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Peds exam 5 Question and answers verified to pass 2025
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The nurse is assessing a 7 year old child at a pediatric clinic. The nurse notices that several developmental milestones have been missed or late during previous visits. parent states " I know she is a little slow but she will catch up quickly" how should the nurse respond? A. Explain that raid development takes place in infancy and early childhood B. Suggest activities in the home that may improve mental status and physical development C. Recommend that the child be placed in special classes aimed at promoting development D. Ask the parent detailed questions about the pregnancy birth and early childhood health. - correct answers D. Ask the parent detailed questions about the pregnancy birth and early childhood health. The nurse is assessing a 4 month old infant during a routine well baby visit. During the neurological assessment which findings is a reason for concern? A. when the cheek is brushed the head is turned toward stimuli B. Toes fan out when the sole of the foot is stroke upward C. placing a small object in the palm inconsistently elicits a grasp D. A light puff of air in the face causes the eyes to close - correct answers A. when the cheek is brushed the head is turned toward stimuli The nurse is presenting a class to high school females about decreasing the developmental risks related to pregnancy. Which info does the nurse consider to be most important? A. young women should begin taking 600mg of calcium 2x daily B. All females of child bearing age should take folic acid daily
C. Early prenatal care is essential for a health pregnancy and baby D. Important fetal development occurs before pregnancy is suspected - correct answers B. All females of child bearing age should take folic acid daily The nurse in the newborn nursery is providing care for a neonate with an open spinal cord defect. The neonate will be transported to a pediatric surgery hospital ASAP. Which description of the nurse's care of the neonate is correct? A. Using aseptic technique , place a sterile plastic bag around the defect and loosely tie it closed B. Place the newborn prone on a loose diaper and cover the defect w/ a second saline-moistened diaper C. Position the newborn on the side with a moistened dressing on defect; wrap the defect and newborn in a blanket D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline , using aseptic technique - correct answers D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline , using aseptic technique The nurse in the emergency department of a pediatric hospital is providing care for a toddler with a sudden high fever. The parent states ' she has been grumpy all day and I thought she just needed a nap. Which finding does the nurse recognize as an indication of an immediate medical emergency? A.The toddler keeps eyes closed or covers at all times B. the nurse elicits a positive brudzinki's sign C. A rash of scattered red bumps is found on the skin D. The toddler cries when head and neck are moved - correct answers C. A rash of scattered red bumps is found on the skin
A child with chiari malformation is able to play contact sports only after the malformation is corrected? - correct answers false they can never play contact sports!!!!!!!! When caring for a child with microcephaly the nurse would expect which of the following - correct answers head circumference of 2 or more deviations below normal When caring for a child with a ventriculoperitoneal shunt, measuring head of circumference post op is important - correct answers true What is the post-ictal stage of seizures - correct answers occurs post seizure and pt is sleepy and hard to awaken you are caring for a patient in the ED who is having a seizure. which medication would you administer - correct answers Lorazepam IV A child admits to the ED with a stiff neck & photophobia, which finding should be reported immediately - correct answers positive kernig's sign Which of the following is the Tx for bacterial meningitis - correct answers antibiotics When caring for an infant w/ cerebral palsy, the nurse should expect which assessment findings - correct answers Hyperreflexia, persistent newborn reflexes What procedures would you expect to be ordered for a pt w/ possible meningitis? - correct answers lumbar puncture and blood cultures
A child with a spinal muscle atrophy is at risk for which of the following - correct answers aspiration Cerebral palsy is possibly caused by which of the following - correct answers hypoxic trauma during birth Which of the following can decrease the risk of a neural tube defect - correct answers taking folic acid while pregnant A 4 year old who had a broken arm is preparing to have the cast removed after 4 weeks. The child's parent states, " i had a cast on my arm a lot longer than that for it to heal. Are you sure the cast has been on long enough?" what is the best response? A. children's bones heal faster than adults so they don't need to wear a cast as along as an adult B. Children's bones are different but the cast should be on about as long as yours was C. You're right. The cast hasn't been on nearly as long as an adult. Ill recheck w/ the healthcare provider D. We don't worry about children's bones as much; they will remodel well on their own. - correct answers A. children's bones heal faster than adults so they don't need to wear a cast as along as an adult An 11 year old child who had been treated for a broken leg is having his cast removed. After removal the child asks the nurse about playing basketball for his local league. which should be included in the response to the child? A.the child should avoid playing basketball up to 4 weeks and then resume playing B.the child can play basketball as soon as the stiffness in the leg subsides, which is typically 3-5 days
B. This can easily be managed at home and will most likely resolve on its own. C. The antibiotics need more time to work finish the antibiotics prescribed and call back if the symptoms continue. D. you need to take him to the ER or walk in for further evaluation - correct answers D. you need to take him to the ER or walk in for further evaluation You are caring for a newborn diagnosed with congenital adrenal hyperplasia who is also has ambiguous genitalia which diagnostic test would you expect to be ordered to determine the gender? - correct answers chromosomal analysis You are caring for a child with juvenile idiopathic arthritis. She states that she wants to exercise more but doesn't know which ones would be best for her. how should you repond - correct answers low impact sports such as swimming List 5 symptoms of hydrocephalus - correct answers Rapid increase in head circumference bulging fontanel sunsetting eyes high pitched cry seizures bradycardia HTN Sluggish pupils Apnea list 3 caregiver teachings for a child DI - correct answers Increase fluids until meds take effect
teach s/s of dehydration if child is dehydrated-call MD child will require long term use of meds When caring for a child who has GH defeciency, the nurse must monitor for which 3 elements of the patients health Hx - correct answers height weight and puberty When caring for a child who had surgery to correct her hip dysplasia , which physical assessment should be priority? - correct answers capillary refill of lower extremities You are caring for a child with a VP shunt who complains of severe headache and has nausea and vomiting. what should be your priority - correct answers Inform the MD as the shunt might be malfunctioning list 3 nursing interventions for spica cast - correct answers Turn q neuro checks q2 for first 24 hr post op insert 2 fingers into cast to make sure its not too tight use diapers or bedpan for elimination PRN pain meds constipation prevention (increase fluids. and fiber, decrease fried and fatty foods) A pt with osteogenesis imperfects should be placed on what type of precautions? - correct answers fall precautions You are caring who is prescribed vasopressin (DDVAP) intranasaly for DI. The child awoke that morning with cold like symptoms. What should you do in
lung crackles decreased UOP decreased sodium A child with seizures will be sent home with what med? - correct answers diastat aka rectal diazepam list 3 nursing interventions for a child in bryants traction - correct answers maintain body ailgnment make sure weight are freely hanging monitor for skin breakdown do not increase HOB more than 15-30 degrees prevent falls turn Q2H What is the intervention for a child with a DISPLACED greenstick fracture of their humerus - correct answers long arm cast The nurse is assessing a child who is wearing an insulin pump. The nurse known which type of insulin is used? - correct answers Fast acting (HUMULIN R) which med would be given to a type 1 diabetic with blood glucose of 42 and they are NOT alert and oriented - correct answers IM Glucagon Which diagnostic test can be used to help diagnose chiari malformation - correct answers MRI: scan would show a visual of cerebellum pushing into spinal cord
A 2 year old admitted with a spinal fracture. what needs to be ruled out - correct answers abuse Which intervention is used first in Tx of clubfoot in a newborn - correct answers casting within 1st week of life A child w/ SIADH should be on which type of restricton - correct answers fluid restriction List 3 assessment for a pt with DI - correct answers Polyuria Polydipsia Irritability Constipation Dehydration Fever Hypernatremia Vomiting Changes in mental status