NUR 412- Nursing Concepts for Pediatric Patients Exam 4 Questions and Correct Answers
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NUR 412
Which of the following is an important consideration in understanding the reactions of parents when their infant is born with physical defects? A. Grief lasts until the defects are repaired. B. Denial is a common maladaptive reaction. C. The psychologic reaction is similar to that with the death of...
which of the following is an important considerati
an infant who was born yesterday is scheduled for
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NUR 412- Nursing Concepts for Pediatric
Patients Exam 4 Questions and Correct
Answers
Which of the following is an important consideration in understanding the reactions of
parents when their infant is born with physical defects?
A. Grief lasts until the defects are repaired.
B. Denial is a common maladaptive reaction.
C. The psychologic reaction is similar to that with the death of an infant.
D. Reactions of health professionals to the birth of an infant do not affect parents'
reactions. ✅C. The psychologic reaction is similar to that with the death of an infant.
An infant who was born yesterday is scheduled for surgery tomorrow. Which of the
following interventions in the preoperative period will be the most helpful in assessing
postoperative pain in this neonate?
A. Assess neonate's behavior.
B. Interview mother about neonate's behavior.
C. Ask mother what measures comfort neonate.
D. Assess neonate's response after inducing pain. ✅A. Assess neonate's behavior.
An infant is born with anencephaly. When discussing this condition with the parents, the
nurse should know that:
A. Many treatment options exist.
B. Immediate surgery is necessary.
C. The condition is incompatible with life.
D. The child will have permanent disabilities. ✅C. The condition is incompatible with
life.
Which of the following problems is most often associated with myelomeningocele?
A. Biliary atresia
B. Hydrocephalus
C. Craniosynostosis
D. Tracheoesophageal fistula ✅B. Hydrocephalus
An infant with hydrocephalus is hospitalized for surgical placement of a
ventriculoperitoneal shunt. Postoperative nursing care should include which of the
following?
A. Monitor closely for signs of infection.
B. Place child with operated side of the head on the bed.
C. Pump the shunt reservoir often to maintain patency.
D. Maintain Trendelenburg position to decrease pressure on the shunt. ✅A. Monitor
closely for signs of infection.
,A newborn with congenital clubfoot is being treated with successive casts. The parents
ask why so many casts are required. The nurse should explain that:
A. Casts are needed for the traction.
B. Each cast is good for only 6 weeks.
C. Surgical intervention will not be necessary.
D. They allow for gradual stretching of tight structures. ✅D. They allow for gradual
stretching of tight structures.
Which of the following is a major long-term problem for a child with cleft lip and palate?
A. Faulty dentition
B. Nutritional deficits
C. Aspiration pneumonia
D. Abnormally small maxilla ✅A. Faulty dentition
A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The
physician explained the plan of therapy and its expected good results; however, the
mother refuses to see or hold her baby. Initial therapeutic approach to the mother
should be which of the following?
A. Encourage her to express her feelings.
B. Suggest holding baby but without eye contact.
C. Restate what the physician has told her about plastic surgery.
D. Recognize that attachment usually does not occur until after initial surgery. ✅A.
Encourage her to express her feelings.
The nurse assesses the neonate immediately after birth. Esophageal atresia or
tracheoesophageal fistula is suspected if which of the following is present?
A. Jaundice
B. Absence of sucking
C. Hyperactive bowel sounds
D. Excessive amount of frothy saliva in the mouth ✅D. Excessive amount of frothy
saliva in the mouth
Which of the following is the earliest clinical manifestation of biliary atresia?
A. Jaundice
B. Vomiting
C. Hepatomegaly
D. Absence of stooling ✅A. Jaundice
Pica refers to which of the following?
A. Overeating of nonnutritive food substances
B. Refusal to eat proper amounts of food despite its availability
C. Obsessive ingestion of unusual foods that persists over time
D. Compulsive and excessive ingestion of both food and nonfood substances ✅D.
Compulsive and excessive ingestion of both food and nonfood substances
, Constipation has recently become a problem for a school-age girl. She is healthy except
for seasonal allergies, which are now being successfully treated with antihistamines. In
this situation, the constipation is most likely caused by which of the following?
A. Diet
B. Puberty
C. Allergies
D. Antihistamines ✅D. Antihistamines
Therapeutic management of most children with Hirschsprung disease is primarily which
of the following?
A. Daily enemas
B. Low-fiber diet
C. Permanent colostomy
D. Removal of affected piece of bowel ✅D. Removal of affected piece of bowel
A proton pump inhibitor (PPI) is ordered for an infant with gastroesophageal reflux. The
nurse should include in the drug teaching that:
A. The drug should be given 30 minutes before bedtime.
B. Three times a day dosing has maximum effect.
C. The drug can be stopped once symptoms have resolved.
D. Several days may pass before full effect is reached. ✅D. Several days may pass
before full effect is reached.
Which of the following is characterized by a chronic inflammatory process that may
involve any part of the gastrointestinal (GI) tract, from mouth to anus?
A. Crohn disease
B. Ulcerative colitis
C. Meckel diverticulum
D. Irritable bowel syndrome ✅A. Crohn disease
Pyloric stenosis can best be described as which of the following?
A. Dilation of pylorus
B. Hypertrophy of pyloric muscle
C. Hypotonicity of pyloric muscle
D. Reduction of tone in the pyloric muscle ✅B. Hypertrophy of pyloric muscle
The nurse is caring for a boy with probable intussusception. He had diarrhea before
admission, but while waiting for a barium enema, he passes a normal brown stool. The
most appropriate nursing action is which of the following?
A. Notify physician.
B. Measure abdominal girth.
C. Auscultate for bowel sounds.
D. Take vital signs, including blood pressure. ✅A. Notify physician.
Which of the following is an important nursing consideration in the care of a child with
celiac disease?
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