Learning Assignments Flashcards

1
Q

Which of the following factors makes the neonate more prone to problems of dehydration and acidosis?

A

Immature kidneys which cannot concentrate urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the fluid maintenance requirement per day for a child weighing 17 kg?

A

1350 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A mother asks the nurse when she can stop worrying about the “soft spot” on the front of her baby’s head. What time frame does the nurse indicate that the anterior fontanel will close?

A

12-18 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A nurse is caring for an infant who will soon eat solid foods. Th nurse should inform the parents that which of the following foods should be introduced into an infants diet 1st?

A

Iron fortified rice cereal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A 6 month old is weighed at his well child check-up. When the mother asks if his weight is normal, the nurses best response is which of the following?

A

His weight should be approximately two times his birth weight at 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which parental behaviors would facilitate an infants trust?

A

Maintaining eye contact and talking with the baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The pediatric safe dosage range for Tylenol is which of the following?

A

10-15 mg/kg/dose not to exceed 5 doses in 24 H

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The causes of fluid depletion in children include which of the following? (SATA)

A

Vomiting, Burns, Fever, Diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which of the following lab results indicate fluid depletion in a child?

A

Increase BUN, Increase HCT, Increase NA++

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The treats to newborn health due to maternal tobacco use includes which of the following? (SATA)

A

Increased risk of learning deficits, Risk of SIDS, Birth weight deficits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The nurse is teaching about Reye’s Syndrome associated with Chicken Pox. Which of the following meds should be avoided?

A

ASA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following immunizations is generally given prior to a newborn leaving the hospital?

A

Hep B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which development is necessary for toilet training readiness for a 2 year old? (SATA)

A

Wakes up with a dry diaper in the AM, Ability to communicate the need to use the toilet, Ability to pull pants up and down w/o assistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Poison control should only be called when there is a known ingestion of a poison.

A

FALSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Toddlers are in which stage of Erickson’s growth and development?

A

autonomy v. shame and doubt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

While examining an infant, you notice dried white patches in the mouth. The nurse knows the difference in candidacies and dried milk is which of the following?

A

dried milk can be removed with a tongue blade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which of the following is a contraindication to vaccinations? (SATA)

A

Fever, Immunocompromised, Allergic reaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Scarlet fever may follow which of the following?

A

Untreated strep infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which of the following are live vaccines? (SATA)

A

Rotavirus, MMR, Varicella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The mother of a pre-schooler tells the nurse that her daughter has an imaginary playmate. The best response by the nurse would be which of the following?

A

“you should accept the imaginary friend, and use the name your child uses when referring to this friend.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

During a well child check the nurse is taking a 4 year olds BP. Which comment by the nurse is developmentally appropriate to elicit the child’s cooperation?

A

“This hug’s your arm and measures your muscles.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The nurse anticipates the respiratory assessment of an 8 year old admitted with asthma to reveal which of the following symptoms?

A

Wheezing on expiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The most common test used to diagnosis cystic fibrosis is which of the following?

A

Prenatal DNA of amniotic fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Which of the following vitamins cannot be absorbed in the body with cystic fibrosis and must be admin to the child? (SATA)

