Pediatric Nursing

study guide for introduction to maternity and pediatric nursing , 9th edition by gloria leifer, ma, rn, cne printable

What ABG values would you expect to see in a child experiencing status asthmaticus?

(1 point) \geoquad Which of the following is a possible sign of abuse in a pediatric patient? \geoquad A toddler with elbow bruises \geoquad A toddler with knee abrasions \geoquad A school-age child with fatigue who clings to their caregiver \geoquad A child not seeking comfort from their caregiver

A parent has asked the nurse practitioner about using alternative/herbal supplements for their child. Which supplement listed below should the nurse practitioner advise the parent is contraindicated in children? Question 17Answer a. St. John's wort b. Valerian root c. Tumeric d. Kava kava

Lase stugy Fearful of immunizing their 10-month-old daughter, Polly, due to claims that immunizations cause autism, Mr. and Mr Smith decided to forego the MMR vaccination. Polly attends a daycare center that recently sent another child home di to illness. Mrs. Smith has made an appointment for Polly to see Dr. Turner at the The Bronx Wellness Clinic because Polly has a high fever, runny nose, and a dusky red rash over the trunk of her body and extremities. Polly also has wha her mother describes as a strange-looking spot in her mouth. Based on Polly's symptoms, you would suspect the physician's diagnosis to be

Which of the following is TRUE of the health care system in the United States? Question 15 options: We are lowest in infant death rate (per 1,000 live births) We have the highest preventable death rates We are the best in terms of efficiency We have the third highest health spending per person

(1 point) An eight-month-old infant becomes unresponsive at a preschool facility. The infant has a palpable pulse of 46 beats per minute without notable respirations. Which of the following is the most appropriate next step? \geoquad Place the patient in the recovery position \geoquad Give high-flow oxygen via non-rebreather mask \geoquad Initiate CPR, beginning with chest compression \geoquad Begin assisted ventilations

(1 point) Listen You are assessing a two-year-old child with a history of fever, cough, and labored breathing. You hear crackles in the lungs and note nasal flaring and intercostal retractions. The caregiver reports that symptoms have worsened over the past 48 hours. Based on these findings, which of the following are likely lower airway infections? Select the three answer options that are correct. \geoquad Respiratory syncytial virus (RSV) \geoquad Pneumonia \geoquad Croup \geoquad Bronchiolitis

(1 point) \geoquad \geoquad A two-year-old boy is in a positicul state. His mother says he had been ill for several days and developed a fever before becoming unconscious and experiencing the seiture, which lasted less than a minute. The child has no other pertinent medical history. The child is fethargic but acknowledges his mother's presence. Which of the following has most likely occurred? \geoquad Febrile selzure \geoquad Epileptic seizure \geoquad Diabetic seizure \geoquad Simple partial selvure b

A nurse in an emergency department is caring for 4 clients. Which of the following findings requires the nurse to act as a mandatory reporter? \geoquad A. A child who was left unsupervised for several hours at home and is being treated for a fractured leg \geoquad B. A client who was admitted for pneumonia and reports having no heat or running water at home \geoquad C. A client who has depression and a self-inflicted wrist laceration \geoquad D. A public official who is admitted with alcohol withdrawal and delirium tremens

Ensuring adequate pain management and having a structured pain management plan is an integral part of all patient's healthcare. In the pediatric population, research has shown that exposure to painful stimuli can have a future impact on all of the following except: Question 2Answer a. Development of ADHD b. Stress response c. Learning d. Pain sensitivity

Quation 19/25 Instructor candidates are required to have what base-level certification to participate in the First Aid/CPR/AED instructor course? \geoquad Basic Life Support \geoquad First Aid \geoquad Adult and Pediatric First Aid/CPR/AFD \geoquad Adult CPR/AFD

A nurse is caring for a client who was irrolved in heavy combat and observed war casualties. The nurse should suspect that the client is sullering from posstraumatic stress diserder (PTSD) if the client makes which of the following statemenes? \geoquad TI check any room I enter because the enemy is still after me and could be hiding anywhere." \geoquad "My child was born with a birth defect due to an exposure I had overseas:" \geoquad "I killed four enemy soldiers with my bare hands and saved my entire barasion." \geoquad *In my dreams, all I can see are the wounded reaching out and

include harvard references Case Study 3: Child Neglect in Informal Settlement In an informal settlement outside East London, a mother lives with her three children (aged 2, 4, and 6) in a one-room shack. The mother leaves early each morning to work as a street vendor and returns late in the evening. Neighbours report that the children are often left alone, with the 6-year-old caring for the younger siblings. There is no adult supervision during the day, and the children are not enrolled in any ECD programme. The shack has no electricity or running water, and the children are often seen playing near a busy road. After studying the case study above, 3.1. Identify and discuss the safety and risk aspects in this case study 3.2. Briefly discuss your recommended plan of action

A nurse in an emergency department is caring for an adolescent following a suicies attempt. After reviewing the client's history, the nurse should delermine that which of the following is the priorisy risk factor for sulcide completion? \geoquad Active psychiatric disorder \geoquad Previous sulcide attempt \geoquad Loss of a parent \geoquad History of substance abuse

A nurse in an emergency department is caring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion? \geoquad Active psychiatric disorder \geoquad Previous sulcide attempt \geoquad Loss of a parent \geoquad Hintory of substance abuse

include harvard references Case Study 4: Grandmother Seeking a Social Grant (25 Marks) A 60-year-old grandmother from a rural village in Mpumalanga approaches your office. She has been caring for her three grandchildren (ages 6, 9, and 12) since their parents passed away — the father in a minibus taxi accident and the mother due to complications from TB. The grandmother also supports her own teenage daughter. She survives on an old-age pension and child support grant. She is struggling to adequately provide for the household. She requests financial assistance to help support the children. After studying the case study above, 4.1. Identify and discuss the safety and risk aspects in this case study 4.2. Which additional social assistance grant will you recommend to the grandmother and why? (Refer to the Social Assistance Amendment Act 16 of 2020 read with the Social Assistance Act Regulations 2119 of 2022

An adolescent has a TB skin test prior to working as a volunteer in a hospital. The adolescent is healthy and has not traveled to or from a TB-endemic area or had close contact with anyone who has TB. The Mantoux skin test shows 10 mm of induration after 48 hours. What will the primary care nurse practitioner do?

least one of your colleagues’ posts, in which you suggest potential threats to, but also potential assets for, sustainability that your colleague may not have considered. Be specific and provide examples. Considerations of Sustainability Capacity When evaluating program sustainability, capacity depends heavily on the program type and its stage of development (Linfield & Kniffley, 2025). Assessing sustainability for this specific program involves examining several key areas: Hospital Support. Because the Parent Management Training (PMT) program operates within the XYZ Pediatric Care facility, long-term survival relies heavily on institutional buy-in from hospital administration. Sponsoring leadership must view routine behavioral health screenings as a core part of normal pediatric care, not an extra burden. Daily Clinic Workflow. Behavioral health screenings need to fit easily into the everyday routines of nurses and pediatricians. If staff are overworked or there is constant turnover, screenings will inevitably be skipped, resulting in some families slipping through the cracks. Financial Stability and Resource Allocation. While the 11-week PMT intervention is offered at no cost to families, sustaining dedicated behavioral health coordinators, intake specialists, and EHR data liaisons requires continuous funding beyond initial grants or evaluation budgets. Community Support. In an inner-city context, systemic barriers such as transportation, childcare, and mistrust of healthcare institutions directly impact participant engagement. A program cannot be sustainable if community members do not trust the diagnostic feedback or feel supported during the referral process. Action Plan to Increase Sustainability To transition from a temporary evaluation phase to long-term institutional sustainability, the following actionable steps are recommended: Track Progress Regularly. Rather than treating evaluation data as a one-time report, hospital leadership and clinic managers should use the hospital's electronic health records to check in every few months to see how many screened families actually make it into treatment. This will allow staff to quickly and effectively mitigate any problems that arise. Train New Staff Efficiently. Build quick, standardized training for new hires, ensuring everyone knows how to conduct the screenings and talk to parents in a compassionate, non-judgmental way. Secure Long-Term Funding. Work with hospital financial leadership to explore stable funding options, such as Medicaid billing codes for mental health screenings or hospital community grants. Remove Everyday Systemic Barriers. Help families follow through with the referral by offering flexible appointment times, telehealth options, or transportation assistance.

A school-age child has a 3-month history of dull, aching epigastric pain that worsens with eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8 mg/dL. What is the next step in management?

A child with frequent vomiting and diarrhea is brought to the clinic. Which explanation by the nurse best describes why this child is at increased risk for fluid imbalance? \geoquad Children have proportionally more extracellular fluid. \geoquad Children have highly concentrated urine. \geoquad Children have greater control over thirst response. \geoquad Children compensate better than adults for sudden losses.

An adolescent female has heavy periods that are no longer irregular. The physical exam is normal. A complete blood count reveals

An infant is to have an enema. Which solution would the nurse anticipate using? \geoquad Fleet (hypertonic) solution. \geoquad Tap water enema. \geoquad Castile soap and tap water. \geoquad Normal saline.

