age 1 of 88
NUR 254 EXAM 4 | Maternal and Pediatrics TEST
STUDY GUIDE 2025/2026 QUESTIONS BANK AND
CORRECT DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
Iron deficiency Anemia: treatment ......ANSWER........-Iron rich
foods (green leafy), supplements, dietary supplements, organ
meats, rice cereal at 6 months,
Iron deficiency Anemia: Teaching ......ANSWER........- No cow's
milk until the baby is 1 years old
-NO iron supplements with milk, give on empty stomach acid
makes it absorb beer*
o Liquid supplement can stain teach, use straw or regular iron
supplement capsule/pill
,age 2 of 88
o Black tarry green stools
o Keep away from children, never keep more than a month
supply at home
o Infants 30 mins before on empty, older child with something
citric for the acid*
o Dietary counseling
Sickle Cell Anemia: Important* ......ANSWER........Prevent
Dehydration
Sickle Cell Anemia: Etiology/Diagnostics ......ANSWER........-
Hereditary, Autosomal recessive trait.
-Cells are sickle shaped. -Repetitive decrease in 02 cell walls
become rigid.
,age 3 of 88
-Cells are getting jammed, causing an obstruction of RBC's,
resulting in PAIN.
-The normal HGB is replaced with abnormal HGB.
-Effects the spleen.
o Organ that's mostly effected is the spleen*
o Newborn Screening in the US
Sickle Cell Anemia: S/S ......ANSWER........o Vascular
inflammation
o Pain-> severe abdominal pain or chest. Mid to severe from 1
min-days -> crisis
o Stroke -> Severe unrelieved headache**
o Painful Swelling: hands, feet, joint pain
, age 4 of 88
o Headache. Doesn't go away with meds? Possible CVA.
EMERGENCY*
o One CVA? R/F another** (stroke)
o Visual disturbances
o Obstructive jaundice
o Fever 101.3 or higher
o Severe hypoxia
Sickle Cell Anemia: VASOCCLUSIVE Crisis ......ANSWER........-:
Acute chest syndrome
-mimics pneumonia "painful episode"
Sickle Cell Anemia: Splenic Sequestration ......ANSWER........-
Pooling of blood in the spleen
NUR 254 EXAM 4 | Maternal and Pediatrics TEST
STUDY GUIDE 2025/2026 QUESTIONS BANK AND
CORRECT DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
Iron deficiency Anemia: treatment ......ANSWER........-Iron rich
foods (green leafy), supplements, dietary supplements, organ
meats, rice cereal at 6 months,
Iron deficiency Anemia: Teaching ......ANSWER........- No cow's
milk until the baby is 1 years old
-NO iron supplements with milk, give on empty stomach acid
makes it absorb beer*
o Liquid supplement can stain teach, use straw or regular iron
supplement capsule/pill
,age 2 of 88
o Black tarry green stools
o Keep away from children, never keep more than a month
supply at home
o Infants 30 mins before on empty, older child with something
citric for the acid*
o Dietary counseling
Sickle Cell Anemia: Important* ......ANSWER........Prevent
Dehydration
Sickle Cell Anemia: Etiology/Diagnostics ......ANSWER........-
Hereditary, Autosomal recessive trait.
-Cells are sickle shaped. -Repetitive decrease in 02 cell walls
become rigid.
,age 3 of 88
-Cells are getting jammed, causing an obstruction of RBC's,
resulting in PAIN.
-The normal HGB is replaced with abnormal HGB.
-Effects the spleen.
o Organ that's mostly effected is the spleen*
o Newborn Screening in the US
Sickle Cell Anemia: S/S ......ANSWER........o Vascular
inflammation
o Pain-> severe abdominal pain or chest. Mid to severe from 1
min-days -> crisis
o Stroke -> Severe unrelieved headache**
o Painful Swelling: hands, feet, joint pain
, age 4 of 88
o Headache. Doesn't go away with meds? Possible CVA.
EMERGENCY*
o One CVA? R/F another** (stroke)
o Visual disturbances
o Obstructive jaundice
o Fever 101.3 or higher
o Severe hypoxia
Sickle Cell Anemia: VASOCCLUSIVE Crisis ......ANSWER........-:
Acute chest syndrome
-mimics pneumonia "painful episode"
Sickle Cell Anemia: Splenic Sequestration ......ANSWER........-
Pooling of blood in the spleen
