Food Sensitivity
Failure to Thrive (FTT)
Special Health Problems
Nursing Care Post-SIDS Event/ Colic
Food Allergies/ Cow’s Milk Allergy (CMA)/
100

Which formula is recommended for infants at risk of developing a food allergy?

  • A) Soy formula
  • B) Cow's milk formula
  • C) Hydrolyzed formula
  • D) Goat's milk formula

C) Hydrolyzed formula

100

Which of the following is NOT a category used to classify failure to thrive (FTT)?

  • A) Inadequate caloric intake
  • B) Increased metabolism
  • C) Inadequate absorption
  • D) Excessive sleep

D) Excessive sleep

100

What is a recommended intervention for infants with sleeping problems?

  • A) Allow the infant to cry it out without any intervention
  • B) Establish a consistent bedtime routine
  • C) Feed the infant every time they wake up
  • D) Keep the infant awake during the day to encourage night sleep

B) Establish a consistent bedtime routine

100

What is a key component of nursing care for a family following a SIDS event?

  • A) Providing detailed medical explanations for the cause of SIDS
  • B) Encouraging the family to move on quickly
  • C) Offering emotional support and counseling
  • D) Minimizing the significance of the event

C) Offering emotional support and counseling

100

What is the first-line treatment for an anaphylactic reaction to food in children?

  • A) Diphenhydramine (Benadryl)
  • B) Cetirizine (Zyrtec)
  • C) Epinephrine (EpiPen)
  • D) Corticosteroids

C) Epinephrine (EpiPen)

200

DOUBLE QUESTION -- DOUBLE THE POINTS

What is the recommended exclusive breastfeeding period to prevent food allergies according to the National Institute of Allergy and Infectious Diseases?

  • A) Until 3 months old
  • B) Until 4 to 6 months old
  • C) Until 9 months old
  • D) Until 1 year old

Which of the following is NOT an appropriate intervention for an infant with a severe food allergy?

  • A) Keeping an EpiPen available at all times
  • B) Using diphenhydramine (Benadryl) for airway manifestations
  • C) Wearing a medical identification bracelet
  • D) Having a written emergency treatment plan

B) Until 4 to 6 months old


B) Using diphenhydramine (Benadryl) for airway manifestations

200

What is the primary parameter used to diagnose failure to thrive (FTT)?

  • A) Deceleration of growth in both height and weight
  • B) Increased appetite
  • C) Frequent crying
  • D) Hyperactivity

A) Deceleration of growth in both height and weight

200

What is a common symptom of colic in infants?

  • A) Diarrhea
  • B) Excessive crying
  • C) Rash
  • D) Fever

B) Excessive crying

200

Colic typically resolves by what age in infants?

  • A) 4 to 8 weeks
  • B) 8 to 12 weeks
  • C) 12 to 16 weeks
  • D) 16 to 20 weeks

C) 12 to 16 weeks

200

Which formula is recommended for infants with cow's milk allergy?

  • A) Soy formula
  • B) Casein hydrolysate milk formula
  • C) Whole milk
  • D) Rice milk

B) Casein hydrolysate milk formula

300

What is the primary immunologic mechanism behind food allergies?

  • A) Enzyme deficiency
  • B) Allergen-specific immune cells recognizing food components
  • C) Genetic mutation
  • D) Metabolic disorder

B) Allergen-specific immune cells recognizing food components

300

What is the most accurate indicator of undernutrition in children with FTT?

  • A) Weight for length
  • B) Head circumference
  • C) Skinfold thickness
  • D) Arm span

A) Weight for length

300

Which of the following is a recommended practice to reduce the risk of SIDS?

  • A) Placing the infant on their stomach to sleep
  • B) Using soft bedding and pillows
  • C) Placing the infant on their back to sleep
  • D) Co-sleeping with the infant

C) Placing the infant on their back to sleep

300

DOUBLE QUESTION - DOUBLE THE POINTS

What is a potential long-term effect of colic on infants?

  • A) Chronic gastrointestinal problems
  • B) Permanent developmental delays
  • C) Strained parent-child relationship
  • D) Persistent crying into childhood

Which time of day do colic symptoms often increase in infants?

  • A) Morning
  • B) Afternoon
  • C) Evening
  • D) Night

C) Strained parent-child relationship


C) Evening

300

What should be included in an emergency treatment plan for children with a history of severe food allergies?

