Pediatric Nursing 1: Points 100 Questions 100 Time Limit 90 Minutes

3/4/2021 Pediatric Nursing 1: MBOL BATCH 2021
Pediatric Nursing 1
Due Mar 4 at 3am Points 100 Questions 100
Available Mar 3 at 3pm - Mar 4 at 3am about 12 hours Time Limit 90 Minutes
Allowed Attempts 3
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Score for this attempt: 47 out of 100

Submitted Mar 4 at 2:46am
This attempt took 90 minutes.
Question 1 0 / 1 pts
The stools of a child with Hirschsprung's disease are best described as:
Bulky and poorly formed
Fatty and foul-smelling
Ribbon- or pellet-like
Currant jelly-like
After teaching the parents of an infant diagnosed with Hirschsprung's

disease, the nurse determines that the parents understand the diagnosis
when the father states which of the following?
https://feu.instructure.com/courses/67584/quizzes/584890/take/questions/5079809 1/54
"The nerves to the end of the large colon are missing."
"There is no rectal opening for stool to pass."
"There is a tube between the trachea and esophagus."
"The muscle below the stomach is too tight."
A mother is upset that a 34-month-old child has begun to wet the bed and
thumb-suck after being admitted to the hospital. The mother asks the
nurse to explain why this is happening. The nurse's best response is
which of the following?
"Your toddler is angry and this is a way of letting the unhappiness become
known."
"Bedwetting and thumb-sucking are the child's way of getting even for
abandonment."
"This behavior is a defense mechanism when normal routines are

changed."
"Your child probably does not like the nurse who has been assigned."
When teaching the parents of a child with a ventricular septal defect who
is scheduled for a cardiac catheterization, the nurse explains that this
procedure involves the use of which of the following?
General anesthesia.
Ultra-high-frequency sound waves.
Cut down procedure to place a catheter.
Catheter placed in the right femoral vein.
Which of the following information would be important in developing play

therapy for an 8 year old?
Each prefer mixed group play
Boys prefer to play with boys and girls with girls
Girls prefer to play with boys
Boys prefer to play with girls
The 8-year-old is looking outside the family for new ideas and
activities. Peer groups become important and the child will identify
with other youngsters of the same sex and with similar interests
and activities. The child will often have a "best" friend - an
important milestone in development. The growing influence of
peers often presents a challenge to parents.
A woman who is scheduled to deliver via cesarian section asked the

nurse about how the essential newborn care about could be applied. The
nurse's best response to the client is:
"Why are you concerned about the Essential Newborn Care?"
"The ENC may still be applied to you and your baby especially the skin –
to – skin contact"
"I will tell your doctor about your concern since you will operated"
"This must be difficult for you; unfortunately, ENC may not be applicable to
your situation"
The nurse is conducting teaching characteristics of Toddlers to parents.

Included in the description of a Toddler is that:
The child starts exploring the inside and outside world with supervision
(exploratory stage)
Child starts to act, talk and dress like people they know (imitative stage)
The child starts to justify answers to questions asked ( age of reason)
Children follows the rules and regulations set by parents and significant
others (age of conformity)
Exploring the inside and outside world — with supervision, of

course — is important for toddlers' emotional, social, and physical
development. They learn more about the world and how it works.
Exploring also gives toddlers a chance to work on important motor
skills. Whether it's kicking a ball or climbing stairs, they can persist
until they get it right. Doing so not only adds skills, it boosts their
sense of confidence and competence.
You discover that a toddler's mother is propping a bottle at bedtime to

help her fall asleep. You would advise her against this practice because
calcium is drained from the bones.
it promotes tooth decay.
the bottle could break, injuring the child.
it can cause a facial rash.
Metro Manila Developmental test or MMDST is done to children ages:
Immediately after birth to 7 years old
2 weeks to 6 ½ years old
1 year old to 7 years old
1 month to 6 years old
Which of the following statements made by the mother of a 4-month-old

child would indicate that the child may have cerebral palsy?
My baby won't lift his head up and look at me, he's so floppy
My baby's left hip tilts when I pull him to a standing position
He holds his left leg so stiff that I have a hard time putting on his diapers
I'm very worried because my baby has not rolled all the way over yet
Hypotonia or floppy infant is an early manifestation of cerebral

palsy. Typically, the infant lifts his head to a 90-degree angle by
age 4 months with only a partial head lag by age 2 months. Rolling
completely over usually does not occur until the infant is age 6
months. Tilting of the hip is an indication of developmental
dysplasia of the hip.
The nurse is educating a group of students about the "Unang Yakap"

