Question 1

MATCHING
Match the cranial syndrome or sequence with its facial features.

-Displacement of the chin as a result of micrognathia

Accepted Answer

A) Crouzon syndrome 
B) Apert syndrome 
C) Treacher Collins syndrome 
D) Pierre Robin sequence 
A) Crouzon syndrome 
B) Apert syndrome 
C) Treacher Collins syndrome 
D) Pierre Robin sequence

Question 2

A 4-month-old infant is discharged home after surgery for the repair of a cleft lip. What should instructions to the parents include?

Accepted Answer

A)  Provide crib toys for distraction. 
B)  Breast- or bottle-feeding can begin immediately. 
C)  Give pain medication to the infant to minimize crying. 
D)  Leave the infant in the crib at all times to prevent suture strain. 
A)  Provide crib toys for distraction. 
B)  Breast- or bottle-feeding can begin immediately. 
C)  Give pain medication to the infant to minimize crying. 
D)  Leave the infant in the crib at all times to prevent suture strain.

Question 3

The nurse is teaching a new nurse about types of physical injuries that can occur at birth. Which soft tissue injuries should the nurse include in the teaching? (Select all that apply.)

Accepted Answer

A)  Petechiae 
B)  Retinal hemorrhage 
C)  Facial paralysis 
D)  Cephalhematoma 
E)  Subdural hematoma
F) Subconjunctival hemorrhage 
A)  Petechiae 
B)  Retinal hemorrhage 
C)  Facial paralysis 
D)  Cephalhematoma 
E)  Subdural hematoma
F) Subconjunctival hemorrhage

Question 4

Which is a bright red, rubbery nodule with a rough surface and a well-defined margin that may be present at birth?

Accepted Answer

A)  Port-wine stain 
B)  Juvenile melanoma 
C)  Cavernous hemangioma 
D)  Strawberry hemangioma 
A)  Port-wine stain 
B)  Juvenile melanoma 
C)  Cavernous hemangioma 
D)  Strawberry hemangioma

Question 5

A mother has just given birth to a newborn with a cleft lip. Sensing that something is wrong, she starts to cry and asks the nurse, "What is wrong with my baby?" What is the most appropriate nursing action?

Accepted Answer

A)  Encourage the mother to express her feelings. 
B)  Explain in simple language that the baby has a cleft lip. 
C)  Provide emotional support until the practitioner can talk to the mother. 
D)  Tell the mother a pediatrician will talk to her as soon as the baby is examined. 
A)  Encourage the mother to express her feelings. 
B)  Explain in simple language that the baby has a cleft lip. 
C)  Provide emotional support until the practitioner can talk to the mother. 
D)  Tell the mother a pediatrician will talk to her as soon as the baby is examined.

Question 6

The nurse is caring for an infant with hemolytic disease. Which medication should the nurse anticipate to be prescribed to decrease the bilirubin level?

Accepted Answer

A)  Phenytoin (Dilantin) 
B)  Valproic acid (Depakene) 
C)  Carbamazepine (Tegretol) 
D)  Phenobarbital (Phenobarbital) 
A)  Phenytoin (Dilantin) 
B)  Valproic acid (Depakene) 
C)  Carbamazepine (Tegretol) 
D)  Phenobarbital (Phenobarbital)

Question 7

An infant with an isolated cleft lip is being bottle fed. Which actions should the nurse plan to implement to assist with the feeding? (Select all that apply.)

Accepted Answer

A)  Use an NUK nipple. 
B)  Use cheek support. 
C)  Enlarge the nipple opening. 
D)  Position the infant upright. 
E)  Thicken the formula with rice cereal. 
A)  Use an NUK nipple. 
B)  Use cheek support. 
C)  Enlarge the nipple opening. 
D)  Position the infant upright. 
E)  Thicken the formula with rice cereal.

Question 8

The nurse is caring for a child after a cleft palate repair who is on a clear liquid diet. Which feeding device should the nurse use to deliver the clear liquid diet?

Accepted Answer

A)  Straw 
B)  Spoon 
C)  Sippy cup 
D)  Open cup 
A)  Straw 
B)  Spoon 
C)  Sippy cup 
D)  Open cup

Question 9

The nurse is caring for an infant who will be discharged on home phototherapy. What instructions should the nurse include in the discharge teaching to the parents?

Accepted Answer

A)  Apply an oil-based lotion to the infant's skin two times per day to prevent the skin from drying out under the phototherapy light. 
B)  Keep the eye shields on the infant's eyes even when the phototherapy light is turned off. 
C)  Take the infant's temperature every 2 hours while the newborn is under the phototherapy light. 
D)  Make a follow-up visit with the health care provider within 2 or 3 days after your infant has been on phototherapy. 
A)  Apply an oil-based lotion to the infant's skin two times per day to prevent the skin from drying out under the phototherapy light. 
B)  Keep the eye shields on the infant's eyes even when the phototherapy light is turned off. 
C)  Take the infant's temperature every 2 hours while the newborn is under the phototherapy light. 
D)  Make a follow-up visit with the health care provider within 2 or 3 days after your infant has been on phototherapy.

Question 10

Which birth injuries should the nurse assess for if an infant was born with the use of a vacuum extractor? (Select all that apply.)

Accepted Answer

A)  Torticollis 
B)  Brachial palsy 
C)  Fractured clavicle 
D)  Cephalhematoma 
E)  Subgaleal hemorrhage 
A)  Torticollis 
B)  Brachial palsy 
C)  Fractured clavicle 
D)  Cephalhematoma 
E)  Subgaleal hemorrhage

Question 11

The nurse is caring for a breastfed full-term infant who was born after an uneventful pregnancy and delivery. The infant's blood glucose level is 36 mg/dL. Which action should the nurse implement?

