NURS 318 Focus on Child Health Exam 100 questions and answers with RATIONALE GRADED A

An HIV-positive woman delivers an infant. The pediatrician prescribes testing for the newborn, and the nurse prepares for which action? A nurse providing home care instructions to a mother of a HIV-positive child discusses measures to prevent transmission of the virus. Which statement by the mother indicates a need for further instruction? A child has been in the hospital for several days for treatment of severe vomiting related to his HIV-positive status. Which assessment finding is the best indication that the child’s condition is improving? A girl with systemic lupus erythematosus (SLE) wants to go to the beach with her friends on the day after their junior prom. The girl asks the nurse for guidance regarding sun exposure. The nurse should provide which information to the girl? A nurse is monitoring a school-age child who is being treated for dehydration. The nurse notes that the child’s urine output has been 1 mL/kg/hr over the past 3 hours and that the specific gravity of the urine is 1.020. Which is the appropriate nursing action? Intravenous potassium chloride (KCL) in 0.9% sodium chloride solution has been prescribed for a child who is severely dehydrated. Before administering the solution, the nurse must take which priority action? A nurse is monitoring a 3-year-old with diarrhea for signs/symptoms of dehydration. The child now weighs 42 lb (19 kg), a decrease from his weight of 44 lb (20 kg) 24 hours ago. In addition to dry mucous membranes and lack of tears, what assessment finding would the nurse find? A nurse is assigned to care for a child with diarrhea. Which intervention should the nurse avoid in caring for the child? A nurse is providing home care instructions to the mother of a child who has undergone cleft lip repair. Which statements by the mother indicate an understanding of these instructions? Select all that apply. A newborn is found to have esophageal atresia (EA) with tracheoesophageal fistula (TEF). In which position does the nurse immediatelyplace the infant? A nurse is assigned to care for an infant with congenital diaphragmatic hernia (CDH). Which clinical finding supports this diagnosis? A nurse provides home care instructions to the mother of an infant with gastroesophageal reflux disease (GERD). Which statement by the mother indicates a need for further instruction? A nurse, providing information to the mother of a child with irritable bowel syndrome (IBS) should tell the mother what about the syndrome? A nurse is preparing a child admitted from the emergency department with a diagnosis of acute appendicitis for an appendectomy, to be performed in an hour. The child tells the nurse that the acute abdominal pain has suddenly subsided. The priority nursing intervention is which? A nurse has provided dietary instructions to the mother of a child with Crohn’s disease. Which statements by the mother indicate an understanding of the instructions? Select all that apply. What manifestation of hypertrophic pyloric stenosis should the nurse reviewing the record of an infant with this disorder expect to see documented? A nurse is caring for an infant scheduled for a pyloromyotomy. In which position should the nurse place the infant for the preoperative period? Hydrostatic reduction is performed in a hospitalized child with a diagnosis of intussusception. Which outcome indicates that the procedure was successful? A nurse is providing information to the parents of a child with suspected Hirschsprung’s disease. The nurse informs the parents that diagnosis is definitively confirmed by the findings of which action? A nurse is caring for an infant with Hirschsprung’s disease. Which manifestation of the disease should the nurse expect to note? Which high-calcium food does the nurse direct the parents of a child with lactose intolerance to include in the child’s diet? A nurse is providing information to the mother of a child with newly diagnosed celiac disease. What piece of information should the nurse include? A nurse is providing information to parents about the transmission of hepatitis. The nurse should tell the parents that hepatitis A virus (HAV) is primarily transmitted in which way? The nurse is discharging a child with primary nocturnal enuresis. Which statements by the parents indicate that they understand the techniques used to manage this disorder? Select all that apply. What instruction should the nurse provide to a parent regarding the prevention of urinary tract infection in his child? A nurse is caring for an infant with hypospadias. What does the nurse make a priority when assessing the infant? A nurse is performing an assessment of a school-age child admitted with acute poststreptococcal glomerulonephritis. Which question would help determine the cause of this acute condition? Which laboratory result would the nurse expect to see in a child admitted to the hospital with acute glomerulonephritis? A nurse is performing an assessment of a child with nephrotic syndrome. Which manifestation would the nurse most likely note? Which medication is essential for the nurse to have available before administering an allergy injection to a child?