The perception of death and dying differ throughout childhood. The nurse is caring for an adolescent patient that recently lost a close friend to a chronic illness. Which statement should the nurse be most concerned about? "I'm sad but I guess I knew it was coming." "My friends and I are going to get together and do a balloon release." "Some of my friends vape but I haven't tried it." "I don't want to be here anymore. I even took a handful of Benadryl last night but all it did was make me really sleepy."

Pediatric patients have little subcutaneous fat and poor insulation. Identify what risks this causes. Select all that apply. bradycardia hypothermia hyperthermia acidosis

A semiconscious child victim is having trouble breathing. Which of the following airway adjuncts would be recommended in this scenario? OPA (Oropharyngeal airway) NPA (Nasopharyngeal airway) Either OPA or NPA Neither OPA or NPA

J.P. is a 12-year-old boy who presents to the pediatric office for his annual visit.Subjective DataLives with mother and father, both present for visit Attends upper elementary school Only child No smokers in home No weapons in home Objective Data Vital signs within normal limits Height and weight within normal limits Immunizations up to date No medications No allergies Physical exam within normal limits Questions What special considerations should the nurse keep in mind regarding the physical exam with this age group? What similarities does the assessment of this age group have compared with an adult exam? What are the expected findings for the following systems: skin, hair, and nails and musculoskeletal system? What are some abnormal findings for the following systems: skin, hair, and nails and musculoskeletal system? How should the nurse assess the reproductive system for boys in this age group? In which stage of development is this patient using the Tanner stages for boys?

A complete blood count on a 12 -month-old infant reveals microcytic, hypochromic anemia with a hemoglobin of 9.5 g/dL. The infant has mild pallor with no hepatosplenomegaly. The primary care nurse practitioner suspects what disorder? \geoquad Hereditary spherocytosis \geoquad Lead intoxication \geoquad Iron-deficiency anemia \geoquad Sickle-cell anemia saved at 9:47pm

In order to reduce the risk of SIDS (Sudden Infant Death Syndrome), pediatricians instruct parents of children less than one year old to Question 6Select one: all of these. place baby on his or her back to sleep in a crib with a firm and tight fitting mattress, a tight fitting sheet, and nothing else (no pillows, toys, bumper pads, etc.). avoid exposing baby to any cigarette smoke (including second hand smoke on clothing). fully immunize baby.

A six-year-old child has just been diagnosed with localized Hodgkin's disease and chemotherapy is planned to begin immediately the parent of the child as the nurse why radiation therapy was not prescribed as a part of the treatment the nurse would plan to make which best response

The nurse is admitting a newborn infant to the nursery and notes that the primary health care provider has documented that the newborn has an omphalocele. Which interventions are appropriate for the nurse to use with this newborn? Select all that apply.

ede.elpenes.com/*/post/101TSAW36TM3question/d 101TSaN36TM:25pidd=10GDG3K17G1 EquestionNumber=1 Which statements made by a 7-year-old patient alert the nurse about the child's ability to cope with stressors? Select all that apply. \geoquad "My dad is not home very often." \geoquad "I really enjoy learning in school." \geoquad -'I am very concerned about my grades." \geoquad "Sometimes I talk to my friends when I am sad." \geoquad "My mom and I do things together all the time." 

Case 1.7 Challenge A woman brings her 6-month-old son to the pediatrician. You are following the doctor as part of your physician's assistant training. Before you enter the examining room the physician pulls the chart off the door and hands it to you. The nurse has written on the chart that the chief complaint is a group of lesions on the child's back. You enter the room and greet the mother. A toddler girl is leaning over to play with the baby in his carrier on the floor. The baby is giggling and appears healthy. You notice on the chart that the baby was breast-fed from birth through his fourth month. Mom explains that the spots on the baby's back just popped up two days ago and that the baby hasn't had a fever and seems well. She lifts the baby up and you examine the lesions-a group of about seven to eight blisterlike lesions localized to the left of the baby's spine. They have clear fluid in them. The physician says the lesions are diagnostic. 1. What are the lesions diagnostic of? Explain how you decided. 2. Although this particular condition is somewhat unusual in babies, the lesions indicate that the child must have experienced a common childhood illness earlier. Which one?

During the respiratory ossessment of on 8 -month-old infant, the nurse notes branchial breath sounds over oreas of consolidation, mild substernal retractions, profuse nasol mucus production, pollor, and a temperature of

A toddler with cystic forosis hos been hospitalized with bocteriol penumonia. The nurse concludes which is the reason the health care provider selected a specific ontibiotic? \geoquad A Toleronce of the child \geoquad B. Semitivity of the bocteria \geoquad C. Selectivity of the bocterio \geoquad D Preference of the health core provider

17 Multiple Choice 1 point What are the three main factors to consider when determining the appropriate time to introduce solids into an infant's diet? \geoquad Nutritional need, chocking risk, ability to hold own bottle \geoquad Ability to use utensils, nutritional need, hunger cues \geoquad Choking risk, allergy prevention, sleep schedule \geoquad Nutritional need, physical capabilities, allergy prevention \geoquad Physical capabilities, sleep schedule, hunger cues

A newborn with a diaphrogmatic hernio has impoired gos exchange. Which reason would the nurse identify as the cause of the infant's decreased gas exchange? A Incorcerated hernia B Decreased numer intake C Increased basol metabolic rate D Excessive respiratory secretions

A patient whose child died of a brain tumor several years ago initiates a fundraiser to raise money for cancer research. According to Roy's Adaptation Model, in which way is this patient adapting to stress? \geoquad Meeting physiciogni needs \geoquad Developing a positive identity \geoquad Performing social rule functions \geoquad Balancing dependence and independence 

We nurse receives on order to prepare the solution for administering a cleansing enema to a 3 year-old child. Which is the volume of solution the nurse would prepore? A 150 to 250 mL a 750 te 350 ml C 300 to 500 mL D 500 to 750 ml

Which nursing intervention is the priority when o child returns to the pediatric intensive care unit after cordioc surgery with a left chest tube ottoched to waterseal droinage, an introvenous line running of D5

Which volume of solution would be prepared when the nurse receives an order to prepare a solution for administering a cleansing enema for an adolescent client? \geoquad A 150 to 250 mL \geoquad B 350 to 350 mt \geoquad C 300 to 500 mL \geoquad D 500 tn 750 ml

A child who has a history of a 5 -lb ( 2.3 kg ) weight gain in 1 week and periorbitol edemo is odmitted with a diagnosis of acute glomerulonephritis. How can the nurse abtain the most accurate infermation on the status of the child's edemo? \geoquad A Weighing doily \geoquad B Obewerving bodw chonges \geoquad C Measuring intoke ond output \geoquad D Monitoring electrolyte volues*

Reflect on collaboration and shared decision-making during scenario watching in any of the Phase II simulation assignments.  2. Analyze differences in communication styles among clients, families, nurses, and other members of the health care team.  How would these differences apply when caring for a 9-year-old pediatric client?

DerekN Imdere Jaueph CONGK nex -2977203pref-08view Question 2 Which of the following is a key difference between application of the bioethical principles in pediatric and adult ethics? L The principle of nonmaleficence does not apply to infants since they do not feel pain or experience harm.

1 pts Who has the highest RDA for iron? \geoquad A 10 year-old child. \geoquad A 16 year-old female. \geoquad A 7 -month-old baby. \geoquad A 65 year-old female.

Clients The nurse is obtaining a blood pressure (BP) on a pediatric client. Which statements reflect the factors the nurse will consider in measuring BP in this situation? Select all that apply.

34 Section 1 - Introduction to Surgical Technology 2. What is insensible water loss? Describe the symptoms seen in a pediatric infant progressing from diffs dration to hypovolemia to hypovolemic shock. What are the physiological symptoms seene How ate sys treated and/or prevented?

When performing When-quality CPR on a child what is the cenrift depth of compressions? CHOOSE THE CORRICT ANSWER Approximately 2 inches ( 5 cm ) At least 2 K inches

Blood Pressure for Pediatric Clients The nurse is obtaining a blood pressure (BP) on a pediatric client. Which statements reflect the factors the nurse will consider in measuring BP in this situation? Select all that apply.

Aiden is a 9-year-old child who recently experienced a severe sore throat diagnosed as streptococcal pharyngitis. Due to financial constraints, antibiotics were not obtained. Ten days later, Aiden develops fatigue, ankle swelling, and dark smoky urine. At the clinic, his blood pressure is elevated, and urinalysis reveals hematuria and mild proteinuria. Question at position 6 6 Multiple Choice 10 points Question at position 6 Which condition is consistent with Aiden’s symptoms following the untreated infection? Renal calculus causing obstruction and colicky pain Type 1 diabetes mellitus causing polyuria and dehydration Acute glomerulonephritis causing bloody urine and edema Urinary tract infection causing bladder irritation and dysuria

Assessing Respirations When assessing respirations, which technique should the nurse use? \geoquad If the breathing is irregular, count respirations for 15 seconds \geoquad Notify the healthcare provider if an infant's respirations are 46 breaths per minute \geoquad Document the respiratory rate of 14 in an adult as abnormal \geoquad Count the number of respirations for 30 seconds, if regular rhythm g

A 13-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression. The client has been newly prescribed a selective serotonin reuptake inhibitor (SSRD). What is the priority nursing action? ◯ Monltor the client for migraines. ◯ Assess for weight loss and difficulty sleeping. ◯ Implement sucide precautions. ◯ Monitor food Intake for potential sources of tyramine.