campaign. Which of the following statements if made by the student
require further teaching?
Lesser cost that can improve neonatal as well as maternal care
Is flexible so that interventions may vary according to patient's desire
Emphasizes a core sequence of actions, performed methodically
It is an evidence – Based intervention
SITUATION: Mark Foster, a 10-month-old infant with a cleft lip and palate,
is admitted to the pediatric unit for the first stage of surgical correction on
his lip. Primarily breast-fed, he occasionally receives a supplemental
bottle. The physician orders elbow restraints postoperatively. The nurse
should:
Release the restraints every 2 to 4 hours
Use the restraints only when Mark is awake
Use the restraints only when Mark is asleep
Put the restraints on Mark's dominant hand
Baby April is brought to the health center for his well baby check up. He is
already on his 6th months and his weight reads at 18 lbs. His mother
asked you if baby James' weight is normal. Knowing that his birth weight
is 8 lbs, which of the following statements based on evidences would be
your best response to the mother?
"Your baby's weight is just within the normal limit because an infant is
expected to double his birth weight by 6 months."
"Your child is overweight because the ideal weight for his age should only
be doubled by 5 months."
"I cannot say if it is normal or not because I have to check yet the growth
chart to compare this findings."
"Your baby's weight is within normal because at 5 months, birth weight is

doubled."
By the time an infant is 5-6 months old, his body weight typically
doubles. It triples by age 1 year and quadruples by age 4 years.
Decongestant nasal drops are prescribed for an infant with

nasopharyngitis. Instructions for administering the drops should include
which one of the following?
Do not use the drops or dropper for any other family member
Save any remaining medication for the next time the child is congested
Administer the drops frequently until the nasal congestion subsides
Insert the dropper tip as far into the infant's as it is possible
Applying the essential newborn care, the nurse will do which of the
following interventions first upon the delivery of the baby?
Suctioning the airway to prevent respiratory distress
Immediate drying of the newborn to conserve heat
Promotion of mother and child bonding through skin – to – skin contact
Immediate cord clamping to prevent contamination of fetal blood
Situation: Brian Ward, age 3 is diagnosed with Hirschprung's disease after

undergoing a series of X-rays and examination by a pediatric
gastrointestinal specialist. Brian has a colostomy, an NG tube, an I.V. line,
and an indwelling urinary catheter in place after surgery. On the second
postoperative day, the nurse notes that Brian's abdomen is distended.
She should:
Check the bowel sounds
Administer a pain medication
Check the suture line
Check the patency of the NG tube
The mother of a toddler with cerebral palsy comes to the clinic for
developmental screening. The nurse explains that the major reason that
these tests are done is to recognize primary delays early so as to
accomplish which of the following?
Encourage health maintenance.
Facilitate communication.
Maintain current development.
Prevent secondary developmental delays.
The health care team determines that the family of an infant with failure to
thrive who is to be discharged will need follow-up care. Which of the
following would be the most effective method of follow-up?
Twice-weekly clinic appointments.
Daily phone calls from the hospital nurse.
Weekly visits by a community health nurse.
Enrollment in community parenting classes.

gastrointestinal specialist. Mrs. Ward tells the nurse that Brian is in pain.
Which symptom indicates that Brian is in pain?
Restlessness
Tense body position
Inability to be comforted
All OPTIONS are true
The nurse assesses the client who has chronic renal failure and notes the
following: crackles in the lung bases, elevated blood pressure, and weight
gain of 2 pounds in 1 day. Based on these data, which of the following
nursing diagnoses is appropriate?
Excess Fluid Volume related to the kidney's inability to maintain fluid

balance.
Ineffective Therapeutic Regimen Management related to lack of knowledge

about therapy.
Increased Cardiac Output related to fluid overload.
Ineffective Tissue Perfusion related to interrupted arterial blood flow.
The nurse is caring for a newborn with cleft lip and palate who has
feeding difficulties. The parent asks the nurse how to feed the infant.
Which of the following instructions are the most appropriate for the nurse
to give the parent?
Burp infrequently to ensure that infant continues sucking
Obtain a newborn nipple with a small opening to facilitate sucking
Place the newborn supine to feed
Place the newborn in an upright position to feed
Which of the following responses by the nurse would be most appropriate

for the mother of a 4- year-old son who voices concern about her child's
stuttering?
The child needs to see a speech therapist before school starts.
This behavior is normal and the child probably will stop soon.
You need to help the child complete the words giving him problems.
The majority of children do this until they are about 6 years of age.
After the physician explains the prognosis and medical management for
atrial septal defect to a primiparous client whose 2-day-old female
neonate was diagnosed with this condition, the nurse determines that the
mother needs further instructions when she says which of the following?
"About half of the children born with this defect heal spontaneously."
"This condition occurs more often in females than in males."
"My child may need to have antibiotics if she develops an infection."
"As my child grows, she may have increased fatigue and difficulty
breathing."
A 4-week-old infant admitted with the medical diagnosis of hypertrophic

pyloric stenosis presents with a history of vomiting. The nurse would
anticipate that the infant's vomitus would contain gastric contents and
Bile and streaks of blood.
Stool and bile.
Mucus and streaks of blood.
Mucus and bile.
Proper latching-on is needed to stimulate hormonal release needed for

breastfeeding. Which of these hormones is responsible for the let down
reflex?
Prostaglandin
Prolactin
Estrogen
Oxytocin
Oxytocin contracts the smooth muscle of the uterus during and

after birth, and during orgasm(s). After birth, oxytocin contracts the
smooth muscle layer of band-like cells surrounding the alveoli to
squeeze the newly produced milk into the duct system. Oxytocin is
necessary for the milk ejection reflex, or let-down to occur.
The nurse knows the studies have shown that waiting for the pulsations to
stop before clamping the cord prevents that fetus from having which of the
following?
Rh incompatibility
Anemia
Congenital heart defects
Hyperbilirubinemia
The mother relates that an adolescent is beginning to identify behaviors

that please others as "good" behaviors. The child's behavior is a
characteristic of which of Kohlberg's level of moral development?
Conventional morality
Pre-conventional coordination
Pre-autonomous morality
Autonomous morality
The conventional level of moral reasoning is typical of adolescents

and adults. To reason in a conventional way is to judge the
morality of actions by comparing them to society's views and
expectations. The conventional level consists of the third and
fourth stages of moral development. Conventional morality is
characterized by an acceptance of society's conventions
concerning right and wrong. At this level an individual obeys rules
and follows society's norms even when there are no consequences
for obedience or disobedience. In Stage three (interpersonal
accord and conformity driven), the self enters society by filling
social roles. Individuals are receptive to approval or disapproval
from others as it reflects society's accordance with the perceived
role. They try to be a "good boy" or "good girl" to live up to these
expectations, having learned that there is inherent value in doing
so.
The mother of a preschooler reports that her child creates a scene every
night at bedtime. The nurse and the mother decide that the best course of
action would be to do which of the following?
Encourage active play before bedtime
Allow the child to stay up later one or two nights a week
Give the child a cookie if bedtime is pleasant
Establish a set bedtime and follow a routine
Which of the following groups of laboratory tests is most important for

assessing the client's renal status?
Serum sodium and potassium levels.
Serum blood urea nitrogen (BUN) and creatinine levels.
Urinalysis and urine culture.
Arterial blood gases and hemoglobin.
The mother of a 4-year-old expresses concern that her child may be

hyperactive. She describes the child as always in motion, constantly
dropping and spilling things. Which of the following actions would be most
appropriate at this time?
Determine whether there have been any changes at home
Suggest that the child be seen by a pediatric neurologist
Explain that this is not unusual behavior
Explore the possibility that the child is being abused
Situation: Michael, age 13, has been admitted to the pediatric unit for an
elective tonsillectomy; this is his first hospitalization. Other than multiple
episodes of tonsillitis, he is a healthy and active adolescent. However, he
appears apprehensive and has several questions regarding hospital rules.
In writing discharge instructions, the nurse reminds Michael that he is
restricted from playing football. Which form of exercise would be
appropriate to recommend?
Racquetball
Swimming
Baseball
Basket ball
Situation: The parents of a 4-year-old child tell the nurse that the child has
an invisible friend named ‘Felix'. The child blames ‘Felix' for any
misbehavior and is often heard scolding ‘Felix', calling him a ‘bad boy'.
The nurse understands that the best interpretation of thins behavior is
Impaired parent-child relationship
A way for the child to assume control
Inconsistent parental discipline strategies
A delay in moral development
The parents of a 9-month-old bring the infant to the clinic for a regular
checkup. The infant has received no immunizations. Which of the
following would be appropriate for the nurse to administer at this visit?
DTaP, Hib, OPV, and MMR
HEP B, IPV, Hib and varicella
DTaP, Hib, IPV, and PPD
PPD, MMR, Hep B, and OPV
In assessing the patient condition using the IMCI strategy, the first thing
that the nurse should do is to:
check for the main symptoms
ask what are the child's problem
check the level of consciousness
check for the general danger signs
The sister of Michael, Mitch, 8-month-old infant was diagnosed with viral
nasopharyngitis, the parents should be taught to notify the health care
provider:
If the infant develops signs of ear infection
If the infant develops a cough
For increased fussiness
For temperature above 98.6F
The client's blood urea nitrogen (BUN) concentration is elevated in acute

renal failure. What is the likely cause of this finding?
Low protein, low sodium, low potassium.
High carbohydrate, high protein.
Low protein, high potassium.
High calcium, high potassium, high protein.
A mother asks how pre- schoolers perceive illness. The nurse should
explain that they generally regard it as:
A punishment for wrongdoing
A necessary part of life
The will of GOD
A test of self-worth
According to Kohlberg, pre-conventional level of moral reasoning

is especially common in children. Children focus on the direct
consequences of their actions on themselves, an action is
perceived as morally wrong because the perpetrator is punished.
This gives rise also to an inference that even innocent victims are
guilty in proportion to their suffering.
When discussing a 7-month-old infant's motor skill development with the

mother, the nurse should explain that most children at age 7 months most
likely will be able to
walk independently
sit alone using the hands for support
eat with a spoon
stand alone while holding onto furniture
From ages 7 to 9 months, your baby is likely to experience

advancing motor skills. By this age, most babies can roll over in
both directions — even in their sleep. Some babies can sit on their
own, while others need a little support. You might notice your baby
beginning to scoot, rock back and forth, or even crawl across the
room. Some babies this age can pull themselves to a standing
position. Soon your baby might cruise along the edge of the couch
or coffee table.
During physical assessment of a 4-month-old with Hirschsprung's

disease, the nurse would most likely note which of the following?
Weight less than expected for height and age.
Scaphoid-shaped abdomen.
Hyperactive deep tendon reflexes.
Clubbing and cyanosis of the fingers and toes.
If the child has chronic ear problem, what would be the best thing that you
should do as a nurse?
Refer urgently
Give an antibiotic for 5 days
Dry the ear by wicking and follow-up visit
Instruct mother when to return immediately
Treatment for child with chronic ear problem is drying the ea by

wicking and a follow-up visit.
Which of the following observations by the nurse would strongly suggest

that a 15-month-old toddler has been abused?
The child is underdeveloped for his age
The child plays alongside others contentedly.
The child appears happy when personnel work with him.
The child sucks his thumb.
When observing the parent instilling prescribed ear drops ordered twice a
day for a toddler, the nurse decides that the teaching about positioning of
the pinna for instillation of the drops is effective when the parent pulls the
toddler's pinna in which of the following directions?
Down and forward
Up and backward
Up and forward
Down and backward
The mother of Michael brings her daughter to the pediatric clinic because
she is concerned that the child has otitis media. On examination, the
nurse would recognize which of the following findings as the most
common positive sign of otitis media?
Feeling of ‘fullness' in the ear and a popping sensation during swallowing
Pearly gray tympanic membrane and rhinorrhea
Pain on pressure on the tragus and edema within the canal
Temperature of 39C and loss of appetite
The mother tells the nurse that her 8-year-old child is continually telling
jokes and riddles to the point of driving the other family members crazy.
The nurse explains that this behavior is a sign of which of the following?
Mastery of language ambiguities
Excessive television watching
Inadequate parental attention
Inappropriate peer influence
When performing an initial assessment of a post-term male neonate

weighing 4000 g (9 pounds) who was admitted to the observation nursery
after a vaginal delivery with low forceps, the nurse detects Ortolani's sign.
Which of the following would the nurse do next?
Obtain a blood sample to check for hypoglycemia.
Determine the length of the mother's labor.
Keep the neonate under the radiant warmer for 2 hours.
Notify the pediatrician immediately.

gastrointestinal specialist. Which of the following statements by the
parents of a neonate newly diagnosed with Hirschprung's disease
indicates that the parents understand the disease?
"This condition is due to some missing nerves in the bowel and surgery is
required"
"Our baby has an inflamed area in the bowel that can be controlled by
medication"
"Our baby will outgrow this condition over time"
"This condition is inherited and requires a special diet for life"

gastrointestinal specialist. Brian is scheduled for a bowel biopsy. Which of
the following is absent in Hirschsprung's Disease?
Intestinal fibers
Ganglion cells
Elastic fibers
Bile
Assessment of a term neonate at 8 hours after birth reveals tachypnea,

dyspnea, sternal retractions, diminished femoral pulses, poor lower body
perfusion, and cyanosis of the lower body and extremities, with a pink
upper body. The nurse notifies the pediatrician based on the interpretation
that these symptoms are associated with which of the following?
Pulmonary atresia.
Atrioventricular septal defect.
Transposition of the great arteries.
Coarctation of the aorta.
When developing the teaching plan for the mother of a preschooler about
illness, which of the following would the nurse expect to include about
how a preschooler perceives illness?
Punishment for wrongdoing
Test of self-worth
A necessary part of life
The will of God
The nurse's priority in the care of a neonate diagnosed with esophageal

atresia is the risk for impaired gas exchange related to:
Fluid overload
Altered bowel elimination
Change in hemodynamics
Excessive oropharyngeal severetions
In caring for newborns, nurses have to respond immediately to the baby's

need. Which of the following senses is most highly developed and need to
be enhanced after birth?
Touch
Hearing
Smell
Sight
While making a home visit to a primiparous client and her 3-day-old son,
the nurse observes the mother changing the baby's disposable diaper.
Before putting the clean diaper on the neonate, the mother begins to
apply baby powder to the neonate's buttocks. Which of the following
statements about baby powder would the nurse relate to the mother?
It may not cause pneumonia to develop.
It keeps the diaper from adhering to the skin.
It can result in allergies later in life.
It may cause pneumonia to develop.
Which of the following characteristics does not relate to the school age
child?
Child can tie shoelaces but cannot tie a bow
Makes judgment based on reason
Conforms to peer rules
Permanent teeth erupt
Teaching a child to tie shoe bows is a fundamental lesson typically

learned between the ages of 5 to 7. This skill is necessary and
unavoidable for children who are entering into elementary school.
A mother who brings her 4-month-old infant to the clinic for a regular
check-up is concerned that her infant is not developing appropriately.
When assessing the infant, which of the following would the nurse expect
to find?
Ability to sit up with support
Fine motor finger-to-thumb grasp
Ability to reach for a toy
Ability to say mama or dada
SITUATION: Mark Foster, a 10-month-old infant with a cleft lip and palate,
is admitted to the pediatric unit for the first stage of surgical correction on
his lip. Primarily breast-fed, he occasionally receives a supplemental
bottle. After cleft palate repair, Mark should be fed with:
An infant spoon
A soup spoon
A dessert fork
A plastic syringe
You are asked by a mother to describe to her the body proportion and
musculoskeletal system of a toddler. Which of the following statements is
based on knowledge of growth and development of a toddler?
Subcutaneous tissues are developing rapidly and their fat tissues are
already diminished.
They have lordotic posture and walks with a wide distance.
They appear to have protuberant abdomen due to the immaturity of their

