Rasmussen MCH Exam 3 Latest 2024 -2025
Complete 150 Actual Exam Questions with
Correct Detailed Answers (Verified Answers)
Graded A+
What are 3 things children are most afraid of? - Correct Answer - -losing
control or independence
-fear of pain or punishment
-fear of bodily harm or change
How can we minimize the stress of hospitalization? - Correct Answer -
Parent rooming in w/ patient, bring an object/toy from home, draw pictures
to hang in room, offer choices of watching movie or picking a game,
therapeutic play, child life specialist, guided imagery
How do we communicate with children? - Correct Answer - Children in
general - Get to their level physically.
Use simple words.
Eye contact.
Play to demonstrate.
Be approachable.
DO NOT LIE TO THEM!
Communication: Hearing deficit - Correct Answer - Sign language, pictures,
computerized electronics, eye contact, touch, turn light on.
pg. 1
,Gain their attention before speaking, face child when speaking, speak
slowly and loudly.
Communication:Visual deficit - Correct Answer - Announce yourself, let
them know that you are there. Keep routine in the room the same. Make
sure they have their glasses on. Bright lights.
Communication: Cognitive issues - Correct Answer - Be gentle and kind,
very short directives. Praise. Hold boundaries.
Separation comfort care - Correct Answer - -with favorite items or activity,
distraction, parents room in or go with child to procedures.
-Child will protest separation due to anxiety, [prep with tours and
explanation, use transitional objects] reinforce when they will see parent
again.
-Despair follows due to grief of separation, detachment due to ongoing
anger/coping skills.
Alleviate stress and fears: - Correct Answer - -explain procedure
-distraction
-ask parent to stay and participate in care
-explain what's going on
Signs of infiltration - Correct Answer - Cool to touch, redness/blanching,
paleness, edema (swelling), painful
Otic meds (Ear drops) - Correct Answer - -pull pinna up and back older
than age 3
-pull pinna down and straight back < 3 years
pg. 2
,Trach for child - Correct Answer - -less than 5 seconds on suction.
-One pass.
-Ensure Tubing is half the size of trach [prevent edema or trauma].
Why more infections in children? - Correct Answer - *Infants between 3 and
6 months of age are at increased risk of infection due to the decrease of
maternal antibodies acquired at birth and the lack of antibody protection.
*Shorter softer airway, short eustachian tubes, soft epiglottis & trachea,
larger tonsils; exposed to more bugs (germs), don't have a very good
immune systems, put everything in their mouth.
*Children are oral, poor at hygiene, and not fully developed tissues to
manage the illness. Intercostal muscles weak, abdominal breathers when
little. Infants are obligate nose breathers.
Important stuff about respiratory - Correct Answer - **ABC'S trump all!!
Maintain the Airway first.
-Children have Shorter airway, larger tonsils, epiglottis & trachea is longer,
flaccid and floppy which is a greater risk to child's airway.
-Upper Resp- Sinuses, airway, trachea, pharynx and larynx.
-Lower Resp- involves bronchi, bronchioles, and alveoli
Croup syndromes - Correct Answer - Croup is a generic term
encompassing a group of illnesses affecting the larynx, trachea, and
bronchi.
pg. 3
, The lateral walls of the trachea below the level of the vocal cords are
marked by swelling and erythema.
Croup is described according to the main anatomical area affected.
Epiglottitis, supraglottitis, laryngitis, laryngotracheobronchitis and bacterial
tracheitis encompass the croup syndrome.
Commonly affects children between 3 months and 5 years of age, most
often at around 2 years of age.
Usually caused by Haemophilus influenza or Streptococcus pyogenes
What are signs of Respiratory distress in babies? - Correct Answer - •
Tachycardia (HR > 160 bpm)
• Tachypnea (RR > 170 breaths per minute)
• Rib or sternal retractions
• Expiratory grunting
• Flaring nostrils
Respiratory distress in older children - Correct Answer - *6 years old and up
-- wheezing, crackles, tripod position, drooling, adventitious breath sounds,
nasal flaring, tachycardia, tachypnea, labored breathing
Croup syndromes - Correct Answer - Croup is a generic term
encompassing a group of illnesses affecting the larynx, trachea, and
bronchi.
