Question 1

The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their children.Which is most likely lacking in their particular diet?

Accepted Answer

A)   Fat
B)   Protein
C)   Vitamins C and A
D)   Iron and calcium D

Question 2

What is marasmus?

Accepted Answer

A)   Deficiency of protein with an adequate supply of calories
B)   Syndrome that results solely from vitamin deficiencies
C)   Not confined to geographic areas where food supplies are inadequate
D)   Characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites)  C

Question 3

The parents of a 3-month-old infant report that their infant sleeps supine (face up)but is often prone (face down)while awake.The nurse's response should be based on remembering what?

Accepted Answer

A)   This is acceptable to encourage head control and turning over.
B)   This is acceptable to encourage fine motor development.
C)   This is unacceptable because of the risk of sudden infant death syndrome (SIDS) .
D)   This is unacceptable because it does not encourage achievement of developmental milestones. A

Question 4

An infant has been diagnosed with failure to thrive (FTT)classified according to the pathophysiology of defective utilization.The nurse understands that the reason for the FTT is most likely related to what?

Accepted Answer

A)   Cystic fibrosis
B)   Hyperthyroidism
C)   Congenital infection
D)   Breastfeeding problems

Question 5

Which statement best describes colic?

Accepted Answer

A)   Periods of abdominal pain resulting in weight loss
B)   Usually the result of poor or inadequate mothering
C)   Periods of abdominal pain and crying occurring in infants older than age 6 months
D)   A paroxysmal abdominal pain or cramping manifested by episodes of loud crying

Question 6

The nurse is interviewing the parents of a 4-month-old boy brought to the hospital emergency department.The infant is dead,and no attempt at resuscitation is made.The parents state that the baby was found in his crib with a blanket over his head,lying face down in bloody fluid from his nose and mouth.The nurse might initially suspect his death was caused by what?

Accepted Answer

A)   Suffocation
B)   Child abuse
C)   Infantile apnea
D)   Sudden infant death syndrome (SIDS)

Question 7

Match the following terms related to food sensitivities to the accurate descriptions.
-Specific components of food or ingredients in food that are recognized by allergen-specific immune cells eliciting an immune reaction

Accepted Answer

A)  Food allergy
B)  Food allergen
C)  Food intolerance
D)  Sensitization
E)  Atopy

Question 8

A health care provider prescribes vitamin D supplements,300 IU orally,daily.The medication label states: "Vitamin D 1000 IU/10 ml." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number.
________________

Accepted Answer

The answer of A health care provider prescribes vitamin D...

Question 9

What are risk factors for sudden infant death syndrome?

Accepted Answer

A)   Postterm
B)   Female gender
C)   Low Apgar scores
D)   Recent viral illness
E)   Native American infants

Question 10

After the introduction of the Back to Sleep campaign in 1992,an increased incidence has been noted of which pediatric issues?

Accepted Answer

A)   Sudden infant death syndrome (SIDS) 
B)   Plagiocephaly
C)   Failure to thrive
D)   Apnea of infancy

Question 11

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

Accepted Answer

A)   Discourage the parents from making a last visit with the infant.
B)   Make a follow-up home visit to the parents as soon as possible after the child's death.
C)   Explain how SIDS could have been predicted and prevented.
D)   Interview the parents in depth concerning the circumstances surrounding the child's death.

Question 12

An infant has been diagnosed with failure to thrive (FTT)classified according to the pathophysiology of inadequate caloric intake.The nurse understands that the reason for the FTT is most likely related to what?

Accepted Answer

A)   Cow's milk allergy
B)   Congenital heart disease
C)   Metabolic storage disease
D)   Incorrect formula preparation

Question 13

What may a clinical manifestations of failure to thrive (FTT)in a 13-month-old include?

Accepted Answer

A)   Irregularity in activities of daily living
B)   Preferring solid food to milk or formula
C)   Weight that is at or below the 10th percentile
D)   Appropriate achievement of developmental landmarks

Question 14

The nurse has administered a dose of epinephrine to a 12-month-old infant.For which adverse reactions of epinephrine should the nurse monitor?

