Question 1

Which is an important nursing intervention when caring for an infant with a myelomeningocele in the preop stage?

Accepted Answer

A) Place infant supine to decrease pressure on the sac. 
B) Apply a heat lamp to facilitate drying and toughening of the sac. 
C) Measure head circumference daily to identify developing hydrocephalus. 
D) Apply a diaper to prevent contamination of the sac. 
A) Place infant supine to decrease pressure on the sac. 
B) Apply a heat lamp to facilitate drying and toughening of the sac. 
C) Measure head circumference daily to identify developing hydrocephalus. 
D) Apply a diaper to prevent contamination of the sac. C

Question 2

A nurse is caring for a child who has recently been diagnosed with cerebral palsy.What are the major goals of therapy for this child?

Accepted Answer

A) Reversal of degenerative processes that have occurred 
B) Curing the underlying defect causing the disorder 
C) Preventing the spread to individuals in close contact with the child 
D) Promoting optimum development 
A) Reversal of degenerative processes that have occurred 
B) Curing the underlying defect causing the disorder 
C) Preventing the spread to individuals in close contact with the child 
D) Promoting optimum development D

Question 3

A 2-year-old has a tonic-clonic seizure while in the hospital crib.The child's jaws are clamped.Which is the most important nursing action at this time?

Accepted Answer

A) Place a padded tongue blade between the child's jaws. 
B) Stay with the child and observe his respiratory status. 
C) Prepare the suction equipment. 
D) Restrain the child to prevent injury. 
A) Place a padded tongue blade between the child's jaws. 
B) Stay with the child and observe his respiratory status. 
C) Prepare the suction equipment. 
D) Restrain the child to prevent injury. B

Question 4

A child has been diagnosed with epilepsy,and is on daily phenytoin (Dilantin).Which client education should the nurse include?

Accepted Answer

A) Fluid intake 
B) Good dental hygiene 
C) A decrease in vitamin D intake 
D) Taking the medication with milk 
A) Fluid intake 
B) Good dental hygiene 
C) A decrease in vitamin D intake 
D) Taking the medication with milk

Question 5

A child has experienced a near-drowning episode,and is admitted to the Pediatric Intensive Care Unit.The parents express guilt over the near-drowning of their child.Which is the nurse's best response?

Accepted Answer

A) "You will need to watch the child more closely." 
B) "Tell me more about your feelings." 
C) "The child will be fine,so don't worry." 
D) "Why did you let the child almost drown?" 
A) "You will need to watch the child more closely." 
B) "Tell me more about your feelings." 
C) "The child will be fine,so don't worry." 
D) "Why did you let the child almost drown?"

Question 6

A child with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized.Which action should the nurse do first?

Accepted Answer

A) Place a continuous pulse oximetry monitor on the child. 
B) Place the child in a room away from the nurse's station. 
C) Allow for several visitors to remain at the child's bedside. 
D) Use soft restraints if the child becomes confused. 
A) Place a continuous pulse oximetry monitor on the child. 
B) Place the child in a room away from the nurse's station. 
C) Allow for several visitors to remain at the child's bedside. 
D) Use soft restraints if the child becomes confused.

Question 7

A nurse is caring for a 15-year-old boy who is recovering from a grade 3 concussion.Which educational statement would be important for the nurse to present to the teen's family?

Accepted Answer

A) The client should not play sports for 1 year after the concussion. 
B) If the client has another concussion in the near future,recovery time should remain the same. 
C) The client can experience dizziness for more than 6 weeks after the concussion. 
D) Concussions usually are associated with skull fractures. 
A) The client should not play sports for 1 year after the concussion. 
B) If the client has another concussion in the near future,recovery time should remain the same. 
C) The client can experience dizziness for more than 6 weeks after the concussion. 
D) Concussions usually are associated with skull fractures.

Question 8

The nurse should suspect a child has cerebral palsy if the parent makes which statement?

Accepted Answer

A) "My 6-month-old baby is rolling from back to front now." 
B) "My 3-month-old hasn't smiled at me." 
C) "My 8-month-old can sit without support." 
D) "My 10-month-old is not walking." 
A) "My 6-month-old baby is rolling from back to front now." 
B) "My 3-month-old hasn't smiled at me." 
C) "My 8-month-old can sit without support." 
D) "My 10-month-old is not walking."

Question 9

A child with a myelomeningocele corrected at birth is now 5 years old.What is a priority nursing diagnosis for a child with corrected spina bifida at this age?

Accepted Answer

A) Risk for infection 
B) Risk for impaired tissue perfusion-cranial 
C) Risk for altered urinary elimination 
D) Risk for altered comfort 
A) Risk for infection 
B) Risk for impaired tissue perfusion-cranial 
C) Risk for altered urinary elimination 
D) Risk for altered comfort

Question 10

A child has sustained a traumatic brain injury,and is being monitored in the pediatric intensive care unit.The nurse is using the Glasgow Coma Scale to assess the child.Which assessments will be included? Select all that apply.

Accepted Answer

A) Eye opening 
B) Verbal response 
C) Motor response 
D) Head circumference 
E) Pulse oximetry 
A) Eye opening 
B) Verbal response 
C) Motor response 
D) Head circumference 
E) Pulse oximetry

Question 11

An infant has just been born with a myelomeningocele.The infant has been admitted to the neonatal intensive care unit.Upon noticing the nursing tech preparing an open crib for this infant,the nurse should:

Accepted Answer

A) Not say anything;the tech is doing an appropriate action. 
B) Stop the tech and ask her to prepare a warmer for this infant. 
C) Remind the tech to include adequate warm blankets in the crib. 
D) Ask the tech to place a hat and warm gown for the infant in the crib. 
A) Not say anything;the tech is doing an appropriate action. 
B) Stop the tech and ask her to prepare a warmer for this infant. 
C) Remind the tech to include adequate warm blankets in the crib. 
D) Ask the tech to place a hat and warm gown for the infant in the crib.

