NUR 514 PEDS/OB Final Exam Questions With Complete
Solutions
•A nurse is caring for a child who has short stature. Which of the
following diagnostic tests should be completed to confirm
growth hormone (GH) deficiency? Select all that apply.
•A.CT scan of the head
•B. Skeletal x-rays
•C.GH stimulation test
•D. Blood IGF-1
•E.DNA testing Correct Answers •A is CORRECT:
•A CT scan of the head is conducted to determine whether there
is a structural component to the short stature.
•B is CORRECT:
•Skeletal x-rays are conducted to determine the development of
the bones.
•C is CORRECT:
•A GH stimulation test is conducted to confirm diagnosis of GH
deficiency.
•D is CORRECT:
•A blood IGF-1 is obtained as a preliminary test to determine
GH deficiency.
•E is incorrect
•DNA testing is not a diagnostic test to determine GH deficiency
A nurse is caring for a pregnant client who was admitted to the
high-risk OB unit for preterm labor at 28 weeks gestation.
Which medications are used to protect the fetal brain and
promote fetal lung maturity? Correct Answers Mag sulfate
Betamethasone
,A woman who has tested positive for Group Beta Strep (GBS) is
in active labor. What is the appropriate treatment to prevent
newborn sepsis? Correct Answers Penicillin (abx) -->
prophylaxis Q4h in labor
Absent Variability Correct Answers No detectable amplitude
Acidemia caused by hypoxia
Accelerations:
Pic
What does it mean Correct Answers Baby has good
oxygenation and the CNS is intact
They're very reassuring
Almost half of all childhood cancers involve... Correct Answers
Tissues over organs
(The blood, or blood-forming organs)
APGAR Scoring Correct Answers Appearance (color):
2: pink all over
1: acrocyanisis
0: blue or pale
Pulse (heart rate):
2: hr > 100 BPM
,1: hr < 100 BPM
0: absent heart rate
Grimace (reflex irritability):
2: vigorous cry, pulls away
1: Grimace or facial movement
0: no response to stimulation
Activity (tone):
2: Active movement
1: Some flexion of extremities
0: Flaccid
Respiratory effort:
2: Good breathing with crying
1: Weak cry or slow breathing
0: Apnea
Are children with diabetes ever told to restrict fluids? Correct
Answers No!
During episodes of hyperglycemia (or when they're sick) fluids
help flush out ketones)
ASD (Autism Spectrum Disorder), expected findings Correct
Answers Delays in at least one of the following:
-social interaction
-imaginative play prior to age 3
, -social communication
Baby Blues:
What is it?
When does it usually resolve? Correct Answers Normal - may
occur at home or in hospital
Weepiness, mood swings, irritability, disappointment
"comes and goes"
Usually resolves in 10-14 days without treatment
Bleeding Disorders In Pregnancy:
Placenta Abruption
What is it?
What can it cause? Correct Answers Placenta separates from
the uterine wall before the delivery of the baby
It can cause:
-vaginal bleeding
-massive hemorrhage
-death of mother and/or fetus
Bleeding Disorders in Pregnancy:
Solutions
•A nurse is caring for a child who has short stature. Which of the
following diagnostic tests should be completed to confirm
growth hormone (GH) deficiency? Select all that apply.
•A.CT scan of the head
•B. Skeletal x-rays
•C.GH stimulation test
•D. Blood IGF-1
•E.DNA testing Correct Answers •A is CORRECT:
•A CT scan of the head is conducted to determine whether there
is a structural component to the short stature.
•B is CORRECT:
•Skeletal x-rays are conducted to determine the development of
the bones.
•C is CORRECT:
•A GH stimulation test is conducted to confirm diagnosis of GH
deficiency.
•D is CORRECT:
•A blood IGF-1 is obtained as a preliminary test to determine
GH deficiency.
•E is incorrect
•DNA testing is not a diagnostic test to determine GH deficiency
A nurse is caring for a pregnant client who was admitted to the
high-risk OB unit for preterm labor at 28 weeks gestation.
Which medications are used to protect the fetal brain and
promote fetal lung maturity? Correct Answers Mag sulfate
Betamethasone
,A woman who has tested positive for Group Beta Strep (GBS) is
in active labor. What is the appropriate treatment to prevent
newborn sepsis? Correct Answers Penicillin (abx) -->
prophylaxis Q4h in labor
Absent Variability Correct Answers No detectable amplitude
Acidemia caused by hypoxia
Accelerations:
Pic
What does it mean Correct Answers Baby has good
oxygenation and the CNS is intact
They're very reassuring
Almost half of all childhood cancers involve... Correct Answers
Tissues over organs
(The blood, or blood-forming organs)
APGAR Scoring Correct Answers Appearance (color):
2: pink all over
1: acrocyanisis
0: blue or pale
Pulse (heart rate):
2: hr > 100 BPM
,1: hr < 100 BPM
0: absent heart rate
Grimace (reflex irritability):
2: vigorous cry, pulls away
1: Grimace or facial movement
0: no response to stimulation
Activity (tone):
2: Active movement
1: Some flexion of extremities
0: Flaccid
Respiratory effort:
2: Good breathing with crying
1: Weak cry or slow breathing
0: Apnea
Are children with diabetes ever told to restrict fluids? Correct
Answers No!
During episodes of hyperglycemia (or when they're sick) fluids
help flush out ketones)
ASD (Autism Spectrum Disorder), expected findings Correct
Answers Delays in at least one of the following:
-social interaction
-imaginative play prior to age 3
, -social communication
Baby Blues:
What is it?
When does it usually resolve? Correct Answers Normal - may
occur at home or in hospital
Weepiness, mood swings, irritability, disappointment
"comes and goes"
Usually resolves in 10-14 days without treatment
Bleeding Disorders In Pregnancy:
Placenta Abruption
What is it?
What can it cause? Correct Answers Placenta separates from
the uterine wall before the delivery of the baby
It can cause:
-vaginal bleeding
-massive hemorrhage
-death of mother and/or fetus
Bleeding Disorders in Pregnancy:
