PEDIATRIC NURSING

A 5-year-old child complains of abdominal pain with nausea, anorexia, and a low-grade fever. Palpation of the RLQ of the abdomen elicits pain. Which condition would the nurse suspect? 1. Ulcerative colitis 2. Acute appendicitis 3. Hirschsprung disease 4. Hookworm infestation - ANSWER- 2 Which ...

A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? Select all that apply. A. Incubation period is nonspecific. B. It is a bacterial infection. C. Bloody diarrhea is common. D. Transmission can be from house pets...

Role of play for an infant - ANSWER- Infant Engages primarily in solitary play, although social interaction enhances play Learns and matures through feel and sound of activities and objects As the infant begins to crawl and walk, the sphere of play enlarges and the effect of play on growth and d...

The most effective way to assess an infant's heart rate is to auscultate at the apex of the heart A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching? A. "Share piercing needles only with close friends ...

Jacksonian Seizure - ANSWER- Type of seizure with tonic-cloning of group of muscles Psychomotor Seizure - ANSWER- Type of seizure not common in children; with mental clouding and intoxication Febrile Seizure - ANSWER- Under 5 seizures; with temp of 38.5 - 39 - 40 degree Celsius; in this seizure,...

Wilms' - ANSWER- _____ is the most common intraabdominal and kidney tumor of childhood; it may manifest unilaterally and localized or bilaterally, sometimes with metastasis to other organs 3 years - ANSWER- what is the peak incidence of Wilms' tumor? Nephroblastoma (Wilms' tumor) - ANSW...

Psychosexual/Psychoanalytical theory - ANSWER- Freud 's theory 1. Freud - Psychosexual/Psychoanalytical theory - ANSWER- - Libido -> (-) effects fixation 2. Erikson - Psychosocial developmental theory - ANSWER- - Behavior is a result of interaction to society. Erikson - ANSWER- Psychosocia...

A labor and delivery nurse notes a bright red protrusion through a newborn's lower abdominal wall. Exstrophy of the bladder is the suspected diagnosis. Which is the priority nursing intervention? A. Prepare the child for immediate surgical intervention by placing an intravenous line B. Cover ...

THREE doses are GIVEN and the LAST dose is given at 6 months. At what age does a child starting receiving a yearly flu vaccine? A. 12 months B. 6 months C. 2 months D. 24 months - ANSWER- B. 6 months You're providing a free educational clinic to new moms about immunizations. You inform the ...

Scarlet Fever: Causative Agent - ANSWER- causative agent is group A beta-hemolytic streptococci (GAS) Scarlet Fever: Mode of Transmission - ANSWER- mode of transmission is direct contact with respiratory secretions, children with untreated infections remain contagious for weeks with the highest ...

Which of the following are nursing interventions that you would include in your plan of care for a school-aged child in the hospital? SATA A. Allow choices when possible B. Explain all procedures C. Encourage peer interaction with phone calls D. Use topical anesthetics or preprocedural sedation...

The nurse should estimate that the child is at least 30 months old because the child has completed their primary dentition (20 deciduous teeth), which occurs by 30 months of age. In addition, the nurse should recognize that the child is at least 18 months old because the anterior fontanel is clos...

The nurse is teaching safe transportation techniques to the parents of a baby who are from a low economic background. Which advice given by the nurse is appropriate? - ANSWER- "You should place the baby's car seat in the rear-facing position in the back seat." The parents of a preschoole...

Normal BUN levels in pediatrics - ANSWER- children under 2: 4-15 mg/dL Older Individuals: 5-20 mg/dL. Good indication of renal function. Elevated in kidney disease, dehydration, hemorrhage, steroid therapy, and high protein intake. Normal Creatinine Levels in Pediatrics - ANSWER- 0.2-1.0. Elevat...

Immunoprophylaxis - ANSWER- Immunoprophylaxis against viral illnesses includes the use of vaccines or antibody-containing preparations to provide immune protection against a specific disease. Active Prophylaxis (Vaccines) - ANSWER- - Active immunization involves administering a virus preparation...

Stranger - answer- ___ anxiety typically develops around 8 month's age. The child may become clingy/whiny when approached by strangers. This indicates the infant can recognize him or herself as separate from others. Separation - answer- -______ anxiety may start within the last few months of i...

Immunizations at 6 Months - ANSWER- DTaP, IPV (6-18 Months), PCV, RV, Hib, Hepatitis B (6-18 Months) Immunizations at 6-12 Months - ANSWER- Seasonal influenza vaccination yearly Infant Nutrition - ANSWER- Iron-fortified formula is an acceptable alternative for breast milk. No other animal milks ...

Acute Glomerulonephritis - ANSWER- - immune complex kidney disease that occurs after previous GABHS infection AGN - ANSWER- - Acute post streptococcus glomerulonephritis Glomerulus - ANSWER- What is affected in an - Group A beta hemolytic streps - 2nd most common cause: IMPETIGO (pyoderma) - AN...

Tracheoesophageal fistula - ANSWER- Manifestations include excessive salivation and drooling. The child has difficulty managing the secretions causing choking, coughing, and cyanosis. Nsg interventions surround prevention of aspiration. Treated with surgery Intussusception - ANSWER- Passage of a ...

Developmental theories - ANSWER- Behavior -> Personality Psychosexual/Psychoanalytical theory - ANSWER- Freud 's theory 1. Freud - Psychosexual/Psychoanalytical theory - ANSWER- - Libido -> (-) effects fixation 2. Erikson - Psychosocial developmental theory - ANSWER- - Behavior is a resu...

