PNR 308 Pediatrics Midterm exam with complete solution
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Course
PNR
Institution
PNR
A newborn infant will typically lose _______ to 10 % of his or her birth weight by day 3 or 4.
7-10%
A newborn loses the weight after birth but SHOULD regain the weight by 7-10 days old
What is the most important nursing intervention to promote a positive hospital experience for a 1-mont...
PNR 308 Pediatrics Midterm exam with
complete solution
A newborn infant will typically lose _______ to 10 % of his or her birth weight by
day 3 or 4. - ANSWER-7-10%
A newborn loses the weight after birth but SHOULD regain the weight by 7-10
days old
What is the most important nursing intervention to promote a positive hospital
experience for a 1-month-old infant?
a)Encouraging parents to bring in familiar toys from home
b)Maintenance of a rigid schedule
c)Provision of sensorimotor stimulation
d)Provision of consistent caregivers - ANSWER-d)Provision of consistent
caregivers
Due to trust vs mistrust - infants are wary of strangers.
What are the best foods for a nurse to recommend for a 2-year-old child
diagnosed with mild constipation?
a)Wheat crackers and apples
b)Bananas and bran muffins
c)Shredded wheat and cooked prunes
d)Rice and black beans - ANSWER-c)Shredded wheat and cooked prunes
A group of children are observed playing house. Each child is assigned a specific
role as mommy, daddy, or child. At what age does this type of play typically
begin?
a)Between 1 and 2 years old
b)Between 10 and 13 years old
c)Between 3 and 5 years old
,d)Between 7 and 10 years old - ANSWER-c)Between 3 and 5 years old
Name some indicators that a child is ready to transition to solid foods - ANSWER-
Sit up with support, Head erect, Have some teeth, Extrusion reflex is gone, Can
chew and swallow
What should you give a 6mo baby before introducing/giving solid food? -
ANSWER-Milk or formula
How many meals a day should an 8mo baby have? (in addition to bottle)
For a 10-12mo? - ANSWER-2 small meals a day
3-4 small meals a day
How many wet and dirty (BM) diapers should a 1mo have in 24h period? -
ANSWER-At least 6 wet, 2 dirty
How many Cal/kg does a 0-6mo need? - ANSWER-108cal/kg
What is the main cause of a child acquiring iron-deficiency anemia? - ANSWER-
When child drinks milk instead of eating solid foods.
What age of child do you feed lots of finger foods? - ANSWER-Toddler
For how many weeks will the infant experience passive immunity from his or her
mother?
a)4
b)8
c)12
d)24 - ANSWER-c)12
A mother who is breastfeeding her 5-month-old infant asks a nurse what else she
should be offering the infant for nutrition at this point in time. A nurse teaches the
mother that she should supplement the infant's diet with which of the following?
a)Rice cereal
b)No other food or drink
c)A bottle of water
d)An occasional bottle of juice - ANSWER-b)No other food or drink
, Which characteristics are present in a well-nourished child? (Select all that
apply.)
Fetus, Neonate, Infant, Toddler, Preschool, School Age, Adolescent - ANSWER-
Fetus: 9wk gestation to birth
Neonate: Birth to 4 weeks
Infant: 1mo - 1yo
Toddler: 1-3yo
Preschool: 3-6yo
School Age: 6-12yo
Adolescent: 12-18yo
A child comes to the clinic for follow-up after discharge from the hospital with a
diagnosis of diabetic ketoacidosis. He states he is excited about returning to
school and rejoining his cross-country team with his friends. His father states he
wants his son to stay home and do more sedentary activities to prevent any more
health problems. What is the best response of the nurse? - ANSWER-Review with
the child and father the goal of normal growth and development with healthy
activity. Encourage the son to accept responsibility for monitoring and self-care.
Review with the son and father blood sugar levels and trends, dietary patterns,
and timing of insulin administration in relation to exercise. Review the need for
blood glucose testing before, during, and after exercise. Discuss the need for the
child to carry glucagon tablets in his backpack and the need for the coach to be
aware of the child's condition.
A mother comes to the clinic with her 5-year-old child who has a urinary tract
infection for the second time in 3 months. You notice that the child is wearing
spandex sports shorts and is carrying a doll. She is holding a bottled water
container that is filled with fruit punch. What teaching interventions could the
nurse initiate? - ANSWER-Teach the parent and child the advantages of wearing
loose cotton clothing to allow for airflow to the perineal area. Discuss limiting
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