Question 1

Which of these conditions is often associated with hypospadias?

Accepted Answer

A)  Down syndrome
B)  hydrocele
C)  neural tube defects
D)  undescended testesE) B) and D)
F) None of the above

Question 2

Which of these factors will contribute to preventing otitis media in infants up to 12 months old?

Accepted Answer

A)  a smoke-free environment
B)  bottle-feeding infants on a flat surface
C)  breastfeeding
D)  keeping infant's room at 72 degrees FahrenheitE) None of the above
F) All of the above

Question 3

A caregiver of a child with cystic fibrosis understands the use of a pancreatic enzyme if the caregiver states:

Accepted Answer

A)  "is a bronchodilator to help my child's lungs"
B)  "is a medication to break down white blood cells in the lungs"
C)  "should be given with meals and snacks to aid digestion"
D)  "should be stopped if my child begins wheezing"E) A) and B)
F) A) and C)

Question 4

What is the MOST important nursing intervention for the infant who has acute gastroenteritis?

Accepted Answer

A)  administering antibiotics prophylactically
B)  ensuring adequate hydration and replacing lost fluids
C)  ensuring that immunizations are current
D)  providing frequent small feedingsE) C) and D)
F) A) and B)

Question 5

Which of these factors places infants at a greater risk of developing otitis media than adults?

Accepted Answer

A)  horizontal position of eustachian tubes
B)  immature immune systems
C)  increased number of upper respiratory infections
D)  no overt initial symptomsE) A) and D)
F) A) and B)

Question 6

A child has a diagnosis of croup (laryngotracheobronchitis) .He has received a corticosteroid and cool mist therapy.His caregiver asks the nurse why the doctor did not order antibiotics.The MOST appropriate response is:

Accepted Answer

A)  the child is too young to receive antibiotics
B)  the child may be allergic to antibiotics so the risks outweigh the benefit.
C)  most antibiotics are used for bacterial germs and his type of croup is due to a virus.
D)  the doctor would rather wait and see if he can get better without them.E) C) and D)
F) A) and B)

Question 7

To help parents prevent their infant from developing positional plagiocephaly,the nurse should teach the parents to:

Accepted Answer

A)  alternate the infant's head position during sleep
B)  allow the infant to sleep in an infant carrier
C)  place the infant in a high Fowler's position during the day and in the tummy position for sleep
D)  keep the infant on an air mattress for play and sleepE) None of the above
F) B) and D)

Question 8

Cystic fibrosis is suspected in a child with frequent respiratory infections and failure to thrive.The nurse would expect which of the following tests ordered to make a definite diagnosis?

Accepted Answer

A)  electrolytes and CBC
B)  sweat chloride test
C)  chest X-ray
D)  endoscopyE) A) and B)
F) A) and C)

Question 9

Which of the following outcomes demonstrates a knowledge deficit in a caregiver's role of managing the child's sickle cell anemia?

Accepted Answer

A)  seeks medical care at the first sign of an infection
B)  gives narcotics to assist with pain management in crisis episodes
C)  prohibit the child from playing football or soccer
D)  limits fluids in the evening to discourage bed-wettingE) C) and D)
F) B) and C)

Question 10

Which of these congenital defects may recur,even after correction?

Accepted Answer

A)  congenital talipes equinovarus
B)  hip dysplasia
C)  hydrocephalus
D)  pyloric stenosisE) All of the above
F) B) and C)

Question 11

To assist parents of an infant who has atopic dermatitis to realistically reduce the number of causative factors in their child's environment,which of these suggestions should the nurse offer?

Accepted Answer

A)  removal of all actual or potential allergens from the home environment
B)  frequent bathing in mild baby soap to remove sebaceous secretions from the scalp
C)  frequent diaper changes,exposing affected areas to air,and use of a barrier ointment or cream
D)  moving the family pet outside of the homeE) A) and C)
F) A) and B)

Question 12

Infants who have congenital heart disease are often treated with which of these therapies to improve the heart's contractility and increase cardiac output?

Accepted Answer

A)  digoxin
B)  furosemide
C)  oxygen administration
D)  potassium supplementsE) A) and B)
F) B) and D)

Question 13

Which of these instructions should the nurse give to parents of children who have sickle-cell anemia?

Accepted Answer

A)  Allow the child to lead a normal life.
B)  Have the child immunized with pneumococcal,meningococcal,and hepatitis B vaccines.
C)  Supplement the child's diet with oral iron drops.
D)  Seek symptomatic treatment before crises arise.E) B) and C)
F) A) and B)

Question 14

A child is born with clubfeet.When the caregiver ask the nurse how this will be treated,the nurse would explain that the initial management is to:

Accepted Answer

A)  try traction first
B)  use surgical intervention as soon as possible
C)  do a frequent series of casting
D)  wait and monitor only as the child will usually outgrow this condition after learning to walkE) None of the above
F) B) and D) C

Question 15

When does iron-deficiency anemia generally appear in infants?

