Exam 2: Child Health

Which of the following statements made by the mother of a child recently diagnosed with celiac disease indicates a need for further teaching?

A nurse in the neonatal intensive care unit discovers a cyanotic newborn with excessive frothy mucus in the mouth.  What should be the nurse's first action?

The nurse is teaching a class on nutrition and feeding practices for young children.  What should the nurse recommend as the best snack for a toddler?

The nurse is gathering data on a 5-week-old admitted with a suspected diagnosis of pyloric stenosis.  The nurse should expect to find which laboratory value?

The nurse is reviewing teaching with the parents of a child who has tinea capitis (ringworm of the scalp) and is newly prescribed griseofulvin oral suspension and 1% selenium sulfide shampoo.  Which statement by the child's parent requires the nurse to intervene?

A child received the varicella immunization.  The day after the injection, the parent calls the nurse to say that the child has discomfort, slight redness, and 2 vesicles at the injection site.  What instruction would be appropriate for the nurse to provide to this parent?

The nurse is performing a physical examination on a 10-year-old client with abdominal discomfort.  Which actions would be appropriate during the examination?  Select all that apply.

The nurse is reinforcing education with the parents of a 2-year-old child about diet choices to promote growth.  The family observes a strict vegan diet.  Which of the following statements by the nurse are appropriate?  Select all that apply.

The nurse is reviewing discharge teaching with the parent of a child with acute myelogenous leukemia who was admitted with varicella-zoster virus.  The client has multiple lesions that have not crusted.  Which of the following instructions should the nurse include?  Select all that apply.

A nurse is assisting a new mother as she is breastfeeding her infant.  The infant has been diagnosed with tetralogy of Fallot.  During feeding, the infant becomes cyanotic and is having difficulty breathing.  What should be the nurse's first action?

The clinic nurse is interviewing the parents of a 6-month-old client about the infant's diet.  Which statement by the parents is most concerning?

The nurse is assessing a 4-year-old boy in a pediatric clinic.  Which behaviors by the client would concern the nurse for possible Duchenne muscular dystrophy?  Select all that apply.

A nurse is caring for a 6-year-old client with tonsillitis.  Which further assessment finding requires immediate intervention?

The parent of an 8-year-old client asks the nurse for guidance on how to help the client cope with the recent death of the other parent.  When developing a response to the parent, the nurse considers that a school-aged child is most likely to do what?

The clinic nurse is asked by the mother of a 15-month-old, "I am worried about my child's thumb sucking and its effects on tooth alignment.  What should I do?"  What is the nurse's best response?

The nurse in a clinic is obtaining a developmental history of an 18-month-old during a well-child visit.  Which activities should the child be able to perform?  Select all that apply.

The school nurse creates a cafeteria menu for a newly enrolled child with celiac disease.  Which lunches would be appropriate for this child?  Select all that apply.

The nurse is assisting with an education conference for graduate nurses about infant CPR.  Which of the following statements are appropriate to include in the teaching?  Select all that apply.

A child's arm is burned from accidentally spilling boiling water on it, and the parent calls the clinic.  The nearest emergency department is an hour away.  Which instructions would be appropriate to give the parent?  Select all that apply.

The parent of a 21-day-old male infant reports that the infant is "throwing up a lot."  Which assessments should the nurse make to help determine if pyloric stenosis is an issue?  Select all that apply.