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A part of injury prevention is making and keeping infant appointments. The required
checkups and vaccinations are at:
a. 3 months, 6 months, 9 months
b. 2 months, 4 months, 6 months and 1 year
c. 2 months, 4 months, 6 month, 9 months and 1 year
d. 2 months, 4 months, 9 months and 1 year ANS: C
2 months, 4 months, 6 month, 9 months and 1 year
A pregnant woman with a history of a clotting disorder is required to selfadminister heparin
during her pregnancy. After delivery, the infant will be at greater risk for:
a. Low blood sugar
b. Decrease Vitamin K
c. Increased Vitamin K
d. High blood sugar ANS: 2
Decrease Vitamin K
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,A mother brings her newborn daughter to the ER with concerns that she is having vaginal
bleeding. You know this is normal and called what?
a. Pseudomenstruation
b. Milia
c. Vernix caseosa
d. Toxicum ANS: A
Pseudomenstruation
You are taking care of an infant who was admitted with dehydration. His weight is 6 kg. You
have beenwatching his I & Os. What would you expect the infants urinary output to be in
order to maintain adequate hydration?
a. 0.52 ml/kg/hr
b. 0.52.5 ml/kg/hr
c. 13 ml/kg/hr
d. As long as he is having wet diapers it doesnt matter ANS: C
13 ml/kg/hr
While interviewing the mother of an infant, you note that the mother gets frustrated as
she explains thather 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?
pg. 2
,a. Believe me, I know. I have a newborn too.
b. Have you tried warm milk?
c. Its ok to be frustrated and feel overwhelmed.
d. You are doing nothing wrong. This can be a common occurrence in infants and you should
not feel guilty. ANS: D
You are doing nothing wrong. This can be a common occurrence in infants and you should
not feel guilty.
The mother of a 16yearold male was recently divorced after several years of an abusive
relationship and tells the primary care pediatric nurse practitioner that the adolescent has
begun skipping school and hanging out with friends at the local shopping mall. When she
confronts her child, he responds by saying that he hates her. What will the nurse practitioner
tell this mother?
a. Adolescence is marked by an inability to comprehend complex situations .b. Adolescence
is typically marked by tempestuous and transient episodes.
c. Adolescents normally have extreme, disruptive conflicts with parents.
d. Adolescents often need counseling to help them cope with life events ----
ANSWER----d
Which assessment factors are included in a 5-minute APGAR score? (Select all that apply.)
a. Heart rate
b. Respiratory rate
pg. 3
, c. Skin color
d. Muscle tone
e. Crying ANS: A, B, C, D
Heart and respiratory rates, skin color and muscle tone are assessed at both the 1 and 5
minute APGAR scoring. While crying has a positive affect on respirations, crying is not a
focus of the assessment
Which assessment findings suggest that the neonate is demonstrating stabilization of
physiological functions?
a. Temperature: 97.7° F
b. Heart rate: 200 bpm
c. Systolic pressure: 100 mm Hg
d. Respiratory rate: 28 breaths/minute ANS: A
Temperature is considered stable when between (97.7° to 99.3° F [36.5° to
37.4° C]) in open crib after birth. Heart rate is normally 100 to 190 bpm. Systolic blood
pressures greater than 96 mm Hg are considered significant hypertension in the newborn.
Unlabored respirations at a rate of 30 to 60 breaths/minute is considered normal.
A mother brings her 9 month infant in for a routine visit. What milestone would be
appropriate for the doctor to ask if the infant is meeting?
a. Walking
b. Speaking in two word phrases
c. Rolls back to stomach and stomach to back
pg. 4