Accepted Answer

A)  birth to 6 months
B)  2 to 8 months
C)  5 to 6 months
D)  9 months or olderE) A) and D)
F) A) and C)

Question 16

A client who has cystic fibrosis has a nursing diagnosis of Delayed growth and development related to inability to digest nutrients.Which of these nursing interventions would be indicated?

Accepted Answer

A)  calculating and maintaining required fluid intake
B)  ensuring high-caloric intake
C)  initiating aerosol therapy 1 hour before or after meals
D)  referring the family for genetic counselingE) C) and D)
F) A) and D)

Question 17

As intracranial pressure increases in the infant who has hydrocephalus,the anterior fontanel becomes tense and bulges,and the eyes appear to be pushed downward.What is this condition called?

Accepted Answer

A)  circumoral cyanosis
B)  intussusception
C)  meningitis
D)  sunset eyesE) All of the above
F) B) and C) D

Question 18

During a routine nursing assessment of a small child,the nurse palpates a mass in the abdomen.Which of these actions is essential at this time?

Accepted Answer

A)  Ask the parents if they had previously noted the abnormality.
B)  Assess the mass site for indication of pain.
C)  Continue the exam,noting the approximate size of the mass boundaries.
D)  Stop palpation immediately.E) None of the above
F) A) and B)

Question 19

A nurse caring for an infant undergoing antibiotic therapy sees that the infant has painless white patches on the oral mucosa.The nurse suspects this to be:

Accepted Answer

A)  colic
B)  dysplasia
C)  pruritus
D)  thrushE) B) and C)
F) A) and D)

Question 20

Which of these statements about surgical repair of cleft lip and palate malformations in a 4-week-old infant is TRUE?

Accepted Answer

A)  It will be delayed until the growth of the craniofacial bones is complete.
B)  It will be done in stages with the lip being the last repair done.
C)  The lip will be repaired at 6 to 12 weeks and the palate at 12 to 18 months.
D)  Only the palate will be repaired,and the lip can be done later if cosmetic surgery is desired.E) A) and B)
F) A) and C) C

Exam 60: Infants With Special Needs: Birth to 12 Months

Which of these conditions is often associated with hypospadias?

Correct AnswerverifiedShow Answer

Which of these factors will contribute to preventing otitis media in infants up to 12 months old?

Correct AnswerverifiedShow Answer

A caregiver of a child with cystic fibrosis understands the use of a pancreatic enzyme if the caregiver states:

Correct AnswerverifiedShow Answer

What is the MOST important nursing intervention for the infant who has acute gastroenteritis?

Correct AnswerverifiedShow Answer

Which of these factors places infants at a greater risk of developing otitis media than adults?

Correct AnswerverifiedShow Answer

A child has a diagnosis of croup (laryngotracheobronchitis) .He has received a corticosteroid and cool mist therapy.His caregiver asks the nurse why the doctor did not order antibiotics.The MOST appropriate response is:

Correct AnswerverifiedShow Answer

To help parents prevent their infant from developing positional plagiocephaly,the nurse should teach the parents to:

Correct AnswerverifiedShow Answer

Cystic fibrosis is suspected in a child with frequent respiratory infections and failure to thrive.The nurse would expect which of the following tests ordered to make a definite diagnosis?

Correct AnswerverifiedShow Answer

Which of the following outcomes demonstrates a knowledge deficit in a caregiver's role of managing the child's sickle cell anemia?

Correct AnswerverifiedShow Answer

Which of these congenital defects may recur,even after correction?

Correct AnswerverifiedShow Answer

To assist parents of an infant who has atopic dermatitis to realistically reduce the number of causative factors in their child's environment,which of these suggestions should the nurse offer?

Correct AnswerverifiedShow Answer

Infants who have congenital heart disease are often treated with which of these therapies to improve the heart's contractility and increase cardiac output?

Correct AnswerverifiedShow Answer

Which of these instructions should the nurse give to parents of children who have sickle-cell anemia?

Correct AnswerverifiedShow Answer

A child is born with clubfeet.When the caregiver ask the nurse how this will be treated,the nurse would explain that the initial management is to:

Correct AnswerverifiedC

When does iron-deficiency anemia generally appear in infants?

Correct AnswerverifiedShow Answer

A client who has cystic fibrosis has a nursing diagnosis of Delayed growth and development related to inability to digest nutrients.Which of these nursing interventions would be indicated?

Correct AnswerverifiedShow Answer

As intracranial pressure increases in the infant who has hydrocephalus,the anterior fontanel becomes tense and bulges,and the eyes appear to be pushed downward.What is this condition called?

Correct AnswerverifiedD

During a routine nursing assessment of a small child,the nurse palpates a mass in the abdomen.Which of these actions is essential at this time?

Correct AnswerverifiedShow Answer

A nurse caring for an infant undergoing antibiotic therapy sees that the infant has painless white patches on the oral mucosa.The nurse suspects this to be:

Correct AnswerverifiedShow Answer

Which of these statements about surgical repair of cleft lip and palate malformations in a 4-week-old infant is TRUE?

Correct AnswerverifiedC

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C

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C