Question 1

When a child develops latex allergy,which food may also cause an allergic reaction?

Accepted Answer

A)  Yeast 
B)  Wheat 
C)  Peanuts 
D)  Bananas 
A)  Yeast 
B)  Wheat 
C)  Peanuts 
D)  Bananas D

Question 2

A goal for children with spina bifida is to reduce the chance of allergy development.What is a priority nursing intervention?

Accepted Answer

A)  Recommend allergy testing. 
B)  Provide a latex-free environment. 
C)  Use only powder-free latex gloves. 
D)  Limit use of latex products as much as possible. 
A)  Recommend allergy testing. 
B)  Provide a latex-free environment. 
C)  Use only powder-free latex gloves. 
D)  Limit use of latex products as much as possible. B

Question 3

Gingivitis is a common problem in children with cerebral palsy (CP).What preventive measure should be included in the plan of care?

Accepted Answer

A)  High-carbohydrate diet 
B)  Meticulous dental hygiene 
C)  Minimum use of fluoride 
D)  Avoidance of medications that contribute to gingivitis 
A)  High-carbohydrate diet 
B)  Meticulous dental hygiene 
C)  Minimum use of fluoride 
D)  Avoidance of medications that contribute to gingivitis B

Question 4

What are some of the associated disabilities seen with cerebral palsy?

Accepted Answer

A)  Visual impairment 
B)  Hearing impairment 
C)  Speech difficulties 
D)  Intellectual impairment 
E)  Associated heart defects 
A)  Visual impairment 
B)  Hearing impairment 
C)  Speech difficulties 
D)  Intellectual impairment 
E)  Associated heart defects

Question 5

The health care provider has prescribed neostigmine (Prostigmin)0.04 mg/kg/per dose SC q 4 to 6 hrs PRN for a child with myasthenia gravis.The child weighs 77 lb.The nurse is preparing to administer a dose.Calculate the dose the nurse should administer in milligrams.Record your answer below using one decimal place.
________

Accepted Answer

1.4
The correct calculation is

Question 6

The nurse is caring for a family whose infant was just born with anencephaly.What is the most important nursing intervention?

Accepted Answer

A)  Implement measures to facilitate the attachment process. 
B)  Help the family cope with the birth of an infant with a fatal defect. 
C)  Prepare the family for extensive surgical procedures that will be needed. 
D)  Provide emotional support so the family can adjust to the birth of an infant with problems. 
A)  Implement measures to facilitate the attachment process. 
B)  Help the family cope with the birth of an infant with a fatal defect. 
C)  Prepare the family for extensive surgical procedures that will be needed. 
D)  Provide emotional support so the family can adjust to the birth of an infant with problems.

Question 7

During a well-child visit,the mother tells the nurse that her 4-month-old infant is constipated,is less active than usual,and has a weak-sounding cry.The nurse suspects botulism and questions the mother about the child's diet.What factor should support this diagnosis?

Accepted Answer

A)  Breastfeeding 
B)  Commercial formula 
C)  Infant cereal with honey 
D)  Improperly sterilized bottles 
A)  Breastfeeding 
B)  Commercial formula 
C)  Infant cereal with honey 
D)  Improperly sterilized bottles

Question 8

The nurse is caring for a 4-year-old child with cerebral palsy (CP).The child,developmentally,is at an infant stage.Appropriate developmental stimulation for this child should be what?

Accepted Answer

A)  Playing "pat-a-cake" with the child 
B)  None so the child does not become overstimulated 
C)  Putting a colorful mobile with music on the bed 
D)  Giving the child a coloring book and crayons 
A)  Playing "pat-a-cake" with the child 
B)  None so the child does not become overstimulated 
C)  Putting a colorful mobile with music on the bed 
D)  Giving the child a coloring book and crayons

Question 9

The health care provider has prescribed oxybutynin (Ditropan)0.2 mg/kg/day divided bid for a child with myelomeningocele.The child weighs 33 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer below using one decimal place.
_______

Accepted Answer

1.5
The correct calculation is

Question 10

The health care provider has prescribed carbamazepine (Tegretol)20 mg/kg/day divided bid for a child with cerebral palsy having seizures.The child weighs 44 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer below in a whole number.
_________

Accepted Answer

200
The correct calculation is

Question 11

What functional ability should the nurse expect in a child with a spinal cord lesion at C7?

Accepted Answer

A)  Complete respiratory paralysis 
B)  No voluntary function of upper extremities 
C)  Inability to roll over or attain sitting position 
D)  Almost complete independence within limitations of wheelchair 
A)  Complete respiratory paralysis 
B)  No voluntary function of upper extremities 
C)  Inability to roll over or attain sitting position 
D)  Almost complete independence within limitations of wheelchair

Question 12

A feeding technique the nurse can teach to parents of a child with cerebral palsy to improve use of the lips and the tongue to facilitate speech is which?

Accepted Answer

A)  Feeding pureed foods 
B)  Placing food on the tongue 
C)  Placing food at the side of the tongue 
D)  Placing food directly into the mouth with a spoon 
A)  Feeding pureed foods 
B)  Placing food on the tongue 
C)  Placing food at the side of the tongue 
D)  Placing food directly into the mouth with a spoon

Question 13

The nurse is teaching the family of an infant with cerebral palsy how to administer a diazepam (Valium)pill by gastrostomy tube.What should the nurse include in the teaching session?

Accepted Answer

A)  The pill should be crushed and mixed with a small amount of water. 
B)  The pill should be crushed and mixed with the infant's formula. 
C)  After administering the medication, flush the tube with air. 
D)  Before administering the medication, check the placement of the tube. 
A)  The pill should be crushed and mixed with a small amount of water. 
B)  The pill should be crushed and mixed with the infant's formula. 
C)  After administering the medication, flush the tube with air. 
D)  Before administering the medication, check the placement of the tube.

