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PNU 135 PassPoint PrepU Infant Exam
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PNU 135 PassPoint PrepU Infant ExamWhen administering an I.M. injection to an infant, what site should the nurse use? Vastus
lateralis
A 2-month-old infant is brought to the emergency department with a pulse rate of 180
beats/minute and a temperature of 103.1° F (39.5° C) rectally. The most appropriate
intervention would be to Administer acetaminophen.
An 8-month-old infant was diagnosed with DDH. What is the most significant finding the
nurse would expect in the perinatal history related to DDH? - ANSWER breech
presentation at birth
The parents of an infant diagnosed with hypothyroidism have been taught to count the
infant's pulse. Which intervention should be reinforced to take if a high pulse rate is
obtained? - ANSWER Withhold the medication and call the health care provider.
An infant is diagnosed with bronchopulmonary dysplasia. What is a priority problem that
the nurse expects to see in the plan of care? - ANSWER decreased oxygen saturation
A baby boy has just had an operation to correct his cleft lip. What is the most important
nursing intervention in the immediate postoperative period? ANSWER Sterilize the
suture line with a sterile solution after feedings.
The mother of a 3-day-old, breast-fed infant tells the nurse that she is concerned
because her infant has had two recent diapers containing a great deal of loose,
yellowish stool. Which explanation by the nurse is best? - ANSWER "It's normal for
breast-fed infants to pass three or more loose, yellow stools per day."
The nurse is gathering data on a 10-month-old infant at a well-child visit. The following
developmental skills are expected to be demonstrated by this infant. Select all that
, apply. - ANSWER holding head erect
sitting on a firm surface without support
bearing most of weight on legs
After a surgical repair of a cleft lip, the physician orders elbow restraints for the infant.
To provide appropriate postoperative care for this infant, which nursing action should
be included in the plan of care? ANSWER removing the restraints every 2 hours
An infant who has been in foster care since birth needs a blood transfusion. The nurse
should request which person to provide written, informed consent for the blood
transfusion procedure? ANSWER the foster mother
A neonate is postoperative for the repair of a cleft lip. What should the nurse do to
prevent trauma to the suture line? - ANSWER Use a bulb syringe with a rubber tip for
feedings.
A 3-month-old child is admitted to the pediatric unit diagnosed with meningococcal
meningitis and has just been assessed by the registered nurse. Which nursing
intervention is the most important at this time? - ANSWER Instituting droplet precautions
Which nursing intervention is a priority when caring for an infant in the first 24 hours
after surgery for cleft lip? - ANSWER Cleanse the suture line carefully after feedings
using sterile technique.
What complication should the nurse be most concerned about during the first 12 hours
of life for a neonate born with a myelomeningocele? - ANSWER infection
The nurse is caring for an infant suspected of having acute bacterial meningitis. What
finding does the nurse expect to see? - ANSWER Irritability, fever, and vomiting
A mother is concerned that she is spoiling her 2-month-old daughter because every time
the baby cries she picks her up. Which suggestion should the nurse give? - ANSWER
"Continue to pick her up when she cries because young infants need cuddling and
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