Font size
WorksheetsNUR113 Exam 3 Practice
Total questions: 118
Worksheet time: 1hrs 5mins
A nurse should recognize which of the following as a manifestation of sepsis in the neonate? (Select all that apply)
lethargy
tachypnea
hypothermia
sunken fontanel
low serum glucose
A full term newborn is in the clinic with his parents. he is 4 days old. His birth weight was 7lbs (3.2kg). Which assessment made by the nurse is the Most significant?
today's weight is 6 # 9 oz (3Kg)
the infants skin is peeling
the infants breast tissue is swollen
there is a yellow discharge from the infants right eye.
A 22 year old woman is 6 weeks postpartum. In the clinic, she admits to crying everyday, feeling overwhelmed, and sometimes thinking she may hurt the baby. What would be the priority nursing action at this time?
advise the patient of community groups, and depression hotlines.
counsel the mother that the "baby blues' are common at this time and assess her nutrition, rest and availability of help at home.
contact the HCP to evaluate the patient before allowing her to leave the clinic
advise the woman that she cannot use medication for depression because she is breastfeeding,.
The nurse in a newborn nursery is monitoring a preterm infant for respiratory distress syndrome. Which assessment findings should alert the nurse to the possibility of this syndrome. Select all that apply.
Cyanosis
Tachypnea
Hypotension
Retractions
Audible grunts
Signs of hypoglycemia include: (Select all the apply)
Tremors
Hunger
Weak cry
Lethargy
Jaundice
The nurse checks the blood sugar of a 2-hour-old newborn and the glucometer reading is 32 mg/dL. The nurse should:
Recognize that this is a normal reading and document it.
Initiate breastfeeding.
Call the laboratory for a STAT blood glucose level.
Transfer the newborn to the NICU.
A diabetic patient delivers her baby at 36 weeks gestation. The infant is jittery and lethargic. Which is the priority nursing action for this infant?
Applying oxygen
Obtaining a heel stick blood glucose
After drying, wrapping the infant in warm blankets
Putting the baby to the breast
How many chromosomes a baby with born down syndrome will have?
44
46
45
47
Down Syndrome is also called ..
Trisomy 20
Trisomy 22
Trisomy 23
Trisomy 21
from common physical features of down syndrome
short neck
small ears
small hands
strong muscle tone
How many types of down syndrome are there..
2 types
3 types
4 types
non of the above
most common communicable childhood disease caused by varicella zoster
virus
Rubella
Poliomyelitis
Chicken Pox
Parotitis
Fine pincer grasp developed
5 months
11 months
9 months
8 months
Mobility may crawl backward
5 months
7 months
9 months
12 months
Starts to points with index finger
11 months
8 months
10 months
7 months
Sits with support
5 months
6 months
7 months
8 months
Sits without support
5 months
6 months
7 months
8 months
Head control is established
2-3 months
4 months
6 months
9 months
Spontaneous social smile
1 month
16 months
16 weeks
24 weeks
Holds bottle
8 months
6 months
10 months
11 months
Which of the following neonates should be intubated immediately?
An apneic term infant with poor chest rise despite positive pressure ventilation
A 26 week gestation neonate crying with minimal retractions
A 31 week gestation neonate with a marked inguinal hernia
A toddler is considered to be from
One year to three years
Six months to three years
One year to six years
18 months to 3 years
A preschooler is considered to be from
Two years to six years
One year to 5 years
Three years to 6 years
Three years to 5 years
Newborns is the term that used for baby
≤ 28 days
≤ 30 days
≤ 1 month
When monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert you to the possibility of this syndrome?
Hypotension and Bradycardia
Tachypnea and retractions
Acrocyanosis and grunting
The presence of a barrel chest with grunting
When performing a newborn assessment, you should measure the vital signs in the following sequence:
Pulse, respirations, temperature
Temperature respirations, pulse
Respirations, pulse, temperature
The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?
Anemia
Hypoglycemia
Nitrogen loss
Thrombosis
The first pediatric visit is scheduled at...
1 week after birth
3-5 days after birth
2 weeks after birth
2 months after birth
In which position is length measured?
Fowlers
supine
standing
sitting
Which is the needle length range for a pediatric IM injection?
1 inch to 2 inches
5/8 inch to 1 inch
1/2 inch to 11/2 inch
1/8 inch to 5/8 inch
The resistance the body has to pathogenic organism or their toxins is known as...
inflammation
contagious
immunization
immunity
What immunizations are part of the MMR?
meningitis, mumps, rubella
measles, meningitis, rotavirus
measles, mumps, rubella
Which of the following is NOT included in a VIS
Publication date Is VIS
Lot number of the vaccine
Reporting an adverse reaction
Risks & benefits of the vaccine
A regularly scheduled office visit based on the child's age is usually called:
an optimum health visit.
a well-child visit.
a sick-child visit.
an immunization recall visit.
In addition to assessing nutritional status, the patient's weight may be used to determine:
activity levels.
developmental stage.
medication dosage.
cardiac abnormalities.
chronologic age.