In 2–3 pages, address the following: Explain Texas laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released. Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. Explain the difference between capacity and competency in mental health contexts. Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source. Identify one evidence-based suicide risk assessment that you could use to screen patients. Identify one evidence-based violence risk assessment that you could use to screen patients.

In 2–3 pages, address the following: Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released. Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. Explain the difference between capacity and competency in mental health contexts. Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source. Identify one evidence-based suicide risk assessment that you could use to screen patients. Identify one evidence-based violence risk assessment that you could use to screen patients.

Assessing Respirations When assessing respirations, which technique should the nurse use? \geoquad Notify the healthcare provider if an infant's respirations are 46 breaths per minute \geoquad Document the respiratory rate of 14 in an adult as abnormal \geoquad Count the number of respirations for 30 seconds, if regular rhythm \geoquad If the breathing is irregular, count respirations for 15 seconds

Which is the amount of maintenance fluids in milliliters a nurse will administer in a 24 -hour period for a pediatric client weighing 21 kg ?

Based on the required reading and course material, how would you respond to a new staff member in a 3-5 year old program who tells a child they cant have their treat cookie until they eat their healthy sandwich?

Client 2: Noah Stage 1: Noah is a 6-year-old child brought to the emergency department with a harsh, barking cough and inspiratory stridor. His mother reports that symptoms began with mild rhinorrhea and low-grade fever but worsened overnight. He now has a hoarse voice and visible chest retractions during inspiration. The provider suspects viral croup caused by upper airway inflammation. Question at position 5 5 Multiple Choice 10 points Question at position 5 Which pathophysiologic change is primarily responsible for Noah’s stridor and barking cough? Collapse of alveoli due to surfactant deficiency in lower airways Subglottic airway inflammation and edema causing upper airway narrowing Bronchial smooth muscle constriction causing expiratory airflow limitation Accumulation of fluid within alveoli impairing oxygen exchange

Client 2: Noah Stage 1: Noah is a 6-year-old child brought to the emergency department with a harsh, barking cough and inspiratory stridor. His mother reports that symptoms began with mild rhinorrhea and low-grade fever but worsened overnight. He now has a hoarse voice and visible chest retractions during inspiration. The provider suspects viral croup caused by upper airway inflammation. Client 2: Noah Stage2: Noah becomes increasingly restless, with worsening retractions and decreased air movement. His oxygen saturation drops to 88%, and inspiratory stridor becomes louder at rest. Question at position 7 7 Multiple Choice 10 points Question at position 7 Which pathophysiologic change explains Noah’s progression to severe respiratory distress? Progressive alveolar collapse causing impaired gas exchange Progressive subglottic edema causing critical airway narrowing Progressive bronchial spasm causing lower airway narrowing Progressive mucus buildup causing partial airway blockage

Client 2: Noah Stage 1: Noah is a 6-year-old child brought to the emergency department with a harsh, barking cough and inspiratory stridor. His mother reports that symptoms began with mild rhinorrhea and low-grade fever but worsened overnight. He now has a hoarse voice and visible chest retractions during inspiration. The provider suspects viral croup caused by upper airway inflammation. Indicate whether each finding is consistent with upper airway obstruction in Noah’s condition. FindingConsistent or Not ConsistentInspiratory stridor Question Blank 1 of 4 Barking cough Question Blank 2 of 4 Expiratory wheezing only Question Blank 3 of 4 Chest retractions Question Blank 4 of 4

A child with bronchiolitis develops air trapping. Which mechanism explains this finding? Bronchial wall edema Decreased airway obstruction Increased mucus plugging Increased airway obstruction

32% somptete (i) What statement made by the nurse demonstrates understanding of the role of rennin in the \geoquad \geoquad A "Rennin speeds up the absorption of protein in the stomach." \geoquad B "Rennin breaks down protein into amino acids in the stomach." \geoquad C "Rennin and calcium prevent rapid absorption of milk in an infant." D "Rennin increases in adolescence to support the extra need for protein."

The Academy of Nutrition and Dietetics and the American Academy of Pediatrics recommend that babies should be exclusively breastfed for the first

Protected Health Information (PH1) is: ◯ Information that relates to the past, present, or future health or condition of an individus ◯ Nickname, last state they Iived in, and oldest child's name. ◯ Last payment amount of their utility bill. ◯ Name of their cat.

A child weighs 5.5 kg What is their weight in lb? (Do not include the units in your answer, numbers ONLY) *Round to the nearest whole number*

A mother of a 3 -month-old infant is requesting information on the motor milestones she can expect to see in her child. The nurse can tell the parent to expect to see which activities at 3 months? Select ail that apply. \geoquad Puls foot in mouth \geoquad Places hand in mouth \geoquad Turns from back to abdomen \geoquad Turns from abdamen to back \geoquad Can lift head off bed in prone position. Sturch 

A mother has brought in her infant for the infant's 6 -month well-child checkup. You notice the infant's left eye intermittently not aligning with the right eye and an inability to focus both eyes on the same spot. What is the appropriate response? Srled al that apply. \geoquad Ensure the infant's "red reflex" is normal. \geoquad Place the infant in isolation as this can be a sign of conjunctivitis. \geoquad Do nothing, as infants do not gain extracular eye coordination until 9 months of age. \geoquad Stress the importance of eye exercises to help prevent worsening of the condition. \geoquad Motify the child's provider, as extraocular epe alignment should be achieved by 6 months el age 

Harold, a 72-year-old man, reports severe burning pain along his upper back. Two days later, a line of fluid-filled blisters appears along one side of his spine. The rash does not cross the midline. He reports having chickenpox as a child. The provider suspects viral reactivation affecting nerve pathways. Which findings support shingles diagnosis in Harold? Select all that apply. History of prior chickenpox infection during childhood years Bilateral rash appearing evenly across both sides of body Pain occurring before visible rash along nerve distribution area Lesions confined to one side following dermatomal pattern distribution Rapid spread through airborne respiratory droplets among contacts

Which would be the MOST CHALLENGING activity for a toddler with developmental delay who has a persistent asymmetrical tonic neck reflex (ATNR)? Select the best response. A Sitting with support in a bath ring secured to the bottom of the tub B Looking from side to side when sitting in a stroller C Bringing hands to mouth for self-feeding

PrepU | Assignment 7 | Chapter 10: Pinysica Due Sunday toy 11.59pm Points 100 S.bmitting an external tool The nurse is assessing a child brought to the cinic wilh severe aching of the scalp and while patches on the half follicles. What would the nurse look for when beglining the examination?

stion 11 of 15 A mother brings her 5 -month-old infant to the clinic and is concerned that the child does not seem to smile as much as her niece, who is the same age. How will the nurse respond? _(_())_(_()) This is normal as you can expect to see a smile at 6 months of age. _(_())_(_()) Ail children start to smile at a different age, so be patient. There is no need to worry. \geoquad This is a concern since the child should be showing a social smile by no later than 1 month of age- \geoquad This is a concern since the child should be showing a social smile by no later than 3 months of age- 

The mother of a newborn child enquires about having her child's hearing checked. What is the best response by the nurse? \geoquad All newbams should be sermened before 1 year of age. _(_())_(_()) At 6 months yeal cam retum and we will screen your infant. _(_())_(_()) Your newborn willi be seremed at the four-month welf baby visit. _(_())_(_()) All newbeens should be screened for hearing before one month of age. 

Client Scenario A child presents to the emergency department shortly after eating a food containing peanuts. The child develops wheezing, vomiting, and generalized hives.

hubeviet.cem/e/mini/1091RMDFB4Grquestionid=1091RMOFBAG-&questicnNumber-3210picld-101N216.KG2M Which statement describes how nurses can use Piaget's theories in a pediatric setting? Select all that apply- \geoquad Nurses can use the theories to develop teaching plans for children. \geoquad Nurses can use the theories to anticipate health outcomes in children. \geoquad Nurses can use the theories to understand the cognitive basis of fears. \geoquad Nurses can use the theories to understand the physiological basis for disease. \geoquad Nurses can use the theories to understand psychosexual stages of development. 

on 10 of 15 The nurse is observing a mother who is interacting with her infant and notices the infant trying to imitate the sounds that the mother is making. The nurse knows that the child must be at least what age? \geoquad 3.4 months \geoquad 4-6 months \geoquad 6-8 manths \geoquad 1.3 months 

Brittany has completed 30 chest compressions and will now give 2 breaths with a face shield that she carries on her key chain. Giving breaths to an infant is different from giving breaths to an adult or a child. Question 7 of 13 How should Brittany give breaths to Mia using a face shield? Select two answers. Pinch Mia's nose shut and cover Mia's mouth with her mouth Cover Mia's mouth and nose with her mouth Give 2 breaths, each lasting about 1 second Give 1 forceful breath that lasts about 2 seconds

tion 15 of 15 Which statement can the nurse use to educate the parent on leaving a child who shows emotional distress when having to leave the parent? ◯ Separations should be accomplished swiftly without dwelling on the separation. \geoquad The mother should reciprocate and show the child that she too is emotionally a bit upset. \geoquad Separations should not be done ton fast as this can create emotional turmoil in the child. \geoquad Separations should be acomplished swiftly, and with repeated emphasis on reassuring the child that the mother will return shortly. 

