A baby was brought to the paediatric unit with an unanticipated congenital
abnormality. What is the greatest strategy to involve parents in their infant's
care? - ANSWER 2. Allow the parents to be active in the infant's care as they
adjust to his unexpected condition.
A nurse instructs the parents of an infant with clubfeet about cast care. Which
comment by the father suggests the need for additional instruction? - Answer 4.
"Immunisations will have to be delayed until the casts come off."
The nurse is preparing the parents of a 9-month-old infant for surgery to fix a
ventricular septal defect. Identify the location of the cardiac defect. ANSWERA
ventricular septal defect refers to a hole in the septum between the ventricles.
The defect can occur anywhere along the septum, however it is most usually
found in the centre.
A client with HIV gives birth. When she asks if her infant has acquired
immunodeficiency syndrome (AIDS), how should the nurse respond? -
ANSWER 3. "Your baby may have acquired HIV in utero, but we won't know
for sure until the baby is older."
Parents bring their infant to the clinic for treatment after experiencing vomiting
and diarrhoea for two days. While collecting information on the newborn, the
nurse notices dry mucous membranes and lethargy. What other evidence
suggests a low fluid volume? - ANSWER 1. A submerged fontanelle
Which data-collecting finding would the nurse consider abnormal for a four-
month-old infant? - Answer 4. During inspiration, the intercostal spaces (rib
spaces) are demarcated.
,The nurse is devising a strategy to teach a woman how to lower her baby's
chances of acquiring otitis media. Which of the following directions should the
nurse include in her lesson plan? - ANSWER 2. When delivering a bottle to a
baby, place him or her upright.
A mother is concerned that she is spoiling her 2-month-old daughter by picking
her up whenever she cries. Which proposal should the nurse make? - ANSWER
2. "Continue to pick her up when she cries because young infants need cuddling
and holding to meet their needs."
A mother approaches the nurse with her child who has hypospadias. She asks
the nurse, "Why did this have to happen to my baby? Why couldn't he be
perfect? How could this have happened?" How should the nurse respond? -
Answer 4. "You seem upset. Tell me about it."
The nurse is teaching cardiopulmonary resuscitation (CPR) to the parents of a 1-
month-old infant who has been released with an apnoea monitor. What are the
recommended steps for administering CPR on an infant? - ANSWER 3. Check
for a pulse by palpating the brachial artery., 5. Compress the sternum ½" to 1"
(6). Give five compressions every breath.
When preparing a postoperative care plan for a newborn scheduled for cleft lip
repair, the nurse should prioritise which intervention. - ANSWER 1.
Comforting the youngster as soon as possible.
Which action offers the most reliable information about an infant's hydration
level? - Answer 4. Weighing the infant daily.
An 8-month-old infant is admitted for a febrile seizure. The infant weighs 17
pounds (7.7 kg). The doctor prescribes ceftriaxone (Rocephin), 270 mg I.M.
Every twelve hours. (The safe dosage range is 50 to 75 mg/kg per day.) The
pharmacy supplies a vial that, when reconstituted, yields 500 mg/2 ml. How
many millilitres should the nurse administer? - ANSWER 3. 1.08 ml
, The nurse is preparing to discharge a neonate with cleft lip and palate. One of
the nurse's primary priorities is: - ANSWER4. Establish an appropriate feeding
schedule.
A mother is stopping breastfeeding after three months. Which item should the
nurse recommend she include in her infant's diet? - Answer 4. Iron-fortified
formulation alone
When gathering information on a postterm neonate, the nurse expects to
discover: - ANSWER2. Abundant subcutaneous fat.
The nurse is showing parents how to choose proper toys for their 10-month-old
baby. Which comment made by the parents demonstrates successful teaching? -
Answer 4. "We'll get a push toy for the baby."
An infant comes at the emergency room in complete cardiopulmonary arrest.
Resuscitation attempts fail, and he is pronounced dead. The cause of death was
Sudden Infant Death Syndrome (SIDS). Which of the following is correct about
the aetiology of SIDS? - Answer 4. It occurs more frequently in newborns who
sleep in the prone posture.
The parents of a 4-month-old newborn send him to the paediatrician because
they are concerned about his frequent respiratory infections, poor feeding
habits, vomiting, and colic. The doctor observes that the infant has not gained
the appropriate weight and recommends that a sweat test be performed to detect
suspected cystic fibrosis. To prepare parents for the test, the nurse should
explain that: - ANSWER 4. A low-intensity, painless electrical current is
delivered to the skin.
A 5-month-old baby with an upper respiratory infection is brought to the clinic.
The mother states that the infant weighed 7 pounds (3.2 kilogrammes) at birth.
Based on the nurse's expertise of newborn weight gain, what present weight
would be considered normal for this infant? - ANSWER 1. 14 lb (6.4 kg)
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