The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an indication of
arterial obstruction? - correct answer Right foot is cool to the touch and appears pale
and blanched
During fundal massage, place one hand at the fundus, what is the second hand used for
- correct answer to anchor fundus
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy
is best for the nurse for this 3 year old child? - correct answer Set of cloth and hand
puppets
There is a question that has to be put in order - correct answer *isolate the baby, move
mom to private room, collect u/a, start iv*
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which action
should the nurse implement first? - correct answer Place the infant in a knee-chest
position
How do you measure the frequency of contractions - correct answer from the beginning
of one to the beginning of the next
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The
nurse determines that the increased respiratory rate is a compensatory mechanism for
which acid base alteration? - correct answer Metabolic Acidoses
Mothers Hemoglobin A1C - correct answer give her a consultation to a nutritionist
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube
attached to low intermittent suction is applied. Which finding is most important for the
nurse to report to the healthcare provider? - correct answer Serum potassium of 3.0
mg/dl
Baby shows cyanosis in hands and feet and has elevated respirations - correct answer
gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute.
Intervention best to implement? - correct answer gradually warm under heat source
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac
disease). Choosing which food indicates that the teaching has been effective? - correct
answer *Creamed corn*
, Baby is showing signs of mottling - correct answer check temperature
During a well-baby check, the nurse hides a block under the baby's blanket, and the
baby looks for the block. Which normal growth and development milestone is the baby
developing? - correct answer Object Permanence
Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out of the
data of mom - correct answer increased weight gain
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old infant,
and notes that the FOC has increased 5 inches since birth and the child's head appears
large in relation to body size. Which action is most important for the nurse to take next?
- correct answer Palpate the anterior fontanel for tension and bulging
Mom asks why her baby is being screened for T4 and TSH levels - correct answer it is
state protocol to monitor for metabolic abnormalities
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 years old sibling are at the child's bedside. Which instruction best
supports family? - correct answer Please decide who will stay when the healthcare
provider begins suturing
Patient is having labor back pain - correct answer counter pressure on lower back
(sacrum)
The nurse is planning for a 5 month old with gastroesophageal reflux disease whose
weight has decreased by 3 ounces since the last clinic visit one month ago. To increase
caloric intake and decrease vomiting, what instructions should the nurse provide this
mother? - correct answer Thicken formula with cereal for each feeding
Woman had cleft lip, dads uncle had cleft lip - correct answer send them for genetic
testing
While teaching a parenting class to new parents the nurse describes the needs of
infants and toddlers regarding discipline and limit setting. What is the most important
reason for implementing such parenting behaviors? - correct answer They provide the
child with a sense of security
Woman in labor and they look at vagina and see cord - correct answer put woman in
Trendelenburg position
The parents of a newborn infant with hypospadia are concerned about when the
surgical correction should occur. What information should the nurse provide? - correct
answer Repairs typically should be done before the child is potty trained
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YOURVERIFIEDEXAMPLUG. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.48. You're not tied to anything after your purchase.