A 2-year-old child recently Apply pressure and ice for bleeding while elevating and resting the
diagnosed with hemophilia A is extremity.
discharged home. What information
should the nurse include in a
teaching plan about home care?
A 2-year-old child with Down Congenital heart disease.
syndrome is brought to the clinic for
his regular physical examination.
The nurse knows which problem is
frequently associated with Down
syndrome?
A 2-year-old child with gastro- consistently follow a set mealtime routine.
esophageal reflux has developed a
fear of eating. What instruction
should the nurse include in the
parents' teaching plan?
A 2-year-old child with trisomy 21 Presence of a systolic murmur
(Down syndrome) is brought to the Rationale: Congenital heart disease occurs in 40% to 50% of children
clinic for a routine evaluation. Which with trisomy 21 (Down syndrome). Defects of the atrial or ventricular
assessment finding suggests the septum that create systolic murmurs are the most common heart
presence of a common defects associated with this congenital anomaly.
complication often experienced by
those with Down syndrome?
,A 3-month-old infant develops oral Nystatin (Mycostatin).
thrush. Which pharmacologic agent
should the nurse plan to administer
for treatment of this disorder?
Place the infant upright in an infant seat position.
Rationale: The use of an infant seat simulates a supine position with the
A 3-month-old infant returns from
head elevated and also prevents aspiration. Prone positioning should
surgery with elbow restraints and a
be avoided to prevent disruption of the protective Logan's bow and
Logan's bow over a cleft lip suture
prevent the infant from rubbing the face on the bed surface. Mittens
line. Which intervention should the
are not necessary and decrease the ability to provide sensory comfort,
nurse implement to maintain suture
such as hand holding. Nasal suctioning should be avoided to prevent
line integrity during the initial
trauma or dislodging clots at the surgical site. Water-soluble lubricant
postoperative period?
will dry the suture line and cause crusting, which predisposes the
suture line to poor healing and scarring.
600 calories/day
Rationale:An infant requires 108 calories/kg/day. The first step is to
change 10 lb 15 oz to 10.9 lb. Then convert pounds to kilograms by
A 3-month-old infant weighing 10 lb
dividing pounds by 2.2, which is 10.9/2.2 = 4.954 kg, rounded to 5 kg.
15 oz has an axillary temperature of
The second step is to multiply 108 calories/kg/day (108 × 5 = 540
98.9° F. What caloric amount does
calories/day). However, this infant requires 10% more calories because
this child need?
of the 1° F temperature elevation. Ten percent of 540 (calories/day) is
54 and 540 + 54 = 594. This infant will require approximately 600
calories/day
,A 3-week-old infant is referred to Breech presentation
an orthopedic clinic because the
pediatrician heard a click when
flexing the child's right hip during a
routine physical examination. The
orthopedic physician suspects that
the child might have developmental
dysplasia of the hip (DDH). The
parents ask the nurse to identify risk
factors commonly associated with
DDH. Which response is accurate?
, Monitor the infant's weight and # of wet diapers per day
A 3 week old newborn is brought to Increase the infant's intake per feeding by 1-2 ounces per week
the clinic for a follow up after a allow the infant to rest and reefed on demand or every 2 hrs
home birth. The mother reports that use a softer nipple or increase the size of the nipple opening
her child bottle feeds for 5 min only
and falls asleep. The nurse Rationale: neonates who have VSD may fatigue quickly during feeding
auscultates a loud murmur and ingest inadequate amounts. They should be monitored for weight
characteristic of a ventricular septal gain and at least 6 wet diapers per day. A one month old should ingest
defect (VSD), and finds the 2-4 ounces of formula per feeding and progress to about 30 ounces
newborn is acyanotic w/ respiratory per day by 4 months of age. Due to fatigue, the infant should rest, but
rate of 64 breaths per min. What feed at least every 2 hours to ensure adequate intake. A softer
instruction should the nurse provide (preemie) nipple or a larger slit in the nipple helps to reduce the
the mother to ensure the infant is sucking effort and energy expenditure, thus allowing the infant to
receiving adequate intake? (Select ingest more w/ less effort. Antibiotoic prophylaxis is recommended for
all that apply) infants w/ VSDs, but should not be mixed in a bottle of formula
because it is difficult to ensure tha the total dose is consumed
A 3-year-old boy is brought to the Determine the child's pulse and respirations.
emergency room because he
swallowed an entire bottle of
children's vitamin pills. Which
intervention should the nurse
implement first?
diagnosed with hemophilia A is extremity.
discharged home. What information
should the nurse include in a
teaching plan about home care?
