Question 1

The nurse would expect the stools of a child with celiac disease to have which appearance?

Accepted Answer

A)  Ribbon like 
B)  Hard, constipated 
C)  Bulky, frothy 
D)  Loose, foul-smelling 
A)  Ribbon like 
B)  Hard, constipated 
C)  Bulky, frothy 
D)  Loose, foul-smelling

Question 2

One reason that infants are more vulnerable to fluid and electrolyte imbalances than adults is that:

Accepted Answer

A)  they have a smaller surface area than adults in proportion to body weight. 
B)  water needs and losses per kilogram are lower than those for adults. 
C)  a greater percentage of body water in infants is extracellular. 
D)  infants have a lower metabolic turnover of water. 
A)  they have a smaller surface area than adults in proportion to body weight. 
B)  water needs and losses per kilogram are lower than those for adults. 
C)  a greater percentage of body water in infants is extracellular. 
D)  infants have a lower metabolic turnover of water.

Question 3

The nurse that is teaching a parent about pyrvinium (Povan) would include the information that the drug will cause:

Accepted Answer

A)  diarrhea. 
B)  skin rash. 
C)  red stool. 
D)  metallic taste. 
A)  diarrhea. 
B)  skin rash. 
C)  red stool. 
D)  metallic taste.

Question 4

What assessment(s) would lead a nurse to suspect Hirschsprung's disease in a 1-month-old infant? Select all that apply.

Accepted Answer

A)  Ribbon-like stools 
B)  Fever 
C)  Failure to thrive 
D)  Vomiting 
E)  Diminished peristalsis
F) None of the above 
A)  Ribbon-like stools 
B)  Fever 
C)  Failure to thrive 
D)  Vomiting 
E)  Diminished peristalsis
F) None of the above

Question 5

An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO2 40, HCO3- 21. The nurse interprets these values as:

Accepted Answer

A)  metabolic acidosis. 
B)  metabolic alkalosis. 
C)  respiratory acidosis. 
D)  respiratory alkalosis. 
A)  metabolic acidosis. 
B)  metabolic alkalosis. 
C)  respiratory acidosis. 
D)  respiratory alkalosis.

Question 6

The nurse reminds parents of a child allergic to cow's milk that they should avoid foods that list ______________ as part of their contents.

Accepted Answer

casein
Food labels t

Question 7

Parents ask the nurse how their infant developed a Meckel's diverticulum. The nurse's response is based on the knowledge that this condition occurs when:

Accepted Answer

A)  the yolk sac remains connected to the intestine. 
B)  there is inflammation of the ileocecal valve. 
C)  a pouch forms when the vitelline duct fails to disappear. 
D)  there is a weakness in the abdominal wall. 
A)  the yolk sac remains connected to the intestine. 
B)  there is inflammation of the ileocecal valve. 
C)  a pouch forms when the vitelline duct fails to disappear. 
D)  there is a weakness in the abdominal wall.

Question 8

The instruction the nurse would give to parents about preventing the spread and reinfection of pinworms is to:

Accepted Answer

A)  keep children's nails short. 
B)  dress child in loose-fitting underwear. 
C)  clean the bathroom with bleach solution. 
D)  wash bed linens in cold water. 
A)  keep children's nails short. 
B)  dress child in loose-fitting underwear. 
C)  clean the bathroom with bleach solution. 
D)  wash bed linens in cold water.

Question 9

The nurse explains the medically accepted definition of constipation is fewer than _____ bowel movements in a 2-week period.

Accepted Answer

seven
The medically accepted d

Question 10

An appropriate intervention for a 3-month-old infant who has gastroesophageal reflux is to:

Accepted Answer

A)  position the infant in the crib on his or her abdomen, with the head elevated. 
B)  administer medication as ordered to stimulate the pyloric sphincter. 
C)  give thin rice cereal with formula before feeding solid foods. 
D)  place the infant in an infant seat after feedings. 
A)  position the infant in the crib on his or her abdomen, with the head elevated. 
B)  administer medication as ordered to stimulate the pyloric sphincter. 
C)  give thin rice cereal with formula before feeding solid foods. 
D)  place the infant in an infant seat after feedings.

Question 11

A frightened mother calls the pediatrician's office because her child swallowed dishwashing detergent. The most appropriate action is to:

Accepted Answer

A)  induce vomiting by giving the child syrup of ipecac. 
B)  take the child to the local emergency department. 
C)  give the child activated charcoal mixed with juice. 
D)  give the child milk to soothe affected mucous membranes. 
A)  induce vomiting by giving the child syrup of ipecac. 
B)  take the child to the local emergency department. 
C)  give the child activated charcoal mixed with juice. 
D)  give the child milk to soothe affected mucous membranes.

