Question 1

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. C

Question 2

A nurse is teaching a parent of an infant about treatment of seborrhea dermatitis (cradle cap). Which should the nurse include in the instructions?

Accepted Answer

A)  Shampoo every three days with a mild soap. 
B)  The hair should be shampooed with a medicated shampoo. 
C)  Shampoo every day with an antiseborrheic shampoo. 
D)  The loosened crusts should not be removed with a fine-toothed comb. 
A)  Shampoo every three days with a mild soap. 
B)  The hair should be shampooed with a medicated shampoo. 
C)  Shampoo every day with an antiseborrheic shampoo. 
D)  The loosened crusts should not be removed with a fine-toothed comb. C

Question 3

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 A

Question 4

Recent studies indicate that a deficiency of which vitamin correlates with increased morbidity and mortality in children with measles?

Accepted Answer

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

Question 5

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 6

Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:

Accepted Answer

A)  avoidance of eye contact. 
B)  an associated malabsorption defect. 
C)  weight that falls below the 15th percentile. 
D)  normal achievement of developmental landmarks. 
A)  avoidance of eye contact. 
B)  an associated malabsorption defect. 
C)  weight that falls below the 15th percentile. 
D)  normal achievement of developmental landmarks.

Question 7

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 8

A parent of an infant with colic tells the nurse, "All this baby does is scream at me; it is a constant worry." What is the nurse's best action?

Accepted Answer

A)  Encourage parent to verbalize feelings. 
B)  Encourage parent not to worry so much. 
C)  Assess parent for other signs of inadequate parenting. 
D)  Reassure parent that colic rarely lasts past age 9 months. 
A)  Encourage parent to verbalize feelings. 
B)  Encourage parent not to worry so much. 
C)  Assess parent for other signs of inadequate parenting. 
D)  Reassure parent that colic rarely lasts past age 9 months.

Question 9

A nurse is preparing to administer an oral iron supplement to a hospitalized infant. Which should not be given simultaneously with the iron supplement?

Accepted Answer

A)  Milk 
B)  Multivitamin 
C)  Fruit juice 
D)  Meat, fish, poultry 
A)  Milk 
B)  Multivitamin 
C)  Fruit juice 
D)  Meat, fish, poultry

Question 10

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

Question 11

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 12

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 13

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 14

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 15

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

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 16

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 17

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 18

An infant is having an anaphylactic reaction, and the nurse is preparing to administer epinephrine 0.001 mg/kg. The child weighs 22 pounds. What is the epinephrine dose the nurse should administer? (Record your answer using two decimal places.)

Accepted Answer

0.01
Convert the 22 pounds to

Question 19

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.

Question 20

Although infants may be allergic to a variety of foods, the most common allergens are:

Accepted Answer

A)  fruit and eggs. 
B)  fruit, vegetables, and wheat. 
C)  cow's milk and green vegetables. 
D)  eggs, cow's milk, and wheat. 
A)  fruit and eggs. 
B)  fruit, vegetables, and wheat. 
C)  cow's milk and green vegetables. 
D)  eggs, cow's milk, and wheat.

Exam 10: Health Problems of Infants

Parent guidelines for relieving colic in an infant include:

A nurse is teaching a parent of an infant about treatment of seborrhea dermatitis (cradle cap). Which should the nurse include in the instructions?

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

Recent studies indicate that a deficiency of which vitamin correlates with increased morbidity and mortality in children with measles?

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

Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:

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

A parent of an infant with colic tells the nurse, "All this baby does is scream at me; it is a constant worry." What is the nurse's best action?

A nurse is preparing to administer an oral iron supplement to a hospitalized infant. Which should not be given simultaneously with the iron supplement?

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?

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.)

Which describes marasmus?

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

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

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

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.)

An infant is having an anaphylactic reaction, and the nurse is preparing to administer epinephrine 0.001 mg/kg. The child weighs 22 pounds. What is the epinephrine dose the nurse should administer? (Record your answer using two decimal places.)

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

Although infants may be allergic to a variety of foods, the most common allergens are:

Perspectives of Pediatric Nursing

Family, Social, Cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

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 and Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

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 Cancer

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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