NSG Peds Final Exam_Cognitive_Psychosocial_Cancer_Genitourinary_&
Neurological.
,Content Area Number of Test Items
Cognitive Disorders 5
Psychosocial Disorders 5
Cancer 10
Genitourinary Disorders 15
Neurological Diseases 15
Total 50
Cognitive Disorders & Psychological Disorders
What are the risk factors for down -Existing disorder
syndrome? -Previous child born with disorder, stillbirth
-Close relative with disorder
-Closely related parents (ex: sister-brother)
-Advanced maternal/paternal age (35 & 55)
-Exposure to infectious or toxic agents
Describe the physical findings associated -Up-slanting palpebral fissures
with down syndrome disorder: -Low-set, small, folded ears
-Short neck & statue
-Flattened nasal bridge
-Bushfield spots (small, typically white spots
arranged in a ring)
-epicanthal fold
-Possible genial heart defect
A patient with down syndrome mother states -Aspirate nasal secretions
that he always seems to keep a respiratory -Change positioning frequently
infection all the time. Provide teaching to the -Rinse child’s mouth with water after feeding
mom to support health promotion and and other times of the day when it is dry
ongoing care. -Provide a cool mist humidification to
moisten secretions and clearing of nasal
passages with a bulb -syringe
-Keep up with routine immunizations
-Seek healthcare at the earliest indication of
infection
-Follow ABT schedule if prescribed
What education is needed regarding Intelligence (mental capacity-mild to
potential complications associated with Down moderate cognitive impairment)- (Start
Syndrome. learning early, Assess development level
before planning care)
-Social development (2-3 years beyond
mental stage)
-Congenital anomalies (possible heart
abnormalities)
, -Sensory (ocular, hearing loss)
-Frequent respiratory tract infections,
increased incidence of leukemia, thyroid
dysfunctions, and cardiac deficiencies
-Growth (ht. & wt. reduced)
-Sexual development (male-lower fertility
rates; female genitalia can be underdeveloped
and delayed)
-Allow child to do as much as possible for
self-TQ
How does a patient with Down syndrome -Their height & weight will be reduced.
growth compare to other children this age? -Weight gain is more rapid than growth in
height, and can result in excessive weight by
36 months
What other questions might the nurse ask the -Does the child have an eating routine, and do
mother of a child with down syndrome? you time their feedings?
-Do you weigh your child’s diaper?
-Also assess the possible cause of this
condition (medical history)
It is determined that a child with down -Risk factors this child exhibits,
syndrome is a Failure-to-Thrive (FTT) baby. -Assessment Data
What information would be important to -Assessment findings & determine if the child
gather in order to determine the type of FTT needs a feeding tube
she is experiencing? -Bloodwork
-CXR/FAS
What pertinent data information would be -She is a colicky baby and spits up her
beneficial in planning care for a child with feedings all the time- not getting adequate
FTT? (Select all that apply) nutrition
-mom told me that my baby should begin
apple juice this month-address knowledge
deficit
-I tried breast-feeding until she was 3 months
old, but I quit because she was nursing too
much- maybe an indication child is not
getting enough nutrition
-She doesn’t really wake up and cry for her
feedings, during the day so I usually let her
sleep a while- needs to eat every 2 to 4 hrs.
-I am concerned about Emma gaining too
much weight this first year and becoming fat.
I am thinking about changing her over to 2%
milk when she is 6 months old.- knowledge
deficit, child needs proper nutrition to grow
What information should a nurse give a -Maintain nutritional history
, mother for an infant with FTT? (Select all -Weigh diaper
that apply) -Keep a feeding routine, proper positioning,
latching on and timing
-How to recognize hunger cues
-24 kcal/oz formula
-Multivitamins
- Don’t wait until the infant cries before
feedings
-Provide high-calorie milk supplements
including zinc & iron
-Burp the infant frequently
Describe the feeding regimen a patient’s -Maintain eye contact and face to face posture
mother of an infant with FTT should be during feedings
taught? -Talk to the infant while feeding
-Burb infant frequently
-Keep environment quiet and avoid
distractions
-Be persistent (remain calm during 10-15
mins of refusal to eat)
-Never force feed
-Provide 24 kcal/oz formula as prescribed
--This child has no fear of strangers,
developmentally delayed, etc.
The mother and infant that has FTT returns to -I have been weighing her every day on a
the clinic two months later and the baby’s baby scale and making sure she is gaining
weight is 13 lbs 8oz. What statement best weight.
reflects the mother’s understanding of her
infants progress?
What are manifestations of ADHD? (Select -Low test grades
all that apply) -Gets out of her seat constantly
-Talks excessively in the hall to peers when
told to be quiet
-Losing homework assignments
-Energetic
From the list below, select all the behaviors -Failing to pay close attention to detail or
that validate a diagnosis of ADHD. (Select making careless mistakes
all that apply) -Is forgetful
-Strikes out at others
-Has a hard time engaging in quiet play
-Easily distracted
-Blurts out answers directed at others
-Does not seem to listen
Neurological.