A 6-month-old infant is brought to the clinic and after assessing the child's head circumference, the nurse notes that the head circumference for this baby has gone from the 50th percentile to 10 th percentile since the 2 -month visit. What might this indicate? Solret all that apply. \geoquad A delay in skull growth \geoquad A below-normal intelligence \geoquad Disturbances in nutrition intake \geoquad A problem with brain development \geoquad Issues with physical development 

A child develops croup with upper airway obstruction. Which mechanism explains stridor? Decreased airway resistance Laminar airflow Widened upper airway Increased airway resistance

A child presents with an intermittent fever for the past 3 weeks. The physical exam is otherwise unremarkable. What anticipatory guidance should the nurse practitioner offer this family?

astion 1 of 3 Calculate the hourly IV fluid rate for a 9 -month old infant who weighs 18 pounds. Round the answer to the nearest tenth, if applicable

A 9-month-old infant has vesiculopustular lesions on the palms and soles, on the face and neck, and in skin folds of the extremities. The primary care pediatric nurse practitioner notes linear and S-shaped burrow lesions on the parent's hands and wrists. What is the treatment for the rash of this infant?

Adolescent has localized bleeding of the gums when brushing the teeth and exam of the mouth reviews of the presence of black and calculus on the teeth, which are not loose. What will the primary care nurse provider recommend

Adolescent female reports for sleep, fatigue, muscle, and joint pain and anxiety lasting for several months the primary care nurse practitioner notes point tenderness at several sites. What will the nurse practitioner do next?

An 8-year-old boy has a recent history of an upper respiratory infection and comes to the clinic with a maculopapular rash on his lower extremities and swelling and tenderness in both ankles. The pediatric nurse practitioner performs a UA, which shows proteinuria and hematuria and diagnoses Immunoglobulin A Vasculitis (IgAV). What ongoing evaluation will the nurse practitioner perform during the course of this disease?

A primary care nurse practitioner is counseling the present TODDLER ABOUT APPROPRIATE DISCIPLINE THE PARENTS REPORT THAT THEIR CHILD IS VERY ACTIVE AND CURIOUS AND THAT THEY ARE WORRIED ABOUT THE POTENTIAL FOR INJURY. WHAT WILL THE NURSE PRACTITIONER RECOMMEND?

The parent of the four day old infant tells the primary care nurse practitioner that the infant was diagnosed with hydronephrosis well in neutral and ask what will be done. What will the nurse practitioner? Tell this patient?

A primary care nurse practitioner applies Florence stain to the child’s eye when examining the eye with a cobalt blue filter light the entire cornea appears cloudy. What does this indicate?

A 12-year-old child whose weight and body mass index BMI are in the 75 percentile that started blood pressure that is between 95% and 99% for age 6 and three separate occasions which test will be prescribed for the tiles initially

the parent of a child with history of iOtitis eterna ash about ways to prevent this condition. what will the primary care nurse pratitioner recommend?

A 2-month-old infant has increased head circumference from the 10th percentile at the 2week exam to the 60th percentile today. What will the primary care nurse practitioner do? \geoquad Refer the infant immediately to a pediatric neurosurgeon. \geoquad Order a magnetic resonance imaging exam of the infant's head. \geoquad Order lumbar puncture \geoquad Schedule frequent clinic visits to monitor head growth.

The primary care pediatric nurse practitioner performs a well-baby assessment of a 5 -day-old infant and notes mild conjunctivitis, corneal opacity, and serosanguinous discharge in the right eye. Which course of action is correct? \geoquad Administer intramuscular ceftriaxone

A 30-month-old child with no previous history of otitis media awoke during the night with right ear pain. The primary care nurse practitioner notes an axillary temperature of

A child is diagnosed with tinea versicolor. What is the correct management of this disorder? \geoquad Using ketoconazole

Student Home Contact My Instructor ADAPTIVE TEST: PM 44 FAST TRACK - OP - OPERATIONS (NR2015) 21. Which situation or finding would trigger you to suspect abuse of a child? \geoquad He tells you he was bitten by an animal you do not see on scene. \geoquad Patient tells you she has unexplained bleeding from her genitals. \geoquad Indications that heavy amounts of alcohol have been consumed in the home. \geoquad First responders tell you the family insists on riding into the hospital with you in the back of the ambulance.

Angela just adopted an 11-year-old from another country. Unfortunately, there are no records of previous immunizations on this child. When discussing immunizations, you mention that the child needs several, including the MMR. Angela asks you what MMR stands for. You tell her: \geoquad Measles, Meningococcal, and Rubeola \geoquad Meastes, Meningococest, and Pubells \geoquad Measles, Mumps, and Rubella \geoquad Mumps, Meningococcal, and Rubella

Which food item would the nurse recommend the parents avoid serving their child who has been prescrib \geoquad A Yogurt \geoquad B Cheese \geoquad C Spinach \geoquad D Grapefruit

The nurse is caring for a pediatric patient who is an African citizen. The nurse ensures that the patient's mother most appropriate reason for the nurse to do so? \geoquad A The mother is responsible for making health care decisions for the child. \geoquad B The mother will assist the nurse in providing optimal health care to the child. \geoquad C The mother is more concerned about the child than any other family member. \geoquad D The mother is responsible for bearing the financial expenses of the child's health care.

Which patient is at high risk for developing adverse effects from over-the-counter (OTC) drugs? Select all that a \geoquad A A young man with cold symptoms \geoquad B A 75-vear-old man in good health \geoquad C A woman with diabetes mellitus \geoquad D Ayoung woman with glaucoma \geoquad E A 1-year-old child

HESI Practice Question Which measure to promote infant safety would the nurse teach to a group of new parents? Select all that apply (SATA). A. Instruct visitors to wash their hands before touching the infant. B. Feed the infant frequently and every time the infant cries. C. Place the infant in a prone position while sleeping. D. Keep the infant's crib free from stuffed toys and small objects. E. Wash hands before feeding and after changing diapers.

Parents bring their 9‑year‑old child to the clinic for nutrition counseling. The child’s BMI is in the 97th percentile, and the parents report decreased physical activity and daily consumption of sugar‑sweetened beverages. During teaching, the nurse reviews potential health complications associated with childhood obesity to promote early prevention. Which complications should the nurse include when educating the parents about health risks associated with childhood obesity? Select all that apply. Nonalcoholic fatty liver disease Delayed puberty and growth failure Obstructive sleep apnea Increased risk of depression and low self‑esteem Early‑onset type 2 diabetes Hypertension and dyslipidemia

Which nursing actions should the nurse take immediately? (Select all that apply) Administer antihistamines as first-line treatment Activate emergency response and prepare for airway management Administer intramuscular epinephrine immediately Delay treatment until symptoms worsen Place the child in a supine position with legs elevated (if tolerated)

Which client should the nurse be most concerned with taking benzodiazepines? \geoquad A 32-year-old mother of two preschool children \geoquad A 42 -year-old businessman who travels internationally \geoquad A 9-year-old child with panic attacks \geoquad An 87-year-old client who uses a cane for ambulation

A nurse is teaching the parents of a toddler about discipline. Which of the following actions should the nurse suggest? A. Establish consistent boundaries for the toddler. B. Place the toddler in a room with the door closed. C. Inform the toddler how you feel when he misbehaves. D. Use favorite snacks to reward the toddler.

A 20-month-old toddler is seen at a well-child visit. The parent reports the child is a “picky eater” and prefers milk and snack foods. The toddler drinks 32 oz (950 mL) of whole milk daily and eats limited fruits, vegetables, and protein foods. Growth is at the 25th percentile and stable. Hemoglobin is at the low-normal range. Risk for iron-deficiency anemia related to inappropriate food choices Directions: Drag and drop the items from the word bank into the boxes to identify 2 contributing factors, 1 expected outcome, and 2 actions the nurse should take. Teach DASH, Stable growth percentile, replace meals with milk if toddler refuses food, hemoglobin remains at the low normal range, offer juice with meals to increase caloric intake, parent reports fewer food refusals, low normal hemoglobin, toddler consumes milk at every meal, provide lentil soup with soft veggies, age appropriate picky easting, offer iron fortified oatmeal with vitamin c rich fruit, excessive whole milk intake

HESI Practice Question A nurse is planning an educational presentation for high school juniors. What activities are most appropriate for the nurse's plan to include? Select all that apply (SATA). A. Video showing the aftermath of a drunk driving car crash. B. Confidential depression and suicide risk assessment. C. Same-age speaker sharing her story about the impact of HIV disease. D. Charts and graphs showing the physical changes of puberty. E. Bicycle helmet fitting station to see if child has outgrown the helmet.

