Growth and Development & Pediatric Emergencies
A 4-year-old child is hospitalized and talks about an invisible friend to the nurse. Which action by the nurse is indicated?
Recognize this behavior as normal for the child's developmental age and do nothing.
Which finding should the nurse assessing a child with acute poststreptococcal glomerulonephritis be alert for?
Tea-colored urine
Which sign is often the first sign of a respiratory illness?
increased respirations
An overriding aorta is present in this congenital heart condition.
Tetralogy of fallot.
A newborn assessment reveals uneven gluteal (buttocks) skin creases and a “clunk” during the Ortolani maneuver. What would the nurse suspect?
developmental dysplasia of the hip (DDH)
What strategy is best used to deal with fears in a preschool age child?
Involving them in finding practical methods to deal with the frightening experience
Failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease?
Hirschsprung disease
A child is hospitalized and the nurse assesses an increase in breathing work and respiratory rate. What intervention should the nurse first make to help this child?
Elevate the head of the bed.
What information would be included as parent teaching for a newborn with a small asymptomatic atrial septal defect (ASD)?
“Most infants do not need surgical repair for this.”
When caring for a newborn with myelomeningocele. Which action is the nursing priority?
prevent rupture or leaking of cerebrospinal fluid
What is an important criterion on which to base the decision to report suspected child abuse?
Incompatibility between the history and injury observed
A sign that an infant is experiencing moderate dehydration is:
sunken fontanelles
When assessing a child for suspected acute epiglottitis what do we not want to do?
Examine the child’s throat by using a tongue depressor.
What should the nurse consider when planning to teach the parents of an infant with a congenital heart defect (CHD)?
Parent's anxiety level and readiness to learn.
Immunizations of this type should be carefully considered before being given to a child receiving chemotherapy for cancer.
Live virus vaccines
Which behavior indicates that an infant has developed object permanence?
Actively searches for a hidden object.
When caring for an infant with diabetes insipidus, what would be most important for the nurse to monitor while the infant has a prescription for fluid restriction?
Urine output
Which intervention for treating croup at home should be taught to parents?
Take the child outside if the air is cool and moist
A child will outgrow a shellfish allergy. True or False?
False.
Spina bifida occulta may be identified on assessment as a:
A small dimple on the sacral area
This reflex occurs when a newborn grasps a finger when touching the baby's palm.
Palmar grasp
The nurse is caring for a 12-month-old hospitalized with severe dehydration. What should the nurse prioritize in the plan of care?
Hydration- with severe dehydration this includes maintaining an intravenous (IV) fluid rate as ordered
What topical agent would the nurse expect to use on an infant with candidal diaper rash?
Antifungal ointment
Upon assessment for this congenital heart defect, pulses are weaker in the lower extremities compared to the upper extremities
Coarctation of the aorta
What is the most frequent type childhood cancer?
Leukemia