Macrocephaly (hydrocephalus) - ANSWER- greater than 35 cm head circumference Microcephaly (down syndrome) - ANSWER- less than 33cm Chest circumference or abdominal circumference - ANSWER- 31 to 30 3CM Development - ANSWER- process of maturation Changes and skills Qualitative Changes - ANSWER- U...

Immobilization causes a decreased metabolic rate with the slowing of all systems and decreased food intake, leads to hypercalcemia, and causes a negative nitrogen balance secondary to muscle atrophy. The production of stress hormones decreases, resulting in reduced physical and emotional coping c...

The accepted steps in the model are assessment, diagnosis, planning, implementation, and evaluation. The diagnosis phase is separated into two steps: nursing diagnosis and outcome identification. Although important, identification is not a stand-alone step in the nursing process. Outcome developm...

What is the priority care for near drowning victims - ANSWER- hypoxia, aspiration, hypothermia. What is the average amt in oz of urine for a 1–2-day old infant - ANSWER- 1-2 oz. What is the average amt in oz of urine for a 10day-2mos old infant - ANSWER- 9-15 oz. What is the average amt in oz ...

Discharge instructions include avoidance of irritating or highly seasoned food; encouraging at least 4 cups of fluid per day; avoiding gargling and vigorous brushing of the teeth, avoiding use of straws; use of analgesics or an ice collar for pain; and limiting activity. Chewing gum may prevent t...

Parenting Styles - ANSWER- Authoritarian authoritative permissive indifferent Authoritarian - ANSWER- High control, low warmth Highly controlling/expect to be obeyed/little communication permits little independence Child outcome: no negotiation skills, no ability to direct and initiate own a...

Tracheoesophageal fistula - ANSWER- Manifestations include excessive salivation and drooling. The child has difficulty managing the secretions causing choking, coughing, and cyanosis. Nsg interventions surround prevention of aspiration. Treated with surgery Intussusception - ANSWER- Passage of a ...

Respirations vital signs - ANSWER- infants are diaphragmatic breathers = watch their belly COUNT A FULL MINUTE - breathe faster when anxious and active At what age are blood pressure screening started? - ANSWER- 3 years old, unless visiting for cardiovascular issue Important information regardi...

Developmental theories - ANSWER- Behavior -> Personality Psychosexual/Psychoanalytical theory - ANSWER- Freud 's theory 1. Freud - Psychosexual/Psychoanalytical theory - ANSWER- - Libido -> (-) effects fixation 2. Erikson - Psychosocial developmental theory - ANSWER- - Behavior is a resu...

Macrocephaly (hydrocephalus) - ANSWER- greater than 35 cm head circumference Microcephaly (down syndrome) - ANSWER- less than 33cm Chest circumference or abdominal circumference - ANSWER- 31 to 30 3CM Development - ANSWER- process of maturation Changes and skills Qualitative Changes - ANSWER- U...

Immobilization causes a decreased metabolic rate with the slowing of all systems and decreased food intake, leads to hypercalcemia, and causes a negative nitrogen balance secondary to muscle atrophy. The production of stress hormones decreases, resulting in reduced physical and emotional coping c...

What is the priority care for near drowning victims - ANSWER- hypoxia, aspiration, hypothermia. What is the average amt in oz of urine for a 1–2-day old infant - ANSWER- 1-2 oz. What is the average amt in oz of urine for a 10day-2mos old infant - ANSWER- 9-15 oz. What is the average amt in oz ...

Fever may cause dehydration to develop quickly. The respiratory rate influences insensible fluid loss and should be monitored in a mechanically ventilated child. Heart failure is a case of fluid overload in children. ICP does not lead to increased fluid requirements in children. What type of dehy...

What two types of meds should never be crushed and why? - ANSWER- *enteric or protected coating; could irritate the stomach; this type of tables is absorbed by small intestine *Slow release- could be absorbed more rapidly. If med must be crushed what type of food should never be used? - ANSWER- H...

Diagnostic studies considered part of normal screening for the child with developmental delays of unknown etiology include chromosomal studies or karyotyping, deoxyribonucleic acid (DNA) studies to detect fragile X syndrome, and: A) Measurement of urine and plasma amino acid levels B) Microscopi...

A 6-year-old child with acute spasmodic bronchitis who is receiving humidified air removes the mask, and while bathing the child the nurse notes increasing respiratory distress. What is the most appropriate nursing intervention? - ANSWER- Stopping the bath and replacing the mask. An adolescent is...

Infancy - ANSWER- -stage of development -includes neonatal (birth-1 month) and infancy (1 month and 1 year) early childhood - ANSWER- -stage of development -includes toddler (1-3 years) and preschooler (3-6 years) middle childhood - ANSWER- -stage of development -school age years (6-12) late c...

What complication related to Lyme disease is caused by CN 7 malfunction - ANSWER- Bell's palsy. Other manifestations of Lyme Disease - ANSWER- Body malaise, fever, sore throat Excessive accumulation of CSF in the circle of Willis - ANSWER- Hydrocephalus Management for Hydrocephalus - ANSWER- ...

Palivizumab - ANSWER- There is no vaccine for RSV. This is a medication called palivizumab may prevent RSV infections and protect high-risk babies from serious complications of RSV infection. Respi Gam - ANSWER- IV immune globulin that may be prescribed for high-risk infants to prevent complicat...

PEDIATRIC NURSING (DISEASES) SAMPLE EXAM REVISION PRACTICE QUESTIONS WITH CORRECT ANSWERS (2024 UPDATE)

The parents of a 6-year-old who has a new diagnosis of asthma ask the nurse what to do to make their home more allergy-free environment. Which is the nurse's best response? 1. use a humidifier in your child's room. 2. Have your carpet cleaned chemically once a month. 3. Wash household pets...