NURS 371 Quiz Review Questions and Correct Answers
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Course
NUR 371
Institution
NUR 371
Please select all findings from the history and physical exam that suggest the possibility of child maltreatment.
Mom's boyfriend did not come to the emergency department with them Bruising in a 4-month-old Injuries in various stages of healing Injuries inconsistent with developmental age Mom has ...
NURS 371 Quiz Review Questions and
Correct Answers
Please select all findings from the history and physical exam that suggest the possibility
of child maltreatment.
Mom's boyfriend did not come to the emergency department with them
Bruising in a 4-month-old
Injuries in various stages of healing
Injuries inconsistent with developmental age
Mom has wrapped Alex in a blanket and is holding him close ✅Bruising in a 4 month
old
Injuries in various stages of healing
Injuries inconsistent with developmental age
Based on the NP exam finding, which diagnosis is most likely?
Findings: difficult to arouse, retinal hemorrhages, lethargy, several chest bruises
Shaken baby syndrome (abusive head trauma) - retinal hemorrhages suggest a contra
coup brain injury
Meningitis - Alex is too young to be vaccinated
Dehydration - Alex hasn't eaten in almost 12 bourse
Anemia - Alex shouldn't bruise so easily ✅Shaken baby syndrome (abusive head
trauma) - retinal hemorrhages suggest a contra coup brain injury
Since the nurse suspects child maltreatment, a CPS report must be completed. Which
of the following is NOT necessary to include in the report?
Alex's full name and DOB
Mom's full name and address
Size, shape, and location of Alex's bruising
Mom switched from breast milk to formula without telling pediatrician ✅Mom switched
from breast milk to formula without telling pediatrician
Dylan, a 15 year old trans female, presents to the pediatric clinic asking to be tested for
STIs. She is accompanied by an older male who will not leave her side and answers all
the nurse's questions for Dylan. What action should be the nurse's priority?
Check to make sure Dylan is up to date on her HPV vaccine
Find an opportunity to get Dylan alone and ask her if she's safe
Collect a urine sample for both a urinalysis and culture
Recommend that Dylan is also test for HIV ✅Find an opportunity to get Dylan alone
and ask her if she's safe
,Categorize the below options to indicate which are characteristic of a successful child
maltreatment prevention program and which are not.
Connecting families to community resources
Caregiver education
Threatening teen parents with taking away their children
Building strong social connections
Shaming caregivers
Taking away resources as punishment
Close nurse-family partnerships ✅Successful programs:
Connecting families to community resources
Caregiver education
Building strong social connections
Close nurse-family partnerships
Elsa is a 4 month old female with a history of prematurity (ex 34 weeker) who is
exclusively breastfed. What is correct about Elsa's nutritional needs? Select all that
apply.
Elsa should be receiving vitamin D supplements
Elsa is at increased risk for iron deficiency anemia, and should start iron fortified cereals
by 4-6 months
Elsa will need less calories as a premature baby
Elsa requires extra fluids like water to avoid dehydration ✅Elsa should be receiving
vitamin D supplements
Elsa is at increased risk for iron deficiency anemia, and should start iron fortified cereals
by 4-6 months
Match the correct information with the corresponding vaccine.
vaccines: MMR, HiB, Varicella, Flu vaccine
info:
Protects against haemophilus influenzae which can lead to meningitis, epiglottitis, and
other serious conditions during infancy
Because this is Elsa's first dose and she is under age 8, she will receive another in 4
weeks
Protects against chickenpox; sometimes can see fever/rash following administration
Protects against measles, mumps, and rubella; LIVE vaccine ✅MMR: Protects against
measles, mumps, and rubella; LIVE vaccine
HiB: Protects against haemophilus influenzae which can lead to meningitis, epiglottitis,
and other serious conditions during infancy
, Varicella: Protects against chickenpox; sometimes can see fever/rash following
administration
Flu vaccine: Because this is Elsa's first dose and she is under age 8, she will receive
another in 4 weeks
The nurse is reviewing a patient's immunization record. The child is 9 years old, and
behind on tetanus, diphtheria and a cellular pertussis vaccination. In order to attend
school they need another dose of Dtap.
True
False ✅False
Marco is a 15 year old male track athlete. At his well visit, his mother asks about healthy
nutrition. The nurse replies that as an active adolescent, it is important that Marco
receives adequate ________________ and _______________ ✅iron, protein
The father of a 11 year old male and female twins - Maizy and Blu - tells the nurse he is
not interested in the HPV shot for Blu, but is okay with Maizy getting it. How should the
nurse respond?
"That's okay, HPV if really only important for girls."
"Are you sure? If you don't start the series by age 12, you can't give it at all."
"The American Academy of Pediatrics recommends HPV vaccination for both boys and
girls, since in addition to preventing cervical cancer, it can help prevent many cancers
including head, neck, and mouth cancer."
"It won't give Blu or Maizy 'permission to have sex' if that's what you're worried about!"
✅"The American Academy of Pediatrics recommends HPV vaccination for both boys
and girls, since in addition to preventing cervical cancer, it can help prevent many
cancers including head, neck, and mouth cancer."
The mother of a 1 month old infant states that she is curious as to whether her infant is
developing normally. Which of the following developmental milestones would the nurse
expect the infant to perform?
Rolling from back to side
Turning the head from side to side
Grabbing a toy that is placed in front of them
Placing objects in their mouth ✅Turning the head from side to side
At 7 months of age, you would expect an infant to display all of the following skills
except:
Ability to sit up with support
Roll over
Pick-up objects with a palmer grasp
Pick up a cheerio with a fine pincer grasp ✅Pick up a cheerio with a fine pincer grasp
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