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pediatric hesi Questions and Answers

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pediatric hesi Questions and Answers pediatric hesi Questions and Answers pediatric hesi Questions and Answers

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  • September 11, 2024
  • 114
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pediatric hesi
  • Pediatric hesi
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lectjoseph
pediatric hesi Questions and Answers
Norms for growth and development - answer Birth weight doubles by 6 months, triples by yr

Peek a boo by 6 month

Sits upright without support by 8

pincher grip by 10-12



Hesi hint - answer Mobiles: infant

Puppets: toddler/preschool

Cars: preschool

Games: school age

Themselves: adolescent



Toddlers - answer 2-3 word sentences at 2

Ritualistic



Preschool - answer Favorite word is why

Sentences of 5-8



School age - answer Each yr gains 4-6 lbs grows 2 inches

Socialization with peers very important



Immunization - answer Cold doesn't stop it unless > 99

Use acetaminophen orally



Cystic fibrosis - answer Autosomal recessive

Absence of pancreatic enzymes

Greasy stool

Chronic pulmonary infections

High sweat test

,Pancreatic enzymes with meals



Digoxin therapy in kids - answer Hold infants <100, kids <80

Don't skip or make up dose

Give 1-2 hrs before meals

S/s over dose: vomiting, diarrhea, muscle weakness, drowsiness



Vent septal defect - answer Abnormal opening between ventricles

Acyanotic



Atrial septal defect - answer Opening in atria

Acyanotic



Patent ductus arterious - answer Hole between aorta and pulmonary artery

Acyanototic

So are coarctation of aorta and aortic stenosis



Cyanotic heart defects - answer Tetralogy of fallot: 4 defects

Transposition of the great vessels: everything is criss crossed

Truncus arterious : single great vessel instead of 2



Rheumatic fever - answer Most common cause of acquired heart disease

Affects connective tissue, sore throat than fever

Lots of rest, home school



Resp distress infants - answer Increase rr

axillAry muscles for breathing

Restlessness

Nasal flaring

Tripod

Grunting

,Cyanotic



Resp failure infants - answer Brady

Deceased rr

Apneic

Deceased loc

Grunting

Deceased breath sounds



When does birth length double? - answer By 4 years



When does the child sit unsupported? - answer 8 months



When does a child achieve 50% of adult height? - answer 2 years



When does a child throw a ball overhand? - answer 18 months



When does a child speak 2-3 word sentences? - answer 2 Yeears



Age groups concepts of bodily injury - answer Infants: After 6 months, their cognitive development
allows them to remember pain.

Toddlers: Fear intrusive procedures.

Preschoolers: Fear body mutilation.

School age: Fear loss of control of their body.

Adolescent: Major concern is change in body image.



Following immunization, what teaching should the nurse provide to the parents? - answer
Irritability, fever (<102 degrees F), redness and soreness at injection site for 2-3days are normal side
effects of DPT and IPV administration.Call healthcare provider if seizures, high fever, or high -pitched
crying occur.A warm washcloth on the thigh injection site and "bicycling" the legs w/each diaper
change will decrease soreness.Acetaminophen (Tylenol) is administered orally every 4-6 hours (10-
15 mg/Kg)

, Hgb norms - answer Newborn: 14 to 24 g/dl

Infant: 10 to 15 g/dl

Child: 11 to 16 g/dl



Autosomal recessive - answer Both parents must be heterozygous, or carriers of the recessive trait,
for the disease to be expressed in their offspring. With each pregnancy, there is a 1:4 chance of the
infant having the disease. However, all children of such parents CAN get the disease - NOT 25% of
them.



A child with leukemia is being discharged after beginning chemotherapy. Which of the following
instructions will the nurse include when teaching the parents of this child?

a)provide a diet low in protein and high carbohydrates

b) avoid fresh vegetables that are not cooked or peeled

c) notify the doctor if the child's temperature exceeds 101 F (39C)

d) increase the use of humidifiers throughout the house - answer Answer B

fresh fruits and vegetables harbor microorganisms, which can cause infections in immune-
compromised child. Fruits and vegetables should either be peeled or cooked. The physician should
be notified of a temperature above 100F, a diet low in protein is not indicated, and humidifiers
harbor fungi in the water containers.



A client with hemophilia has a very swollen knee after falling from bicycleriding. Which of the
following is the first nursing action?

a)initiate an IV site to begin administration of cryoprecipitate

b) type and cross-match for possible transfusion

c) monitor the client's vital signs for the first 5 minutes

d) apply ice pack and compression dressings to the knee - answer Answer D

rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the swelling and
bleeding into the joint. These are the priority actions for bleeding into the joint of a client with
hemophilia



A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances
of her children having sickle cell disease. Which of the following is appropriate response by the
nurse?



a)one of her children will have sickle cell disease

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