CHILD HEALTH NURSING

Q1 Score: 1

Gaze aversion

Hiccups

Quiet alert state

Yawning

Q2 Score: 1

The client asks her husband to give the baby a bottle of water.

The client talks to the baby and picks him up when he cries.

The client feeds the baby every three hours.

The client asks the nurse to recommend a good child care manual.

Q3 Score: 1

Ineffective thermoregulation related to fluctuating environmental temperatures.

Potential for infection related to lack of immunity.

Altered nutrition, less than body requirements related to diminished sucking reflex.

Altered elimination pattern related to lack of nourishment.

Q4 Score: 1

Wrap the neonate warmly and place her in an open crib

Administer an oral glucose feeding of 10% dextrose in water

Increase the temperature setting on the radiant warmer

Obtain an order for IV fluid administration

Q5 Score: 1

Atelectasis

Microcephaly

Pneumothorax

Macrosomia

Q6 Score: 1

Obtain a dextrostix

Give the initial bath

Give the vitamin K injection

Cover the neonates head with a cap

Q7 Score: 1

Candida albicans

Chlamydia trachomatis

Escherichia coli

Group B beta-hemolytic streptococci

Q8 Score: 1

Hypoactivity

High birth weight

Poor wake and sleep patterns

High threshold of stimulation

Q9 Score: 1

Bradycardia

Hyperglycemia

Metabolic alkalosis

Shivering

Q10 Score: 1

It usually resolves in 3-6 weeks

It doesn’t cross the cranial suture line

It’s a collection of blood between the skull and the periosteum

It involves swelling of tissue over the presenting part of the presenting head

Q11 Score: 1

Hypoglycemia

Jitteriness

Respiratory depression

Tachycardia

Q12 Score: 1

Serum albumin 3.5g/dL

Serum prealbumin 5/mg/dL

Serum albumin 4.5 g/dL

Serum prealbumin 10 mg/dL

Q13 Score: 1

A blood pressure of 126/80

A blood glucose of 110 mg/dl

A heart rate of 60 bpm

A respiratory rate of 30 per minute

Q14 Score: 1

Anemia

Hypoglycemia

Nitrogen loss

Thrombosis

Q15 Score: 1

Wear a gown

Wear a mask

Wear a gown and hair net

Wear goggles and a mask

Q16 Score: 1

Abundant lanugo

Absence of sole creases

Breast bud of 1-2 mm in diameter

Leathery, cracked, and wrinkled skin

Q17 Score: 1

A 3-month-old infant

A 6-month-old infant who has had 2 bouts of pneumonia

A first-born child of a 45-year-old mother

A 2-year-old with frequent episodes of 5-second apnea

Q18 Score: 1

Restriction of the child’s activities for 2 weeks following the procedure

Sponge bathing until the stitches are removed

Use of prophylactic antibiotics before any dental procedures

Use of a pressure dressing until the health care provider has evaluated the site

Q19 Score: 1

Avoid emotional stress and extreme temperature

Avoid pollution like smoking

Avoid pollens, dust seafood

Practice respiratory isolation

Q20 Score: 1

Roasted pork tenderloin

Fried chicken

Skim milk shake

Egg omelet

Q21 Score: 1

Discussing the matter with her in a non-threatening manner

Showing by example and explanation how to care for the infant

Setting up a schedule for teaching the mother how to care for her baby

Supplying the emotional support to the mother and encouraging her independence

Q22 Score: 1

Meconium in the amniotic fluid

Glucocorticoid treatment just before delivery

Lecithin to sphingomyelin ratio more than 2:1

Absence of phosphatidylglycerol in amniotic fluid

Q23 Score: 1

Apply peroxide to the cord with each diaper change

Cover the cord with petroleum jelly after bathing

Keep the cord dry and open to air

Wash the cord with soap and water each day during a tub bath

Q24 Score: 1

A sleepy, lethargic baby

Lanugo covering the body

Desquamation of the epidermis

Vernix caseosa covering the body

Q25 Score: 1

If you give the baby cereal, be sure to use Rice to prevent allergy.

The baby is not able to swallow cereal, because he is too small.

The infant’s digestive tract cannot handle complex carbohydrates like cereal.

If you want him to gain weight, just double his daily intake of formula.

