PEDS Finals

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PEDS Finals
2011-03-28 03:30:40

final - 55 questions
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  1. before a routine check up at ped office, an 8mo old infant is sitting on mother's lap, chewing on a toy. when preparing to examine infant, which action should lvn should do first?
    asscultate heart and lung sounds
  2. which direction is most important when administering immunizations?
    properly store vaccine, and follow the recommended procedure for injection
  3. which immunization should a 4 month old pt should receive?
    dtap, haemophilus influenzae type b (HIB), polio
  4. what is the recommended age to give measles vaccine?
    1 year/12months
  5. which comment by a 7y/o boy to his friends best typifies his developmental age?
    "girls are yucky"
  6. which instruction should the nurse give to those visiting a child on protective (reverse) isolation?
    fresh fruits that can not be peeled is prohibited
  7. a person who is in good health, whose body harbors the specific organisms of a disease is called a...
  8. neonates born to women infected with hep b should recieve which tx?
    HBIG (hep b immune globulin) and hep b vaccine at birth, 1 month, and 6 months
  9. which characteristics is commonly seen in a child with pertussis?
    whooping cough
  10. an infant with immune deficiency should receive with type of polio virus
    inactivated polio vaccine (IPV)
  11. an observation on a child's skin, the nurse notes a papular pruritic rash with some vesicles. the rash is profuse on the trunk and sparse on the limbs. which illness does pt have?
  12. a child was admitted b/c of chickenpox. she was put into airborne precaution, which nursing action is correct when implanting the prescribed isolation precaution?
    specimen are sent to the laboratory in a zip closure biohazard bag
  13. a mother is concern that her 3 y/o daughter has been exposed to fifth's disease. what are the following characteristics?
    red rash on face that spreads to the extremities
  14. a child is seen in ped office for complaints of bones and joint pain. which other finding would suggest leukemia?
  15. a family that recently went camping brings their child to the clinic, with a complaint of a rash after a tick bite. lyme disease is suspected. which findings would be seen with lyme disease?
    red papule and becomes a large red round ring
  16. which period of communicability is indicated with a pt with scarlet fever?
    1-7 days
  17. FILL-IN

    the causative of scarlet fever is _________.
    beta- hemolytic streptococci group A
  18. which definition best describes the etiology of SIDS (sudden infant death syndrome)?
    unexplained death of a infant
  19. a 6 week old infant who isnt breathing is brought to the emergency department. a finding of SIDS is made. which intervention should the nurse take initially?
    allow them to see their infant

    therapy for kawasaki disease include IV gamma globulin..
    400mg/kg a day
    child wt 10 kg
    how much is given per dose?
    4000 mg

    400 x 10 = 4000
  21. the following route is allowed to take a temp of a leukemia pt except:
  22. to prevent trauma to the suture line who a infant who underwent cleft lip repair, the nurse would perform which intervention?
    maintain elbow restraints
  23. after an infant with a cleft lip as a surgical repair and healths, the parents can expect to the following results?
    some scarring
  24. FILL-IN

    ____________ is the absence of a normal body opening or the abnormal closure of a body passage
    esophageal atresia
  25. which conditions or factor is the major cause for esophageal atresia and tracheoesophageal fistula?
  26. FILL-IN

    ___________ is a protrusion of the intestine through the umbilical ring.
    umbilical hernia
  27. A 38 year old multiparas client gave birth a day ago to a full term newborn with myelomeningocele. Which assessment finding best indicates that the client is grieving over the loss of her “perfect” baby?
    The client states that she has not selected a name for her baby.
  28. Which of the following nursing diagnosis is most relevant in the first 12 hrs of life in a neonatal born with myelomeningocele?
    risk for infection
  29. While assessing a full term neonate, which of the following symptoms would cause the nurse to suspect a neurological impairment?
    a weak sucking reflex
  30. Myelomeningocele requires nearly immediate surgical repair for which of the following purposes?
    Decrease the possibility of infection and further cord damage
  31. _____________ is characterized by an excess of cerebrospinal fluid (CSF) within the ventricular and subarachnoid spaces of the cranial cavity.

    order: IV 27ml/hr
    tubing delivers: 60 ml/hr
    how many drops per minute?

    x - drops per minute the same as how many drops per hour.
  33. in an infant receiving inadequate tx for congenital hypothyroidism, the nurse would expect to observe which symptom?
    fatigue and sleepiness
  34. the mother with a neonate born with hypospadias is sharing her feelings of guilt about this anomaly. the nurse should explain which about the following defect?
    it is congenital
  35. FILL-IN

    __________ is a congenital condition in which the urethra terminates on the ventral surface of the penis instead of the tip.
  36. the following are considered chromosomal abnormalities. SATA
    • down syndrome
    • klimefelter syndrome
    • turner syndrome
  37. which define best describe club foot, called talipies varus?
    inversion of the foot
  38. a boy with patent (open) duptus arteriosus, was delivered 6 hrs earlier, and is being held by his mother. as the nurse enters the room to assess the neonate's v/s the mother states that "my baby as a heart murmur, does that mean he has a bad heart?" which response would be appropriate?
    "the murmur is caused by actual opening, which can take up to a week or two to close"
  39. a mother is concern that her 3 y/o has been exposed to 5th diseases. which symptoms are characteristics of the viral infection?
    red rash on face that spreads the extremities
  40. dx of congenital hip dislocation can best be confirmed by which diagnostic techniques?
  41. for coarctation of the aorta, the nurse correctly advices the parents that the optimal time for surgery?
    before the child is 2 years old

    2 y/o child is showing signs of shock, a 10ml/kg bolus of NS is ordered. the child wt 20 kg.

    10 x 20 = 200
  43. a teenage pt with heart failure is rx digoxin. to which classification does this drug belong?
    cardiac glycoside
  44. a child with congential heart defect is recieveing digoxin, which intervention is most important before giving medication?
    check apical pulse for 1 minute
  45. a toddler is immobilized with tractions to the legs. which activity would appropriate for the child?
    pounding board
  46. which statement about patent duptus arteriosus is correct?
    duptus arteriosus normally closes completely by 16 weeks
  47. the nurse can best facilitate reduction of the heart's work load by which method?
    organizing nursing care, so that the infant can have a longer rest period
  48. the nurse should counsel parents to postponed which action until their son's hypospadius has been repaired?

    0.5 mg/kg per day in 2 divided doses
    child wt is 10 kg.
    how much is given in each dose?
    2.5 mg

    0.5 x 10 = 5mg/2 = 2.5

    aspirin 80mg/kg per day in 4 divided doses
    child wt 15kg
    how much is given in one dose?

    15 x 80 = 1200/4 = 300mg

    child has sinus bradycardia-
    atropine 0.02mg/kg
    wt = 20kg

    20 x 0.02 = 0.4
  52. which intervention would be appropriate for an infant after cardiac catheterization?
    apply pressure is oozing or bleeding is present
  53. which explanation of how to decrease the chances of having a child with spinal bifida is most accurate?
    pre-pregnancy intake of 400mcg of folic acid reduces the recurrence rate that it will happen again
  54. which complication involving leg length is seen with congenital hip dislocation?
    decrease leg length on the effected side
  55. when obtaining a blood specimen for a PKU test, which action by the nurse is incorrect?
    apply pressure with a alcohol wipe after the specimen is obtained