When measuring the circumference of an infant's skull, the tape should be placed:
above the eyebrows.
at the eyebrows
below the eyebrows.
at the hairline.
resting on the ears
Which of the following is done within 1 week of birth?
Flu vaccine
Varicella vaccine
PKU test
MMR vaccine
None of the above
Growth and Dev't: Age group in which they are Body image conscious.
School Age
Adolescent
Pre-School
Infancy
A lack of this will lead to mistrust.
Trust vs. Mistrust
Autonomy vs. Shame
Identity vs. Role Confusion
Initiative vs. Guilt
Asks “WHY” question
Adolescent
Infant
PreSchool
Toddler
During your vital signs taking to your 5yr old patient, you noted that her RR is 24 CPM. What step should you do next?
Document since it's within normal range
Activate RRT
Refer Immediately to PROD
Administer Oxygen
You Are taking care of a 4mos. old pt. you noted pt to have a RR of 50 CPM. What step should you do next?
Refer Immediately to PROD
Administer Oxygen
Document since it's within normal range
Activate Pediatric RRT
behaviors or skills seen in school-age children as they grow or develop
Gross Motor Skills
Developmental Delay
Developmental Milestones
Developmental Disability
children ages five to 12 years
School-Age Child
Developmental Delay
Fine Motor Skills
Gross Motor Skills
Instance in which a child is continually behind in obtaining skills other children of a similar age have learned
Developmental Delay
Developmental Disability
Developmental Milestones
Fine Motor Skills
______________ is when a toy is felt but not remembered, pictured, or imagined.
Schema
Object Permanence
Conservation
Assimilation
Which is the first stage in Piaget's Stages of Cognitive Development?
Preoperational
Formal
Concrete
Sensorimotor
Infants form one of 4 kinds of attachments with their caregivers. Which is generally considered to be the desired kind of attachment?
Secure
Avoidant
Resistant
Disorganized
How many stages are in Erikson's theory of Psychosocial development?
4
6
8
12
what does IPV stand for
Inactivated Polio Vaccine
Incubated Polio Vaccine
Intramuscular Polio Vaccine
What is the difference between a vaccine and a toxoid?
vaccine- solution that contains small amount of weakened/dead bacteria that causes disease
toxoid- uses toxins bacteria creates
vaccine- cannot make antibodies
toxoid- can make antibodies
vaccine - can fight bacteria
toxoid- cannot fight bacteria
What does it mean by active immunization?
immunization that can be activated by crying
babies are given the vaccines and their body replicates it so that they can't get hurt by the disease
the type of immunization that is active
measles
A contagious acute viral disease with symptoms that include a bright red rash of small spots that spread to cover the whole body
An injection of weakened disease-carrying germs given to a person so their body can build a resistance to a certain disease
mumps
An acute contagious disease that causes a fever with swelling of the salivary glands
A severe infectious viral disease, usually affecting children or young adults, that inflames the brain stem and spinal cord, sometimes leading to loss of voluntary movement and muscular wasting
rubella
A highly contagious viral disease, especially affecting children, that causes swelling of the lymph glands and a reddish pink rash; may be harmful to the unborn baby of a pregnant woman who contracts it
A contagious acute viral disease with symptoms that include a bright red rash of small spots that spread to cover the whole body
It is also called varicella, characterized by itchy red blisters that appear all over the body.
Chickenpox
Cough
Mumps
Fever
Another term for Polio.
Poliomyetis
Poliomyelitis
Poliotis
Polio
Ivan was sent home early because he was complaining of headache and fever. His body felt sore all over and he had sore throat and cough. Which disease has these symptoms?
cough
chicken pox
influenza
mumps
Raine has red, itchy spots. These spots eventually turned into fluid-filled blisters. Raine also had fever for the first two days. Which disease has these symptoms?
chicken pox
measles
mumps
rubella
What causes pertussis or whooping cough?
bacteria
parasite
virus
worm
What causes mumps?
bacteria
parasite
virus
worm
What is herd immunity
When everyone is vaccinated.
A form of immunity that occurs when the vaccination of a significant portion of a population provides a measure of protection for individuals who have not developed immunity.
When all of a group of farm animals have been immunised.
When a disease spreads throughout a population.
Can result in an S or C shaped curve of the spine in the lumbar region.
Multiple Sclerosis
Scoliosis
Scurvy's Disease
Poor Posture
The MMR Vaccine contains which 3 viruses?
Measles
Rubella
Rabies
Coronavirus
Mumps
Mumps is a _______ ?
Virus
Bacteria
Plant
Membrane
Which is the needle length range for a pediatric IM injection?
