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NURS 371 Quiz Review With Complete Solution
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NURS 371 Quiz Review With Complete SolutionPlease mark all history and physical exam findings that are suspicious for child abuse.
Boyfriend of mother did not accompany them to the ED
Bruising in a 4 month old child
Injuries in multiple stages of healing
Injuries inconsistent with developmental stage
Mother has wrapped Alex in a blanket and is holding him closely - ANSWER Bruising in a
4 month old child
Injuries in multiple stages of healing
Injuries inconsistent with developmental stage
Based on the NP exam finding, what 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 -ANSWER Shaken baby syndrome-abusive head
trauma-retinal hemorrhages suggest a contra coup brain injury
The nurse suspects child maltreatment so 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
Formula feeding switched by mom without notification to pediatrician - ANSWER
Formula feeding switched by mom without notification to pediatrician
Dylan, a 15 year old trans female, presents to the pediatric clinic requesting to be tested
for STIs. She is accompanied by an older male who refuses to leave her side and who
answers all of the nurse's questions for Dylan. What should the nurse's priority action
be?
Check to see if Dylan is behind on her HPV vaccine Take an opportunity to get Dylan
alone and ask her if she is safe Obtain a urine specimen for both a urinalysis and culture
Recommend that Dylan also be tested for HIV - ANSWER Take an opportunity to get
Dylan alone and ask her if she is safe
Classify the following list in the ways the options listed is, or is not, representative of a
successful child maltreatment prevention program.
Connecting families with community resources
Caregiver education
Threatening to take the children away from teen parents
Building social connections
Shaming caregivers
Withholding resources as punishment
Intimate nurse-family partnerships- ANSWER Successful programs:
Linking families with community resources
Caregiver education
Building strong social connections
Intimate nurse-family partnerships
,Elsa is a 4 month old female, born prematurely (ex 34 weeker), and is exclusively
breastfed. Which of the following is true regarding Elsa's nutrition? (Select all that
apply)
Elsa should be taking vitamin D supplementation
Elsa is at a higher risk for iron deficiency anemia, and iron fortified cereals should be
initiated by 4-6 months
Elsa will require fewer calories because she is a premature infant
Elsa needs additional liquids such as water to prevent dehydrated - ANSWER Elsa
should be supplementing with vitamin D
Elsa is at high risk for iron deficiency anemia, and should begin iron fortified cereals at
4-6 months
Match the correct information with the correct vaccine.
vaccines: MMR, HiB, Varicella, Flu vaccine
info:
Prevents infection from haemophilus influenzae that can cause serious diseases like
meningitis, epiglottitis during early childhood
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 - ANSWER 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 - ANSWER False
Marco is a 15 year old male track athlete. During his well visit, his mother inquires about
healthy nutrition. The nurse responds by stating that as an active adolescent, it is
crucial for Marco to get appropriate amounts of ________________ and _______________ -
ANSWER iron, protein
The father of a set of 11 year old male and female twins - Maizy and Blu - tells the nurse
that he has no interest in Blu's getting the HPV shot, yet has no problem with Maizy
receiving it. What is the nurse's response?
"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 vaccination against HPV is recommended for both girls and boys by the American
Academy of Pediatrics because, besides saving the girls from cervical cancer, it can
help prevent many cancers that include but are not limited to cancers in the neck, head,
and mouth.
"It won't give Blu or Maizy 'permission to have sex' if that's what you're worried about!" -
ANSWER "American Academy of Pediatrics recommend the HPV vaccination for both
boys and girls because along with preventing cervical cancer, it prevents many cancers
which include but aren't limited to: head, neck, and mouth cancer.
A 1-month-old infant's mother asks the nurse if her infant is developing normally. Which
of the following developmental milestones would the nurse expect from this infant?
Turning the head from side to side
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