WGU C477 NURSING CARE OF CHILDREN OBJECTIVE
ASSESSMENT REVIEW 2022/2023(DETAILED QUESTIONS AND
ANSWERS)
What nursing interventions should be undertaken for a patient with cryptochordism found in newborn
care?
-------
What nursing interventions should be undertaken for an outpatient admission to treat cryptochordism?
(correct answers)> refer to pediatrician or pediatric urologist.
> Consider the possibility of virilization from congenital adrenal hyperplasia in infants with bilateral
undescended testes.
-------
> Pain control
> Discharge education
> Follow-up appointment arranged
What condition does the following describe?
> the pylorus muscles thicken and block food from entering the small intestine
> Babies with this may seem constantly hungry (correct answers)Pyloric Stenosis
What condition would be suspected when finding the following upon assessment?
> Forceful, progressive, nonbilious vomiting after each feeding
> Onset of vomiting from the first week of life to 5 months of age
> Vomiting becomes projectile over time
> Observation of peristaltic waves from left to right before vomiting occurs
,> Eventual dehydration with decrease in serum chloride
> Male sex (4:1)
> Poor weight gain
> Failure to thrive (FTT)
> metabolic alkalosis
> Jaundice in 2% to 5% of cases (correct answers)Pyloric Stenosis
What condition should be suspected if an infant has diarrhea, weight loss, or failure to thrive? (correct
answers)Urinary Tract Infection
What unusual symptom may accompany a UTI in children? (correct answers)Vomiting
Urinary tract infections are common in children with what chronic condition, due to the presence of a
neurogenic bladder? (correct answers)Spina bifida
What condition would be suspected when finding the following upon assessment?
> Fever (temperature above 38.3°C [100.9°F])
> Vomiting
> Abdominal pain
> Flank pain
> Back pain
> Dysuria (painful urination)
> Frequency (urinating at frequent intervals not associated with increased volume)
> Urgency (an unstoppable urge to urinate)
> Hematuria (blood in the urine)
,> Jaundice
> Poor oral intake
> Hyper- or hypothermia
> Failure to thrive (correct answers)Urinary Tract Infection (UTI)
What condition would be suspected when finding the following upon assessment?
> arthritis
> Facial nerve paralysis
> neurological symptoms
> meningitis
> radiculopathy
> myopericarditis (correct answers)Lyme Disease (these are late stage symptoms)
What condition would be suspected when finding the following upon assessment?
> large, circular rash with central clearing (erythema migrans)
> fever
> headache
> aching
> satellite rash (correct answers)Lyme Disease
What diagnostics may be used to identify Lyme disease?
"W", "E", "I" times 3 (correct answers)> White blood cell increase
, > Erythrocyte sedimentation rate (ESR) Increase
> IgM Positive
> IgG Increase
> Immunoassay
What two types of spray should be used to lower the chances of catching Lyme disease? (correct
answers)> Permethrin
> DEET
What diagnostic should be performed if a child presents with facial nerve paralysis or other neurological
symptoms and Lyme disease is suspected? (correct answers)Lumbar puncture to determine the
presence of Lyme disease in the cerebrospinal fluid
What medication is the first line treatment for Lyme disease? (correct answers)Rocephin (ceftriaxone)
What teaching should be given regarding the use of DEET? (correct answers)> Spray onto hands and rub
onto child's skin (DO NOT spray children)
> Do not apply to child's hands
> Do not apply to infants 2 months or younger
> Use DEET once daily
> Wash DEET off once done outside
> 10% lasts 2 hours, 30% lasts 5
True or False: Doxycycline can be used to treat Lyme disease in children under 8. (correct answers)False:
though doxycycline can be used on children over 8, amoxicillin or cefuroxime can be used for younger
children
ASSESSMENT REVIEW 2022/2023(DETAILED QUESTIONS AND
ANSWERS)
What nursing interventions should be undertaken for a patient with cryptochordism found in newborn
care?
-------
What nursing interventions should be undertaken for an outpatient admission to treat cryptochordism?
(correct answers)> refer to pediatrician or pediatric urologist.
> Consider the possibility of virilization from congenital adrenal hyperplasia in infants with bilateral
undescended testes.
-------
> Pain control
> Discharge education
> Follow-up appointment arranged
What condition does the following describe?
> the pylorus muscles thicken and block food from entering the small intestine
> Babies with this may seem constantly hungry (correct answers)Pyloric Stenosis
What condition would be suspected when finding the following upon assessment?
> Forceful, progressive, nonbilious vomiting after each feeding
> Onset of vomiting from the first week of life to 5 months of age
> Vomiting becomes projectile over time
> Observation of peristaltic waves from left to right before vomiting occurs
,> Eventual dehydration with decrease in serum chloride
> Male sex (4:1)
> Poor weight gain
> Failure to thrive (FTT)
> metabolic alkalosis
> Jaundice in 2% to 5% of cases (correct answers)Pyloric Stenosis
What condition should be suspected if an infant has diarrhea, weight loss, or failure to thrive? (correct
answers)Urinary Tract Infection
What unusual symptom may accompany a UTI in children? (correct answers)Vomiting
Urinary tract infections are common in children with what chronic condition, due to the presence of a
neurogenic bladder? (correct answers)Spina bifida
What condition would be suspected when finding the following upon assessment?
> Fever (temperature above 38.3°C [100.9°F])
> Vomiting
> Abdominal pain
> Flank pain
> Back pain
> Dysuria (painful urination)
> Frequency (urinating at frequent intervals not associated with increased volume)
> Urgency (an unstoppable urge to urinate)
> Hematuria (blood in the urine)
,> Jaundice
> Poor oral intake
> Hyper- or hypothermia
> Failure to thrive (correct answers)Urinary Tract Infection (UTI)
What condition would be suspected when finding the following upon assessment?
> arthritis
> Facial nerve paralysis
> neurological symptoms
> meningitis
> radiculopathy
> myopericarditis (correct answers)Lyme Disease (these are late stage symptoms)
What condition would be suspected when finding the following upon assessment?
> large, circular rash with central clearing (erythema migrans)
> fever
> headache
> aching
> satellite rash (correct answers)Lyme Disease
What diagnostics may be used to identify Lyme disease?
"W", "E", "I" times 3 (correct answers)> White blood cell increase
, > Erythrocyte sedimentation rate (ESR) Increase
> IgM Positive
> IgG Increase
> Immunoassay
What two types of spray should be used to lower the chances of catching Lyme disease? (correct
answers)> Permethrin
> DEET
What diagnostic should be performed if a child presents with facial nerve paralysis or other neurological
symptoms and Lyme disease is suspected? (correct answers)Lumbar puncture to determine the
presence of Lyme disease in the cerebrospinal fluid
What medication is the first line treatment for Lyme disease? (correct answers)Rocephin (ceftriaxone)
What teaching should be given regarding the use of DEET? (correct answers)> Spray onto hands and rub
onto child's skin (DO NOT spray children)
> Do not apply to child's hands
> Do not apply to infants 2 months or younger
> Use DEET once daily
> Wash DEET off once done outside
> 10% lasts 2 hours, 30% lasts 5
True or False: Doxycycline can be used to treat Lyme disease in children under 8. (correct answers)False:
though doxycycline can be used on children over 8, amoxicillin or cefuroxime can be used for younger
children