1 inch to 2 inches
5/8 inch to 1 inch
1/2 inch to 11/2 inch
1/8 inch to 5/8 inch
The resistance the body has to pathogenic organism or their toxins is known as...
inflammation
contagious
immunization
immunity
The length of the needle used in the pediatric injection depends on...
the child's age
amount of medication
the child's height
the size of the child's thigh
Which is the preferred site to obtain a blood sample from a newborn?
plantar surface of the foot
lateral surface of the finger
big toe
deltoid muscle
Which of the following is NOT included in a VIS
Publication date Is VIS
Lot number of the vaccine
Reporting an adverse reaction
Risks & benefits of the vaccine
The deltoid muscle should not be used as an IM siteuntil the child
is 10 years old
has been walking for a year
is at least 18 months old
won't cry
Children may experience swollen salivary glands.
Measles
Mumps
Chickenpox
Children may experience skin rashes, watery eyes, and high fever.
Measles
Mumps
Chickenpox
Children may experience blister rash and fever.
Measles
Mumps
Chickenpox
Children may experience muscle or body pain, headache, colds and cough, and also a high fever.
Influenza
Measles
Pneumonia
German measles is the disease caused by
the mumps virus
the measles virus
the rubella virus
both measles and rubella viruses
The incubation periods for the MMR viruses are
1-2 days
3-7 days
1-3 weeks
6 months
1-2 years
MMR viruses are transmitted through
Contaminated food
Sexual contact
Contact with droplets (direct and indirect)
No means, they are not contagious diseases
A widespread maculopapular rash and Koplik's spots are signs of
Measles
Mumps
Influenza
Rubella
Swollen salivary glands (parotitis) is the main sign of
Measles
Mumps
Rubella
All three
Rubella and Mumps
The MMR vaccine is made from
inactivated viruses
attenuated viruses
recombinant viral capsids
viral envelopes and glycoproteins
toxoids
The treatment for measles, mumps and rubella is
only supportive (fluids and rest)
2 weeks of tetracycline
2 weeks of amoxicillin
the MMR vaccine
What immunizations are given at 6 months of age ?
DTap and Hep B
Inactivated polio and pneumoccal
all of these answers are correct
influenza
One way to help with the prevention of SIDs is:
Have baby sleep on stomach
Have parents cosleep with the baby
Have the child sleep on their back
Have the child sleep with their favorite stuffed animals and extra blankets to stay extra warm
what type of milk should a 18 month old be drinking ?
soy
skim
1%
whole
What immunizations can be given at a 4 month old visit ?
Influenza and Varicella
Varicella and HIB
MMR
DtaP and HIB
15 year old with maculopapular rash with bright red cheeks has this disease
Chicken pox
Roseola
5ths disease
Erythema
All of the following can cause patient anxiety and fear in pediatric nursing except
fear of separation
fear of intimidating equipment
fear of unpleasant medication
fear of horror movies
Which of the following is part of the Pediatric Assessment Triangle?
Blood Pressure
Lung Sounds
Work of Breathing
BGL
Which of the following is a sign of respiratory failure in a pediatric patient?
Tachypnea
Nasal Flaring
ALOC
Retractions
What is the most common cause of pediatric cardiac arrest?
Vascular Emergencies
Long QT Syndrome
Trauma
Hypoxia
what is the most frequent type of seizures in childhood ?
Febrile
Focal
Epilepsy
Status Epilepticus
Minimal systolic pressure for a Preschooler ?
>75 mg dL
>75 mm Hg
>65 mm Hg
>70 mm Hg
Normal heart rate for School-aged PEDs ?
60-120
75-125
80-100
70-120
Adolescent age range ?
10-18 years
11-18 years
10-19 years
12-18 years
Neonate (newborn) age range ?
< 15 days
< 28 days
< 28 hrs.
< 30 days
Infant age range?
birth - 12 months
1-13 months
1-12 months
1-6 months
Preschooler age range ?
3-7 years
4-8 years
4-7 years
3-6 years
What does PAT stand for ?
Pediatric Amusement Triangle
Pediatric Assessment Table
Pediatric Accoutrement Table
Pediatric Assessment Triangle
In assessing a child, you use the Pediatric Assessment Triangle . what component is NOT included in the Pediatric assessment triangle
Appearance
Work of breathing
Color
Circulation to skin
When measuring a child’s Blood pressure, the following should apply, except
Cuff should be 2/3 of the size of the child’s arm
Reference range should be based on the percentile for age
BP should be taken while child is active and moving about
When the child is settled, and relaxed
Mark the appropriate answer/s with a check. The following are signs of a critically ill child:
limp
good muscle tone
easily consolable
listless
weak cry
Mark the appropriate answer/s with a check. The following are preterminal signs of a critically ill child:
silent chest
cyanosis
hypotension
oxygen saturation of less than 85% in room air
Which is NOT a typical characteristic of simple febrile seizure?
Seizure lasting 5 minutes
Stiffening of right upper and right lower extremities
associated with temperature 38.5
Not recurrent within 24 hours
Lumbar puncture is indicated for ALL patients younger than six months with fever and seizure
True
False
Which of the following is NOT a sign of respiratory distress in the pediatric patient?
Tachypnea
Central Cyanosis
Grunting
Tachycardia