abdominal muscles.
There is an increase in size of both limbs and trunks but the head growth
slows down during the toddler period.
twelve months, she still looked like a baby, even though she may
have been walking and saying a few words. Her head and
abdomen were still the largest parts of her body, her belly stuck out
when she was upright, and her buttocks, by comparison, seemed
small—at least when her diaper was off. Her arms and legs were
still relatively short and soft, rather than muscular, and her face
had softly rounded contours. The abdomen generally has a
rounded, protruding appearance because of the immature
musculature of the infant's abdomen, and veins may be visible,
especially in light-skinned children.
Few months later, Michael develops nasopharyngitis or common colds.

The primary goal of nursing care is directed toward:
Promoting nutrition
Preventing injury
Administering antibiotics
Relieving symptoms
The rural health physician is assessing an infant and he holds the

newborn in ventral suspension and stroking along the one side of the
spine. The newborn laterally flex toward the stimulated side. Aurora
knows that the physician is trying to assess the child's?
Landau reflex
Moro reflex
Parachute reaction
Galant reflex
Galant reflex is elicited by holding the newborn in ventral

suspension (face down) and stroking along the one side of the
spine. The normal reaction is for the newborn to laterally flex
toward the stimulated side. This is one of the reflexes tested in
newborns to help rule out brain damage at birth.
The nurse notes that an infant stares at an object placed in her hand and
takes it to her mouth, coos and gurgles when talked to, and sustains part
of her own weight when held in a standing position. The nurse correctly
interprets these findings as characteristic of an infant at which of the
following ages?
4 months
2 months
7 months
9 months
Which of the following statements best describe a child with Tetralogy of

Fallot?
They experience hypercyanosis or "Tet Spells"
The condition is commonly referred to as "blueberries"
They experience frequent respiratory distress
They experience decreased or absent pulses in the lower extremities
Children with tetralogy of Fallot may develop "tet spells." The

precise mechanism of these episodes is in doubt, but presumably
results from a transient increase in resistance to blood flow to the
lungs with increased preferential flow of desaturated blood to the
body. Tet spells are characterized by a sudden, marked increase in
cyanosis followed by syncope, and may result in hypoxic brain
injury and death. Older children will often squat during a tet spell,
which increases systemic vascular resistance and allows for a
temporary reversal of the shunt.
Situation: Jennifer, a full-term neonate, is transferred to the neonatal

intensive care unit. Her diagnosis is esophageal atresia; surgery is
scheduled for the next morning. Which intervention is appropriate when
the nurse suspects esophageal atresia in a neonate?
withholding all oral feedings
feeding the neonate a bottle in an upright position
initiating nasogastric tube feedings of dextrose in water, as ordered
initiating oral feedings of dextrose
Situation: Philip, age 10 months, is brought to the emergency department

by his parents, who report that he has experienced nonprojectile,
nonbilious vomiting off and on for 1 day. He cries and pulls his legs up to
his abdomen, then appears normal for awhile. Which sign is the most
reliable indicator of intussusception?
Currant jelly stools
Diarrhea
Constipation
Distended abdomen
A newborn is noticeably jaundiced on the third day of life. Which of the

following would you explain to his mother:
He will need an evaluation for bile duct disease
He may have blood incompatibility
No one understands why newborn jaundice occurs.
This is a normal breakdown of red blood cells.
Jaundice on the 3rd day
School-age children are less egocentric, no longer have the intense erotic
fantasizing and now are free to develop new interests and social abilities
beyond home ground. According to Freudian theory of psychosexual
development, this is:
Anal Stage
Latency Stage
Phalic Stage
Oral Stage
Latency Stage, the libido interests are suppressed. The

