Question 1

The pediatric nurse is providing care to an infant diagnosed with phenylketonuria.What education is vital for this nurse to provide the parents?

Accepted Answer

A)  Information available from the Centers for Disease Control and Prevention 
B)  High-protein, low-carbohydrate diet for the life of the baby 
C)  Special phenylalanine-free infant formula and diet restriction 
D)  Very-low-protein diet supplemented with thiamine during childhood 
A)  Information available from the Centers for Disease Control and Prevention 
B)  High-protein, low-carbohydrate diet for the life of the baby 
C)  Special phenylalanine-free infant formula and diet restriction 
D)  Very-low-protein diet supplemented with thiamine during childhood C

Question 2

An infant weighing 3 lb,7 oz has apnea of prematurity.The nurse needs to administer the loading dose of caffeine citrate (Cafcit).The dose for this is____________________ mg.

Accepted Answer

31 mg
A weight of 3 lb,7 oz = 1.55 kg.The loading dose for this drug is 20 mg/kg,which is 31 mg.

Question 3

A child diagnosed with congenital hypothyroidism is being dismissed from the NICU.What information should the nurse plan to teach the parents?

Accepted Answer

A)  Avoid foods such as fish, milk, or meat-based broth soups. 
B)  The correct dose of levothyroxine (Synthroid) is 10-15 mg/kg/day. 
C)  The Correct dose of levothyroxine (Synthroid) is 10-15 mg/kg/day. 
D)  Regular eye examinations should be undertaken every 6 months. 
A)  Avoid foods such as fish, milk, or meat-based broth soups. 
B)  The correct dose of levothyroxine (Synthroid) is 10-15 mg/kg/day. 
C)  The Correct dose of levothyroxine (Synthroid) is 10-15 mg/kg/day. 
D)  Regular eye examinations should be undertaken every 6 months. C

Question 4

A nurse assesses an infant using the Premature Infant Pain Profile and gives the baby a score of 19.What action by the nurse is most appropriate?

Accepted Answer

A)  Administer morphine (Astramorph). 
B)  Give an oral sucrose solution. 
C)  Provide nonnutritive sucking. 
D)  Swaddle and cuddle the infant. 
A)  Administer morphine (Astramorph). 
B)  Give an oral sucrose solution. 
C)  Provide nonnutritive sucking. 
D)  Swaddle and cuddle the infant.

Question 5

A baby has just been born with anencephaly.Which action by the labor and delivery charge nurse takes priority?

Accepted Answer

A)  Admit the baby to the NICU. 
B)  Consult the palliative care team. 
C)  Place the infant in protective isolation. 
D)  Prepare the infant for surgery. 
A)  Admit the baby to the NICU. 
B)  Consult the palliative care team. 
C)  Place the infant in protective isolation. 
D)  Prepare the infant for surgery.

Question 6

The nurse caring for small-for-gestational-age (SGA)infants assesses them for attainment of outcomes related to nursing diagnoses.Which assessment finding best demonstrates attainment of priority outcomes?

Accepted Answer

A)  Body temperature of 97.5°F (36.4° 
C)  
B)  Gains weight regularly 
C)  Parents visit daily 
D)  Skin remains intact 
A)  Body temperature of 97.5°F (36.4° 
C)  
B)  Gains weight regularly 
C)  Parents visit daily 
D)  Skin remains intact

Question 7

A pediatric nurse sees a baby with microcephaly.What action is most important for this nurse to do?

Accepted Answer

A)  Assess the baby's feeding abilities with an adapted nipple. 
B)  Document head circumference at each visit. 
C)  Document weight gain at each visit. 
D)  Review medication administration with parents. 
A)  Assess the baby's feeding abilities with an adapted nipple. 
B)  Document head circumference at each visit. 
C)  Document weight gain at each visit. 
D)  Review medication administration with parents.

Question 8

An infant who is possibly infected with herpes simplex infection is being dismissed.What medication should the nurse anticipate instructing the parents on giving?

Accepted Answer

A)  Acyclovir (Avirax) 
B)  Ampicillin (Omnipen) 
C)  Cephtriaxone (Rocephin) 
D)  Hydroxyzine (Atarax) 
A)  Acyclovir (Avirax) 
B)  Ampicillin (Omnipen) 
C)  Cephtriaxone (Rocephin) 
D)  Hydroxyzine (Atarax)

Question 9

A baby is admitted with a long-bone fracture.What nursing actions are appropriate in the care of this baby?

Accepted Answer

A)  Elevation of the extremity 
B)  Frequent neurovascular checks 
C)  Heat therapy to reduce muscle spasm 
D)  Immobilization while healing 
E)  Traction at 0.1 kg per 1 kg/baby's weight 
A)  Elevation of the extremity 
B)  Frequent neurovascular checks 
C)  Heat therapy to reduce muscle spasm 
D)  Immobilization while healing 
E)  Traction at 0.1 kg per 1 kg/baby's weight

Question 10

An infant has been admitted to the neonatal intensive care unit because of meconium-aspiration syndrome and related complications.The pediatric nurse assesses the patient frequently for which complication?