,Content Area Number of Test Items
Cognitive Disorders 5
Psychosocial Disorders 5
Cancer 10
Genitourinary Disorders 15
Neurological Diseases 15
Total 50
Cognitive Disorders & Psychological Disorders
What are the risk factors for down -Existing disorder
syndrome? -Previous child born with disorder, stillbirth
-Close relative with disorder
-Closely related parents (ex: sister-brother)
-Advanced maternal/paternal age (35 & 55)
-Exposure to infectious or toxic agents
Describe the physical findings associated -Up-slanting palpebral fissures
with down syndrome disorder: -Low-set, small, folded ears
-Short neck & statue
-Flattened nasal bridge
-Bushfield spots (small, typically white spots
arranged in a ring)
-epicanthal fold
-Possible genial heart defect
A patient with down syndrome mother states -Aspirate nasal secretions
that he always seems to keep a respiratory -Change positioning frequently
infection all the time. Provide teaching to the -Rinse child’s mouth with water after feeding
mom to support health promotion and and other times of the day when it is dry
ongoing care. -Provide a cool mist humidification to
moisten secretions and clearing of nasal
passages with a bulb -syringe
-Keep up with routine immunizations
-Seek healthcare at the earliest indication of
infection
-Follow ABT schedule if prescribed
What education is needed regarding Intelligence (mental capacity-mild to
potential complications associated with Down moderate cognitive impairment)- (Start
Syndrome. learning early, Assess development level
before planning care)
-Social development (2-3 years beyond
mental stage)
-Congenital anomalies (possible heart
abnormalities)
, -Sensory (ocular, hearing loss)
-Frequent respiratory tract infections,
increased incidence of leukemia, thyroid
dysfunctions, and cardiac deficiencies
-Growth (ht. & wt. reduced)
-Sexual development (male-lower fertility
rates; female genitalia can be underdeveloped
and delayed)
-Allow child to do as much as possible for
self-TQ
How does a patient with Down syndrome -Their height & weight will be reduced.
growth compare to other children this age? -Weight gain is more rapid than growth in
height, and can result in excessive weight by
36 months
What other questions might the nurse ask the -Does the child have an eating routine, and do
mother of a child with down syndrome? you time their feedings?
-Do you weigh your child’s diaper?
-Also assess the possible cause of this
condition (medical history)
It is determined that a child with down -Risk factors this child exhibits,
syndrome is a Failure-to-Thrive (FTT) baby. -Assessment Data
What information would be important to -Assessment findings & determine if the child
gather in order to determine the type of FTT needs a feeding tube
she is experiencing? -Bloodwork
-CXR/FAS
What pertinent data information would be -She is a colicky baby and spits up her
beneficial in planning care for a child with feedings all the time- not getting adequate
FTT? (Select all that apply) nutrition
-mom told me that my baby should begin
apple juice this month-address knowledge
deficit
-I tried breast-feeding until she was 3 months
old, but I quit because she was nursing too
much- maybe an indication child is not
getting enough nutrition
-She doesn’t really wake up and cry for her
feedings, during the day so I usually let her
sleep a while- needs to eat every 2 to 4 hrs.
-I am concerned about Emma gaining too
much weight this first year and becoming fat.
I am thinking about changing her over to 2%
milk when she is 6 months old.- knowledge
deficit, child needs proper nutrition to grow
What information should a nurse give a -Maintain nutritional history
, mother for an infant with FTT? (Select all -Weigh diaper
that apply) -Keep a feeding routine, proper positioning,
latching on and timing
-How to recognize hunger cues
-24 kcal/oz formula
-Multivitamins
- Don’t wait until the infant cries before
feedings
-Provide high-calorie milk supplements
including zinc & iron
-Burp the infant frequently
Describe the feeding regimen a patient’s -Maintain eye contact and face to face posture
mother of an infant with FTT should be during feedings
taught? -Talk to the infant while feeding
-Burb infant frequently
-Keep environment quiet and avoid
distractions
-Be persistent (remain calm during 10-15
mins of refusal to eat)
-Never force feed
-Provide 24 kcal/oz formula as prescribed
--This child has no fear of strangers,
developmentally delayed, etc.
The mother and infant that has FTT returns to -I have been weighing her every day on a
the clinic two months later and the baby’s baby scale and making sure she is gaining
weight is 13 lbs 8oz. What statement best weight.
reflects the mother’s understanding of her
infants progress?
What are manifestations of ADHD? (Select -Low test grades
all that apply) -Gets out of her seat constantly
-Talks excessively in the hall to peers when
told to be quiet
-Losing homework assignments
-Energetic
From the list below, select all the behaviors -Failing to pay close attention to detail or
that validate a diagnosis of ADHD. (Select making careless mistakes
all that apply) -Is forgetful
-Strikes out at others
-Has a hard time engaging in quiet play
-Easily distracted
-Blurts out answers directed at others
-Does not seem to listen