After discharge, most preterm infants need approximately _______ ml/kg/day of breastmilk or standard infant formula. Group of answer choices 124 120 180 250

The primary care pediatric nurse practitioner performs a well-baby assessment of a 5-day-old infant and notes mild conjunctivitis, corneal opacity, and serosanguinous discharge in the right eye. Which course of action is correct? \geoquad Admit the infant to the hospital immediately. \geoquad Give oral erythromycin for 2 weeks. \geoquad Teach the parent how to perform tear duct massage. \geoquad Administer intramuscular ceftriaxone

How much fluid should be provided to an LBW infant during the first day of life? Group of answer choices 40 to 85 ml/kg 50 to 100 ml/kg 60 to 100 ml/kg 1000 ml total

2 pts When the adult child of a client diagnosed with moderate Alzheimer's disease (AD) asks about the possible benefits of enrolling the parent in art classes, the nurse's response is based on what knowledge? \geoquad Creative activities are not limited to cognitively intact older adults; even individuals with dementia can benefit from creative activities. \geoquad Individuals with dementia who have rational language skills can benefit from creative activities. \geoquad Cognitively impaired elders cannot benefit from creative activities due to altered brain processes. \geoquad Cononitivaly impalired elders are usually too agitated to participate in creative arts. Question 13 2 pts You are taking care of an older female adult with severe cognitive impairments. She is unable to

Baby Boy E weighs 1.5 kg at 36 wks PMA and is receiving a premature infant formula at 24 kcal/oz, taking in 20 mL every 3 hours. What is the total volume and calories he is receiving in mL/day, mL/kg, and kcal/kg?

A child is diagnosed with tinea versicolor. What is the correct management of this disorder? \geoquad Application of selenium sulfide

You are working with a child in a health clinic who has severe growth retardation. This child is most likely experiencing ____ deficiency. Group of answer choices zinc iron magnesium chromium

The parent of a child with a history of seizure disorders calls in to the clinic to report her child has a rash on his torso. Which is the most appropriate assessment question for the nurse to ask? A "Has your child been outside today?" B "Does your child have seasonal allergies?" C "Has your child been around anyone who is ill?" D "Has your child started on any new medications lately?"

of 20 Which of the following would be a reason that the health care provider has replaced dexmethylphenidate with atomoxetine? ◯ A Dexmethylphenidate does not improve attention. \geoquad B Dexmethylphenidate induces sedation in the child. \geoquad C Dexmethylphenidate has more addictive properties. \geoquad D Dexmethylphenidate is contraindicated in pediatric patients.

Which characteristic must be identified in the child's behavior before centr are indicated? Select all that apply. One, some, or all responses may be cor

Because of a preterm infant’s decreased ability to concentrate urine, in which of the following should sodium concentration be monitored regularly? Group of answer choices Serum Urine Stool and urine Saliva

Gastric residuals should be checked when feeding an LBW infant by bolus gavage feeding Group of answer choices 1 hour after each feeding. before each feeding. once each day at the same time. when abdominal distension is suspected.

A 30-month-old child with no previous history of otitis media awoke during the night with right ear pain. The primary care nurse practitioner notes an axillary temperature of

A young female patient from a traditional Brahmin family just gave birth to her first daughter and you are taking care of her and her firstborn daughter. Select EVERY correct answer. What should you and others on the hospital staff know about care for her? Group of answer choices Both mother and infant may be considered impure for 10 days after birth. Only healthcare providers may touch them. Mother is the only person in family that makes all decisions in regards to healthcare. Tradition of 40 days of rest may be practiced by mother. Mother may pay particular attention to "ritual cleansing" of left hand. During meals the patient will use only left hand to feed herself The family may perform a special birth ritual that will include mantras.

of 50 _(_())_(_()) The healthcare provider prescribes phytonadione (AquaMEPHYTON) 250 mcg IM to be administered to an infant within 1 hour of admission to the nursery. A 0.5 ml ampule labeled 2 mg in 1 ml is available. The nurse should administer how many ml? (Enter numeric value only. If rounding is required, round to the nearest hundredth.) 

Pradice Tex, 215 HEST |Practice thet HES | Assignement El Portal-Nagrängule College Question 19 of 50 Refum to 0 _(_())_(_()) A child weighing 28.4 kg is in hypertensive crisis. Fill in the blank The healtheare provider prescibes methyldopa (Aldomet) 40 To answer this item, i the required value in mg/kg/day IV in 4 divided doses. The pharmacy provides a 50 provided text box. m(g)/(m)l injection vial. How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.) 

of 50 _(_())_(_()) A 9-month-old infant receives a prescription for digoxin 40 mcg PO daily. Digoxin Oral Solution, USP 50 mcg (0.05mg) per ml is available. How many ml should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.) 

(1 point) Listen The Heimlich maneuver is indicated for which of the following patients? \geoquad a) An unresponsive infant with a potential airway obstruction \geoquad b) A responsive 20 -year-old with stridor due to a foreign body obstruction \geoquad c) A responsive 4-year-old who has a foreign body and is unable to speak as a result \geoquad d) An unresponsive 35 -year-old with a severe airway obstruction

A child with sickle cell disease develops recurrent pain episodes. Which pathophysiologic mechanism explains this finding? Fewer red cells reduce viscosity and increase tissue perfusion Large red cells carry more oxygen and lower tissue ischemia Fragile red cells raise plasma volume and improve circulation Rigid red cells obstruct vessels and reduce tissue perfusion

A child burned their hand in the lunchroom. You should do which of the following? ◯ Cool the burn under clean, cool runing water for as least 10 minutes idealy 20 minutes. ◯ Wrap the burn tightly with a sause dressins and apply a slins and binder. ◯ Apply antliotic cintment to the bum and offer the ch'ld some water to drink \geoquad Cool the burn with ice for at least 10 minutes. idealy 20 minutes.

A child with sickle cell disease develops recurrent pain episodes. Which pathophysiologic mechanism explains this finding? \geoquad Rigid red cells obstruct vessels and reduce tissue perfusion \geoquad Fewer red cells reduce viscosity and increase tissue perfusion \geoquad Fragile red cells raise plasma volume and improve circulation \geoquad Large red cells carry more oxygen and lower tissue ischemia

(1 point) Which of the following is a macro-level indicator of health care quality, rather than a micro-level indicator? \geoquad Adherence to evidence-based clinical guidelines. \geoquad Timeliness of follow-up after hospital discharge. \geoquad Patient-reported satisfaction with provider communication. \geoquad Infant Mortality Rate.

DIAPHRAGMATIC HERNIA - 2020 ELLEN SUMMER nurse has dried the infant while another nurse has just suctioned the mouth and nose. You will: CHOOSE ONLY ONE unless you are directed to "Make another selection in this Section". Apply oxygen, F1O2 0.3 via an oxygen hood Place the infant on a nonrebreather mask Perform an assessment Wait 5 minutes, then perform an assessment Perform arterial blood gas analysis

Case Study # 1. A 12 year old child has a comprehensive panel completed from a patient direct access laboratory. The parents have received the results but are concerned because they have read online that this result is elevated. They are unable to schedule an appointment with their family practice physician until next week, and are very concerned. The alkaline phosphatase level is 300 IU/L. 1. What are the possible tissue sources for an elevated alkaline phosphatase? 2. What would you say to explain the situation to the parents? 3. Is there something that you can implement in your lab to avoid this situation?

of 20 Emily-May is a child who recently was moved from her family home into a children's 24-hour residential setting called Rainbow Residential. Emily-May often refuses to consume the food that is provided by Rainbow Residential staff. Emily-May has expressed to staff that she is used to eating chicken "nuggets, tater tots, carrot sticks with buttermilk dressing, and strawberry milk". Which two actions can Rainbow Residential take to remain in alignment with Oregon Administrative Rule 411-325? . A. Rainbow Residential can provide Emily-May with chicken nuggets, tater tots, carrot sticks with buttermilk dressing, and strawberry milk as an alternative to any meal that is on Rainbow Residential's menu. B. Rainbow Residential can allow Emily-May to have input on the menu and include her preferred food choices. C. Rainbow Resideshial is required by rule to provide three nutritious meals and two snacks daily that include food from the basic food groups according to the USDA. Therefore, Rainbow Residential must continue to only offer Emily-May the healthy and nutritious meals that are included on their menu. D. Rainbow Residential can purchase Emily-May's desired foods and offer them to her after she has consumed the healthy and nutritious meals that are included on their menu.

En En firmering My Course Plan Study Mode: On Report content error Question 31 of 50 While coring for a loctoting patient, the nurse suggests that the potient ploce the infont on her shoulder ofter feeding. Which reason for this suggestion is best? \geoquad A To promote burping in the infant \geoquad B To encourage regurgitation of mill- \geoquad C To prevent constipation in the infont \geoquad D To retroct excess milk from the infont

The infant's baseline weight at 8-months of age is 8.4 kg. On presentation to the ED, the infant's weight is 7.7 kg. Based on weight loss, what degree of dehydration is the infant exhibiting?

