Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediatrics > FInal questions > Flashcards

FInal questions Flashcards

1
Q

A child present to the clinical with signs of malnutrition, poor hygiene and unattended medical problems. The nurse recognizes this form of child abuse?

A

Neglect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

2.Normal BP measurement ranges in children are?

A

Determined from the child’s age, height and gender

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

.A newly diagnosed 3 year old is admitted with type 1 DM. Having just had class on this you know how it caused by:

A

Caused by a deficiency of insulin secretion due to Pancreatic B cell damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

.The pediatric clinical instructor is reviewing pain and development with students. Which statement should be included about preschool children?

A

PRE-school may not be verbally report pain and believe their thinking magical that their pain is punishment for having bad thoughts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Child presents with short stature, amenorrhea, social difficulties, ad tanner 1 on physical exam5.

A

Support and educate your family on turner syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

a child has clinical signs and symptoms including headaches, neurocognitive deficit, scoliosis and 8 café-au-lait macules on his skin. The nurse knows this child most likely has:

A

Neurofibromatosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

the nurse observes a hemangioma, nevi, and a triple hair whorl on physical exam of a baby. The nurse understands:

A

These are examples of minor congenital anomalies, but because there are 3, the baby is at higher risk for a major anomaly or disability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

. which of the following are the most common inherited cause of intellectual disability and has behavior issues such as, ADHD, gaze aversion, and low self esteem:

A

Fragile X syndrome
Trisomy 21
Trisomy 13
Trisomy 18

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

osteogenesis imperfecta type 1 is an autosomal dominant trait. Which would best describe the inheritance pattern for the offspring of an affected father and a normal mother.

A

Offspring will have 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

all of the following are indications for genetic counseling except:

A

Paternal age of 37

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. common risk factors of Otis media doesn’t include?
A

Non-smoking household

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. alot the following are warning signs of primary immunodeficiency except?
A

HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

important nursing consideration about providing safe developmentally appropriate care to an infant includes all of the following except?

A

Keep rails down when the infant is in the crib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. the nurse is preparing the plan of care for a child experience respiratory distress. What action would it be top priority?
A

Maintain a patent airway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. when reviewing medical record of the child which of the following would a nurse interpret as the most sensitive indicator of intellectual disability?
A

Language delay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. the nurse is examining a 15 month old child who was able to walk at the last visit and now longer can walk. What would be the nurses best intervention in this case?
A

Schedule a full evaluation since this may indicate a neuro disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
  1. a child presents to the ER with s/s of congenital HF which of the following questions would be a priority in the health history after the child is stabilized?
A

Does the Childs skin color change when crying. If so what color do you see?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  1. the neuro inspection and observations of the child should begin with which of the following?
A

LOC but vital signs maybe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
  1. the mother reports to the nurse that her 4 month old infant has the following symptoms.. clear runny nose, feeding well, a low grade fever…..
A

RSV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

a mother asked the nurse what cause her child to have iron deficiency anemia. The best response by his nurse is which

A

Iron deficiency anemia is caused by a nutritional deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

a 2 year old child is diagnosed with a severe form of autism. The parent is traumatized and wonders why what they have caused the disorder, as the nurse you comfort the parent by saying

A

The exact cause of autism is unknown but may be due to genetic makeup, brain abnormalities, altered chemistry, a virus, or toxic chemicals.

22
Q

the nurse is interviewing the mother of a 6 month old being seen at a well child visit, the mother reports that she has sued all OTC topical ointment intended for adults for her Childs skin rash. What is the most appropriate response by the nurse.

A

Children have thin skin and can absorb medications differently that adults.

23
Q
  1. a parent asks how behavioral therapy is supposed to work for their child. The nurse explains that:
A

Child will have stimulus & response conditioning to manage or alter behavior. Desired behaviors are reinforced to replace inappropriate ones

24
Q
  1. which of the following would lead the nurse to suspect that an adolescent has bulimia?
A

Calluses on back of knuckles, tooth loss & esophagitis

25
Q

Calluses on back of knuckles, tooth loss & esophagitis

A

Screen for child for autism spectrum disorder

26
Q
  1. which of the following is NOT considered a warning sign for autisim?
A

A toddler, gestational age 35 weeks, who is otherwise meeting the developmental milestones

27
Q

. a nurse files for report w/ child protective series on a 4yr old child seen for an annual physical who refuses to go to his mother for comfort. in addition, the nurse prob assessed which of the following physical findings?