Accepted Answer

A)  Hemothorax 
B)  Pneumomediastinum 
C)  Pneumonia 
D)  Pneumothorax 
E)  Respiratory distress syndrome. 
A)  Hemothorax 
B)  Pneumomediastinum 
C)  Pneumonia 
D)  Pneumothorax 
E)  Respiratory distress syndrome.

Question 11

A nurse is asked to record preductal and postductal oxygen saturations on an infant with possible persistent pulmonary hypertension.Where does the nurse assess the preductal saturation?

Accepted Answer

A)  Earlobe 
B)  Left finger 
C)  Left great toe 
D)  Right finger 
A)  Earlobe 
B)  Left finger 
C)  Left great toe 
D)  Right finger

Question 12

An NICU nurse is caring for several infants who are being treated for hypothermia.Which baby can be dressed and taken out of the warmer?

Accepted Answer

A)  Skin pale but pink 
B)  Sucks vigorously 
C)  Temperature 97.4°F (36.3°
C)  
D)  Temperature 98.2°F (36.7°
C)  
A)  Skin pale but pink 
B)  Sucks vigorously 
C)  Temperature 97.4°F (36.3°
C)  
D)  Temperature 98.2°F (36.7°
C)

Question 13

A nurse explains to a student that which of the following is the mechanism by which circulation of oxygen is increased to the organs of a newborn?

Accepted Answer

A)  Deeper respirations 
B)  Increased stroke volume 
C)  Increased tidal volume 
D)  Tachycardia 
A)  Deeper respirations 
B)  Increased stroke volume 
C)  Increased tidal volume 
D)  Tachycardia

Question 14

A nurse sees a baby whose left arm is in a flexed position and is held in place by pinning the cuff of the baby's T-shirt sleeve to the opposite shoulder.What can the nurse conclude about this baby?

Accepted Answer

A)  Broken clavicle 
B)  Broken wrist 
C)  Duchenne-Erb paralysis 
D)  Klumpke paralysis 
A)  Broken clavicle 
B)  Broken wrist 
C)  Duchenne-Erb paralysis 
D)  Klumpke paralysis

Question 15

A nurse has administered an analgesic to a premature infant in pain.What assessment would indicate to the nurse that the baby's pain is improving?

Accepted Answer

A)  Crunching the forehead 
B)  Keeps eyes tightly closed 
C)  Shallow respirations 
D)  Sleeps after feeding 
A)  Crunching the forehead 
B)  Keeps eyes tightly closed 
C)  Shallow respirations 
D)  Sleeps after feeding

Question 16

A postterm baby is born,and the nurse notes that the baby has dirty-looking skin and nails.The baby has moderate respiratory distress with rales and rhonchi noted.What nursing care does the nurse anticipate providing for this infant?

Accepted Answer

A)  Giving the baby oxygen via an oxygen hood 
B)  Increasing oxygenation by using CPAP 
C)  Providing chest physiotherapy every 8 hours 
D)  Sitting the infant upright to feed and sleep 
A)  Giving the baby oxygen via an oxygen hood 
B)  Increasing oxygenation by using CPAP 
C)  Providing chest physiotherapy every 8 hours 
D)  Sitting the infant upright to feed and sleep

Question 17

A nurse assesses a premature infant and finds shearing injuries to the infant's arms and legs.What action by the nurse is best?

Accepted Answer

A)  Apply emollient lotion to the skin. 
B)  Assess the baby for pain. 
C)  Order hypoallergenic crib linens. 
D)  Place sheepskin under the baby. 
A)  Apply emollient lotion to the skin. 
B)  Assess the baby for pain. 
C)  Order hypoallergenic crib linens. 
D)  Place sheepskin under the baby.

Question 18

A premature infant has apnea of prematurity accompanied by bradycardia and desaturation.The infant was started on caffeine citrate (Cafcit),and the results from a blood level have just now returned.The infant's blood level of Cafcit is 2.3 mg/mL.What action by the nurse is most appropriate?

Accepted Answer

A)  Allow infant to grow out of the current Cafcit dose. 
B)  Document results; maintain cardiorespiratory monitor. 
C)  Inform parents that this blood level is therapeutic. 
D)  Prepare for immediate intubation and ventilation. 
A)  Allow infant to grow out of the current Cafcit dose. 
B)  Document results; maintain cardiorespiratory monitor. 
C)  Inform parents that this blood level is therapeutic. 
D)  Prepare for immediate intubation and ventilation.

Question 19

A woman in labor takes high-dose steroids for a connective tissue disorder.She takes no other medications.The nurse educates her that her baby could be at risk for which of the following conditions?

