PEDIATRIC NURSING- HOMEWORK # 1

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1. A student nurse is caring for a 2-year-old child diagnosed with
croup. A nursing instructor asks the student about the clinical
manifestation associated with croup. Which statement by the
student indicates a need for further research?
a. Inspiratory stridor and a low-grade fever may be
present.
b. The cough is harsh and brassy.
c. Symptoms usually worsen at night and are better during
the day.
d. Symptoms usually worsen during the day and are
relieved during sleep.
2. The characteristic cough of laryngotracheobronchitis will be:
a. dry and hacking
b. moist and productive
c. barking and seal-like
d. spasmodic with wheezing
3. Two early symptoms that may occur in LTB or spasmodic croup are:
a. cough and inspiratory stridor
b. kussmaul breathing and bradycardia
c. elevated temperature and vomiting
d. flushed face and wheezing
4. A 4 week old infant is admitted with a tentative diagnosis of pyloric
stenosis. During the admission assessment, the nurse bicycles the
infants legs before palpating the abdomen. This enables the nurse
to:
a. Assess abdominal rebound
b. Palpate abdominal contour
c. Relax the abdominal muscle
d. Detect weak abdominal muscle
5. A 6 week old infant is brought to the clinic by her parents. They state
that their baby has been vomiting with increasing frequency and
force after feeding. Pyloric stenosis is diagnosed. The nurse is
aware that the manifestations of pyloric stenosis are:
a. Avid hunger and non bile stained vomitus
b. Severe abdominal pain and visible peristaltic waves
c. Vomiting several hours after a feeding and tarry
stools
d. Bile stained vomitus and generalized abdominal
distention
6. The mother of an infant with pyloric stenosis asks the nurse many
questions about the problem. When answering these questions the
nurse convey the idea that:
a. Surgery will be necessary
b. Chromosomal mutation is the cause
c. Slow feeding is necessary for a few months
d. Dietary restrictions will be required throughout
childhood
7. A 10 week old is diagnosed as having pyloric stenosis and is
scheduled for surgery. Oral feedings are usually initiated a few
hours after surgery. The nurse expects that initially the baby will
receive:
a. Clear liquids
b. Full strength formula
c. Half strength formula
d. Thickened formula with cereal
8. An infant who has surgery for pyloric stenosis is being fed by the
mother. To decrease the chance of vomiting after feedings, the
nurse teaches her that after a feeding the baby should be:
a. Rocked for 20 minutes
b. Placed in an infant seat
c. Positioned flat on the right side
d. Kept awake with sensory stimulation
9. An infant is to be discharged following surgery of pyloric stenosis.
The mother should be instructed to:
a. Give the baby creamy cereal at each feeing
followed by the regular formula
b. Continue the regular formula, hold the baby during
feedings, feed the baby slowly and burp frequently
c. Give the baby about 1 ounce of regular formula per
hour for the next two weeks; progressing slowly, as
tolerated, to larger amounts
d. Feed the regular formula while the baby is in the
crib positioned on the right side; handle the baby as
little as possible for two hours after each feeding
10. A newborn with a cleft lip is fed with a special nipple. To minimize
regurgitation of the feedings the nurse instructs the mother to:
a. Hold and burp the baby after feeding
b. Give the baby the thickened formula as ordered
c. Feed the baby while sitting the baby up in an infant
seat
d. Lay the baby on the side with the bottle firmly
propped
11. Immediate nursing care for a neonate born with a cleft lip is directed
primarily toward:
a. Modifying feeding methods
b. Keeping the baby from crying
c. Minimizing handling by parents
d. Preventing the occurrence of infection
12. During the initial post operative period after one month old infant has
had a cleft lip repair, the nurse should fed the infant using a:
a. Spoon
b. Nipple
c. 10mL syringe
d. Nasogastric tube



13. The first action by the nurse after each feeding of an infant with a
recent surgical repair of cleft lip should be:
a. Burp the infant several times
b. Place the infant on the abdomen
c. Cuddle the infant for a few minutes
d. Clean and rinse the suture line of the lip
14. A priority nursing measure for an infant during the immediate post
operative period following a surgical repair of a cleft lip is to:
a. Minimize the infants crying
b. Restraint the infant at all times
c. Oxygenate the infant frequently
d. Handle the infant as little as possible
15. To help the child retain tube feedings and avoid aspiration, the
nurse should place the child in the:
a. Prone position
b. Semi fowlers position
c. Left side lying position
d. Supine position with head turned
16. A mother asks why her 1 year old toddlers cleft palate was not
repaired at the time the cleft lip was repaired at 3 months of age.
The nurses best response would be:
a. Waiting leaves time for other birth defects to be
detected and corrected.
b. Cleft lip was so disfiguring that plastic surgery was
done as quickly as possible.
c. Your surgeon prefers to separate the operations to
minimize and prevent complications.
d. The palate is corrected after teething and before
your child talks so that correct speech may be
learned.
17. The physician orders arm restraints for a 1 year old who just had
surgery for a cleft palate. The nurse is aware that the reason for the
restraints is to prevent the child from:
a. Playing with unsterile toys
b. Rolling to a supine position
c. Putting fingers into the mouth
d. Pulling out the nasogastric tube
18. When a toddler with a cleft palate repair is able to tolerate fluids, the
nurse should administer the fluids with a:
a. Small cup
b. Bulb syringe
c. Lambs nipple
d. Teflon coated spoon
19. The nurse bases the care plan for an infant with celiac disease on
pathophysiology believe to cause this disorder, which would be an
inborn error of metabolism characterized by:
a. Excessive salt in the sweat glands
b. An absence of the enzyme peptidase
c. Excessive viscosity of the mucous glands
d. An absence of the enzyme phenylalanine
20. When obtaining history from the mother of an infant with celiac
disease, the nurse would expect the mother to say that he baby:
a. Is irritable at all times
b. Has bulky, foul, frothy stools
c. Drinks large amount of fluids
d. Voids strong, concentrated urine
21. The nurse recognizes that the diagnoses of celiac disease can be
performed when a jejunal biopsy reveals:
a. Small areas of fatty plaques
b. Atrophic changes in the mucosal wall
c. Irregular areas of superficial ulcerations
d. Diffuse degenerative fibrosis of the acini
22. Discharge planning for a toddler newly diagnosed with celiac
disease includes instructions related to dietary restrictions. The
nurse recognizes that the mother understands the instructions when
she states that the foods she will withhold from the diet:
a. Beef, pork, chicken
b. Eggs, milk, rice, krispies
c. Corn crisps, spinach, cheese
d. Chocolate milk, whole wheat toast, fruit
23. After being on a dietary regimen for celiac disease for six months,
the childs compliance to the diet can be evaluated by assessing
the:
a. Physical and emotional progress
b. Ability to handle stressful situations
c. Understanding of the disease process
d. Knowledge of foods allowed on the diet
24. In addition to teaching the mother of a toddler with celiac disease
the specific foods allowed on gluten restricted diet, the nurse should
help the mother understand that:
a. This diet will be discontinued in three to five years
b. She must read the labels of all prepared foods
carefully
c. All grains contain gluten; therefore non can be
include in the diet
d. The caloric intake will be adjusted to compensate
for the deficient protein intake
25. A homecare nurse instructs the mother about dietary measures for a
5-year-old child with lactose intolerance. The nurse tells the mother
that it is necessary to provide which dietary supplement in the childs
diet?
a. Fats
b. Calcium
c. Protein
d. Zinc