A

Burn marks on his torso

28
Q

the nurse reviewing the chart on a child would become suspicious of munchausen syndrome by proxy if they find all the following patterns EXCEPT:

A

Diagnosis of ottis media

29
Q

the nurse would become suspicious of a mental health disorder if which behaviors were witnessed?

A

All of the above

30
Q
  1. the school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse NOT need to discuss?
A

Greatly improved school performances

31
Q

. mother presents to the clinic w/ her 1 mo. Old. The nurse suspects pyloric stenosis. Which of the following s/s would support this?

A

Projectile vomiting

32
Q
  1. the nurse is teaching the parents of a 1mo old girl w/ down syndrome how to maintain good health for the child. Which instruction would the nurse be least likely to include?
A
  • Getting cervical radiographs b/w 3-5 yrs of age
  • Adhering to the special diatery needs of the children
  • Getting an EKG before 3mo of age
  • Monitoring for s/s of resp. infection
33
Q
  1. which are appropriate nursing interventions for mgt of UTI?
A

All the above

34
Q
  1. which of the following would be appropriate for a child recently diagnosed w/ autisim?
A

All of the above

35
Q
  1. which situation would cause the most concern for you to consider possible hearing loss w/ a child?
A

Infant that does not startle to lound sounds

36
Q
  1. the major cause of death for children older than 1 yr is:
A

Unintentional injuries

37
Q
  1. the nurse is assessing a newborn & doc. The presence of all these primitive reflexes EXCEPT:
A

Parachute

38
Q
  1. toddlers are emotionally liable which corresponds to this psychosocial developmental theory:
A

Erikson autonomy vs. shame & doubt – ambivalence to move from dependence to autonomy causing mood fluctuations

39
Q
  1. which developmental groups social & emotional development is affected mostly by changes in body image, peer groups, substance use, violence, suicide & homicide risk?
A

Adolescent

40
Q

40.the nurse providing family centered care in a hospital setting reflects on the focus of the health care provided in todays society. Which statement best describes the current definition of health?

A

Health is a state of complete physical, mental, and social well being

41
Q
  1. a student nurse is reviewing the priority actions to take when ensuring pt safety during a seizure episode. Which of the following statements indicate the need for additional supervision?
A

Child refused to eat while the side rails were padded, so I removed them since she hasn’t had a seizure in 2 days

42
Q
  1. when obtaining the nursing history from the mother of an infant w/ suspected intussusception, which of the following question would be MOST helpful?
A

Has your child has any episodes of vomiting?

43
Q

nurse is assessing a 4yr old boy whose mother was 40yrs old when he was born. Which of the following findings suggest this child has a genetic disorder?

A

Inspection reveals low-set ears w/ lobe creases

44
Q
  1. child presents to the ER after MVA. All of the following are part of the nuerological exam EXCEPT:
A

Hypoactive bowel sounds

45
Q
  1. a child presents to the ER w/ 1w of history of vomiting, diarrhea, & decreased oral intake. The childs pale, hypertensive, tachypenic, w/ weak distal pulses. The child is awake but in obvious distress. You act quickly recognizing that the child is probably:
A

Progressinging to decompensated hypovolemic shock

46
Q

managing shock in children includes which of the following responses?

A

All of the above

47
Q

child in PICU has progressed from hypovolemic shock to cardiac arrest. 2 person CPR is initiated correctly @ the bedside by:

A

Administering 15 compressions to 2 breathes w/o pausing compressions when ventilating

48
Q

. a child presents to the ER w/ report of sudden cardiac arrest. The nurse knows possible causes of this are:

A

All of the above

49
Q

a chid presents w/ a history of hypertonicity, contractures, and poor control of movement. The nurse knows to gear mgt towards:

A

Multidisciplinary care of spastic cerebral palsy including a supportive, physical & occupational therapies

50
Q

child is being assessed for allergic rhinitis and the nurse notes that she also has evidence of atopic dermatitis on her arms. What would be the most appropriate information to investigate during the health history?

A

Determine if the child has a history of asthma and if there is any family history of atropy 


Pediatrics (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions