Question 1

Following surgery for pyloric stenosis,an infant awoke from anesthesia hungry and crying.What is the most appropriate nursing action?

Accepted Answer

A)  Delay feeding the child for 6 hours. 
B)  Offer regular formula thinned with water. 
C)  Give small amounts of regular formula thickened with cereal. 
D)  Allow 1 ounce of glucose water at frequent intervals. 
A)  Delay feeding the child for 6 hours. 
B)  Offer regular formula thinned with water. 
C)  Give small amounts of regular formula thickened with cereal. 
D)  Allow 1 ounce of glucose water at frequent intervals.

Question 2

The nurse is interviewing parents of an infant with pyloric stenosis.What would the nurse expect the parents to report?

Accepted Answer

A)  Diarrhea 
B)  Projectile vomiting 
C)  Poor appetite 
D)  Constipation 
A)  Diarrhea 
B)  Projectile vomiting 
C)  Poor appetite 
D)  Constipation

Question 3

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 4

A child is brought to the pediatric clinic because he has been vomiting for the past 2 days.What acid-base imbalance would the nurse expect to occur from this persistent vomiting?

Accepted Answer

A)  Hyperkalemia 
B)  Hypernatremia 
C)  Acidosis 
D)  Alkalosis 
A)  Hyperkalemia 
B)  Hypernatremia 
C)  Acidosis 
D)  Alkalosis

Question 5

An infant is admitted to the hospital with severe isotonic dehydration.For what is this child at the highest risk?

Accepted Answer

A)  Metabolic alkalosis 
B)  Hypocalcemia 
C)  Sepsis 
D)  Shock 
A)  Metabolic alkalosis 
B)  Hypocalcemia 
C)  Sepsis 
D)  Shock

Question 6

The nurse is speaking to the parent of a 3-year-old child who has mild diarrhea.What dietary modification would the nurse advise?

Accepted Answer

A)  Soft foods with rice,bananas,toast,and applesauce 
B)  Small amounts of clear fluids such as gelatin 
C)  An oral rehydrating solution,such as Pedialyte 
D)  Chicken soup because it is high in sodium 
A)  Soft foods with rice,bananas,toast,and applesauce 
B)  Small amounts of clear fluids such as gelatin 
C)  An oral rehydrating solution,such as Pedialyte 
D)  Chicken soup because it is high in sodium

Question 7

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

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 8

What sign(s)indicate(s)moderate dehydration? (Select all that apply. )

Accepted Answer

A)  10% weight loss 
B)  Dry mucous membranes 
C)  Normal anterior fontanel 
D)  Increased urinary output 
E)  Lethargy 
A)  10% weight loss 
B)  Dry mucous membranes 
C)  Normal anterior fontanel 
D)  Increased urinary output 
E)  Lethargy

Question 9

Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux?

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 10

What interventions will the nurse perform when feeding a child with pyloric stenosis? (Select all that apply. )

Accepted Answer

A)  Give a formula thinned with water. 
B)  Burp the infant before and during feeding. 
C)  Give the feeding slowly. 
D)  Refeed if the infant vomits. 
E)  Position infant on left side after feeding. 
A)  Give a formula thinned with water. 
B)  Burp the infant before and during feeding. 
C)  Give the feeding slowly. 
D)  Refeed if the infant vomits. 
E)  Position infant on left side after feeding.

Question 11

Which assessment would the nurse report to the physician immediately?

Accepted Answer

A)  2-month-old with a urine output of 150 mL in 24 hours 
B)  3-year-old with a urine output of 650 mL in 24 hours 
C)  8-year-old with a urine output of over 1000 mL in 24 hours 
D)  14-year-old with a urine output of 800 mL in 24 hours 
A)  2-month-old with a urine output of 150 mL in 24 hours 
B)  3-year-old with a urine output of 650 mL in 24 hours 
C)  8-year-old with a urine output of over 1000 mL in 24 hours 
D)  14-year-old with a urine output of 800 mL in 24 hours

Question 12

Which finding in a newborn is suggestive of tracheoesophageal fistula?

Accepted Answer

A)  Failure to pass meconium in 24 hours 
B)  Choking on the first feeding 
C)  Palpable mass in the sternal area 
D)  Visible peristalsis across abdomen 
A)  Failure to pass meconium in 24 hours 
B)  Choking on the first feeding 
C)  Palpable mass in the sternal area 
D)  Visible peristalsis across abdomen

Question 13

Parents ask the nurse how their infant developed a Meckel's diverticulum.What condition,will the nurse explain,is present causing this diagnosis?

