Pediatrics

The nurse caring for the child with beta-thalassemia is most concerned about which comorbidity?

The nurse is caring for the 3.7 kg neonate who was born at 38 weeks gestation after an uncomplicated pregnancy and delivery in the newborn nursery. Which immunization does the nurse administer to the patient prior to discharge from the hospital?

A child with “staring fits” is diagnosed with absence seizures. The nurse prepares patient education materials on which medication?

The nurse receives report on the 6-month-old child with a congenital abnormality of the hip who is in Bryant's traction. Which observation upon entering the patient's room indicates the patient is positioned appropriately? 

The woman who delivered her first baby will be discharged tomorrow. After a bedside education program in the hospital, the patient tells the nurse that she does not have a crib, bottles, or diapers to care for her new baby. Which action is most appropriate?

The pediatric patient is hospitalized for fever, nausea, vomiting, and diarrhea. Capillary refill is >2 seconds. The nurse anticipates an order for which intravenous infusion?

The child is brought to the clinic by the parent who reports the child has a lazy eye. The nurse assesses the patient for which condition?

The nurse is caring for the preschool-age child in the hospital. Which are developmentally-appropriate comfort measures? Select all that apply.

The nurse is preparing for an infant’s two-month well-baby check-up. Which immunizations does the nurse prepare? Select all that apply.

The nurse prepares a diphtheria, tetanus, and pertussis (DTaP) vaccination for a 6-year-old patient. The patient’s mother states, “Wait! He’s already gotten that vaccine, several times when he was younger. I have it written down in his records.” Which response by the nurse is appropriate?

The nurse is preparing a Haemophilus influenzae type b (Hib) immunization for the 2-month-old patient. The baby’s mother states, “I recently read the influenza vaccine isn’t given until at least a year. Are you sure he should be getting this now?” Which response by the nurse is most appropriate?

The nurse reviewing the vaccination record of a 12-month-old infant expects the infant to have completed which vaccine series?

The nurse is preparing for the well-baby visit of the 6-month-old who is up-to-date on vaccines. Which vaccinations does the nurse prepare for the visit? Select all that apply.

The 13-year-old female patient presents to the clinic in January to begin the vaccine series for human papillomavirus. The nurse instructs the patient’s mother to schedule an appointment for the next vaccine in the series during which month at the earliest?

The baby born at 32 weeks’ gestation to a mother who is hepatitis B surface antigen negative (HBsAg-negative) is taken to the Neonatal Intensive Care Unit (NICU) for care. The neonate, who weighs 1.8 kg, requires continuous positive airway pressure of 7 cm H20, intravenous fluids containing dextrose, and intravenous caffeine. After getting consent from the mother, when is the most appropriate time to administer the hepatitis B vaccine to the baby?

The 34-week-gestation neonate is born weighing 1.7 kg to a mother who is hepatitis B surface antigen (HBsAg) positive; all other infectious disease serologies are negative. Which orders are appropriate for this patient? Select all that apply.

The 1.9 kg neonate is born precipitously via vaginal delivery to a 32-year-old mother who received no prenatal care or infectious disease serology testing before delivery. The mother has a history of intravenous drug use. Which intervention does the nurse perform first?

The 10-year-old female patient’s mother brings her to the clinic for a check-up and immunizations and requests that she receives the human papillomavirus (HPV) vaccination. Which question does the nurse ask first?

How does exposure to lead cause damage in the developing child?

The 7-year-old child with pica is brought to the emergency room (ER) with decreased level of consciousness after ingesting lead paint. His blood lead level (BLL) is determined to be 72 mcg/dL. The nurse prepares to administer which medication?

Which initiative is a primary strategy to prevent lead toxicity?

Rett syndrome is associated with which condition?

The child suffered a radial fracture that has just been immobilized with a plaster cast. Which action by the nurse is appropriate? 

The nurse is caring for a 16-month-old child. The child’s father expresses concern to the nurse that his son cannot kick a soccer ball. Which response from the nurse is appropriate?

