Exam 4 Review

At a well-child visit, hydrocephalus may be suspected in an infant if upon assessment the nurse finds...

• Narrow sutures

• Sunken fontanels

• A rapid increase in head circumference

• Increase in weight since last visit

A 10-year-old child is admitted to the hospital due to history of seizure activity. As his nurse, you are called into the room by his mother, who states he is having a seizure. What would be the priority nursing action?

• Prevention of injury by removing the child from his bed

• Prevention of injury by placing a tongue blade in the child's mouth

• Prevention of injury by restraining the child

• Prevention of injury by placing the child on his side and opening his airway

A six-month-old infant is admitted to the hospital with suspected bacterial meningitis. She is crying, irritable, and lying in the opisthotonic position. The priority nursing intervention would be.

• Educate the family on ways to prevent bacterial meningitis

• Initiate appropriate isolation precautions and begin intravenous antibiotics

• Assess the infants fontanels

• Encourage the mother to hold the infant and feed her

A child born with a short stature, webbed neck, wide-spaced nipples and no secondary sexual characteristics is most likely to have which autosomal abnormality?

• Trisomy 21

• Turner's Syndrome

• In-born error of metabolism

• Trisomy 18

If more than ______ cafe'-au-lait spots are present suspect neurofibromatosis

The nurse is caring for a 9-year-old boy with achondroplasia. What will the nurse's assessment reveal?

• Narrow passages from the nose to the throat

• Slim stature, hypotonia, and a narrow face

• Craniosynostosis and a small nasopharynx

• Trident hand and persistent otitis media

   

The nurse is preparing a presentation to a local community group about genetic disorders and the types of congenital anomalies that can occur. What would the nurse include as a major congenital anomaly?

• Overlapping digits

• Polydactyly

• Umbilical hernia

• Cleft palate

When teaching the parents of a child with phenylketonuria, the nurse would instruct them to include which food in the child's diet?

• Milk

• Oranges

• Meat

• Eggs

When providing support and education to the family of a child who is diagnosed with a serious genetic abnormality, what would be the priority?

• Assisting with scheduling follow-up visits

• Establishing a trusting relationship

• Teaching the family what to expect

• Using measures to promote growth and development

   

The nurse is assessing a 4-year-old client. Which finding suggests to the nurse this child may have a genetic disorder?

• Inquiry determines the child had feeding problems.

• The child weighs 40 lb (18.2 kg) and is 40 in (101.6 cm) in height

• The child has low-set ears with lobe creases.

• The child can hop on one foot but cannot skip.