development of the ego and superego contribute to this period of
calm. The stage begins around the time that children enter into
school and become more concerned with peer relationships,
hobbies and other interests. The latent period is a time of
exploration in which the sexual energy is still present, but it is
directed into other areas such as intellectual pursuits and social
interactions. This stage is important in the development of social
and communication skills and self-confidence.
Susie asks the nurse when she can start feeding her baby solid food.
Which of the following should the nurse include in teaching this mother
about the nutritional needs of infants?
Infant cereal can be introduced by spoon when the extrusion reflex fades.
Infant formula or breast milk provides adequate nutrients for the first year.
Pureed food can be offered when the infant has tripled his birth weight.
Solid foods should be given as soon as the infant's first tooth erupts.
Situation No.1 Liza, a 19 year old 4th year student is assigned at the
Newborn Intensive Care Unit (NICU) next month. To prepare herself for
the coming exposure, she reviews the concepts of growth and
development across the lifespan. One principle of growth and
development states that, "Development proceeds from gross to refined
skills." Which of the following sentences below best describes this
principle?
There is total head control first before a child can lift his shoulders leading
to his/her ability to sit alone.
Majority of children sit before they creep, creep before they stand, and
stand before they walk.
A grade one pupil would use larger size of pencil as compared to a grade
three pupil using a size 2 pencil.
The nervous system develops the fastest at 2-5 years old while
reproductive system develops during adolescence.
When a Michael can tolerate cool water after tonsillectomy, the nurse can
begin offering:
grape or cherry soda
cold milk
apple juice
fruit juice
Pathognomonic sign for the child with dysentery:
Abdominal pain
Blood in the stool
3 or more watery stool in a day
Diarrhea of 14 days or more
Pathognomonic sign for a child with dysentery is blood in the stool.
The school nurse is invited to attend a meeting with several parents who
express frustration with the amount of time their adolescents spend in
front of the mirror and the length of time it takes them to get dressed. The
nurse explains that this behavior is indicative of which of the following?
An abnormal narcissism
A method of procrastination
A result of developing self-concept
A way of testing the parents' limit-setting
In child with TOF, cyanosis results from:
a left to right shunt through a Blalock Taussig shunt
an increased pulmonary blood flow
a left to right shunt through a ventricular septal defect
a right to left shunt through a ventricular septal defect
Tetralogy of Fallot results in low oxygenation of blood due to the

mixing of oxygenated and deoxygenated blood in the left ventricle
via the ventricular septal defect (VSD) and preferential flow of the
mixed blood from both ventricles through the aorta because of the
obstruction to flow through the pulmonary valve. This is known as
a right-to-left shunt. The primary symptom is low blood oxygen
saturation with or without cyanosis from birth or developing in the
first year of life.
Which of the following techniques would be inappropriate when

interviewing adolescents?
confidentiality
closed-ended questions primarily
frequent use of validation
concern for teen's perspective
When assessing a 2-year-old child brought by his mother to the clinic for a
routine checkup, which of the following would the nurse expect the child to
be able to do?
Ride a tricycle
Tie his shoelaces
Use blunt scissors
Kick a ball forward
The nurse ensures that Philip has adequate kidney function before adding
potassium to his I.V. fluids. She does this because hyperkalemia can lead
to:
Hemodilution
Fatigue
Hepatic Failure
Cardiac arrest
The nurse instructs a primiparous client about bottle-feeding her neonate.

Which of the following demonstrates that the mother has understood the
nurse's instructions?
Bubbling the baby after 1 ounce of formula.
Placing the neonate on the back after the feeding.
Putting three fourths of the bottle nipple into the baby's mouth.
Pointing the nipple toward the neonate's palate.
Mrs. Santos asked the nurse, "My baby looks dirty with this entire slimy
thing on her. Can I bather my baby now?" The nurse's best response is:
"The slimy thing is part of the baby. So it's not really dirty"
"Sure, you can do what you wish since she is your baby. Let me help you"
"It sure looks dirty but unfortunately, we cannot remove it yet until
tomorrow"
"The slimy thing actually protects her from infection. We will bathe the baby
after 4 hours"
To prevent further sickle cell crisis, you would advise the parents of a child
with sickle cell anemia to:
Prevent the child from drinking an excess amount of fluids per day.
administer an iron supplement daily
Notify a health care provider if the child develops an upper respiratory

infection.
Encourage the child to participate in school activities, such as long-

distance running.
Sickle cell disease can block the flow of blood in arteries in many
parts of the body, causing many complications. The hallmark of
sickle cell disease is the sickle cell crisis, which causes sudden
attacks of severe pain. Acute chest syndrome, which is triggered
by an infection or by blockage of blood vessels in the lungs, is
another common and serious occurrence.
When reading more about Tetralogy of Fallot, which of the following would
you expect to discover a child may have?
Leukopenia.
Polycythemia.
Anemia.
Increased platelet level.
Polycythemia, the primary symptom of TOF is low blood oxygen

saturation with or without cyanosis from birth or developing in the
first year of life. If the baby is not cyanotic then it is sometimes
referred to as a "pink tet." Other symptoms include a heart murmur
which may range from almost imperceptible to very loud, difficulty
in feeding, failure to gain weight, retarded growth and physical
development, dyspnea on exertion, clubbing of the fingers and
toes, and polycythemia

gastrointestinal specialist. The nurse must administer enemas to clear
Brian's bowel of stool before surgery. Which type of enema is
appropriate?
Isotonic saline solution
Soap suds solution
Hypertonic phosphate solution
Tap water
In one your assessments on a seven-year old child, you noticed that the
child would describe anything that is colored yellow as banana regardless
of its shape. You concluded that the child is able to classify objects
according to one trait alone. This cognitive characteristic of the child is:
Egocentrism
Conservation
Reversibility
Centering
Conservatism Children in the preoperational stage are able to