Case Study - 1 A 12 year old child has a comprehensive panel completed from a patient direct access laboratory. The parents have received the results but are concerned because they have read online that this result is elevated. They are unable to schedule an appointment with their family practice physician until next week, and are very concerned. The alkaline phosphatase level is 300 IU/L. What is the most likely condition for this patient? Option A Elevated, consider obstructive jaundice Option B Elevated, consider metastatic bone disease Option C Elevated, consider hepatitis Option D Within the reference range

Micah Sanders is a 3-week-old infant who weighs 3.2 kg. He requires surgery to repair a heart defect. Which modifier should be used with the surgical procedure code? a) -63 b) -21 c) -47 d) -99

code class="asciimath">Food allergies have become one of the most common chronic health conditions affecting children in the United States and many other countries. A food allergy develops when the body's immune system mistakenly reacts to proteins in certain foods as though they are harmful. These reactions can vary from mild symptoms, such as itching or hives, to severe, life-threatening anaphylaxis that requires immediate medical treatment (National Institute of Allergy and Infectious Diseases [NIAID], 2024). According to the Asthma and Allergy Foundation of America (AAFA, 2022), millions of children are living with food allergies, making effective prevention, diagnosis, and management important public health priorities. The effects of food allergies extend beyond physical health. Children with food allergies often face challenges at school, during social events, and while participating in extracurricular activities because of the constant risk of accidental exposure to allergens. Families must carefully read food labels, communicate with caregivers and teachers and carry emergency medications such as epinephrine. These responsibilities can create emotional stress and financial burdens for parents and caregivers (Food Allergy Research & Education [FARE], n.d.). As researchers continue to study why food allergies are becoming more common, healthcare professionals are developing approaches for diagnosis, prevention, and treatment. This paper examines the causes, symptoms, diagnosis, treatment and prevention surrounding childhood food allergies and discusses their impact on children and families The exact cause of childhood food allergies remains unknown, but researchers agree that several factors contribute to their development. Genetics play an important role because children with family members who have allergies, asthma, or eczema are more likely to develop food allergies themselves (American Academy of Allergy, Asthma & Immunology [AAAAI], 2025). Eight foods are responsible for most allergic reactions in children: peanuts, tree nuts, milk, eggs, wheat, soy, fish, and shellfish (AAFA, 2022). Even a very small amount of one of these foods can trigger an allergic reaction in a child. Because reactions are unpredictable and may become severe without warning, healthcare providers emphasize early diagnosis, education, and avoidance of known allergens to reduce the risk of serious complications. The symptoms of childhood food allergies can appear within minutes or up to two hours after eating a food that triggers an allergic reaction. Symptoms vary from one child to another and may range from mild to severe. Common mild symptoms include itching, hives, swelling of the lips or face, stomach pain, nausea, vomiting, diarrhea, and eczema flare-ups. Some children may also experience coughing, wheezing, or difficulty breathing. The most serious allergic reaction is anaphylaxis, a medical emergency that can cause swelling of the airway, difficulty breathing, a rapid drop i

The nurse is preparing to administer normal saline as a maintenance intravenous (IV) solution for a new admit on the pediatric floor, to be given over 24 hours. The client weighs 30 kg . The nurse will set the IV pump at (1)-02

The infant now weighs 3.4 kg. Referencing the fluid composition chart, what is the infant's daily maintenance fluid requirement? (Enter numerical value only. If rounding is necessary, round to the nearest whole number.)

Rubin, L, C. (2017). Handbook of medical play therapy and child life: Interventions in clinical and medical settings. Routledge.

a young child who has low vision and severe spastic quadriplegic cerebral palsy uses a tilt-in-space. What information should the OTR

Saterament. assessmentplayerapp.chevier.comfassessment My Course Plan Study Mode Question 46 of 50 Which statement by a new mother would warrant a review of the infant's cord care? \geoquad A "The cord will come off within 10 days." \geoquad B "I must place the cord under the dioper." \geoquad C "I will not place the baby in water until the cord comes off." \geoquad D "Alcohol should be placed on the cord with diaper changes."

Study Mode - On Report My Course Plan Question 21 of 50 Which assessment finding would the nurse expect in a child with coarctation of the oorta? \geoquad A Clear lungs bilaterally to auscultation \geoquad B Apical heart rate of 60 beats/min and respiratory rate of 20 \geoquad C Blood pressure in upper extremities higher than in lower extremities \geoquad D Bounding pulses in upper extremities and threody pulses in lower extremities DU \geoquad

My Course Plan Study Mode On Question 38 of 50 Which method is the most useful way to measure fluid bolance in a child with ocute glomerulonephritis? \geoquad A Weigh the child daily. \geoquad B Perform urinalysis to check for proteinurio. \geoquad C Calculate the intake and output every shift. \geoquad D Perform urinalysis to monitor the specific gravity. configent

E Deene Stor My Course Plon Question 31 of 50 Which oction by a student nurse when meosuring the weight of a 5 year-old child would need correcting?

E Dowe Eme Sebleted My Course Plan Stually Made/ On Aeport content serve Eut qu Question 32 of 50 Which stotement obout temperature measurement in pediatric potients is occurate? \geoquad A Rectol temperature measurement remoins the preferred method for inforts and young children. \geoquad B Oral temperature measurement is appropriate for all pediatric patients regondless of age. \geoquad C Tympanic temperoture measurement is the most sensitive method for detecting fever in children younger than 3 years. \geoquad D Tymponic temperature measurement requires proper technique, including correct probe size and eor positioning, to ensure occurocy.

My Course Plan Study Question 39 of 50 Which patient demonstrates an abnormal growth pattern that should be reported to the pediatrician? \geoquad A 1 -year-old child who has tripled the birth weight \geoquad B 12 -year-old adolescent who has a sudden increase in height \geoquad C 7-year-old child who has a gradual increase in weight and height \geoquad D 5-year-old child who has a widely disparate height-to-weight ratio

The doctor orders Demerol 6.0 mg. q. 4 h. (every 4 hours) p.r.n. (as needed), for an infant weighing 26 Ibs. You have on hand a Demerol solution where 1.0 mL contains 50.mg. How many mL should you give the infant each time? (1 kg = 2.205 lb)

Study Mode On My Course Plan Question 41 of 50 Which instructions would the nurse give to a new mother regarding umbilical cord care? \geoquad A "Apply alcohol on the cord stump daily to keep it dry until it falls off." \geoquad B "Apply Vaseline to the cord stump several times a day to keep it moist until it comes off." \geoquad C "Gently manipulate the cord stump side to side untit it loosens and can be easily removed." \geoquad D "Place the infant in warm bathwater to help the cord stump soak off over the next 7 to 10 days."

Which interventions are most appropriate when a patient speaks the predominant language but it is not his or her native language? Select all that apply. \geoquad Speak louder. \geoquad Use a professional interpreter. \geoquad Have the child translate for the family member. \geoquad Provide written materials. \geoquad Limit the use of slang: 

Advanoed seauch - Study Mode On My Course Plan Question 5 of 50 Which action would the nurse take when a newborn has slightly blue hands and feet? \geoquad A Continue to monitor the infant. \geoquad B Administer oxygen, as prescribed. \geoquad C Increase the heat on the warmer. \geoquad D Wrap the infant in a warm blanket.

My Course Plan Study Mode On Question 42 of 50 Which finding would the nurse notice during the examination of the genital argans of a child with hypospadias? \geoquad A The testes in the patient have failed to descend into the scrotum. \geoquad B The opening of the foreskin of the penis is narrowed or stenosed. \geoquad C The urethral opening is located along the dorsal surface of the penile shaft. \geoquad D The urethral opening is located along the ventral surface of the penile shaft.

Study Mo My Course Plan Question 36 of 50 Which disability will the nurse suspect in a premature child with abnormal muscle tone? \geoquad A Meningitis \geoquad B Encephalitis \geoquad C Cerebral palsy \geoquad D Hydrocephalus

E sheppen E 40 assessmentplayerapp.ilievier.com/assessment My Course Plan Study 1 Question 33 of 50 Which procedure would the nurse follow when bathing an infant who has an intact umbilical cord? \geoquad A Clean the area around the cord with water. \geoquad B Use a cotton-tipped applicator to clean the ears. \geoquad C Use mild soap to clean the area around the eyes. \geoquad D Clean the face and dry it before proceeding to other body parts.

RN Mental Health Online Practice 2023 B Question: 58 of 60 close Time flapied 01:35:41 Phose Remaining 06-2000 FWARS: RLAG A nurse is planning care for a 7-year-old child whe has ADotD. Which et the following interventions should the nurse identify as the prierity? \geoquad Decrease distractions during meal times. \geoquad Provide ponitive feedback when the chald completes a task. \geoquad Clearly identify consequences for unacceptable behavior. \geoquad Remove unnecessary equipment from the childs surroundings.

att RN Mental Health Online Practice 2023 B Question: 28 of 60 Pause A nurse in an emergency department is caring for an adolescent who has a diagnosis of bulimia nervosa and had performance. Which of the following statements by the parent acknowledges the client's diagnosis? \geoquad \geoquad They work so hard at ballec. will they sell be able to perform? Theyre happier with their appearance now that theyve lost some weight." \geoquad

Four patients were discharged from Crestview Hospital yesterday. A final progress note is an appropriate discharge summary for Howard, who died within 24 hours after his admission for a second heart attack in 2 weeks. Fieldstone, who was admitted for 5 days following a heart attack for the acute onset of chest pain. Jackson, who had no comorbidities or complications during this admission for replacement of a pacemaker battery. Babson, who delivered a healthy 8-pound boy without complications for either mother or child and was discharged within 36 hours of admission.