The nurse educates parents on the care of their 3-day-old infant prior to discharge from the hospital. Which instruction does the nurse include in the teaching?

The nurse is providing preprocedure education to the family of the child with type 1 diabetes mellitus who must undergo a tonsillectomy. Which information does the nurse include?

Parents bring their 12-month-old baby who was born prematurely to the pediatrician for a well-baby appointment. How does the nurse judge the adequacy of the baby's weight gain?

The nurse planning care for the neonate with myelomeningocele plans interventions to ensure the child does not develop an allergy to which substance?

The nurse learns in shift report the 1-year-old with respiratory distress due to parainfluenza virus has had increased nasal and oral secretions and has had increased coughing fits. Which personal protective equipment does the nurse don prior to caring for the patient? Select all that apply.

The nurse is counseling the parents of an 8-month-old child born with myelomeningocele on appropriate baby foods to introduce to the child. Which foods, if selected by the parents, indicate teaching was effective? Select all that apply.

The nurse is completing discharge education with the parents of a child with congenital heart disease. Which statement by the mother indicates a need for further teaching?

The first-time mom requests information from the nurse about providing foods other than breast milk to her 3-month-old child. Which response by the nurse is most appropriate?

The mother of a 1-month-old child tells the nurse, “I’m concerned because my child does not hold his head up during tummy time.” Which response by the nurse is appropriate?

The nurse is preparing for the well-baby visit for a 4-month-old baby and expects which behaviors from the patient? Select all that apply.

The mother brings her 18-month-old child to the clinic with concerns for developmental delay. She states, “She says ‘Mama’ and ‘Dada’, and ten or so other words. I keep working with her but I’m concerned she is falling behind.” Which response by the nurse is most appropriate?

The 14-year-old patient was admitted following surgical reduction of an open femur fracture. The patient, who has reported good pain control with the patient-controlled analgesia (PCA) pump, is sleeping peacefully. During hourly rounding, the nurse observes the parent press the button to administer the bolus of pain medication. Which action by the nurse is appropriate?

The full-term neonate (3.2 kg) born precipitously to a mother of unknown infectious disease status has had a positive rapid plasma reagin (RPR) test. The nurse plans care to perform which intervention first?

The nurse is teaching the child with asthma how to use a metered-dose inhaler. Which instructions does the nurse include? Select all that apply.

The very low birth weight infant was born at 0.9 kg and now weighs 1.3 kg. The neonate is on full feeds receiving 24 kcal/oz formula with a daily kcal goal of 120 kcal/kg/day. The patient eats every 3 hours around the clock. How many milliliters does the nurse administer with each feeding? Enter your answer using a whole number.

Which statement is true regarding the neonate's immune system?

The 7-year-old child who has been diagnosed with which respiratory condition will have normal breath sounds?

Which respiratory assessment in the infant prompts the nurse to alert the provider immediately?

The nine-month-old infant appears to be in distress. For rapid assessment, which pulse does the nurse palpate?

The anxious 5-year-old child is found to have tachypnea, stridor on inspiration, and a “barking” cough. The nurse suspects which condition?

Which is the correct ratio of crystalloid fluid administration to estimated blood loss to resuscitate the patient in hemorrhagic shock?

A school nurse is caring for an elementary school student who is gasping for breath after being stung by a bee. The child's airway is currently patent and heart rate is 100 bpm. No epinephrine or advanced airway is available. Which intervention is appropriate?

The child had a cast applied the previous day for a broken tibia. The mother returns the child to the provider to report swelling and significant pain. Upon assessment, the nurse notes pale, cool toes with a capillary refill time of 6 seconds. The child denies feeling the nurse's assessment but screams in pain when the leg is moved. The nurse anticipates which treatment for this patient? 

The parents of a 6-month-old baby are introducing solid foods into the baby's diet and would like to know which foods are appropriate. How does the nurse respond?

Which statements are true regarding the care of the 2-year-old with whooping cough? Select all that apply.

The 7-month-old infant is sitting quietly on the mother’s lap. Which assessment does the nurse perform first?