Peds Quiz 2

A nurse is reinforcing teaching with the parents of an 8-month-old infant who will be admitted for surgery. Which of the following instructions should the nurse include in the teaching?

• "You will need to go home when It is not visiting hours."

• "You should bring the infant's favorite blanket to the hospital."

• "You should begin to manipulate the infant's bedtime based on the hospitals visiting hours."

• "You should read the child a story about hospitalization."

Answer explanation

Infants of this age have separation anxiety and often need a transitional object, such as a blanket or toy that brings them comfort. The transitional object is especially important when the child is in unfamiliar surroundings, or the parent is not there to provide comfort.

Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?

• Aortic stenosis

• Coarctation of aorta

• Tetralogy of Fallot

• Patent ductus arteriosus (PDA)

Answer explanation

Which of the following would Nurse Tony suppose to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?

• Extreme bradycardia

• Respiratory distress

• Headache

• Constipation

When creating a teaching program for the parents of Jessica who is diagnosed with pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder involves which of the following?

• Obstruction of blood flow from the right ventricle

• Return of blood to the heart without entry to the left atrium

• A single vessel arising from both ventricles

• Obstruction of blood flow from the left ventricle

A nurse is assisting with collecting data from 12-month-old infant during a wellchild visit. Which of the following findings should the nurse report to the provider?

• Birth length increased by 50%

• Closed anterior fontanel

• Birth weight doubled

• Eruption of six teeth

A nurse is collecting data from an infant. Which of the following developmental skills should a 1-month-old infant be able to do?

• An infant who is 2 months old should be able to display a social smile.

• A 1-month-old infant should be able to follow movements with her eyes.

• An infant who is 2 to 3 months old should be able to turn her head to noise.

• An infant who is 3 months old should be able to make a babbling sound.

A nurse is assessing a toddler with coarctation of the aorta. The nurse would expect the blood pressure to be;

• Lower in the arms than in the legs

• Higher on the right side

• Higher on the left side

• Lower in the legs than in the arms

The nurse is providing instructions to a parent of a child with patent ductus arteriosus (PDA). Which statement by the parent would indicate a need for further teaching?

• "I know that my child will outgrow this problem; just give him time."

• "I know that I need to be alert for signs of heart failure with this defect until it is repaired."

• "The doctors tell me that my child has a heart murmur caused by the ductus not closing after birth."

• "As I understand it, my child may have to have his defect closed, either during a catheterization or by surgery."