Accepted Answer

A)  Bring the infant to the mother and initiate breastfeeding. 
B)  Place a nasogastric tube and administer 5% dextrose water. 
C)  Start a peripheral intravenous line and administer 10% dextrose. 
D)  Monitor the infant in the nursery and obtain a blood glucose level in 4 hours. 
A)  Bring the infant to the mother and initiate breastfeeding. 
B)  Place a nasogastric tube and administer 5% dextrose water. 
C)  Start a peripheral intravenous line and administer 10% dextrose. 
D)  Monitor the infant in the nursery and obtain a blood glucose level in 4 hours.

Question 12

The parents of a newborn ask the nurse what caused the baby's facial nerve paralysis. The nurse's response is based on remembering that this is caused by what?

Accepted Answer

A)  Birth injury 
B)  Genetic defect 
C)  Spinal cord injury 
D)  Inborn error of metabolism 
A)  Birth injury 
B)  Genetic defect 
C)  Spinal cord injury 
D)  Inborn error of metabolism

Question 13

The nursery nurse is aware that which are risk factors for hyperbilirubinemia? (Select all that apply.)

Accepted Answer

A)  An infant born prematurely 
B)  An infant born to a mother with diabetes 
C)  An infant born to a white mother 
D)  An infant fed exclusively with formula 
E)  An infant born with a metabolic disease 
A)  An infant born prematurely 
B)  An infant born to a mother with diabetes 
C)  An infant born to a white mother 
D)  An infant fed exclusively with formula 
E)  An infant born with a metabolic disease

Question 14

The nurse suspects a newborn has a fractured clavicle. What are signs of a fractured clavicle? (Select all that apply.)

Accepted Answer

A)  An asymmetric Moro reflex 
B)  Limited use of the affected arm 
C)  Crying when the arm is moved 
D)  Muscles of the hand are paralyzed 
E)  The arm hangs limp alongside the body 
A)  An asymmetric Moro reflex 
B)  Limited use of the affected arm 
C)  Crying when the arm is moved 
D)  Muscles of the hand are paralyzed 
E)  The arm hangs limp alongside the body

Question 15

An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?

Accepted Answer

A)  Initiating discharge teaching 
B)  Performing baseline physical and behavioral assessment 
C)  Observing for allergic reactions to preoperative antibiotics 
D)  Determining whether this defect exists in other family members 
A)  Initiating discharge teaching 
B)  Performing baseline physical and behavioral assessment 
C)  Observing for allergic reactions to preoperative antibiotics 
D)  Determining whether this defect exists in other family members

Question 16

Which interventions should the nurse implement for a newborn with a subgaleal hemorrhage? (Select all that apply.)

Accepted Answer

A)  Monitor bilirubin levels. 
B)  Monitor hematocrit levels. 
C)  Prepare the newborn for skull radiography. 
D)  Monitor the newborn's level of consciousness. 
E)  Place a warm compress on the affected area. 
A)  Monitor bilirubin levels. 
B)  Monitor hematocrit levels. 
C)  Prepare the newborn for skull radiography. 
D)  Monitor the newborn's level of consciousness. 
E)  Place a warm compress on the affected area.

Question 17

When should the nurse expect breastfeeding-associated jaundice to first appear in a normal infant?

Accepted Answer

A)  2 to 12 hours 
B)  12 to 24 hours 
C)  2 to 4 days 
D)  After the fifth day 
A)  2 to 12 hours 
B)  12 to 24 hours 
C)  2 to 4 days 
D)  After the fifth day

Exam 8: Health Problems of Newborns

MATCHING Match the cranial syndrome or sequence with its facial features. -Displacement of the chin as a result of micrognathia

A 4-month-old infant is discharged home after surgery for the repair of a cleft lip. What should instructions to the parents include?

The nurse is teaching a new nurse about types of physical injuries that can occur at birth. Which soft tissue injuries should the nurse include in the teaching? (Select all that apply.)

Which is a bright red, rubbery nodule with a rough surface and a well-defined margin that may be present at birth?

A mother has just given birth to a newborn with a cleft lip. Sensing that something is wrong, she starts to cry and asks the nurse, "What is wrong with my baby?" What is the most appropriate nursing action?

The nurse is caring for an infant with hemolytic disease. Which medication should the nurse anticipate to be prescribed to decrease the bilirubin level?

An infant with an isolated cleft lip is being bottle fed. Which actions should the nurse plan to implement to assist with the feeding? (Select all that apply.)

The nurse is caring for a child after a cleft palate repair who is on a clear liquid diet. Which feeding device should the nurse use to deliver the clear liquid diet?

The nurse is caring for an infant who will be discharged on home phototherapy. What instructions should the nurse include in the discharge teaching to the parents?

Which birth injuries should the nurse assess for if an infant was born with the use of a vacuum extractor? (Select all that apply.)

The nurse is caring for a breastfed full-term infant who was born after an uneventful pregnancy and delivery. The infant's blood glucose level is 36 mg/dL. Which action should the nurse implement?

The parents of a newborn ask the nurse what caused the baby's facial nerve paralysis. The nurse's response is based on remembering that this is caused by what?

The nursery nurse is aware that which are risk factors for hyperbilirubinemia? (Select all that apply.)

The nurse suspects a newborn has a fractured clavicle. What are signs of a fractured clavicle? (Select all that apply.)

An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?

Which interventions should the nurse implement for a newborn with a subgaleal hemorrhage? (Select all that apply.)

When should the nurse expect breastfeeding-associated jaundice to first appear in a normal infant?

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

The Child with Cognitive, Sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

The Child with Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child with Respiratory Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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