Autism/ ADHD
Which is considered a hyperactive/ impulsive behavior seen in attention deficit hyperactivity disorder (ADHD)?
A. Making careless mistakes
B. Avoiding tasks requiring mental effort
C. Frequent forgetfulness in daily activities
D. Inability to play quiet
D. Inability to play quiet
A 9 year old child with Down Syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs such as cub scouts that he might join. The nurses recommendation should be based on knowing that:
A. Programs such as cub scouts are inappropriate for children who are cognitively impaired
B. Children with Down Syndrome have the same need for socialization as other children
C. Children with Down Syndrome socialize better with children who have similar disabilities
D. Parents of children with Down Syndrome encourage programs such as scouting because they deny that their children have disabilities
B. Children with Down Syndrome have the same need for socialization as other children
The infant with cleft lip/palate needs more frequent ___________.
Burping
The nurse is teaching about congenital clubfoot in infants. The nurse evaluates the teaching as successful when the parent states that clubfoot is best treated when?
1. Immediately after diagnosis
2. At age 4-6 months
3. Prior to walking
4. After walking is established
1. Immediately after diagnosis
The parents of a child recently diagnosed with cerebral palsy ask the nurse about the limitations of the disorder. The nurse responds by explaining that the limitations occur as a result of which pathophysiological process?
A) an infectious disease of the central nervous system
B) An inflammation of the brain as a result of a viral illness
C) A chronic disability characterized by impaired muscle movement and posture
D) A congenital condition that results in moderate to severe intellectual disabilities
C) A chronic disability characterized by impaired muscle movement and posture
The nurse is discussing the need for early diagnosis and treatment of autism spectrum disorder (ASD) with parents of children suspected of having the condition.
Which statement should the nurse include?
A. "Early diagnosis and treatment provides the only means for a cure of ASD."
B. "Early diagnosis and treatment gives your child the best chance of becoming a fully functioning adult."
C. "Early diagnosis and treatment provides the best way to ensure that your child can be admitted to an assisted living facility as an adult."
D. "Early diagnosis and treatment prevents your child from developing any other mental condition."
B. "Early diagnosis and treatment gives your child the best chance of becoming a fully functioning adult."
When caring for a newborn with down syndrome, the nurse should be aware that the most common congenital anomaly associated with down syndrome is?
A. Hypospadias
B. Congenital heart defect
C. Pyloric stenosis
D. Congenital hip dysplasia
B. Congenital heart defect
A 3-month-old infant is doing well after the repair of a cleft lip. The nurse wants to provide the client with appropriate stimulation. What is the best toy for the nurse to provide?
1. Colorful rattle
2. String of large beads
3. Mobile with a music box
4. Teddy bear with button eyes
3. Mobile with a music box
The nurse is planning interventions for a child with non-organic failure to thrive. What would the nurse assess first before planning care?
A. Draw blood for lab studies on the child
B. Have a physical therapist examine the child
C. Observe the parents when feeding the child
D. Observe the child's sleeping habits
C. Observe the parents when feeding the child
The nurse is giving an overview of cerebral palsy (CP) to a group of new nurses.
Which statement should the nurse include in the teaching?
A. "CP is a progressive disease that is inherited."
B. "CP is identified during the prenatal period."
C. "Not all patients with CP have an intellectual disability."
D. "The cause of CP is the same in most cases."
C. "Not all patients with CP have an intellectual disability."
Meaningless repetition of words or phrases just spoken by another person
Echolalia
The nurse is caring for a 1 year old client with Down syndrome. Which intervention would the nurse be least likely to include in the child's plan of care?
A. Explaining developmental milestones to the parents
B. Educating the parents on seizure management
C. Promoting annual vision and hearing tests
D. Describing the importance of a high fiber diet
B. Educating the parents on seizure management
Following a cleft lip repair, feeding is typically initiated using ___________.
an Asepto syringe with soft rubber catheter
The parent of a 3 week infant calls to inform the clinic nurse the their infant was recasted this morning for clubfoot and has been crying for the past hour. Which intervention should the nurse suggest the parent do first?