Question 12

The nurse would expect a child admitted to the hospital for nonorganic failure to thrive to:

Accepted Answer

A)  cry to be picked up. 
B)  be limp like a rag doll. 
C)  be responsive to cuddling. 
D)  weigh in the 10th percentile for age. 
A)  cry to be picked up. 
B)  be limp like a rag doll. 
C)  be responsive to cuddling. 
D)  weigh in the 10th percentile for age.

Question 13

The nurse explains that rickets, a deficiency disease that causes bony deformities, is caused by the inadequate supply of vitamin ______.

Accepted Answer

D
Rickets

Question 14

The nurse explains that because _________________ beverages cause diuresis, they are not good choices for fluid replacement in a child who is dehydrated.

Accepted Answer

caffeinated
Cola or other caff

Question 15

The statement by a mother that may indicate a cause of her son's vitamin C deficiency is:

Accepted Answer

A)  "We get our fruits from homemade preserves." 
B)  "We use milk from our own goats." 
C)  "We grow all our own vegetables." 
D)  "We're not big meat eaters." 
A)  "We get our fruits from homemade preserves." 
B)  "We use milk from our own goats." 
C)  "We grow all our own vegetables." 
D)  "We're not big meat eaters."

Question 16

The nurse, planning a parent education program about lead poisoning prevention, would include the information that the sources of lead in the community are most likely:

Accepted Answer

A)  increased lead content of air. 
B)  use of aluminum cookware. 
C)  deteriorating paint in older buildings. 
D)  inhaling smog. 
A)  increased lead content of air. 
B)  use of aluminum cookware. 
C)  deteriorating paint in older buildings. 
D)  inhaling smog.

Question 17

After reviewing dietary restrictions for celiac disease, the nurse determines that a parent understands the information when she states that a grain that can be eaten by a child with celiac disease is:

Accepted Answer

A)  wheat. 
B)  oats. 
C)  barley. 
D)  rice. 
A)  wheat. 
B)  oats. 
C)  barley. 
D)  rice.

Question 18

A mother reports that her 2-year-old child experiences constipation frequently. The nurse would recommend to the mother to include what food in the child's diet?

Accepted Answer

A)  Cooked vegetables 
B)  Pretzels 
C)  Whole-grain cereal 
D)  Yogurt 
A)  Cooked vegetables 
B)  Pretzels 
C)  Whole-grain cereal 
D)  Yogurt

Exam 28: The Child with a Gastrointestinal Condition

The nurse would expect the stools of a child with celiac disease to have which appearance?

One reason that infants are more vulnerable to fluid and electrolyte imbalances than adults is that:

The nurse that is teaching a parent about pyrvinium (Povan) would include the information that the drug will cause:

What assessment(s) would lead a nurse to suspect Hirschsprung's disease in a 1-month-old infant? Select all that apply.

An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO2 40, HCO3- 21. The nurse interprets these values as:

The nurse reminds parents of a child allergic to cow's milk that they should avoid foods that list ______________ as part of their contents.

Parents ask the nurse how their infant developed a Meckel's diverticulum. The nurse's response is based on the knowledge that this condition occurs when:

The instruction the nurse would give to parents about preventing the spread and reinfection of pinworms is to:

The nurse explains the medically accepted definition of constipation is fewer than _____ bowel movements in a 2-week period.

An appropriate intervention for a 3-month-old infant who has gastroesophageal reflux is to:

A frightened mother calls the pediatrician's office because her child swallowed dishwashing detergent. The most appropriate action is to:

The nurse would expect a child admitted to the hospital for nonorganic failure to thrive to:

The nurse explains that rickets, a deficiency disease that causes bony deformities, is caused by the inadequate supply of vitamin ______.

The nurse explains that because _________________ beverages cause diuresis, they are not good choices for fluid replacement in a child who is dehydrated.

The statement by a mother that may indicate a cause of her son's vitamin C deficiency is:

The nurse, planning a parent education program about lead poisoning prevention, would include the information that the sources of lead in the community are most likely:

After reviewing dietary restrictions for celiac disease, the nurse determines that a parent understands the information when she states that a grain that can be eaten by a child with celiac disease is:

A mother reports that her 2-year-old child experiences constipation frequently. The nurse would recommend to the mother to include what food in the child's diet?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

The Child with a Communicable Disease

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters

An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO₂ 40, HCO₃- 21. The nurse interprets these values as: