Exam 1 Burns Pediatric Primary Care with Q&A latest version

Exam 1 Burns Pediatric Primary Care with Q&A latest version While interviewing the mother of an infant, you note that the mother gets frustrated as she explains that her baby has been up all night crying at least 3 times a week for the last 2 weeks. She states that she has tried everything and feels hopeless. What would be the BEST response from you as the nurse? - CORRECT ANSWER You are doing nothing wrong. This can be a common occurrence in infants and you should not feel guilty. The parent of a newborn infant asks the PNP when to intervene to help the infant's future intellectual growth. What will the NP tell the parent? - CORRECT ANSWER Language and literacy skills begin at birth The PNP performs a well-baby examination on a 7-day old infant who is nursing well. The NP notes that the infant weighed 3250 grams at birth and 2990 grams when discharged on the second day of life. The infant weighs 3080 grams at this visit. Which action is correct? - CORRECT ANSWER Schedule a weight checks in 1 week During an assessment of a 4-week old infant, the PNP learns that a breastfed infant nurses every 2 hours during the day but is able to sleep for a 4-hour period during the night. The infant has gained 20 grams per day in the interval since last seen in the clinic. What will the NP recommend? - Continue to nurse the infant using the current pattern The PNP is performing a well-baby examination on a 2-month old infant who has gained 25 grams per day in the last interval. The mother is nursing and tells the NP that her infant seems fussy and wants to nurse more often. What will the NP tell her? - CORRECT ANSWER the infant may be going through an expected growth spurt The mother of a 6-week old breastfeeding infant tells the PNP that her baby, who previously had bowel movement with each feeding, now has a BM once every third day. What will the NP tell her? - CORRECT ANSWER This may be normal for breastfed babies The mother of a 3-month old child tells the PNP that it is "so much fun" now that her infant coos and smiles and wants to play. What is important for the NP to teach this mother? - CORRECT ANSWER How to read the infants cues for overstimulation The parent of a 5-month old is worried b/c the infant becomes fussy but doesnt always seem interested in nursing. What will the NP tell the parent? - CORRECT ANSWER The infant may be expressing a desire to play or to rest. The mother of a 6-month old is distressed because the infant can say "dada" but not "mama" and asks the PNP why this is when she is the one who spends more time with the infant. How will the NP respond? - CORRECT ANSWER "At this age, your baby does not understand the meaning of sounds" The PNP is performing a well-child examination on a 9 month old infant whose hearing is normal but who responds to verbal cues with only single syllabus vocalizations. What will the NP recommend to the parents to improve speech and language skills in this infant? - CORRECT ANSWER Read simple board books to the infant at bedtime The PNP is examining a 12-month old infant who was 6 weeks premature and observes that the infant uses a raking motion to pick up small objects. The PEDS questionnaire completed by the parent did not show significant developmental delays. What will the NP do first? - CORRECT ANSWER Perform an in-depth developmental assessment A mother brings her 9-month infant in for a routine visit. What milestone would be appropriate for the doctor as if the infant is meeting? - CORRECT ANSWER Rolls back to stomach and stomach to back 5-day old infant comes in for newborn checkup. On assessment — skin is jaundice, anterior fontanelle is slightly sunken, only had 2 diapers today, infant has trouble latching on, mom's first child. Bilirubin is sent and comes back at 18. Baby is most likely having breast milk jaundice. Which nursing intervention is required? - CORRECT ANSWER All of above — Phototherapy, providing support and education for the lactating mother, strict monitoring of intake and output Excessive heat loss results in which of these: 1. RDS 2. Depletion of glucose levels 3. Jaundice 4. Increase in surfactant levels - CORRECT ANSWER Depletion of glucose levels 4-week old infant brought into ED. Mom states baby hasn't been eating well and has had decreased diaper for 2 days. baby has been sleeping more and has been hard to wake up. On assessment, you find that the baby is difficult to arouse, is hypotonic, and temperature is 35.4 rectal. What is an important lab value to check? - CORRECT ANSWER Blood glucose A part of injury prevention is making and keeping infant appointments. The required checkups and vaccinations are at: - CORRECT ANSWER 2 months, 4 months, 6 months, 9 months, and 1 year