A

A, E, D, K

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
The most common symptom associated with asthma?
expiratory wheeze
26
The 1st med admin with mild asthma?
albuterol inhaler
27
Which of the following vaccines is associated with a decrease in incidence of epiglottis?
HIB
28
What is the most common virus associated with bronchiolitis?
RSV
29
What is the common name for acute tracheobronchitis?
croup
30
The nurse is caring for a NB with a cleft lip and palate. The mother states “i will not be able to breastfeed my baby.” Best nursing response?
“Usually breastfeeding is still an option for babies with a cleft lip and palate. Would you like more info?”
31
The mother of a 2-year-old diagnosed with celiac disease asks which foods are gluten-free. Which food does the nurse recommend as being an appropriate food?
rice
32
A 10-year-old is being evaluated for possible appendicitis. The child vomits, finds the pain relieved, and calls the nurse. Which action should the nurse do next?
Immediately notify the DR of the child’s status
33
What meal for a school age child with celiac disease does the nurse give the child?
Baked chicken and corn tortilla
34
what type of stools would the nurse expect to see from a child with Hirschsprung's disease?
ribbon-like
35
The nurse is aware that the most common place to assess for appendicitis is:
at McBurney's point
36
Gastrointestinal anatomical differences seen in childhood include:
smaller stomach capacity
37
Which test is indicated when a 3 year-old child complains of anal itching, scratching constantly, and seems more irritable than usual?
scotch tape test
38
The most common cause of diarrhea in a child is which of the following?
Rotavirus
39
Which of the following is the treatment for vomiting in children?
no specific treatment unless complications occur
40
Urinary tract infections are more common in girls than boys.
TRUE
41
Which of the following would you expect to be the normal fluid output in a child?
1 mL/kg/H
42
Which of the following are included in the HUS triad?
Anemia, renal failure, and thrombocytopenia
43
Which of the following are the classic symptoms of nephrotic syndrome?
edema, hypoalbuminemia, proteinuria, hyperlipidemia
44
Acute glomerulonephritis commonly occurs after which of the following untreated infections?
strep
45
Hemolytic uremic syndrome is commonly associated with which of the following?
E. Coli
46
Which of the following is the most important instruction given to caregivers of a child with a Wilm’s Tumor?
DO NOT PALPATE THE ABD
47
A wilm’s tumor is most commonly found during which of the following activities?
bathing
48
Which of the following lunch trays would be best choice for a kid with CKD?
Grilled chicken breast, mashed potatoes, lima beans, 8 oz milk
49
Decreased pulmonary blood flow?
Tricuspid Atresia (TA) and Tetralogy of Fallot (TOF)
50
Components of TOF?
Pulmonary stenosis, ventricular septal defect, and right ventricular hypertrophy
51
most common congenital heart defect in kids
VSD
52
Initial treatment for post cardiac cath bleeding?
Apply pressure above surgical site and ask another nurse to phone the HCP
53
Assist with the closure of the ductus arteriosus?
indomethacin
54
You are assessing a 4 mo infant who has meningitis. Which of the following CM should the nurse expect?
High pitched cry
55
You should include that the intro of which of the following vaccines decreased the incidence of bacterial meningitis in kids? (SATA)
Hib & PCV vax
56
What is the priority action for a nurse when caring for a kid experiencing a generalized seizure?
Position the kid in a side lying position
57
What are findings of an increased ICP?
Alteration in pupillary response, increased sleep, report of HA.
58
What are some symptoms of DMT1 (hypoglycemia)? (SATA)
irritability, hunger, and sweating and pallor
59
High Na+ & uncontrolled diuresis = low Na+ & fluid retention =
DI SIADH
60
Flexion of extremities occurring with deliberate flexion of kids neck =
brudzinski sign
61
resistance pf extension of the kids legs from a flexed position =
kerning sign
62
arms and wrist inward on chest = backward arch of legs and arms =
flexion extension
63
1st sign of DI
bedwetting
64
What test is done for a kid with DMT1 to determine how all the kids DM is being managed?
HgA1C
65
Gold standard treatment for scoliosis =
bracing
66
CM of osteogenesis imperfecta =
hypo plastic discolored teeth, blue sclera, and fragile bones susceptible to breaks
67
Genu Valgum = Genu Varum =
knock knees bow legs
68
convex curvature of spine
kyphosis
69
cervical or lumbar curve of spine
lordosis
70
lateral curve of spine
scoliosis
71
Most common place for a fx in a kid
growth plate
72
Ischemia indications =
paralysis, pulselessness, pain, paresthesia, and pallor
73
Your patient has an order for Ampicillin 192 mg IV every 6 hrs for a streptococcal infection.  The pediatric safe dosage is 50-200 mg/kg/day in 3 divided doses.  What is the safe dose range for your child that weighs 3.8 kg?
63-253 mg
74
You have an order for 192 mg po every 8 hours.  You have on hand from the pharmacy 500 mg in 10 mL.  How many mL will you administer? Round to tenths
3.8 mL
75
The provider orders a 250 mL fluid bolus to infuse over 30 min.  The infusion pump runs mL/hr.  What is the correct rate to set the infusion pump?
500 mL/H
76
You have the following medication order:  Acetaminophen 15 mg/kg po q 6 hours.  Your child weighs 8 kg.  How many mg of Acetaminophen will you administer?
120 mg
77
Started a unit of PRBC’s, 5 M later kid is shivering with a 101 temp, what is the initial action?
stop transfusion
78
Most common cancer in kids?
leukemia
79
Hodgkin lymphoma = non-hodgkin lymphoma =
adolescence and young adults younger than 14 yo
80
Decreased RBC production:
aplastic anemia, malignancy, and iron deficiency
81
MVC = MCH =
MVC = size and volume of 1 RBC MCH = measure the hemoglobin
82
Interventions for SCD?
IV NS 1000mL bolus, morphine 4mg IV push now and 4 mg IV push every 4H for pain, and O2 2L/M
83
Mom ask about the chance of next kid getting sickle cell anemia?
25% chance. Every pregnancy there is a 25% chance that the kid will have SCD.
84
Priority care for kid who comes in complaining of thigh pain and there is no signs of injury?
IV replacement of Factor VIII
85
Risk factors of VOC?
infection, changes in altitude, and cold climate
86
S/S of ITP?
Bleeding from mucus membranes, easy bruising, and petechiae