focus on only one aspect or dimension of problems. For example,
suppose you arrange two rows of blocks in such a way that a row
of 5 blocks is longer than a row of 7 blocks. Preoperational
children can generally count the blocks in each row and tell you
the number contained in each. However, if you ask which row has
more, they will likely say that it is the one that makes the longer
line, because they cannot simultaneously focus on both the length
and the number. The ability to solve this and other "conservation"
problems signals the transition to the next stage.
The nurse is working with an adolescent who complains of being lonely

and lacking a sense of fulfillment with life. This adolescent shies away
from intimate relationships at times, yet at other times, appears
promiscuous. Which of the following is the priority for the nurse to focus
on with this adolescent?
identity
lack of fulfillment
isolation
loneliness
Approximately 90 minutes after birth, the nurse encourages the mother of

a term neonate to do which of the following?
Povidone-iodine (Detadine) solution.
Feed the neonate.
Change the neonate's diaper.
Allow the neonate to sleep.
The client with acute renal failure asks the nurse for a snack. Because the
client's potassium level is elevated, which of the following snacks would
be most appropriate?
Yogurt.
Peanuts.
An orange.
A gelatin dessert.
The nurse observes Susie feeding her baby in the infant seat with the
bottle propped. The appropriate intervention for the nurse is to
instruct Susie about the importance of holding and cuddling in the

attachment process.
inform Susie that this procedure encourages independence in the

newborn.
encourage the Susie to let the older children hold the bottle for the baby in
the infant seat.
congratulate Susie for finding a safe place for the baby to take the bottle.
Which of the following indications of negative resolution would pertain to

the psychosocial crisis of Identity versus Role confusion by Erick Erikson?
Indecisiveness and personality confusion
Withdrawal from peers and school
Avoidance of intimacy, of relationship and career
Pseudo-intimacy and lack of interest and commitment
The nurse is caring for a neonate at 38 weeks' gestation when the nurse
observes marked peristaltic waves on the neonate's abdomen. After this
observation, the neonate exhibits projectile vomiting. The nurse notifies
the pediatrician because these signs are indicative of which of the
following?
Ineffective Airway Clearance to impaired swallowing.
Deficient Fluid Volume related to prolonged vomiting.
Bowel Incontinence related to abdominal pain.
Unbalanced Nutrition: Less Than Body Requirements related to prolonged

vomiting.
Nina is bottle fed. When assessing her stools, which of the following data
would be NOT COMMON?
Bottle fed infants usually have fewer stools than breast-fed infants.
Bottle fed infants are less likely to be constipated than breast-fed infants.
Stools of bottle fed infants tend to have a strong odor.
Stools of bottle fed infants are usually harder than those of breast-fed
infants.
The stools of a child with Intussusception are best describe as:
Ribbon or pellet like
Currant jelly-like
Bulky and poorly formed
Fatty and foul smelling
Intussusception is caused by part of the intestine being pulled

inward into itself. This can block the passage of food through the
intestine. If the blood supply is cut off, the segment of intestine
pulled inside can die. Signs include "currant jelly" stool, fever,
mucus, sausage shaped mass in the right quadrant.
A parent seems concerned about the fact that the infant's soft spot is still
open. Which of the following would the nurse include when explaining
about the usual age for closure of the soft spot near the front of the
infant's head?
2 to 4 months
5 to 8 months
12 to 18 months
9 to 11 months
You as a credible pediatric nurse assigned in a private room with good

background on nutrition for babies. Which finger food is appropriate for an
8 month old infant?
Mixed nuts
Caramelized popcorn
Grilled hotdog
Crackers
The nurse is caring for a 2-day-old neonate in the recovery room 30

minutes after surgical correction for the cardiac defect, transposition of the
great vessels. Which of the following would alert the nurse to notify the
physician?
Warm, dry skin.
Pale pink extremities.
Femoral pulse of 90 bpm.
Oxygen saturation of 90%.

scheduled for the next morning. Prevent aspiration of secretions, the
nurse must suction Jennifer every 2 to 4 hours as needed. Prolonged and
vigorous suctioning of a neonate can cause:
Tachycardia
Pneumonia
Laryngospasm
Pallor
A school-age child is admitted to the hospital with a vaso-occlusive sickle

cell crisis. Which measure in his care should be given priority?
Encouraging him to take deep breaths hourly.
Maintaining a fluid intravenous line.
Beginning active range-of-motion exercises.
Seeing that he ingests a protein-rich diet.
The vaso-occlusive crisis is caused by sickle-shaped red blood

cells that obstruct capillaries and restrict blood flow to an organ
resulting in ischemia, pain, necrosis and often organ damage. The
frequency, severity, and duration of these crises vary considerably.
Painful crises are treated with hydration, analgesics, and blood
transfusion; pain management requires opioid administration at
regular intervals until the crisis has settled. For milder crises, a
subgroup of patients manages on NSAIDs (such as diclofenac or
naproxen).
The school age child can be distinguished by all of the following EXCEPT:
Begin to live independently and look outside the home for goals
Peak development of lymphatic tissues
Shedding of deciduous teeth occurs
Can distinguish left from right especially in marching commands
Living independently and looking outside the home for goals is a

developmental task of early adulthood. Option B, C and D are for
schoolers.
During early adolescence, a child typically:
Focuses much attention on body changes
Forms close attachments to peers of the opposite sex
Develops a sense of community awareness
Begins to develop formal, abstract thinking
Assessing the child further for presence of general danger signs. The
following are included except:
look if the child is unable to drink or breastfeed
ask if the child had convulsion
look if the baby has difficulty of breathing
look if the child is abnormally sleepy
The nurse is assessing a 6-month-old infant during a well-child visit. The

nurse makes all of the following observations. Which of the following
assessments made by the nurse is an area of concern indicating a need

for further evaluation?
Moderate head lag when pulled to sitting position.
Three pound weight gain in 2 months.
Absence of Moro reflex.
Closed posterior fontanel.

