Test Prep for Nursing Exam about Pediatric Nursing (6-10)

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6. A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother?

a) make the child seat with the family in the dining room until he finishes his meal
b) provide quiet environment for the child before meals
c) do not give snacks to the child before meals
d) put the child on a chair and feed him

7. When teaching a primiparous client about the growth and development of the neonate, which of the following would the nurse include as the usual age at which most babies are able to drink from a cup independently?

a) 5 to 7 months
b) 8 to 10 months
c) 12 to 14 months
d) 15 to 16 months

8. Which of the following assessment data in 6-month old infant needs a follow-up?

a) posterior fontanel is closed
b) slight head lag when pulled to sitting position
c) positive babinski reflex
d) cries when approached by stranger

9. Which of the following doctor's orders for 4-hour newborn should you carry out?

a) administer 1L of oxygen for acrocyanosis
b) NaCl 0.9% 30 ml/kg, for a client with depressed fontanels
c) suction mouth and nose for irregular, abdominal breathing
d) report respiratory rate of 30-50 per minute

10. Which of the following questions should you ask the mother of a 5-month old infant with serum Na level of 132 mEq/L, who is bottle-feeding?

a) what solid foods do you give your baby?
b) what vitamin supplement do you give your baby?
c) how much water do you use to dilute formula?
d) how many diapers does your baby wet in a day?



ANSWERS AND RATIONALE

6) C
- if the child is hungry he/she more likely would finish his meals. Therefore, the mother should be advised not to give snacks to the child. The child is a "busy toddler." He/she will not able to keep still for a long time.

7) C
- at 12 to 14 months, the child is able to drink from cup.

8) B
- head lag should no longer be present in a 6-month old infant. Good head control is achieved at 3 to 4 months of age. Choices A, C, and D are normal findings in a 6-month old infant. Posterior fontanel closes at 3 to 4 months; positive babinski reflex is normal up to 12 months; fear of stranger is normal in an infant.

9) B
- depressed fontanels indicate dehydration. Acrocyanosis is normal in a newborn. Irregular, abdominal breathing and respiratory rate of 30-50 bpm are also normal findings and do not require intervention.

10) A
- at age 4-6 months, the infant should already have solid foods. Foods are the best sources of electrolytes.


Related Topics:

• Test Prep for Nursing Exam about Pediatric Nursing (11-15) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.