Q26 Score: 1

Conduction

Convection

Evaporation

Radiation

Q27 Score: 1

Assists with ciliary body maturation in the upper airways

Helps maintain a rhythmic breathing pattern

Promotes clearing mucus from the respiratory tract

Helps the lungs remain expanded after the initiation of breathing

Q28 Score: 1

Limit saturated fat to 10% of total caloric intake

Good bowel function requires 35 g/day of fiber for women.

Limit cholesterol comsumption to 400 mg/day.

Normal functioning cardiac systems depend on B-complex vitamins

Q29 Score: 1

"It appears your baby has a kidney infection"

"Breast-fed babies often experience this type of bleeding problem due to lack of vitamin C in the breast milk"

"The baby probably passed a small kidney stone"

"Some infants experience menstruation like bleeding when hormones from the mother are not available"

Q30 Score: 1

Obtain a peak flow reading

Instruct the adolescent to lie down for 30 minutes

Call a parent for more information

Give two puffs of a short-acting bronchodilator

Q31 Score: 1

I will eat foods high in calcium.

I will increase my fluid intake.

I should participate in weight bearing exercises.

I should get my vit D from the sunlight.

Q32 Score: 1

cover the umbilicus with a band-aid.

continue to clean the stump with alcohol for one week.

apply an antibiotic ointment to the stump.

give him a bath in an infant tub now.

Q33 Score: 1

Lanugo

Milia

Nevus flammeus

Vernix

Q34 Score: 1

Spinach

Grapefruit

Peanuts

Milk

Q35 Score: 1

Anterior chest wall pain

Irregular heart rhythm

Heart murmur

Low blood pressure

Q36 Score: 1

wear a tight fitting bra or breast binder.

apply warm, moist heat to the breasts.

contact the nurse midwife for a lactation suppressant.

restrict fluid intake to 1000 ml. daily.

Q37 Score: 1

Activate the code blue or emergency system

Do nothing because acrocyanosis is normal in the neonate

Immediately take the newborn’s temperature according to hospital policy

Notify the physician of the need for a cardiac consult

Q38 Score: 1

auscultate bowel sounds.

determining chest circumference.

inspecting the posture, color, and respiratory effort.

checking for identifying birthmarks.

Q39 Score: 1

Maintain the child in an undisturbed, upright position

Assess the child’s throat using a small tongue depressor

Obtain intravenous access and draw blood cultures

Provide cool liquids to soothe the child’s throat and provide hydration

Q40 Score: 1

Soccer

Track

Swimming

Cheerleading

Q41 Score: 1

clean the umbilical cord with Betadine to prevent infection

give the baby a bath

call the laboratory to collect a PKU screening test

check the baby’s serum glucose level and administer glucose if < 40 mg/dL

Q42 Score: 1

Relax smooth muscles of the bronchial airway

Promote expectoration

Prevent thickening of secretions

Suppress cough

Q43 Score: 1

Notify the provider and request sedation

Assess for irregular heart rhythm and rate

Reassure the child that the pain will be mild

Position the child with the knees to the chest

Q44 Score: 1

metabolic alkalosis

respiratory acidosis

respiratory alkalosis

metabolic acidosis

Q45 Score: 1

All neonates should be in an approved car seat when in an automobile.

It’s acceptable to prop the infant’s bottle once in awhile.

Pillows should not be used in the infant’s crib.

Infants should never be left unattended on an unguarded surface.

Q46 Score: 1

Negative Coombs test

Bleeding from the nose and ear

Jaundice after the first 24 hours of life

Jaundice within the first 24 hours of life

Q47 Score: 1

Q48 Score: 1

Promote emotional support

Administer oxygen at 6L/min

Suction the client every 30 min

Administer bronchodilator by nebulizer

Q49 Score: 1

Sit in High-Fowler’s position with extended legs

Sit-up with shoulders back

Push on abdomen during exhalation

Lean forward 30-40 degrees with each exhalation

Q50 Score: 1

Give a precordial thump

Begin giving breaths with a bag-valve-mask at a rate of 16 breaths per minute

Clear the airway

Start chest compressions at a rate of 100 per minute

Q51 Score: 1

as soon as possible after the infant’s birth.

after the mother has rested for 4-6 hours.

during the infant’s second period of reactivity.

after the infant has taken sterile water without complications.

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