A 2-year-old child with Down Congenital heart disease.
syndrome is brought to the clinic for
his regular physical examination.
The nurse knows which problem is
frequently associated with Down
syndrome?
A 2-year-old child with gastro- consistently follow a set mealtime routine.
esophageal reflux has developed a
fear of eating. What instruction
should the nurse include in the
parents' teaching plan?
A 2-year-old child with trisomy 21 Presence of a systolic murmur
(Down syndrome) is brought to the Rationale: Congenital heart disease occurs in 40% to 50% of children
clinic for a routine evaluation. Which with trisomy 21 (Down syndrome). Defects of the atrial or ventricular
assessment finding suggests the septum that create systolic murmurs are the most common heart
presence of a common defects associated with this congenital anomaly.
complication often experienced by
those with Down syndrome?
,A 3-month-old infant develops oral Nystatin (Mycostatin).
thrush. Which pharmacologic agent
should the nurse plan to administer
for treatment of this disorder?
Place the infant upright in an infant seat position.
Rationale: The use of an infant seat simulates a supine position with the
A 3-month-old infant returns from
head elevated and also prevents aspiration. Prone positioning should
surgery with elbow restraints and a
be avoided to prevent disruption of the protective Logan's bow and
Logan's bow over a cleft lip suture
prevent the infant from rubbing the face on the bed surface. Mittens
line. Which intervention should the
are not necessary and decrease the ability to provide sensory comfort,
nurse implement to maintain suture
such as hand holding. Nasal suctioning should be avoided to prevent
line integrity during the initial
trauma or dislodging clots at the surgical site. Water-soluble lubricant
postoperative period?
will dry the suture line and cause crusting, which predisposes the
suture line to poor healing and scarring.
600 calories/day
Rationale:An infant requires 108 calories/kg/day. The first step is to
change 10 lb 15 oz to 10.9 lb. Then convert pounds to kilograms by
A 3-month-old infant weighing 10 lb
dividing pounds by 2.2, which is 10.9/2.2 = 4.954 kg, rounded to 5 kg.
15 oz has an axillary temperature of
The second step is to multiply 108 calories/kg/day (108 × 5 = 540
98.9° F. What caloric amount does
calories/day). However, this infant requires 10% more calories because
this child need?
of the 1° F temperature elevation. Ten percent of 540 (calories/day) is
54 and 540 + 54 = 594. This infant will require approximately 600
calories/day
,A 3-week-old infant is referred to Breech presentation
an orthopedic clinic because the
pediatrician heard a click when
flexing the child's right hip during a
routine physical examination. The
orthopedic physician suspects that
the child might have developmental
dysplasia of the hip (DDH). The
parents ask the nurse to identify risk
factors commonly associated with
DDH. Which response is accurate?
, Monitor the infant's weight and # of wet diapers per day
A 3 week old newborn is brought to Increase the infant's intake per feeding by 1-2 ounces per week
the clinic for a follow up after a allow the infant to rest and reefed on demand or every 2 hrs
home birth. The mother reports that use a softer nipple or increase the size of the nipple opening
her child bottle feeds for 5 min only
and falls asleep. The nurse Rationale: neonates who have VSD may fatigue quickly during feeding
auscultates a loud murmur and ingest inadequate amounts. They should be monitored for weight
characteristic of a ventricular septal gain and at least 6 wet diapers per day. A one month old should ingest
defect (VSD), and finds the 2-4 ounces of formula per feeding and progress to about 30 ounces
newborn is acyanotic w/ respiratory per day by 4 months of age. Due to fatigue, the infant should rest, but
rate of 64 breaths per min. What feed at least every 2 hours to ensure adequate intake. A softer
instruction should the nurse provide (preemie) nipple or a larger slit in the nipple helps to reduce the
the mother to ensure the infant is sucking effort and energy expenditure, thus allowing the infant to
receiving adequate intake? (Select ingest more w/ less effort. Antibiotoic prophylaxis is recommended for
all that apply) infants w/ VSDs, but should not be mixed in a bottle of formula
because it is difficult to ensure tha the total dose is consumed
A 3-year-old boy is brought to the Determine the child's pulse and respirations.
emergency room because he
swallowed an entire bottle of
children's vitamin pills. Which
intervention should the nurse
implement first?
