4/14 Flashcards
A newborn infant is diagnosed with esophageal atresia. Which assessment finding supports this diagnosis?
A. slowed reflexes
B. passage of large amounts of frothy stool
C. projectile vomiting
D. continuous drooling
Answer: D
Rationale: Continuous drooling
Not attached to the stomach - pocket - attach to lungs; diff types - mucous or spit in mouth - not swallowing it - comes back up
Need suction in OR in mouth esp if attached to lungs
Which of the following heart defects would lead to decrease in pulmonary blood flow?
A. pulmonic stenosis
B. ventricular septal defect
C. tetralogy of fallot
D. patent ductus arteriosus
Answer: C
Stridarema
Salty skin
First indicators of CF with poop - don’t have meconium passage
Mean age 40s
Affects every body sys - resp sys worst - biggest impact
Education SATA
An 8-month-old becomes hypercyanotic while blood is being drawn. What should be the nurse’s first action?
A. begin CPR
B. place the child in knee-chest position
C. assess for neurologic defects
D. prepare the child for immediate intubation
Answer: B
Which clinical finding would the nurse expect when assessing an infant with pyloric stenosis? SATA
A. vomiting after feeding
B. olive-shaped mass in upper right quadrant
C. visible peristaltic waves
D. lack of tears when crying
E. Cramping in lower abdomen
Answer: A, B, C, D
Rationale: Intense vomiting
Below stomach - harder - mass - longer have it
Hungry and eating well - malnourished; dehydrated; spitting everything well
Feel hardening
Dehydrated
Projectile vomit - strong
Surgery then fine - no long-term issues
An infant with persistent diarrhea is subject to significant fluid and electrolyte alterations. Which finding would the nurse anticipate? SATA
A. weak pulses
B. metabolic acidosis
C. increased specific gravity
D. decreased Hct
E. sunken fontanel
Answer: A, B, C, E
The nurse is caring for a child recovering from a tonsillectomy. Which fluid or food item should be offered to the child?
A. green jell-o
B. butterscotch pudding
C. sprite
D. cherry slushie
Answer: A
Rationale: Avoid pudding - dairy products
When assessing a pediatric client in an emergency situation, to guide the assessment the nurse should be aware that most pediatric cardio-pulmonary arrests stem from?
A. airway and breathing problems
B. drug induced arrest
C. hypoglycemic events
D. cardiac related defects
Answer: A
The nurse is educating parents of an infant newly diagnosed with cystic fibrosis. What education would the nurse include? SATA
A.the child may have frequent respiratory infections
B. the child may go through puberty early
C. the child’s skin may taste salty
D. the child may have foul-smelling stools with white, sticky streaks
E. the child will outgrow this with age
Answer: A, C, D