scheduled for the next morning. Which physical findings are commonly
associated with esophageal atresia?
Decreased bowel sounds
Choking, coughing, and cyanosis
Visible gastric and peristaltic waves
Jaundice and drooling
Which of the following nursing diagnoses would the nurse include as the
priority in the plan of care for a preschooler who has been physically
abused?
Impaired Physical Mobility related to physical maltreatment.
Anticipatory Grieving related to the cycle of abuse.
Self-Care Deficit related to child's developmental level.
Risk for Trauma related to the characteristics of the child and caregiver.
Upon the delivery of the baby, essential newborn care is done by

immediately wiping the newborn skin dry to conserve heat and will do the
next step by:
Promotion of mother and child bonding through skin – to – skin contact
Suctioning the airway to prevent respiratory distress
Immediate cord clamping to prevent contamination of fetal blood
Applying ophthalmic ointment to prevent opthalmia neonatorum
Step-by-step timely bound interventions of unang yakap:

Immediate drying to provide warmth and prevent hypothermia;
Uninterrupted skin-to-skin contact which is essential for mother
and child bonding and in reducing the risk for the child for sepsis
and hypoglycaemia; Properly timed/ delayed appropriate cord
clamping and cutting; which is believed to avoid anemia in term
newborns and intraventricular hemorrhage in preterms and Non-
separation of mother and newborn through early facilitation of
breastfeeding and rooming- in; Proper eye care which is done to
prevent the newborn from having ophthalmia neonatorum.
The parent of a 3-year-old child brings the child to the clinic for a well-
child checkup. The history and assessment findings reveal the following
findings. Which of these assessment findings made by the nurse is an
area of concern and requires further investigation?
Unable to ride a bicycle
Has ability to hop on one foot
Weight gain of 4 pounds in last year
Uses gestures to indicate wants
Quiz Score: 47 out of 100

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3/4/2021 Pediatric Nursing 1: MBOL BATCH 2021

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Score for this attempt: 47 out of 100

Bulky and poorly formed

Fatty and foul-smelling

After teaching the parents of an infant diagnosed with Hirschsprung's

"The nerves to the end of the large colon are missing."

"There is no rectal opening for stool to pass."

"There is a tube between the trachea and esophagus."

"The muscle below the stomach is too tight."

"This behavior is a defense mechanism when normal routines are

Ultra-high-frequency sound waves.

Cut down procedure to place a catheter.

Catheter placed in the right femoral vein.

Which of the following information would be important in developing play

Each prefer mixed group play

Boys prefer to play with boys and girls with girls

Girls prefer to play with boys

Boys prefer to play with girls

A woman who is scheduled to deliver via cesarian section asked the

"Why are you concerned about the Essential Newborn Care?"

The nurse is conducting teaching characteristics of Toddlers to parents.

The child starts to justify answers to questions asked ( age of reason)

Exploring the inside and outside world — with supervision, of

You discover that a toddler's mother is propping a bottle at bedtime to

calcium is drained from the bones.

it promotes tooth decay.

the bottle could break, injuring the child.

it can cause a facial rash.

Metro Manila Developmental test or MMDST is done to children ages:

Immediately after birth to 7 years old

2 weeks to 6 ½ years old

1 year old to 7 years old

1 month to 6 years old

Which of the following statements made by the mother of a 4-month-old

My baby's left hip tilts when I pull him to a standing position

Hypotonia or floppy infant is an early manifestation of cerebral

The nurse is educating a group of students about the "Unang Yakap"

Lesser cost that can improve neonatal as well as maternal care

Is flexible so that interventions may vary according to patient's desire

Emphasizes a core sequence of actions, performed methodically

It is an evidence – Based intervention

Release the restraints every 2 to 4 hours

Use the restraints only when Mark is awake

Use the restraints only when Mark is asleep

Put the restraints on Mark's dominant hand

"Your baby's weight is within normal because at 5 months, birth weight is

Decongestant nasal drops are prescribed for an infant with

Administer the drops frequently until the nasal congestion subsides

Insert the dropper tip as far into the infant's as it is possible

Suctioning the airway to prevent respiratory distress

Immediate drying of the newborn to conserve heat

Promotion of mother and child bonding through skin – to – skin contact

Immediate cord clamping to prevent contamination of fetal blood

Situation: Brian Ward, age 3 is diagnosed with Hirschprung's disease after

Check the bowel sounds

Administer a pain medication