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Pediatric CMS Reviewers Exam With Complete Solutions
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Pediatric CMS Reviewers Exam With Complete SolutionsSwelling in the limbs, particularly the feet and ankles, due to an accumulation of
interstitial fluid. Palpate the dorsal
A physician orders an intravenous infusion of dextrose 5% in quarter-normal saline
solution D5 0.25 NSS to be infused at 7 ml/kg/hour for a 10 month old infant. The infant
weighs 22 lb 10 kg. How many milliliters of the ordered solution would the nurse infuse
each hour? Record your answer using a whole number.
70 ml/hour.
A nurse is teaching the parents of a 6 month old infant about normal growth and
development. Which statements regarding infant development are true? Select all that
apply.
A 6 month old infant can usually roll from prone to supine and supine to prone positions.
A teething ring is appropriate for a 6 month old infant.
Lack of visual coordination usually removes by age 6 months.
A nurse is caring for an infant who weighs 8 kg and is ordered to receive ampicillin 25
mg/kg intravenously every 6 hours. How many milligrams would a nurse administer per
dose? Record the answer as a whole number.
200 mg/dose.
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A healthy 2 month old infant is being seen in the local clinic for a well child checkup and
initial immunizations. When analyzing the pediatric record, which immunizations would
the nurse anticipate administering at this appointment? Select all that apply.
,Hib: Haemophilus influenza vaccine.
DTaP: Diphtheria, tetanus, and acellular pertussis.
PCV: Pneumococcal vaccine.
IPV: Inactivated polio vaccine.
A parent is planning to enroll a 9 month old infant in a day care facility. The parent asks a
nurse what to look for as indicators that the facility is adhering to good infection control
measures. The nurse identifies which as an indication of meeting proper infection control
standards? Select all that apply.
Soiled diapers are discarded in covered receptacles.
Facilities for hand hygiene are located in every classroom.
Disposable papers are used on the diaper changing surfaces.
A nurse is assessing a 10 month old infant during a checkup. Which developmental
milestones would the nurse expect the infant to display? Select all that apply.
Holding the head erect.
Sitting on a firm surface without support.
Bearing the majority of weight on legs.
A nurse is conducting an infant nutrition class for parents. Which foods would the nurse
tell parents that they may introduce during the first year of life? Select all that apply.
Strained vegetables.
,Oatmeal cereal.
Pureed fruits.
A nurse is teaching parents about the developmental milestones of an infant. Place the
following developmental activities for an infant in order of occurrence by age from
earliest to latest. All options must be used.
1st. Turning self from prone to supine.
2nd. Turning self from supine to prone.
3rd. Sitting alone.
4th. Crawling on hands and knees.
5th. Effectively using pincer grasp.
The nurse is assessing the primitive reflexes of a 1 month old infant. Of the reflexes
shown in the photos, which one would the nurse expect to remain the longest?
Tickling the plantar foot of the infant that on the image.
A parent phones the health care provider's office stating that his 13 month old has had
diarrhea for 3 days and he is unsure what fluids to offer. Which suggestions would the
nurse provide? Select all that apply.
Water.
Pedialyte.
A child is brought to the emergency department severely dehydrated after having
, gastroenteritis for 4 days. The health care provider orders an intravenous infusion to
maintain fluid replacement for this child. If the child weighs 18 kg, what is the hourly flow
rate in milliliters? Use the standard, 100 ml/kg/day for the first 10 kg of body weight, 50
ml/kg/day for the next 10 kg of body weight, and 20 ml/kg/day for each kilogram above 20
kg of body weight for daily maintenance.
58 ml.
The nurse is caring for an infant who exhibits the following characteristics (Down
syndrome toddler that on image). When planning care, which would be the best long term
client goal?
The client will reach his/her optimal level of functioning.
The nurse is caring for the following infant after surgery. Which short-term goal is the
priority?
The infant will remain infection free in the postoperative period.
The nurse is caring for an infant with the following congenital anomaly at birth. Which
nursing interventions are helpful in feeding the 3 month old prior to surgical repair
usually 3-6 months of age? Select all that apply.
Record daily intake on a chart.
When feeding, give water last.
Feed in small amounts assessing for tolerance.
Dilute solids making them in a softer consistency.
Instruct on the normal feeding patterns.
A nurse is preparing a dose of amoxicillin for a 3-year-old with acute otitis media. The
child weighs 33 lb (15 kg). The dosage prescribed is 50 mg/kg/day in divided doses for
every 8 hours. The concentration of the drug is 250 mg/5 ml. How many milliliters would
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