  • A) Keeping diphenhydramine (Benadryl) on hand for airway manifestations
  • B) Wearing a medical identification bracelet
  • C) Using an EpiPen only in hospitals
  • D) Restricting outdoor activities

B) Wearing a medical identification bracele

400

Which of the following symptoms is NOT a clinical manifestation of food allergies?

  • A) Anaphylaxis
  • B) Vomiting
  • C) Coughing
  • D) Fever


D) Fever

400

Which assessment finding is most indicative of chronic failure to thrive?

  • A) Weight below the 5th percentile with normal length
  • B) Deceleration of growth in weight only
  • C) Both weight and length below the 5th percentile
  • D) Height above the 50th percentile

C) Both weight and length below the 5th percentile

400

What characterizes colic in infants?

  • A) Crying for more than 3 hours per day, 3 days per week, for 3 weeks
  • B) Consistent vomiting after feedings
  • C) Sleeping more than 16 hours per day
  • D) Persistent diarrhea

A) Crying for more than 3 hours per day, 3 days per week, for 3 weeks

400

Which of the following measures is NOT typically recommended to manage colic in infants?

  • A) Feeding smaller, more frequent meals
  • B) Ensuring proper burping techniques
  • C) Ignoring the crying to avoid reinforcing the behavior
  • D) Providing a pacifier

C) Ignoring the crying to avoid reinforcing the behavior

400

Where should the electrodes be placed when using impedance monitors for home apnea monitoring?

  • A) On the infant's back, below the clavicle
  • B) On the infant's forehead, just above the fontanel
  • C) In the midaxillary line, one or two fingerbreadths below the nipple
  • D) On the infant's abdomen, over the epigastric area

C) In the midaxillary line, one or two fingerbreadths below the nipple

500

Which of the following is a potential cause of colic in infants?

  • A) Underfeeding
  • B) Overfeeding
  • C) Infrequent burping
  • D) Excessive sleep

B) Overfeeding

500

What is a suggested goal for catch-up growth in children with severe malnutrition?

  • A) Half the average rate of weight gain for the child’s corrected age
  • B) The average rate of weight gain for the child’s corrected age
  • C) Two to three times the average rate of weight gain for the child’s corrected age
  • D) Four times the average rate of weight gain for the child’s corrected age

C) Two to three times the average rate of weight gain for the child’s corrected age

500

DOUBLE QUESTION - DOUBLE THE POINTS

Which of the following is a parasomnia that may occur in children?

  • A) Difficulty staying awake during the day
  • B) Confusional arousals
  • C) Refusal to go to sleep
  • D) Frequent waking during the night

What is the leading modifiable risk factor for SIDS?

  • A) Prone sleeping position
  • B) Maternal smoking during pregnancy
  • C) Co-sleeping with an infant
  • D) Using soft bedding

B) Confusional arousals


B) Maternal smoking during pregnancy

500

DOUBLE QUESTION -- DOUBLE POINTS


Which diagnostic test is recommended to determine the cause of an ALTE if physical examination and history indicate signs?

  • A) Testing for seizures
  • B) Testing for GER
  • C) Testing for sepsis
  • D) Testing for urinary tract infection

What is the definition of an apparent life-threatening event (ALTE)?

  • A) An event characterized by persistent vomiting in infants
  • B) An event that includes apnea, change in color, muscle tone, and choking
  • C) An event where the infant sleeps more than 20 hours a day
  • D) An event characterized by continuous crying and colic symptoms

D) Testing for urinary tract infection 


B) An event that includes apnea, change in color, muscle tone, and choking

500

TRIPLEEEEEEEEEE POINTS

What is a major concern with home apnea monitors?

  • A) Overheating
  • B) Electrical burns and electrocution
  • C) Malfunction during nighttime
  • D) High noise levels

What should parents do first when an apnea monitor alarm goes off?

  • A) Check the monitor settings
  • B) Look at the infant to ensure they are breathing
  • C) Call emergency services
  • D) Turn off the alarm

Which safety precaution should be taken with home apnea monitors?

  • A) Keep the monitor plugged in at all times
  • B) Remove leads from the infant when not attached to the monitor
  • C) Place the monitor in a separate room
  • D) Use the monitor only during daytime

B) Electrical burns and electrocution

B) Look at the infant to ensure they are breathing

B) Remove leads from the infant when not attached to the monitor

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