Question 1

What should the nurse suggest to the parents of an infant who has a prolonged need for middle-of-the-night feedings?

Accepted Answer

A) Decrease daytime feedings. 
B) Allow child to go to sleep with a bottle. 
C) Offer last feeding as late as possible at night. 
D) Put infant to bed after asleep from rocking. 
A) Decrease daytime feedings. 
B) Allow child to go to sleep with a bottle. 
C) Offer last feeding as late as possible at night. 
D) Put infant to bed after asleep from rocking. C

Question 2

Which vitamin is recommended for all women of childbearing age to reduce the risk of neural tube defects such as spina bifida?

Accepted Answer

A) A 
B) C 
C) Niacin 
D) Folic acid 
A) A 
B) C 
C) Niacin 
D) Folic acid D

Question 3

Parents report that they have been giving a multivitamin to their 1-year-old infant.The nurse counsels the parents that which vitamin can cause a toxic reaction at a low dose?

Accepted Answer

A) Niacin 
B) B6 
C) D 
D) C 
A) Niacin 
B) B6 
C) D 
D) C C

Question 4

Which is an important nursing consideration when caring for an infant with failure to thrive?

Accepted Answer

A) Establish a structured routine and follow it consistently. 
B) Maintain a nondistracting environment by not speaking to child during feeding. 
C) Place child in an infant seat during feedings to prevent overstimulation. 
D) Limit sensory stimulation and play activities to alleviate fatigue. 
A) Establish a structured routine and follow it consistently. 
B) Maintain a nondistracting environment by not speaking to child during feeding. 
C) Place child in an infant seat during feedings to prevent overstimulation. 
D) Limit sensory stimulation and play activities to alleviate fatigue.

Question 5

An infant has been diagnosed with cow's milk allergy.What are the clinical manifestations the nurse expects to assess? (Select all that apply.)

Accepted Answer

A) Pink mucous membranes 
B) Vomiting 
C) Rhinitis 
D) Abdominal pain 
E) Moist skin 
A) Pink mucous membranes 
B) Vomiting 
C) Rhinitis 
D) Abdominal pain 
E) Moist skin

Question 6

An important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)is to:

Accepted Answer

A) explain how SIDS could have been predicted and prevented. 
B) interview parents in depth concerning the circumstances surrounding the child's death. 
C) discourage parents from making a last visit with the infant. 
D) make a follow-up home visit to parents as soon as possible after the child's death. 
A) explain how SIDS could have been predicted and prevented. 
B) interview parents in depth concerning the circumstances surrounding the child's death. 
C) discourage parents from making a last visit with the infant. 
D) make a follow-up home visit to parents as soon as possible after the child's death.

Question 7

Which is an appropriate action when an infant becomes apneic?

Accepted Answer

A) Shake vigorously. 
B) Roll head side to side. 
C) Hold by feet upside down with head supported. 
D) Gently stimulate trunk by patting or rubbing. 
A) Shake vigorously. 
B) Roll head side to side. 
C) Hold by feet upside down with head supported. 
D) Gently stimulate trunk by patting or rubbing.

Question 8

Parent guidelines for relieving colic in an infant include:

Accepted Answer

A) avoiding touching abdomen. 
B) avoiding using a pacifier. 
C) changing infant's position frequently. 
D) placing infant where family cannot hear the crying. 
A) avoiding touching abdomen. 
B) avoiding using a pacifier. 
C) changing infant's position frequently. 
D) placing infant where family cannot hear the crying.

Question 9

After the introduction of the Back to Sleep campaign in 1992,an increased incidence has been noted of which of the following pediatric disorders? (Select all that apply.)

Accepted Answer

A) SIDS 
B) Torticollis 
C) Failure to thrive 
D) Apnea of infancy 
E) Plagiocephaly 
A) SIDS 
B) Torticollis 
C) Failure to thrive 
D) Apnea of infancy 
E) Plagiocephaly

Question 10

The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their child.Which is most likely lacking in their particular diet?

Accepted Answer

A) Fat 
B) Protein 
C) Vitamins C and A 
D) Complete protein 
A) Fat 
B) Protein 
C) Vitamins C and A 
D) Complete protein

Question 11

A school nurse observes a child,with a peanut allergy,in obvious distress,wheezing and cyanotic,after ingestion of some trail mix containing peanuts.Place the interventions the nurse should implement in order of the highest priority to the lowest priority.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d).
A) Call Jason's parents and notify them of the situation.
B) Call Jason's family practitioner to obtain further orders for medication.
C) Promptly administer an intramuscular dose of epinephrine.
D) Call 911 and wait for the emergency response personnel to arrive.

Accepted Answer

C,D,B,A
The nurse should first administe

Question 12

Rickets is caused by a deficiency in:

Accepted Answer

A) vitamin A. 
B) vitamin C. 
C) vitamin D and calcium. 
D) folic acid and iron. 
A) vitamin A. 
B) vitamin C. 
C) vitamin D and calcium. 
D) folic acid and iron.

Question 13

An infant experienced an apparent life-threatening event (ALTE)and is being placed on home apnea monitoring.Parents have understood the instructions for use of a home apnea monitor when they state:

Accepted Answer

A) "We can adjust the monitor to eliminate false alarms." 
B) "We should sleep in the same bed as our monitored infant." 
C) "We will check the monitor several times a day to be sure the alarm is working." 
D) "We will place the monitor in the crib with our infant." 
A) "We can adjust the monitor to eliminate false alarms." 
B) "We should sleep in the same bed as our monitored infant." 
C) "We will check the monitor several times a day to be sure the alarm is working." 
D) "We will place the monitor in the crib with our infant."

