Question 1

An infant exhibiting a bluish discoloration surrounding the mouth would be experiencing:

Accepted Answer

A) acrocyanosis 
B) central cyanosis 
C) circumoral cyanosis 
D) peripheral cyanosis 
A) acrocyanosis 
B) central cyanosis 
C) circumoral cyanosis 
D) peripheral cyanosis

Question 2

During the first 24 hours of life,which of these signs may be the FIRST indication that a newborn may have Hirschsprung's disease?

Accepted Answer

A) has projectile vomiting and visible peristaltic waves 
B) fails to pass a stool 
C) has numerous black,tarry,mucous stools 
D) turns dusky and chokes during any attempt at oral feedings 
A) has projectile vomiting and visible peristaltic waves 
B) fails to pass a stool 
C) has numerous black,tarry,mucous stools 
D) turns dusky and chokes during any attempt at oral feedings

Question 3

A 6-month-old client with a severe congenital heart defect is likely to exhibit signs and symptoms of:

Accepted Answer

A) congestive heart failure 
B) hyaline membrane disease 
C) intussusception 
D) iron-deficiency anemia 
A) congestive heart failure 
B) hyaline membrane disease 
C) intussusception 
D) iron-deficiency anemia

Question 4

What is the leading cause of death of infants over 1 month of age?

Accepted Answer

A) congenital heart disease 
B) meningitis 
C) physical abuse 
D) sudden infant death syndrome 
A) congenital heart disease 
B) meningitis 
C) physical abuse 
D) sudden infant death syndrome

Question 5

To improve ambulation in a child who has cerebral palsy,which of the following surgical interventions is indicated?

Accepted Answer

A) closure of the defect 
B) lengthening of the Achilles tendon and releasing the hamstrings 
C) placement of a VP shunt to relieve cerebral pressure 
D) placing affected limbs in flexible casts 
A) closure of the defect 
B) lengthening of the Achilles tendon and releasing the hamstrings 
C) placement of a VP shunt to relieve cerebral pressure 
D) placing affected limbs in flexible casts

Question 6

Which of the following assessment findings would the nurse expect in an infant with Hirschsprung's disease?

Accepted Answer

A) foul-smelling fatty stool 
B) currant jelly-like stool 
C) thick,black,tarry stool 
D) constipation alternating with ribbonlike stools. 
A) foul-smelling fatty stool 
B) currant jelly-like stool 
C) thick,black,tarry stool 
D) constipation alternating with ribbonlike stools.

Question 7

Which of these conditions usually occurs in preterm infants and requires immediate administration of surfactant through an endotracheal tube at the time of birth?

Accepted Answer

A) bronchopulmonary dysplasia 
B) cystic fibrosis 
C) pneumothorax 
D) respiratory distress syndrome 
A) bronchopulmonary dysplasia 
B) cystic fibrosis 
C) pneumothorax 
D) respiratory distress syndrome

Question 8

What is the earliest manifestation of cystic fibrosis?

Accepted Answer

A) circumoral cyanosis 
B) insufficient lecithin level 
C) meconium ileus 
D) salty-tasting skin 
A) circumoral cyanosis 
B) insufficient lecithin level 
C) meconium ileus 
D) salty-tasting skin

Question 9

The main objective of treatment of hyperbilirubinemia is to reduce the amount of which element in the infant's blood?

Accepted Answer

A) conjugated bilirubin 
B) lumirubin 
C) unconjugated bilirubin 
D) urobilinogen 
A) conjugated bilirubin 
B) lumirubin 
C) unconjugated bilirubin 
D) urobilinogen

Question 10

What is the MOST common prognosis for an infant with pyloric stenosis?

Accepted Answer

A) complete recovery with surgical treatment 
B) dependence on the actual extent of the defect 
C) ongoing treatment with commercially prepared pancreatic enzymes 
D) prevalent neurological disabilities 
A) complete recovery with surgical treatment 
B) dependence on the actual extent of the defect 
C) ongoing treatment with commercially prepared pancreatic enzymes 
D) prevalent neurological disabilities

Question 11

Which of these is thought to be a causative factor of spina bifida?

Accepted Answer

A) maternal rubella infection 
B) fetal prematurity 
C) maternal folic-acid deficiency 
D) fetal infection 
A) maternal rubella infection 
B) fetal prematurity 
C) maternal folic-acid deficiency 
D) fetal infection

Question 12

In addition to administering antibiotics,nursing care of the infant with meningitis includes which of these interventions?

Accepted Answer

A) maintaining isolation for a minimum of 72 hours 
B) monitoring neurological status every 4 hours 
C) observing the infant's developmental status 
D) ensuring the parents receive prophylactic treatment 
A) maintaining isolation for a minimum of 72 hours 
B) monitoring neurological status every 4 hours 
C) observing the infant's developmental status 
D) ensuring the parents receive prophylactic treatment

Question 13

An infant's mother reports the child had a "cold" for several days.The nurse observes the client has profuse nasal drainage,increased respiratory effort,inspiratory stridor,cough,and hoarse cry.The nurse should suspect this infant has developed which of these conditions?

Accepted Answer

A) cystic fibrosis 
B) laryngotracheobronchitis (LT
B)  
C) pneumonia 
D) respiratory distress syndrome 
A) cystic fibrosis 
B) laryngotracheobronchitis (LT
B)  
C) pneumonia 
D) respiratory distress syndrome

Question 14

What is the preferred treatment for the majority of children who have febrile seizures?

Accepted Answer

A) administrating anticonvulsants to reduce the number of subsequent seizures 
B) teaching parents about seizure precautions 
C) doing nothing,since most febrile seizures stop before the infant can be taken for medical attention 
D) treating the underlying disease processes only 
A) administrating anticonvulsants to reduce the number of subsequent seizures 
B) teaching parents about seizure precautions 
C) doing nothing,since most febrile seizures stop before the infant can be taken for medical attention 
D) treating the underlying disease processes only

Exam 60: Infants With Special Needs: Birth to 12 Months

An infant exhibiting a bluish discoloration surrounding the mouth would be experiencing:

During the first 24 hours of life,which of these signs may be the FIRST indication that a newborn may have Hirschsprung's disease?

A 6-month-old client with a severe congenital heart defect is likely to exhibit signs and symptoms of:

What is the leading cause of death of infants over 1 month of age?

To improve ambulation in a child who has cerebral palsy,which of the following surgical interventions is indicated?

Which of the following assessment findings would the nurse expect in an infant with Hirschsprung's disease?

Which of these conditions usually occurs in preterm infants and requires immediate administration of surfactant through an endotracheal tube at the time of birth?

What is the earliest manifestation of cystic fibrosis?

The main objective of treatment of hyperbilirubinemia is to reduce the amount of which element in the infant's blood?

What is the MOST common prognosis for an infant with pyloric stenosis?

Which of these is thought to be a causative factor of spina bifida?

In addition to administering antibiotics,nursing care of the infant with meningitis includes which of these interventions?

An infant's mother reports the child had a "cold" for several days.The nurse observes the client has profuse nasal drainage,increased respiratory effort,inspiratory stridor,cough,and hoarse cry.The nurse should suspect this infant has developed which of these conditions?

What is the preferred treatment for the majority of children who have febrile seizures?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Respiratory System

Cardiovascular System

Hematologic and Lymphatic Systems

Gastrointestinal System

Urinary System

Musculoskeletal System

Neurological System

Sensory System

Endocrine System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Basics of Pediatric Care

Common Problems: 1-18 Years

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