Question 1

The parents of an infant with a cleft palate ask the nurse,"What follow-up care will our infant need after the repair?" Which is an accurate response by the nurse?

Accepted Answer

A)  "Your infant will not need any subsequent follow-up care." 
B)  "Your infant will only need to be evaluated by an audiologist." 
C)  "Your infant will only need follow-up with a speech pathologist." 
D)  "Your infant will need follow-up with audiologists and orthodontists." 
A)  "Your infant will not need any subsequent follow-up care." 
B)  "Your infant will only need to be evaluated by an audiologist." 
C)  "Your infant will only need follow-up with a speech pathologist." 
D)  "Your infant will need follow-up with audiologists and orthodontists." D

Question 2

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. D

Question 3

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) D

Question 4

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 5

Match the cranial syndrome or sequence with its facial features.
-Asymmetric facial deformity,including absent cheekbones

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 6

A pregnant client asks the nurse to explain the meaning of "cephalopelvic disproportion." Which explanation should the nurse give to the client?

Accepted Answer

A)  "It means a large for gestational age fetus." 
B)  "It is the narrow opening between the ischial spines." 
C)  "There is an uneven size between the fetus' presenting part and the pelvis." 
D)  "The shape of the pelvis is an android shape and is unfavorable for vaginal delivery." 
A)  "It means a large for gestational age fetus." 
B)  "It is the narrow opening between the ischial spines." 
C)  "There is an uneven size between the fetus' presenting part and the pelvis." 
D)  "The shape of the pelvis is an android shape and is unfavorable for vaginal delivery."

Question 7

Which interventions should the nurse implement for a newborn with a subgaleal hemorrhage?

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 8

A newborn has been diagnosed with brachial nerve paralysis.The nurse should assist the breastfeeding mother to use which hold or position during feeding?

Accepted Answer

A)  Reclining 
B)  The cradle hold 
C)  The football hold 
D)  The cross-over hold 
A)  Reclining 
B)  The cradle hold 
C)  The football hold 
D)  The cross-over hold

Question 9

Match the cranial syndrome or sequence with its facial features.
-Shallow orbits and underdevelopment of the middle third of the face

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 10

What is an important nursing intervention for a full-term infant receiving phototherapy?

Accepted Answer

A)  Observing for signs of dehydration 
B)  Using sunscreen to protect the infant's skin 
C)  Keeping the infant diapered to collect frequent stools 
D)  Informing the mother why breastfeeding must be discontinued 
A)  Observing for signs of dehydration 
B)  Using sunscreen to protect the infant's skin 
C)  Keeping the infant diapered to collect frequent stools 
D)  Informing the mother why breastfeeding must be discontinued

Question 11

The nursery nurse is aware that which are risk factors for hyperbilirubinemia?

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 12

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 13

The nurse is planning care for an infant receiving calcium gluconate for treatment of hypocalcemia.Which route of administration should be used?

Accepted Answer

A)  Oral 
B)  Intramuscular 
C)  Intravenous 
D)  Intraosseous 
A)  Oral 
B)  Intramuscular 
C)  Intravenous 
D)  Intraosseous

Question 14

What should nursing care of an infant with oral candidiasis (thrush)include?

Accepted Answer

A)  Avoid use of a pacifier. 
B)  Continue medication for the prescribed number of days. 
C)  Remove the characteristic white patches with a soft cloth. 
D)  Apply medication to the oral mucosa, being careful that none is ingested. 
A)  Avoid use of a pacifier. 
B)  Continue medication for the prescribed number of days. 
C)  Remove the characteristic white patches with a soft cloth. 
D)  Apply medication to the oral mucosa, being careful that none is ingested.

Question 15

A mother brings her 6-week-old infant in with complaints of poor feeding,lethargy,fever,irritability,and a vesicular rash.What does the nurse suspect?

Accepted Answer

A)  Impetigo 
B)  Candidiasis 
C)  Neonatal herpes 
D)  Congenital syphilis 
A)  Impetigo 
B)  Candidiasis 
C)  Neonatal herpes 
D)  Congenital syphilis

Question 16

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 17

A mother is upset because her newborn has erythema toxicum neonatorum.The nurse should reassure her that this is what?

Accepted Answer

A)  Easily treated 
B)  Benign and transient 
C)  Usually not contagious 
D)  Usually not disfiguring 
A)  Easily treated 
B)  Benign and transient 
C)  Usually not contagious 
D)  Usually not disfiguring

Question 18

Match the cranial syndrome or sequence with its facial features.
-Craniosynostosis resulting in a prominent forehead

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 19

Rh hemolytic disease is suspected in a mother's second baby,a son.Which factor is important in understanding how this could develop?

Accepted Answer

A)  The first child was a girl. 
B)  The first child was Rh positive. 
C)  Both parents have type O blood. 
D)  She was not immunized against hemolysis. 
A)  The first child was a girl. 
B)  The first child was Rh positive. 
C)  Both parents have type O blood. 
D)  She was not immunized against hemolysis.

Question 20

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

Exam 8: Health Problems of Newborns

The parents of an infant with a cleft palate ask the nurse,"What follow-up care will our infant need after the repair?" Which is an accurate response by the nurse?

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?

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

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?

Match the cranial syndrome or sequence with its facial features. -Asymmetric facial deformity,including absent cheekbones

A pregnant client asks the nurse to explain the meaning of "cephalopelvic disproportion." Which explanation should the nurse give to the client?

Which interventions should the nurse implement for a newborn with a subgaleal hemorrhage?

A newborn has been diagnosed with brachial nerve paralysis.The nurse should assist the breastfeeding mother to use which hold or position during feeding?

Match the cranial syndrome or sequence with its facial features. -Shallow orbits and underdevelopment of the middle third of the face

What is an important nursing intervention for a full-term infant receiving phototherapy?

The nursery nurse is aware that which are risk factors for hyperbilirubinemia?

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

The nurse is planning care for an infant receiving calcium gluconate for treatment of hypocalcemia.Which route of administration should be used?

What should nursing care of an infant with oral candidiasis (thrush)include?

A mother brings her 6-week-old infant in with complaints of poor feeding,lethargy,fever,irritability,and a vesicular rash.What does the nurse suspect?

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?

A mother is upset because her newborn has erythema toxicum neonatorum.The nurse should reassure her that this is what?

Match the cranial syndrome or sequence with its facial features. -Craniosynostosis resulting in a prominent forehead

Rh hemolytic disease is suspected in a mother's second baby,a son.Which factor is important in understanding how this could develop?

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

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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