the greatest threats to seriously ill children of which age-group A. Toddlers B. Preschoolers C. School-age children D. Adolescents - ANS A. Toddlers Fear of punishment is one of the greatest threats to seriously ill children of which age-group? A. Toddlers B. Preschoolers C. School-age children D. Adolescents - ANS B. Preschoolers The perceived inability to use their parents for emotional support is one of the greatest threats to seriously ill children of which age-group? A. Toddlers B. Preschoolers C. School-age children D. Adolescents - ANS D. Adolescents Which one of the following age-groups is most likely to suffer negative reactions to an altered body image as a result of life-threatening illness? A. Young children B. School-age children C. Adolescents D. All age-groups are affected equally - ANS C. Adolescents Which one of the following interventions is most important for the dying child? A. emotional support B. preparing parents to deal with fears C. relief from pain D. control of pain - ANS D. control of pain When the parent of a child who is dying tells the nurse the child is in pain, even when the child appears comfortable, the nurse should be sure that: A. as-needed pain control measures are instituted B. pain control is administered on a regular preventative schedule C. parents understand that pain is a physical process D. parents understand that the child is probably in less pain than the parents think - ANS B. pain control is administered on a regular preventative schedule