/
Pediatric Nursing
Save to my account
Sign up
Pediatric Nursing
Pediatric Nursing
Study
1
Question
How should a nurse explain breastfeeding to a 3-year-old older sibling when a new baby is breastfeeding?
Answer
The nurse should explain that newborns get milk from their mothers by breastfeeding, reassure the older sibling that it does not hurt the mother, and remind him that the mother breastfed him too.
2
Question
What is the correct technique for examining an infant for possible cryptorchidism?
Answer
Place the infant in a warm room and use a calm approach during the examination.
3
Question
Which medication is most important to administer at 30-weeks gestation to prevent fetal respiratory distress syndrome?
Answer
Administer betamethasone (Celestone) 12mg deep intramuscularly.
4
Question
What is the primary nursing action when initiating insulin therapy for a child admitted with diabetic ketoacidosis (DKA)?
Answer
Monitor serum glucose levels closely to adjust the infusion rate of regular insulin (Novolin R).
5
Question
What should a nurse do if a child with myelomeningocele develops symptoms like sneezing, urticaria, watery eyes, and diaper rash during catheter care?
Answer
Change to latex-free gloves when handling the infant to prevent latex allergy.
6
Question
How is the correct single dose of Amoxicillin calculated for a child weighing 22 pounds, given a max dose of 50 mg/kg/day and Amoxicillin suspension concentration of 250 mg/5 mL?
Answer
The nurse should administer 10 mL per dose.
7
Question
What medication is typically anticipated for a primigravida client with preeclampsia showing high blood pressure, proteinuria, facial swelling, blurry vision, and headache?
Answer
Magnesium sulfate to prevent seizures.
8
Question
What condition is indicated by a client at 35 weeks gestation who has fever, severe abdominal tenderness, and pain when the baby moves?
Answer
Chorioamnionitis (an intrauterine infection).
9
Question
In Duchenne muscular dystrophy, what characteristic should nursing teaching initially focus on?
Answer
That growth and development have been abnormal since birth.
10
Question
What is the most important nursing intervention for a male infant with fever, diarrhea, weak cry, and no tears?
Answer
Initiate intravenous infusion of normal saline to treat dehydration.
11
Question
After administering the varicella vaccine to a child, what advice should a nurse give to the parent?
Answer
Apply a cool pack to the injection site to reduce discomfort.
12
Question
What should be the primary focus of care for a child diagnosed with a developmental disability?
Answer
Help the child achieve their maximum potential.
13
Question
What nursing intervention should be planned for a 6-month-old with a cleft-lip repair who has elbow restraints?
Answer
Remove restraints one at a time to provide range of motion exercises.
14
Question
How should a nurse respond to a new mother concerned that her 6-month-old infant is too young to begin solid foods?
Answer
Reassure the mother that the infant is old enough to eat iron-fortified cereals.
15
Question
What should be included in the plan of care for a 10-year-old with slipped femoral capital epiphysis (SFCE)?
Answer
Provide pin and incisional care following surgery.
16
Question
What is the nurse's first action on noting a fetal heart rate with abrupt falls and rises in a 'V' shaped pattern during labor?
Answer
Change the maternal position to improve fetal oxygenation.
17
Question
What information should a nurse provide a postpartum Rh-negative client refusing RhoGAM after delivery of an Rh-positive baby?
Answer
RhoGAM prevents maternal antibody formation that could harm future Rh-positive babies.
18
Question
What is the appropriate response when a mother gives her 11-month-old ferrous sulfate followed by orange juice?
Answer
Provide positive feedback, as vitamin C in orange juice helps iron absorption.
19
Question
What is the priority nursing intervention when a client reports her water has broken in labor?
Answer
Monitor the fetal heart rate to assess fetal well-being.
20
Question
What does a positive oxytocin-stimulated contraction test indicate and how should the nurse respond?
Answer
It indicates fetal distress with late decelerations; the nurse should report this adverse finding to the provider immediately.