1. Give pain medication
2. Reposition the infant in the crib
3. Check the neurocirculatory status of the foot
4. Use a cool blow dryer to blow into the cast to control itching
3. Check the neurocirculatory status of the foot
19. The parents of a 5-year-old patient with mixed cerebral palsy (CP) ask why a
baclofen pump is scheduled to be surgically implanted in the child.
Which explanation should the nurse give about the purpose of this medication pump?
A. It increases ankle range of motion.
B. It controls muscle spasms.
C. It allows flat-footed walking.
D. It prevents infections
B. It controls muscle spasms.
The most common early characteristics of Autism Spectrum Disorder (ASD) include:
A. Failure to orient to one's name
B. Failure to regard people directly
C. Failure to develop speech
D. Failure to connect with caregivers
E. Failure to acknowledge physical pain
A. Failure to orient to one's name
B. Failure to regard people directly
C. Failure to develop speech
The child with Down syndrome should be evaluated for what characteristic before participating in some sports?
A. Hyperflexibility
B. Atlantoaxial Instability
C. Cutis Marmorata
D. Speckling of Iris (Brushfields Spots)
B. Atlantoaxial Instability
Which risk factors should a pregnant woman eliminate or avoid to prevent cleft lip and/or palate in her unborn child? Select all that apply.
A. Smoking
B. Alcohol consumption
C. Excess folic acid consumption
D. Strenuous exercise
A. Smoking
B. Alcohol consumption
The mother of a neonate with clubfoot feels guilty because she believes she did something to cause the condition. The nurse should explain that the cause of clubfoot is:
A. Unknown
B. Always hereditary
C. Due to unrestricted movement in utero
D. Caused by the position of the fetus in utero
A. Unknown
An infant, who is not meeting developmental goals and is displaying spastic motion,
will be evaluated for possible cerebral palsy (CP).
Which component of the infant's medical history should the nurse identify as
the greatest risk factor for the health problem?
A. Family history of CP
B. The mother having had numerous respiratory infections during pregnancy
C. No prenatal care during pregnancy
D. Born premature at 29 weeks of gestation
D. Born premature at 29 weeks of gestation
A child is prescribed methylphenidate (Ritalin) to treat attention deficit hyperactivity disorder (ADHD). The parent expresses concern about using a controlled substance to treat ADHD and asks the nurse about using a noncontrolled substance. The nurse knows ADHD can be treated with which noncontrolled substance?
A.) Atomoxetine (Strattera)
B.) Methylphenidate (Concerta)
C.) Amphetamine aspartate (Adderall)
D.) Dextroamphetamine sulfate (Dexedrine)
A.) Atomoxetine (Strattera)
Name three diagnostic studies that could be done to diagnose Down syndrome prenatally?
•Chorionic villus sampling (CVS)
•Amniocentesis
•Percutaneous umbilical blood sampling (PUBS)
Following cleft lip repair, to prevent trauma to the suture line, the nurse will initiate which interventions? Select all that apply.
A. Remove pacifiers from the room
B. Position the infant prone, with head turned to the side
C. Elbow restraints
D. Administer PRN pain medication as indicated
E. Encourage parent to comfort the child
F. Clean suture line per surgeon's instructions
A. Remove pacifiers from the room
C. Elbow restraints
D. Administer PRN pain medication as indicated
E. Encourage parent to comfort the child
F. Clean suture line per surgeon's instructions
The nurse is planning care for a client with failure to thrive whose parents are giving the child skim milk instead of formula. The priority nursing diagnosis for this child is which of the following?
a. Delayed Growth and Development
b. Anxiety
c. Fatigue, related to malnutrition
d. Risk for Impaired Parenting
d. Risk for Impaired Parenting
List the four types of CP
Spastic
Dyskinetic
Ataxic
Mixed