Question 14

A nurse is conducting education classes for parents of infants.The nurse plans to discuss sudden infant death syndrome (SIDS).Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)

Accepted Answer

A) Breastfeeding 
B) Low Apgar scores 
C) Male sex 
D) Birth weight in the 50th or higher percentile 
E) Recent viral illness 
A) Breastfeeding 
B) Low Apgar scores 
C) Male sex 
D) Birth weight in the 50th or higher percentile 
E) Recent viral illness

Question 15

Which describes marasmus?

Accepted Answer

A) Deficiency of protein with an adequate supply of calories 
B) Not confined to geographic areas where food supplies are inadequate 
C) Syndrome that results solely from vitamin deficiencies 
D) Characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites) 
A) Deficiency of protein with an adequate supply of calories 
B) Not confined to geographic areas where food supplies are inadequate 
C) Syndrome that results solely from vitamin deficiencies 
D) Characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites)

Question 16

Cow's milk allergy (CMA)is diagnosed in a 6-month-old infant.Which should the nurse recommend as a substitute formula?

Accepted Answer

A) Nutramigen 
B) Goat's milk 
C) Similac 
D) Enfamil 
A) Nutramigen 
B) Goat's milk 
C) Similac 
D) Enfamil

Question 17

A nurse is assessing a child with kwashiorkor disease.Which assessment findings should the nurse expect?

Accepted Answer

A) Thin wasted extremities with a prominent abdomen 
B) Constipation 
C) Elevated hemoglobin 
D) High levels of protein 
A) Thin wasted extremities with a prominent abdomen 
B) Constipation 
C) Elevated hemoglobin 
D) High levels of protein

Question 18

A nurse is preparing to accompany a medical mission's team to a third world country.Marasmus is seen frequently in children 6 months to 2 years in this country.Which symptoms should the nurse expect for this condition?

Accepted Answer

A) Loose, wrinkled skin 
B) Edematous skin 
C) Depigmentation of the skin 
D) Dermatoses 
A) Loose, wrinkled skin 
B) Edematous skin 
C) Depigmentation of the skin 
D) Dermatoses

Question 19

Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS)infant? (Select all that apply.)

Accepted Answer

A) Allow parents to say goodbye to their infant. 
B) Once parents leave the hospital, no further follow-up is required. 
C) Arrange for someone to take the parents home from the hospital. 
D) Avoid requesting an autopsy of the deceased infant. 
E) Conduct a debriefing session with the parents before they leave the hospital. 
A) Allow parents to say goodbye to their infant. 
B) Once parents leave the hospital, no further follow-up is required. 
C) Arrange for someone to take the parents home from the hospital. 
D) Avoid requesting an autopsy of the deceased infant. 
E) Conduct a debriefing session with the parents before they leave the hospital.

Question 20

A nurse is teaching parents about prevention and treatment of colic.Which should the nurse include in the teaching plan?

Accepted Answer

A) Avoid use of pacifiers. 
B) Eliminate all second-hand smoke contact. 
C) Lay infant flat after feeding. 
D) Avoid swaddling the infant. 
A) Avoid use of pacifiers. 
B) Eliminate all second-hand smoke contact. 
C) Lay infant flat after feeding. 
D) Avoid swaddling the infant.

Exam 11: Health Problems of Infants

What should the nurse suggest to the parents of an infant who has a prolonged need for middle-of-the-night feedings?

Which vitamin is recommended for all women of childbearing age to reduce the risk of neural tube defects such as spina bifida?

Parents report that they have been giving a multivitamin to their 1-year-old infant.The nurse counsels the parents that which vitamin can cause a toxic reaction at a low dose?

Which is an important nursing consideration when caring for an infant with failure to thrive?

An infant has been diagnosed with cow's milk allergy.What are the clinical manifestations the nurse expects to assess? (Select all that apply.)

An important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)is to:

Which is an appropriate action when an infant becomes apneic?

Parent guidelines for relieving colic in an infant include:

After the introduction of the Back to Sleep campaign in 1992,an increased incidence has been noted of which of the following pediatric disorders? (Select all that apply.)

The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their child.Which is most likely lacking in their particular diet?

Rickets is caused by a deficiency in:

An infant experienced an apparent life-threatening event (ALTE)and is being placed on home apnea monitoring.Parents have understood the instructions for use of a home apnea monitor when they state:

A nurse is conducting education classes for parents of infants.The nurse plans to discuss sudden infant death syndrome (SIDS).Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)

Which describes marasmus?

Cow's milk allergy (CMA)is diagnosed in a 6-month-old infant.Which should the nurse recommend as a substitute formula?

A nurse is assessing a child with kwashiorkor disease.Which assessment findings should the nurse expect?

A nurse is preparing to accompany a medical mission's team to a third world country.Marasmus is seen frequently in children 6 months to 2 years in this country.Which symptoms should the nurse expect for this condition?

Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS)infant? (Select all that apply.)

A nurse is teaching parents about prevention and treatment of colic.Which should the nurse include in the teaching plan?

Perspectives of Pediatric Nursing

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social,Cultural,and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child

Pain Assessment and Management in Children

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic or Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Integumentary Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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