Accepted Answer

A)   Nausea
B)   Tremors
C)   Irritability
D)   Bradycardia
E)   Hypotension

Question 15

Where do eczematous lesions most commonly occur in an infant?

Accepted Answer

A)   Abdomen, cheeks, and scalp
B)   Buttocks, abdomen, and scalp
C)   Back and flexor surfaces of the arms and legs
D)   Cheeks and extensor surfaces of the arms and legs

Question 16

The nurse is preparing to feed a 10-month-old child diagnosed with failure to thrive (FTT).Which actions should the nurse plan to implement?

Accepted Answer

A)   Be persistent.
B)   Introduce new foods slowly.
C)   Provide a stimulating atmosphere.
D)   Maintain a calm, even temperament.
E)   Feed the infant only when signs of hunger are exhibited.

Question 17

The nurse is teaching parents about caring for their infant with seborrheic dermatitis (cradle cap).Which statement by the parents indicates understanding of the teaching?

Accepted Answer

A)   "We will rinse off the shampoo quickly and dry the scalp thoroughly."
B)   "We will shampoo the hair every other day with antiseborrheic shampoo."
C)   "We will be sure to shampoo the hair without removing any of the crusts."
D)   "We will use a fine-tooth comb to help remove the loosened crusts from the strands of hair."

Question 18

Which one of the following strategies might be recommended for an infant with failure to thrive (FTT)to increase caloric intake?

Accepted Answer

A)   Vary the schedule for routine activities on a daily basis.
B)   Be persistent through 10 to 15 minutes of food refusal.
C)   Avoid solids until after the bottle is well accepted.
D)   Use developmental stimulation by a specialist during feedings.

Question 19

The nurse is collecting a stool sample from an infant with lactose intolerance.Which fecal pH should the nurse expect as the result?

Accepted Answer

A)   5.5
B)   7.0
C)   7.5
D)   8

Question 20

The nurse is administering an oral antihistamine at bedtime to a child with atopic dermatitis (eczema).Which antihistamine should the nurse expect to be prescribed at bedtime?

Accepted Answer

A)   Cetirizine (Zyrtec) 
B)   Loratadine (Claritin) 
C)   Fexofenadine (Allegra) 
D)   Diphenhydramine (Benadryl)

Exam 11: Health Problems of the Infant

The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their children.Which is most likely lacking in their particular diet?

What is marasmus?

The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake.The nurse's response should be based on remembering what?

An infant has been diagnosed with failure to thrive (FTT) classified according to the pathophysiology of defective utilization.The nurse understands that the reason for the FTT is most likely related to what?

Which statement best describes colic?

Match the following terms related to food sensitivities to the accurate descriptions. -Specific components of food or ingredients in food that are recognized by allergen-specific immune cells eliciting an immune reaction

What are risk factors for sudden infant death syndrome?

After the introduction of the Back to Sleep campaign in 1992,an increased incidence has been noted of which pediatric issues?

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS) ?

An infant has been diagnosed with failure to thrive (FTT) classified according to the pathophysiology of inadequate caloric intake.The nurse understands that the reason for the FTT is most likely related to what?

What may a clinical manifestations of failure to thrive (FTT) in a 13-month-old include?

The nurse has administered a dose of epinephrine to a 12-month-old infant.For which adverse reactions of epinephrine should the nurse monitor?

Where do eczematous lesions most commonly occur in an infant?

The nurse is preparing to feed a 10-month-old child diagnosed with failure to thrive (FTT) .Which actions should the nurse plan to implement?

The nurse is teaching parents about caring for their infant with seborrheic dermatitis (cradle cap) .Which statement by the parents indicates understanding of the teaching?

Which one of the following strategies might be recommended for an infant with failure to thrive (FTT) to increase caloric intake?

The nurse is collecting a stool sample from an infant with lactose intolerance.Which fecal pH should the nurse expect as the result?

The nurse is administering an oral antihistamine at bedtime to a child with atopic dermatitis (eczema) .Which antihistamine should the nurse expect to be prescribed at bedtime?