1 pts When assessing the child with osteogenesis imperfecta, the nurse should expect to observe \geoquad discolored teeth. \geoquad above-average stature. \geoquad increased muscle tone. \geoquad below-normal intelligence. Next Previous

A nurse is providing support for the parents of a child who has a new diagnosis of a terminal brain tumor. The nurse should expect the parents to experience which of the following stages of grief first? \geoquad Denial \geoquad Bargaining \geoquad Anger \geoquad Depression

A three-year-old child undergoes direct laryngoscopy for fluid aspiration. Which CPT code is assigned? 31515 31520 31520 63 31525

The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How would the nurse assess this child’s respirations? Question 18 options: Child's respirations should be checked for a minimum of 5 minutes to identify any variations in his or her respiratory pattern. Child's pulse and respirations should be simultaneously checked for 30 seconds and then multiplied by 2. Patient's respirations should be counted for 15 seconds and then multiplied by 4. Respirations should be counted for 1 full minute.

What is the normal FRC range on an infant?A. 10 and 25 mL/kg of weight and 2 and 3 mL/cm of length.B. 15 and 25 mL/kg of weight and 4 and 5 mL/cm of length.C. 15 and 25 mL/kg of weight and 2 and 3 mL/cm of length.D. 15 and 25 mL/kg of weight and 4 and 5 mL/cm of length

8 FIII in the Blank 1 point A child that weighs 43 kg , is dehydrated. After giving the IV fluid bolus, the providers order reads: "Increase IV fluid to maintenance rate". The nurse will set the IV pump at

2 Fill in the Blank 1 point A child that weighs 43 kg , is dehydrated. After giving the IV fluid bolus, the providers order reads: "Increase IV fluid to maintenance rate": The nurse will set the IV pump at

19 Fill in the Blank 1 point The nurse is preparing a maintenance IV for a new admit on the pediatric floor. The client weighs 24 kg . The nurse will set the IV pump at

of 65 Your patient's 1-hour-old infant is intermittently grunting. What is your BEST next step? Apply continuous positive airway pressure. Begin positive pressure ventilation. Suctio mouth and nose. Apply a pulse oximetry monitor to check saturations and heart rate.

a i year old male patient is not acting right. the patient appears to be unresponsive and has pale skin. on assessment, you find the patient is alert to pain, respirations are shallow at 34 per min, and pulse is 144. as you are assessing him further, he begins to seize again. what is the best treatment for this child

A previously healthy 6-year-old child presents for evaluation of rash to the bilateral posterior legs, which has been present for 6 weeks. Multiple coin-shaped lesions with scaling and surrounding erythema are present. The patient describes the lesions as sore and denies pruritus. The lesions have not responded to daily application of an over-the-counter moisturizer. Further questioning reveals that the child recently began homeschooling and has spent several hours per day seated in a chair with nickel-plated screws. In addition to advising the patient’s parents to switch the child to an alternate chair, what is the appropriate pharmacologic treatment? Question 29Answer a. triamcinolone acetonide 0.5% ointment twice daily for 7 days b. hydrocortisone 1% cream twice daily for 21 days c. hydrocortisone 1% cream twice daily for 7 days d. triamcinolone acetonide 0.5% ointment twice daily for 21 days

The nurse reviews the assessment findings and determines they are consistent with which of the following diagnoses (e.g., acute viral nasopharyngitis, acute epiglottitis, or acute tracheobronchitis). Answer: Acute viral nasopharyngitis-body temperature Acute epiglottitis-body temperature oral secretions child's appearance retractions positioning of body reported pain Acute laryngotracheobronchitis-body temperature retractions

The nurse is assessing a school-aged child with sickle cell anemia. Which assessment finding is consistent with vaso-occlusive crisis? ANS: Fever, swelling, joint pain, resp distress

To assess the head control of a 4-month-old infant, the nurse lifts up the infant in a prone position while supporting his chest. The nurse looks for what normal response? The infant: Question 5 options: Flexes the knees and elbows with the back straight. Holds the head at 45 degrees and keeps the back straight. Extends the arm and drops down the head. Raises the head and arches the back.

A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

The nurse is caring for a 13-month-old on the pediatric unit and reviews the toddler’s assessment data to prepare the plan of care. Complete the bowtie by dragging and dropping the condition the client is most likely experiencing, two actions the nurse should take/anticipate related to the condition, and two parameters the nurse should monitor.

The nurse is discussing concerns the parent has with his 3- year-old. The parent identifies limitations in the child’s activities. Select all that should be of concern to the nurse. A. unable to work simple toys B. unable to understand simple instructions C. unable to say first and last name D. unable to name any colors or numbers ✔ CORRECT: By age 3, children should be able to work simple toys, follow simple instructions, say their full name, and recognize some colors and numbers. Inability to do any of these (A, B, C, D) is a developmental concern warranting follow-up. Reference: Hockenberry & Wilson – Wong's Essentials of Pediatric Nursing, 9th Ed.

The nurse is preparing to administer normal salne as a maintenance intravenous (IV) solution for a new admit on the pediatric floor, to be given over 24 hours. The client weighs 30 kg . The nurse will set the IV pump at

Several studies indicate that febrile illness in infancy can be associated with hearing loss, and early-intervention measures are crucial to mitigate the effects of this result. You are a nurse practitioner in a pediatric ICU. Your concerns lead you to develop a screen for hearing loss in febrile infants and obtain institutional review board (IRB) approval to test it in your unit. Your study enrolls 450 eligible subjects. Twenty infants have hearing loss, and 18 of them screen positive; 403 infants do not have hearing loss and screen negative. If an infant has hearing loss, what is the probability that your screen will detect it? What is the screen characteristic this describes?

Several studies indicate that febrile illness in infancy can be associated with hearing loss, and early-intervention measures are crucial to mitigate the effects of this result. You are a nurse practitioner in a pediatric ICU. Your concerns lead you to develop a screen for hearing loss in febrile infants and obtain institutional review board (IRB) approval to test it in your unit. Your study enrolls 450 eligible subjects. Twenty infants have hearing loss, and 18 of them screen positive; 403 infants do not have hearing loss and screen negative. The year after your unit implements your screen for all febrile infants, there is an outbreak of measles among unvaccinated children in your community. The prevalence rate for hearing loss increases by 15%. How would the increase in prevalence affect the following characteristics of your hearing loss screen? Positive predictive value (PPV) Negative predictive value (NPV)-

A nurse is planning an in-service about types of child maltreatment for a group of staff members. Which of the following examples should the nurse plan to include when discussing manifestations of neglect?A child who exhibits sexualized behaviors toward othersA child whose clothing is dirty and tornA child who is toilet trained ard begins weting the bedA child who has an unexplained burn injury

Question: 1 of 85 A nurse is caring for an 8 -year-old child on an inpatient pediatric unit. Extibit ? Extribit? Exxibit? Exhibit A Admissions Assessment 1700: Client admitted from the operating room following an accidental burn that occurred when the child tripped and fell into the family's campfire around 1200 today. The child sustained full-thickness burns to the anterior portion of the left lower extremity and partial-thickness burns to the left hand. Estimated total body surface area burned 15%. Click to highlight the finding that indicate the dient sepirs immediate followser. To deselect a finding didcon the finding yip. \geoquad \geoquad \geoquad Time Remaing Cllosh

Placing the low birth weight or premature infant vertically against the parent's chest, under the shirt, thereby promoting skin-to-skin contact is called

.⁠ ⁠A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates a need for further teaching? a. "I will be sure my child aspirates before injecting insulin" b. "the insulin can be injected anywhere where there is adipose tissue" c. "I will be sure by child rotates sites after 5 injections in one area" d. "the insulin should be injected at a 90 degree angle"

Based on the required reading and course material, how would you respond to a new staff member in a 3-5 year old program who tells a child they can't have their "treat" cookie until they eat their "healthy" sandwich?

A nurse in the pediatric emergency department is using the Pediatric Assessment Trange to prioritize care. Which child should the nurse assess first? \geoquad A 4-year-old with croup who has inspiratory stridor when crying, pink skin color, and is drinking whal sips of juice \geoquad An 8 -year-old with a history of asthma who has expiratory wheezing, respiratory rate

he nurse is teaching the parents of an 8-year-old client with newly diagnosed pediculosis capitis. Which of the following information hould the nurse include? Select all that apply. \geoquad 1. "Dispose of any hats or helmets that your child has worn recently." \geoquad 2. "Ensure that all your family pets also receive treatment." \geoquad 3. "Use a fine-tooth comb to remove nits from your child's head." \geoquad 4. "Vacuum the furniture, carpets, and mattresses in your home." \geoquad 5. "Wash your child's bedding and clothing in hot water."