The lateral walls of the trachea below the level of the vocal cords are
marked by swelling and erythema.
pg. 4
Complete 150 Actual Exam Questions with
Correct Detailed Answers (Verified Answers)
Graded A+
What are 3 things children are most afraid of? - Correct Answer - -losing
control or independence
-fear of pain or punishment
-fear of bodily harm or change
How can we minimize the stress of hospitalization? - Correct Answer -
Parent rooming in w/ patient, bring an object/toy from home, draw pictures
to hang in room, offer choices of watching movie or picking a game,
therapeutic play, child life specialist, guided imagery
How do we communicate with children? - Correct Answer - Children in
general - Get to their level physically.
Use simple words.
Eye contact.
Play to demonstrate.
Be approachable.
DO NOT LIE TO THEM!
Communication: Hearing deficit - Correct Answer - Sign language, pictures,
computerized electronics, eye contact, touch, turn light on.
pg. 1
,Gain their attention before speaking, face child when speaking, speak
slowly and loudly.
Communication:Visual deficit - Correct Answer - Announce yourself, let
them know that you are there. Keep routine in the room the same. Make
sure they have their glasses on. Bright lights.
Communication: Cognitive issues - Correct Answer - Be gentle and kind,
very short directives. Praise. Hold boundaries.
Separation comfort care - Correct Answer - -with favorite items or activity,
distraction, parents room in or go with child to procedures.
-Child will protest separation due to anxiety, [prep with tours and
explanation, use transitional objects] reinforce when they will see parent
again.
-Despair follows due to grief of separation, detachment due to ongoing
anger/coping skills.
Alleviate stress and fears: - Correct Answer - -explain procedure
-distraction
-ask parent to stay and participate in care
-explain what's going on
Signs of infiltration - Correct Answer - Cool to touch, redness/blanching,
paleness, edema (swelling), painful
Otic meds (Ear drops) - Correct Answer - -pull pinna up and back older
than age 3
-pull pinna down and straight back < 3 years
pg. 2
,Trach for child - Correct Answer - -less than 5 seconds on suction.
-One pass.
-Ensure Tubing is half the size of trach [prevent edema or trauma].
Why more infections in children? - Correct Answer - *Infants between 3 and
6 months of age are at increased risk of infection due to the decrease of
maternal antibodies acquired at birth and the lack of antibody protection.
*Shorter softer airway, short eustachian tubes, soft epiglottis & trachea,
larger tonsils; exposed to more bugs (germs), don't have a very good
immune systems, put everything in their mouth.
*Children are oral, poor at hygiene, and not fully developed tissues to
manage the illness. Intercostal muscles weak, abdominal breathers when
little. Infants are obligate nose breathers.
Important stuff about respiratory - Correct Answer - **ABC'S trump all!!
Maintain the Airway first.
-Children have Shorter airway, larger tonsils, epiglottis & trachea is longer,
flaccid and floppy which is a greater risk to child's airway.
-Upper Resp- Sinuses, airway, trachea, pharynx and larynx.
-Lower Resp- involves bronchi, bronchioles, and alveoli
Croup syndromes - Correct Answer - Croup is a generic term
encompassing a group of illnesses affecting the larynx, trachea, and
bronchi.
pg. 3
, The lateral walls of the trachea below the level of the vocal cords are
marked by swelling and erythema.
Croup is described according to the main anatomical area affected.
Epiglottitis, supraglottitis, laryngitis, laryngotracheobronchitis and bacterial
tracheitis encompass the croup syndrome.
Commonly affects children between 3 months and 5 years of age, most
often at around 2 years of age.
Usually caused by Haemophilus influenza or Streptococcus pyogenes
What are signs of Respiratory distress in babies? - Correct Answer - •
Tachycardia (HR > 160 bpm)
• Tachypnea (RR > 170 breaths per minute)
• Rib or sternal retractions
• Expiratory grunting
• Flaring nostrils
Respiratory distress in older children - Correct Answer - *6 years old and up
-- wheezing, crackles, tripod position, drooling, adventitious breath sounds,
nasal flaring, tachycardia, tachypnea, labored breathing
Croup syndromes - Correct Answer - Croup is a generic term
encompassing a group of illnesses affecting the larynx, trachea, and
bronchi.
The lateral walls of the trachea below the level of the vocal cords are
marked by swelling and erythema.
pg. 4
