A pediatrician diagnoses gastroesophageal reflux (GER) in an infant. Which information will the
nurse provide during the teaching session to the infant's parents? (Select all that apply.) correct
answers a. Results in an infant who is often fussy and irritable
b. Causes the infant to refuse feedings because of discomfort
c. Includes symptoms such as vomiting and regurgitation
d. Includes the return of gastric contents from the stomach
A child is being discharged from the hospital after a pyloromyotomy. Which discharge
instruction does the nurse provide for the parents? correct answers a. Report vomiting after 48
hours.
Acute glomerulonephritis is most likely to be suspected when the child presents with the clinical
manifestations of: correct answers a. edema, hematuria, and oliguria
The nurse caring for a child with acute glomerulonephritis would expect to: correct answers a.
weigh the child daily
The sign that can be used to indicate increased intracranial pressure in the infant, but not in the
older child is: correct answers a. Bulging fontanel
A 12-year-old child is being assessed in the Emergency Department for possible Reye Syndrome.
The child was diagnosed with influenza by a primary health-care provider 2 weeks earlier. Which
of the following findings would the nurse expect to see? Select all that apply. correct answers a.
The child is unusually argumentative and aggressive
b. The child's Babinski reflex is positive
c. The child has had vomiting episodes for the past 24 hours.
, A new nurse is caring for a toddler with failure to thrive (FTT). Which action by the new nurse
would cause the preceptor nurse to intervene? correct answers a. Hiding needed medication and
supplements in child's favorite food
A neonate is born with rectal atresia. Which action is the priority for this patient? correct answers
a. Obtain informed consent for surgery
A nurse is caring for an infant waiting for surgical correction of intussusception. The child passes
a diarrheal stool. Which action by the nurse is the most appropriate? correct answers a. Notify
the physician.
A mother is distraught after learning that her son has Hirschsprung disease. She asks the nurse
how she could have prevented this from occurring. Which response by the nurse is most
appropriate? correct answers a. "Nothing; this disease seems to be familial in origin."
A nurse has been working with a teenager who has celiac disease. Which statement by the patient
indicates that goals for an important diagnosis have been met? correct answers a. "I am gaining
weight and I have more energy."
A pediatric nurse is teaching the family of a child with celiac disease about necessary dietary
modifications to manage the disease. Which information does the nurse include in the teaching
session? (Select all that apply.) correct answers a. Rye and wheat must be avoided.
b. High-calorie, high-protein foods are preferred.
c. Watch for hidden sources of gluten.
d. Lactose restriction may be needed.
The parents of a child diagnosed with vesicoureteral reflux (VUR) want to know why their
child's kidneys appear large on an abdominal x-ray. Which response by the nurse is the most
appropriate? correct answers a. Enlarged due to urine backup
A nurse is obtaining a bagged urine collection on an infant. Which action by the nurse is most
important? correct answers a. Use universal precautions, including gloves.