Several studies indicate that febrile illness in infancy can be associated with hearing loss, and early-intervention measures are crucial to mitigate the effects of this result. You are a nurse practitioner in a pediatric ICU. Your concerns lead you to develop a screen for hearing loss in febrile infants and obtain institutional review board (IRB) approval to test it in your unit. Your study enrolls 450 eligible subjects. Twenty infants have hearing loss, and 18 of them screen positive; 403 infants do not have hearing loss and screen negative. If an infant has hearing loss, what is the probability that your screen will detect it? What is the screen characteristic this describes? You are approached by the father of an infant who screened negative. He once had a negative rapid test for COVID and was hospitalized the next day with a positive test. He wants to know the probability that his son’s negative screen is correct and his child does not have hearing loss. You explain: The year after your unit implements your screen for all febrile infants, there is an outbreak of measles among unvaccinated children in your community. The prevalence rate for hearing loss increases by 15%. How would the increase in prevalence affect the following characteristics of your hearing loss screen? Positive predictive value (PPV) Negative predictive value (NPV)-

(1 point) Uhten Which patient will the nurse see first? \geoquad A 56-year-old patient with oxygen with a lighter on the bedside table \geoquad A 56-vear-old patient with oxygen using an electric razor for grooming \geoquad A 1-month-old infant looking at a shiny, round battery just out of arm's reach \geoquad A 1-month-old infant with a pacifier that has no string around the baby's neck

An B-year-old diognosed with Paget's diseose reports symptoms of poin and swelling around the right binee. The patient's parent reports the child felt and hurt the right leg a couple of weeks ogo, and injury seems to hove groduolly gotten worse since then. which potentiol complication would the nurse would asssociate with these findings? \geoquad A Osteochondroma \geoquad B Endochroma \geoquad C Osteosorcoma \geoquad D Chandrosarcoma

__________ doubles the risk of SIDS. Question 10 options: a) Failure to tightly swaddle an infant during sleep b) Cigarette smoking by a caregiver c) Use of a pacifier or a security blanket d) Placing an infant to sleep on his back

FLAG A nurve in a peliatic emergency desament in caring for a presctoder. Eulifier 1 Enitor? Nurarc' Netes 2 weeks age at a diflerent emergency department: Preschooled presuents be the emerency depurtmed ber poor silep. Parent States 'this child rever sleept, it has been years since they have had even one minute of sleep." Farent denies any recene trauma in the preschoolers life. Preschooler is withdrawn and quiet, appears undernourshed. Daring the visit to the emegency department the child slept for 2 hours in the examination reom. Teder: Preschooler presents to the emergency department for a burn on their leth foot. Parent stanes "they spilled water hom the lita lietter onto their foot today and is looks awhal. They are such a dumily child. I wish they mould be more careful." The preschooler in withdrawn and quiet, appears undernour ished, hair is unwasher. attempts to give them a hug, brusing present on torso. whlamed. blistered thisue present on left foet and anale, bistinct line where burn ends vinible on andle. Por sach ponsmal provider's presorprion, diak no secily of the menument finding is univilent enth neplect physical abuse or factious dounder or sone ar. all Bere numble be least 1 selectlon in every subren. There doen not need to be a relection in every rox. \table[[Ameriment Rindinge,Rengleet.,Playsilical Morke,Facticioun Disorder lengesed ens Anscher],[Pariout melinatons लब,\geoquad ,\geoquad ,\geoquad ],[,\geoquad ,\geoquad ,],[,,\geoquad ,],[Gevine flonderge.,\geoquad ,,\geoquad ],[Nowidlerest cistis,,\geoquad ,\geoquad ],[MENE TINEY medical somers,\geoquad ,\geoquad ,],[Nand Haings,\geoquad ,,\geoquad ]]

iting cony/Ansewnert FLAG A furse in a pedlatoic emergency department is caring for a preschooler. Evertant twhen? Nurses Netes 2 weeks ago at a dillerent emergency department: Preschooler presents to the emerpency department for poor sleep Parent states "this child never sleeps, in has been yrans since they have had even one minute of sleep." Parent denies any recent trauma in the preschooler's life. Preschooler is withdrawn and quiet, appears undernourished. During the visit to the emergency department the child slept for 2 hours in the examination room. Today: Preschooler presents to the emergency department for a burn on their left foot. Parent wates "They spilled water from the tea kettic onto their foot todary and it looks awful. They are such a clumsy child. I wish they would be more carefulc" The preschooler is withdrawn and quiet, appears undernourished, hair is unwanked, and cloxhing is dirty. Preschooler flinches when the parent atiempts to give them a hug, Brubing present on torso. inflamed, bistered tisture present on left foot and anale, distinct line where burn ends visible on ankle. Ior sach poterial provider's prescripion, dick to specly I the muenwert Inding is consiblert with negled, phyical abone, or fuctions docorder inpesied on anoler. Each frieling moy support more than 1 disesue procen dues not need to be a selection in every row. \table[[Adsensment findings,Negleds,Mingrical Abure,Factitiona Disorder Imposed on Amother],[Revelt eptanation af oppy,\geoquad ,\geoquad ,\geoquad ],[Tareir exageration of denep partine,\geoquad ,\geoquad ,],[Hatime,\geoquad ,\geoquad ,\geoquad ],[Meble Thisher.,\geoquad ,\geoquad ,\geoquad ],[Newlinent eiplin,\geoquad ,\geoquad ,\geoquad ],[vinting malleve nelloal centers,\geoquad ,\geoquad ,],[Tono flodire,\geoquad ,,\geoquad ]] Weis fach cangong munt have in hast 1 response copion selected. Smarch

A large hospital wants multiple units. They rotate nurses through the maternity, pediatrics, and geriatrics units, spending three months in each before returning to their primary unit. At the same time, a nursing school places student nurses with a senior nurse for two years, observing and gradually assisting until they can work independently. Which statement correctly distinguishes the two approaches?

1 pts The nurse just completed giving a patient an injection and turns to deposit the springe and uncovered needle into the sharps container. Suddenly the patient's daughter runs between the nurse and the sharps container. The nurse sticks the child with the needle. What should the nurse do? \geoquad Tel the mother and crila it is okivy and contrue disposing of the used syringe \geoquad Cower the needlastick site with a bandage to cals ithe chld and do nothing further because this is the parients blood relative. \geoquad Dinect the mother and child to the loca county health department. \geoquad Notity the suconvion who will be resporelble for hedping the mother and child throuph the diric's reedestick procedure. 

Your patient delivered a 28 week infant by wmwrgency cesarean for incontrolled hypertension 2 houra ago

The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury. Which is the best way for the nurse to document the findings in the patient’s chart? Question 17 options: Use the words the child has said to describe how the injury occurred. Document what the child's caregiver tells the nurse. Record what the nurse observes during the conversation. Rely on photographs of the injuries.

Solumedrol 1.5 mg/kg is ordered for a child weighing 12 lb. Solumedrol is available as 75 mg / 3 mL is available. How many mL must the nurse administer?

The nurse is continuing to care for the adolescent. Exhibit 1 Exhiblt? Exhbit 3 Exhibit 4 Exhibls Data Collection 1400: Adolescent brought to the emergency department by parents following a fall while skateboarding. Adolescent reports pain in their right leg as a 10 on a scale of 0 to 10 and is unable to bear weight. Adolescent is awake, alert, and oriented

A nurse is collecting data from a client who is having difficulty coping with the death of their child. Which of the following questions by the nurse is the priority? \geoquad "What events led you to seek help?" \geoquad "Who can you turn to for support?" \geoquad "Do you think about harming yourself?" \geoquad "Which activities help you to have better days?"

A child with a history of otitis externa asks about ways to prevent this condition. What will the nurse practitioner recommend? Question 3Select one: a. Drying the ear canal with a hair dryer b. Swimming only in chlorinated pools c. Using cerumenolytic agents daily d. Cleaning ear canals well after swimming

Strikenout Calculator Mark The adult child of a client arrives to take his parent home from the facility following a colon resection. The client's son tells the nurse, '7don't know how I am Ques going to take care of my mom now." Which of the following responses should the nurse make?

A school-age child has a history of chronic otitis media and is seen in the clinic with vertigo. The nurse practitioner notes profuse purulent otorrhea from both pressure-equalizing tubes and a pearly-white lesion on one tympanic membrane. Which condition is most likely? Question 36Select one: a. Otitis media with effusion b. Mastoiditis c. Cholesteatoma d. Otitis externa

A 3-year-old child has had one episode of acute otitis media 3 weeks prior with a normal tympanogram just after treatment with amoxicillin. In the clinic today, the child has a type B tympanogram, a temperature of 102.5°F, and a bulging tympanic membrane. What will the nurse practitioner order? Question 19Select one: a. Amoxicillin-clavulanate twice daily b. Intramuscular ceftriaxone c. Amoxicillin twice daily d. A referral for tympanocentesis