------- PEDS EXAM 1 ---------

------- PEDS EXAM #1 ---------

A child with autism has been admitted to the pediatric unit for observation.Which intervention is best?

• assign a private room and allow parents to bring in the child’s belongings
• The nurse is assessing a newborn that had undergone vaginal delivery.

Which of the following findings is least likely to be observed in a normal newborn?

• respirations are regular, mouth breathing 60 -80 bpm
• A nurse is assessing a 2 1/2 year old toddler at a well child visit. Which

clinical finding should be reported to the health care provider?

• head circumference exceeds chest circumference
• What is the best plan for a child in the intensive care unit with severe

postoperative pain after a motor vehicle collision? The child has numerous fractures and is in pain that is rated 9 or 10 on a 10-point scale?

• Plan a preventive schedule of pain medication around the clock
• A seven month old patient with up to date immunizations has a runny

nose, a low grade fever, and a paroxysmal cough that has worsened over the past few days. The patient has coughed so hard that scleral hemorrhages are present. The most likely diagnosis is?

• pertussis
• The nurse is discussing sexuality with the parents of an adolescent girl

who has moderate cognitive impairment. What factor should the nurse consider when dealing with this issue?

• individuals with cognitive impairment need a well-defined, concrete code

of sexual conduct

• What description applies to Fragile X syndrome?

-Second most common genetic cause of cognitive impairment (Klinefelter - XXY - gynecomastia, Turner - NO X, short stature, Fragile X- autism like)

• The nurse should suspect a hearing impairment in an infant who fails to

PEDS EXAM #1

Peds All Exam / SATA Review Questions and Answers 2022 1 / 4

demonstrate which behavior?

• babbling by age 12 mos
• The community is planning prevention measures designed to avoid

conditions that can cause cognitive impairment. Taking folic acid supplements during pregnancy to prevent neural tube defects is which type of prevention strategy?

• Primary prevention (vitamins)

(secondary prevention are newborn screening, tertiary prevention is treating the disease that already exist)

• What is the best method to verify the placement of a nasogastric tube

before each use?

• radiologic confirmation
• Phenylketonuria is a genetic disease that results in the body's inability

to correctly metabolize which?

• Phenylalanine

(stop formula and breastfeeding)

• Please select from the following list the two basic concepts used by the

pediatric Nurse to foster family care with children and their families:

• Enabling and Empowerment
• Secondary prevention for cognitive impairment includes what activity?
• Newborn screening for treatable inborn errors of metabolism
• A child has been diagnosed with giardiasis. Which prescribed

medication should the nurse expect to administer?

• Tindazole (tindamax) , metronidazole (flagyl)
• Which concept reinforces the development of a sense of trust for

infants?

• they can predict what is coming and their needs are consistently met
• The nurse wants to provide a 3 month old infant with stimulation.

What is the best toy for the nurse to provide?

• mobile with music box 2 / 4

• The nurse is assessing a 12 year old child with foreign object in the left

eye. What action should the nurse take?

• remove a freely movable object with the pointed corner of gauze pad

moistened with water

• A child's chart indicates astigmatism. For what should the nurse

assess?

• unequal curvatue in refractive apparatus

(myopia: nearsightedness, hyperopia: farsightedness, strabismus: cross eyed)

• When planning care for a 8 year old boy with down syndrome, the

nurse should:

• assess the child's developmental level and plan care accordingly
• Children do not like the discomfort associated with venous , arterial

and capillary punctures. Which of the following is the most appropriate pain reduction technique to use with most children before these painful procedures?

• Apply EMLA creme topically over the site if time permits
• A patient reports to the nuse that her child has inflamed conjunctivitis of

both eyes with watery to thick discharge, itching and swollen eyelids.These manisfestations suggest?

• allergic conjuntivitis
• Which of the following is the causative agent of scarlet fever?
• Group A beta hemolytic- streptococci (GABHS)
• The nurse is assessing the coping behaviors of the parents of a child

recently diagnosed with a chronic illness. Which of the following should the nurse consider as an "approach behavior" that results in the parental movement towards adjustment?

• anticipating future problems and seeking guidance and answers
• Which statement best describes the problem of regulation of body

temperature in a premature infant?

• There is lack of subcutaneous fat which furnishes insulation.

notes from book: 3 / 4

-First, the newborn’s large surface area relative to his or her weight facilitates heat loss to the environment -The second factor that contributes to loss of body heat is the newborn’s thin layer of subcutaneous fat

• infant cannot produce heat on his/her own (ie, children and adults shiver)

25. weight: doubles by 6 months, triples by 12 mos, quadruples by 24 mos

• A foster parent is talking to the nurse about the health care needs for

the child who has been placed in the parent's care. Which statement best describes the health care needs of foster children?

• foster children tend to have a higher than normal incidence of acute and

chronic health problems

• Which condition/ behavior manifested by a 24 month old infant

warrants further evaluation?

• unable to pull to a standing position
• During a routine health assessment, the nurse notes that a 8 week old

infant has a significant head lag . Which is the most appropriate action?

• refer the child for further evaluation if the anterior fontanel is still open
• The apgar score of an infant 5 minutes after birth is 5. Which is the

nurse's best interpretation of this?

• immediate attention needed

APGAR SCORING : 0-3= severe distress, 4- 6= moderate difficulty, 7- 10

is not indicative of distress and is adjusting to Extrauterine life -assessed in the 1st minute and 5 mins after birth and is repeated every 5 mins until infants condition stabilizes

• Then nurse observes that a new mother avoids making eye contact

with her infat. What should the nurse do?

• assess the mother for other attachment behaviors
• Which findings in the newborn is considered abnormal
• profuse drooling
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