Question 12

A lumbar puncture is done on an infant suspected to have meningitis.If the infant has bacterial meningitis,the nurse would expect the cerebral spinal fluid to show what result?

Accepted Answer

A) An elevated white blood cell count 
B) An elevated red blood cell count 
C) Normal glucose 
D) A decreased white blood cell count 
A) An elevated white blood cell count 
B) An elevated red blood cell count 
C) Normal glucose 
D) A decreased white blood cell count

Question 13

The nurse is planning care for a school-age child with bacterial meningitis.Which of the following should be included?

Accepted Answer

A) Keep environmental stimuli at a minimum. 
B) Avoid giving pain medications that could dull sensorium. 
C) Measure head circumference to assess developing complications. 
D) Have the child move her head from side to side at least once every 2 hours. 
A) Keep environmental stimuli at a minimum. 
B) Avoid giving pain medications that could dull sensorium. 
C) Measure head circumference to assess developing complications. 
D) Have the child move her head from side to side at least once every 2 hours.

Question 14

A child has sustained a basilar skull fracture.For which complication should the nurse assess?

Accepted Answer

A) Cerebral spinal fluid leakage from the nose or ears 
B) Headache 
C) Transient confusion 
D) Periorbital ecchymosis 
A) Cerebral spinal fluid leakage from the nose or ears 
B) Headache 
C) Transient confusion 
D) Periorbital ecchymosis

Exam 56: The Child With Alterations in Neurologic Function

Which is an important nursing intervention when caring for an infant with a myelomeningocele in the preop stage?

A nurse is caring for a child who has recently been diagnosed with cerebral palsy.What are the major goals of therapy for this child?

A 2-year-old has a tonic-clonic seizure while in the hospital crib.The child's jaws are clamped.Which is the most important nursing action at this time?

A child has been diagnosed with epilepsy,and is on daily phenytoin (Dilantin).Which client education should the nurse include?

A child has experienced a near-drowning episode,and is admitted to the Pediatric Intensive Care Unit.The parents express guilt over the near-drowning of their child.Which is the nurse's best response?

A child with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized.Which action should the nurse do first?

A nurse is caring for a 15-year-old boy who is recovering from a grade 3 concussion.Which educational statement would be important for the nurse to present to the teen's family?

The nurse should suspect a child has cerebral palsy if the parent makes which statement?

A child with a myelomeningocele corrected at birth is now 5 years old.What is a priority nursing diagnosis for a child with corrected spina bifida at this age?

A child has sustained a traumatic brain injury,and is being monitored in the pediatric intensive care unit.The nurse is using the Glasgow Coma Scale to assess the child.Which assessments will be included? Select all that apply.

An infant has just been born with a myelomeningocele.The infant has been admitted to the neonatal intensive care unit.Upon noticing the nursing tech preparing an open crib for this infant,the nurse should:

A lumbar puncture is done on an infant suspected to have meningitis.If the infant has bacterial meningitis,the nurse would expect the cerebral spinal fluid to show what result?

The nurse is planning care for a school-age child with bacterial meningitis.Which of the following should be included?

A child has sustained a basilar skull fracture.For which complication should the nurse assess?

Contemporary Maternalnewborn and Child Health Nursing

Culture and the Family

Reproductive Anatomy and Physiology

Conception and Fetal Development

Health Promotion for Women

Common Gynecologic Problems

Families With Special Reproductive Concerns

Preparation for Parenthood

Physical and Physiologic Changes of Pregnancy

Antepartal Nursing Assessment

The Expectant Family: Needs and Care

Maternal Nutrition

Adolescent Pregnancy

Assessment of Fetal Well-Being

Pregnancy at Risk: Pregestational Problems

Pregnancy at Risk: Gestational Onset

Processes and Stages of Labor and Birth

Intrapartal Nursing Assessment

The Family in Childbirth: Needs and Care

Pharmacologic Pain Management

Childbirth at Risk: Prelabor Complications

Childbirth at Risk: Labor-Related Complications

Birth-Related Procedures

The Physiologic Responses of the Newborn to Birth

Nursing Assessment of the Newborn

The Normal Newborn: Needs and Care

Newborn Nutrition

The Newborn at Risk: Conditions Present at Birth

The Newborn at Risk: Birth-Related Stressors

Postpartal Adaptation and Nursing Assessment

The Postpartal Family: Early Care Needs and Home Care

The Postpartal Family at Risk

Growth and Development

Infant,child,and Adolescent Nutrition

Pediatric Assessment

Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant

Health Promotion and Maintenance for the Toddler, the Preschooler, and the School-Age Child

Health Promotion and Maintenance: the Adolescent

Nursing Considerations for the Child and Family in the Community

Nursing Considerations for the Child and Family With a Chronic Condition

Nursing Considerations for the Hospitalized Child

Pain Assessment and Management in Children

The Child With a Life-Threatening Condition and End-Of-Life Care

Social and Environmental Influences on the Child

Immunization and Communicable Diseases

The Child With Alterations in Fluids, electrolytes, and Acidbase Balance

The Child With Alterations in Eye, Ear, Nose, and Throat Function

The Child With Alterations in Respiratory Function

The Child With Alterations in Cardiovascular Function

The Child With Alterations in Immune Function

The Child With Alterations in Hematologic Function

The Child With Cancer

The Child With Alterations in Gastrointestinal Function

The Child With Alterations in Genitourinary Function

The Child With Alterations in Endocrine Function

The Child With Alterations in Mental Health and Cognitive Function

The Child With Alterations in Musculoskeletal Function

The Child With Alterations in Skin Integrity

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