Question 14

The health care provider has prescribed diazepam (Valium)0.8 mg/kg/day PO divided q 6 hours for a child with cerebral palsy.The child weighs 110 lb.The nurse is preparing to administer the 1200 dose.Calculate the dose the nurse should administer in milligrams.Record your answer below in a whole number.
_______

Accepted Answer

10
The correct calculation is:

Question 15

A child,age 3 years,has cerebral palsy (CP)and is hospitalized for orthopedic surgery.His mother says he has difficulty swallowing and cannot hold a utensil to feed himself.He is slightly underweight for his height.What is the most appropriate nursing action related to feeding this child?

Accepted Answer

A)  Bottle or tube feed him a specialized formula until he gains sufficient weight. 
B)  Stabilize his jaw with caregiver's hand (either from a front or side position) to facilitate swallowing. 
C)  Place him in a well-supported, semireclining position. 
D)  Place him in a sitting position with his neck hyperextended to make use of gravity flow. 
A)  Bottle or tube feed him a specialized formula until he gains sufficient weight. 
B)  Stabilize his jaw with caregiver's hand (either from a front or side position) to facilitate swallowing. 
C)  Place him in a well-supported, semireclining position. 
D)  Place him in a sitting position with his neck hyperextended to make use of gravity flow.

Question 16

Neuropathic bladder disorders are common among children with which disorder?

Accepted Answer

A)  Plagiocephaly 
B)  Meningocele 
C)  Craniosynostosis 
D)  Myelomeningocele 
A)  Plagiocephaly 
B)  Meningocele 
C)  Craniosynostosis 
D)  Myelomeningocele

Question 17

What is the rationale for orthopedic surgery for a child with cerebral palsy?

Accepted Answer

A)  To cure spasticity 
B)  To improve function 
C)  For cosmetic purposes 
D)  To prevent the need of physical therapy 
A)  To cure spasticity 
B)  To improve function 
C)  For cosmetic purposes 
D)  To prevent the need of physical therapy

Question 18

What findings should the nurse expect to observe in a 7-month-old infant with Werdnig-Hoffman disease?

Accepted Answer

A)  Noticeable scoliosis 
B)  Absent deep tendon reflexes 
C)  Abnormal tongue movements 
D)  Failure to thrive 
E)  Prominent pectus excavatum
F) Significant leg involvement 
A)  Noticeable scoliosis 
B)  Absent deep tendon reflexes 
C)  Abnormal tongue movements 
D)  Failure to thrive 
E)  Prominent pectus excavatum
F) Significant leg involvement

Question 19

The nurse is caring for a child with tetanus during the acute phase.What should the nurse plan in the care for this child?

Accepted Answer

A)  Playing music on a radio 
B)  Giving frequent back rubs 
C)  Providing bright lighting in the room 
D)  Clustering nursing care to limit distractions 
A)  Playing music on a radio 
B)  Giving frequent back rubs 
C)  Providing bright lighting in the room 
D)  Clustering nursing care to limit distractions

Question 20

An adolescent with a spinal cord injury is admitted to a rehabilitation center.Her parents describe her as being angry,hostile,and uncooperative.The nurse should recognize that this is suggestive of which psychosocial state?

Accepted Answer

A)  Normal phase of adolescent development 
B)  Severe depression that will require long-term counseling 
C)  Normal response to her situation that can be redirected in a healthy way 
D)  Denial response to her situation that makes rehabilitative efforts more difficult 
A)  Normal phase of adolescent development 
B)  Severe depression that will require long-term counseling 
C)  Normal response to her situation that can be redirected in a healthy way 
D)  Denial response to her situation that makes rehabilitative efforts more difficult

Exam 35: The Child With Neuromuscular or Muscular Dysfunction

When a child develops latex allergy,which food may also cause an allergic reaction?

A goal for children with spina bifida is to reduce the chance of allergy development.What is a priority nursing intervention?

Gingivitis is a common problem in children with cerebral palsy (CP).What preventive measure should be included in the plan of care?

What are some of the associated disabilities seen with cerebral palsy?

The nurse is caring for a family whose infant was just born with anencephaly.What is the most important nursing intervention?

During a well-child visit,the mother tells the nurse that her 4-month-old infant is constipated,is less active than usual,and has a weak-sounding cry.The nurse suspects botulism and questions the mother about the child's diet.What factor should support this diagnosis?

The nurse is caring for a 4-year-old child with cerebral palsy (CP).The child,developmentally,is at an infant stage.Appropriate developmental stimulation for this child should be what?

What functional ability should the nurse expect in a child with a spinal cord lesion at C7?

A feeding technique the nurse can teach to parents of a child with cerebral palsy to improve use of the lips and the tongue to facilitate speech is which?

The nurse is teaching the family of an infant with cerebral palsy how to administer a diazepam (Valium)pill by gastrostomy tube.What should the nurse include in the teaching session?

A child,age 3 years,has cerebral palsy (CP)and is hospitalized for orthopedic surgery.His mother says he has difficulty swallowing and cannot hold a utensil to feed himself.He is slightly underweight for his height.What is the most appropriate nursing action related to feeding this child?

Neuropathic bladder disorders are common among children with which disorder?

What is the rationale for orthopedic surgery for a child with cerebral palsy?

What findings should the nurse expect to observe in a 7-month-old infant with Werdnig-Hoffman disease?

The nurse is caring for a child with tetanus during the acute phase.What should the nurse plan in the care for this child?

An adolescent with a spinal cord injury is admitted to a rehabilitation center.Her parents describe her as being angry,hostile,and uncooperative.The nurse should recognize that this is suggestive of which psychosocial state?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

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