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 14

A mother reports that her child has been scratching the anal area and complaining of itching.What does the nurse suspect based on this information?

Accepted Answer

A)  Pinworms 
B)  Giardiasis 
C)  Ringworm 
D)  Roundworm 
A)  Pinworms 
B)  Giardiasis 
C)  Ringworm 
D)  Roundworm

Question 15

Which nursing interventions will be implemented for the mother of a 10-month-old infant with nonorganic failure to thrive?

Accepted Answer

A)  Pointing out errors that the nurse observes when the mother is caring for the infant 
B)  Discussing negative characteristics of the infant with the mother 
C)  Having the nurse provide as much of the infant's care as possible 
D)  Teaching the mother about the developmental milestones to expect in the next few months 
A)  Pointing out errors that the nurse observes when the mother is caring for the infant 
B)  Discussing negative characteristics of the infant with the mother 
C)  Having the nurse provide as much of the infant's care as possible 
D)  Teaching the mother about the developmental milestones to expect in the next few months

Question 16

The nurse is instructing a mother how to administer oral nystatin suspension prescribed to treat thrush.What will the nurse include?

Accepted Answer

A)  Pour the prescribed amount into a nipple and have the infant suck the medication. 
B)  Squirt the prescribed dose into the back of the mouth and have the infant swallow. 
C)  Give the medication mixed with a small amount of juice in a bottle. 
D)  Use a sterile applicator to swab the medication on the oral mucosa. 
A)  Pour the prescribed amount into a nipple and have the infant suck the medication. 
B)  Squirt the prescribed dose into the back of the mouth and have the infant swallow. 
C)  Give the medication mixed with a small amount of juice in a bottle. 
D)  Use a sterile applicator to swab the medication on the oral mucosa.

Question 17

A 7-month-old infant is admitted to the hospital with a diagnosis of acute gastroenteritis.What will be the nurse's priority goal of the infant's care?

Accepted Answer

A)  Prevent fluid and electrolyte imbalance. 
B)  Prevent nutritional deficiency. 
C)  Prevent skin breakdown. 
D)  Prevent malabsorption. 
A)  Prevent fluid and electrolyte imbalance. 
B)  Prevent nutritional deficiency. 
C)  Prevent skin breakdown. 
D)  Prevent malabsorption.

Question 18

The nurse is planning a parent education program about lead poisoning prevention.What will be included regarding primary sources of lead in the community?

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

Exam 28: The Child With a Gastrointestinal Condition

Following surgery for pyloric stenosis,an infant awoke from anesthesia hungry and crying.What is the most appropriate nursing action?

The nurse is interviewing parents of an infant with pyloric stenosis.What would the nurse expect the parents to report?

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

A child is brought to the pediatric clinic because he has been vomiting for the past 2 days.What acid-base imbalance would the nurse expect to occur from this persistent vomiting?

An infant is admitted to the hospital with severe isotonic dehydration.For what is this child at the highest risk?

The nurse is speaking to the parent of a 3-year-old child who has mild diarrhea.What dietary modification would the nurse advise?

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

What sign(s)indicate(s)moderate dehydration? (Select all that apply. )

Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux?

What interventions will the nurse perform when feeding a child with pyloric stenosis? (Select all that apply. )

Which assessment would the nurse report to the physician immediately?

Which finding in a newborn is suggestive of tracheoesophageal fistula?

Parents ask the nurse how their infant developed a Meckel's diverticulum.What condition,will the nurse explain,is present causing this diagnosis?

A mother reports that her child has been scratching the anal area and complaining of itching.What does the nurse suspect based on this information?

Which nursing interventions will be implemented for the mother of a 10-month-old infant with nonorganic failure to thrive?

The nurse is instructing a mother how to administer oral nystatin suspension prescribed to treat thrush.What will the nurse include?

A 7-month-old infant is admitted to the hospital with a diagnosis of acute gastroenteritis.What will be the nurse's priority goal of the infant's care?

The nurse is planning a parent education program about lead poisoning prevention.What will be included regarding primary sources of lead in the community?

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 Following Birth

The Nurses Role in Womens 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 Childs 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 Lymphatic System

The Child With a Genitourinary Condition

The Child With a Skin Condition

The Child With a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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