NUR 2513 Exam 3 Review Maternal Child

NUR 2513 Exam 3 Review Maternal Child

• 12-year-old with pyelonephritis signs and symptoms. (3 check all that

apply) Enuresis, malodor, dysuria with frequency, urgency and discomfort, fever/chills ( especially when related to pyelonephritis) abdominal pain, flank pain, malaise, vomiting and diarrhea.

• Nursing interventions of seizure precautions for child (3 check all that

apply). Airway patency, ensure nothing is placed in the child's mouth during seizure, watch for loose teeth that may be aspirated or knocked out, suction if needed after the seizure, monitor oxygenation saturation should be at 95% or greater. For safety raise and pad side rails when the child is in bed or crib.During administration of medications give Iv medications slowly during a seizure to reduce risks of side effects.

• 9-year-old with fractured distal radius plan of care (3 check all that apply).

Provide emotional support and review management plan, principles of bone healing, how to perform a neurovascular assessment, cast care, teach family about adaptations to home environment. Teach the family about nutrition and safe transfer.

• Education presentation to prevent skin cancer topic to include (4 check all

that apply). Apply sunscreen, reduce length of time in the sun, avoid tanning beds and 2 or more severe sunburns in a row increase skin cancer risk

• Toddler with Kawaski Disease, findings with physical assessment (3 check all

that apply). Rash, conjunctivitis with exudate, cervical lymphadenopathy greater than 1.5mm in diameter, irritation and inflammation of the mouth 1 / 4

with erythema “strawberry tongue” and cracking lips, erythema and edema of hands and feet with eventual peeling of the skin.

• Signs of sexual abuse in preadolescent client that parent should be

educated about (4 check all that apply). Quieter, more distant, cries for no reason, start to have accidents and wets bed at night, can be aggressive and angry for no obvious reason, says there tummy or head hurts, starts having nightmares, is clingy, isn’t plating with others, having trouble sleeping, showing problematic sexual behavior, doing worse in school, swelling and redness in genital area, pain with urination, bruising on butt and thighs, UTIs, STD symptoms

• School-aged child diagnosed with obesity. Patient education to achieve

proper BMI (3 check all that apply). Make a detailed log about food they eat the time and circumstances, always eating in one place (Kitchen table) slowing the process of eating by counting mouthfuls and putting the fork down between bites, encourage exercise as well.

• 38 weeks pregnant having an NST what would RN observe for (3 check all

that apply). Baby's movement, heartbeat and contractions. You will note changes in heart rhythm if the baby goes from resting to moving or during contractions if you are in labor.

• School-aged child with open reduction for fractured femur, assessment

findings of developing infection (3 check all that apply). Assess the wound, monitor, intervene to prevent infection, manage pain through positioning and medications as ordered. 2 / 4

• Adolescent female after sexual assault. PTSD signs and symptoms (4 check

all that apply). Re-experiencing the traumatic event, avoiding reminders of the trauma, startling easily, having negative thoughts and beliefs. Body aches, fatigue, flashbacks, insomnia, headaches, nightmares.

• School-aged child developing pneumonia signs and symptoms (3 check all

that apply). Cough that produces mucus, rapid breathing, cough pain, vomiting or diarrhea, loss of appetite, fatigue, fever.

• Instructing adolescent about sexual activity includes (3 check all that apply).
• School-aged child with leg cast. Nurse to include for patient education (4

check all that apply). When the cast is applied it will feel warm, tell them to report pain that is severe or not relieved 1 hour after the administration of pain medication, perform neurovascular checks, give instructions for proper use of crutches, don’t place anything inside of cast, notify provider if there are any hot or soft spots on cast, report any foul smells

• Preschool age health screening and questions about secondary health

promotion activities (3 check all that apply). vision , hearing screens and vaccines.

• Meter-dosed inhaler for asthma and patient education (3 check all that

apply).Remove cap from inhaler, shake 5-6 times, attach spacer, hold inhaler with the mouthpiece at the bottom, hold the inhaler with the thumb near the mouthpiece and the index and middle fingers at the top, Open mouth method (hold 3-4 cm 3 / 4

away from mouth) or closed mouth method (place inhaler between lips and form a seal) take a deep breath and exhale, tilt head slightly back and press inhaler, begin a slow, deep breath that lasts for 3-5 seconds. Hold breath for 5-10 seconds.Wait 1 minute between puffs. Take the inhaler out of the mouth and slowly exhale through your nose and resume normal breathing. Rinse out mouth after use and clean after every use

• Parent education for 6-year-old of iron-deficiency anemia (3 check all that

apply). Expect stools to turn a tarry green color when taking iron supplements, brush teeth after oral dose to prevent teeth staining. Dietary sources- dried beans and lentils, peanut butter, green leafy vegetables, iron-fortified breads and flour, poultry, and red meat

• PPE while inserting urinary catheter for +HIV and TB child (4 check all that

apply) N95 mask, sterile gloves, gown, and eye goggles

• 2-year-old osteomyelitis primary nursing intervention.- Maintaining

intravenous antibiotic therapy- Is it a serious infection that needs to be treated vigorously

• Gravida 2 Para 1 36-week gestation prenatal visit. What lab test is ordered?

Group B Strep

• 3-month-old failure to thrive indication- Less than 5th % on growth chart,

malnourished appearance, no fear of strangers, minimal smiling, decreased activity level, withdrawal behavior, developmental delays, feeding disorder, wide-eyed gaze, stiff or flaccid body

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