Accepted Answer

A)  Cold stress 
B)  Hypoglycemia 
C)  Intrauterine growth restriction 
D)  Large for gestational age 
E)  Polycythemia 
A)  Cold stress 
B)  Hypoglycemia 
C)  Intrauterine growth restriction 
D)  Large for gestational age 
E)  Polycythemia

Question 20

A nurse is assessing a newborn and hears bowel sounds in the infant's chest area.What other finding should the nurse specifically assess for?

Accepted Answer

A)  Clubbed fingernails 
B)  Cyanosis 
C)  Genital abnormalities 
D)  Normal stools 
A)  Clubbed fingernails 
B)  Cyanosis 
C)  Genital abnormalities 
D)  Normal stools

Exam 19: Caring for the Newborn at Risk

The pediatric nurse is providing care to an infant diagnosed with phenylketonuria.What education is vital for this nurse to provide the parents?

An infant weighing 3 lb,7 oz has apnea of prematurity.The nurse needs to administer the loading dose of caffeine citrate (Cafcit).The dose for this is____________________ mg.

A child diagnosed with congenital hypothyroidism is being dismissed from the NICU.What information should the nurse plan to teach the parents?

A nurse assesses an infant using the Premature Infant Pain Profile and gives the baby a score of 19.What action by the nurse is most appropriate?

A baby has just been born with anencephaly.Which action by the labor and delivery charge nurse takes priority?

The nurse caring for small-for-gestational-age (SGA)infants assesses them for attainment of outcomes related to nursing diagnoses.Which assessment finding best demonstrates attainment of priority outcomes?

A pediatric nurse sees a baby with microcephaly.What action is most important for this nurse to do?

An infant who is possibly infected with herpes simplex infection is being dismissed.What medication should the nurse anticipate instructing the parents on giving?

A baby is admitted with a long-bone fracture.What nursing actions are appropriate in the care of this baby?

An infant has been admitted to the neonatal intensive care unit because of meconium-aspiration syndrome and related complications.The pediatric nurse assesses the patient frequently for which complication?

A nurse is asked to record preductal and postductal oxygen saturations on an infant with possible persistent pulmonary hypertension.Where does the nurse assess the preductal saturation?

An NICU nurse is caring for several infants who are being treated for hypothermia.Which baby can be dressed and taken out of the warmer?

A nurse explains to a student that which of the following is the mechanism by which circulation of oxygen is increased to the organs of a newborn?

A nurse sees a baby whose left arm is in a flexed position and is held in place by pinning the cuff of the baby's T-shirt sleeve to the opposite shoulder.What can the nurse conclude about this baby?

A nurse has administered an analgesic to a premature infant in pain.What assessment would indicate to the nurse that the baby's pain is improving?

A postterm baby is born,and the nurse notes that the baby has dirty-looking skin and nails.The baby has moderate respiratory distress with rales and rhonchi noted.What nursing care does the nurse anticipate providing for this infant?

A nurse assesses a premature infant and finds shearing injuries to the infant's arms and legs.What action by the nurse is best?

A premature infant has apnea of prematurity accompanied by bradycardia and desaturation.The infant was started on caffeine citrate (Cafcit),and the results from a blood level have just now returned.The infant's blood level of Cafcit is 2.3 mg/mL.What action by the nurse is most appropriate?

A woman in labor takes high-dose steroids for a connective tissue disorder.She takes no other medications.The nurse educates her that her baby could be at risk for which of the following conditions?

A nurse is assessing a newborn and hears bowel sounds in the infant's chest area.What other finding should the nurse specifically assess for?

Traditional and Community Nursing Care for Women, Families, and Children

Contemporary Issues in Women’s, Families’, and Children’s Health Care

The Evolving Family

Caring for Women, Families, and Children Across the Life Span

Reproductive Anatomy and Physiology

Human Sexuality and Fertility

Conception and Development of the Embryo and Fetus

Physiological and Psychosocial Changes During Pregnancy

The Prenatal Assessment

Promoting a Healthy Pregnancy

Caring for the Woman Experiencing Complications During Pregnancy

The Process of Labor and Birth

Promoting Patient Comfort During Labor and Birth

Caring for the Woman Experiencing Complications During Labor and Birth

Caring for the Postpartal Woman and Her Family

Caring for the Woman Experiencing Complications During the Postpartal Period

Physiological Transition of the Newborn

Caring for the Normal Newborn

Caring for the Developing Child

Caring for the Child in the Hospital,the Community,and Across Care Settings

Caring for the Child With a Psychosocial or Condition

Caring for the Child With a Respiratory Condition

Caring for the Child With a Gastrointestinal Condition

Caring for the Child With an Immunological or Infectious Condition

Caring for the Child With a Cardiovascular Condition

Caring for the Child With an Endocrinological or Metabolic Condition

Caring for the Child With a Neurological or Sensory Condition

Caring for the Child With a Musculoskeletal Condition

Caring for the Child With a Integumentary Condition

Caring for the Child With a Genitourinary Condition

Caring for the Child With a Hematological Condition

Caring for the Child With Cancer

Caring for the Child With a Chronic Condition or the Dying Child

Caring for the Critically Ill Child

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