Exam 3: NUR230/ NUR 230 (Latest 2023/
2024) The Childbearing/Child Caring Family
Exam Review| Questions and Verified
Answers| 100% Correct- Galen
Q: How do you asses pain in children?
Answer:
Wong-baker face scale
Q: How do you make an infant child (trust) comfortable if they are hospitalized?
Answer:
Hold them, feed them, pacifier if cannot eat
Q: If your infant is hospitalized with a TE fistula and unable to eat, what could you offer to him
to allow him a non-nutritive suck?
Answer:
Pacifier
Q: What age group would you try to maintain the same ritual in hospital as they have at home?
- For example bedtime, eating times, if they have a favorite stuffed animal or blanket.
- This age group also may experience regression because it is their way of dealing with stress and
maintaining some control over the change and anxiety they may experience while being
hospitalized
Answer:
Toddler 1-3 yrs
Q: What age group would you begin to be able to explain why they are in the hospital?
Answer:
Preschooler 3-6 yrs
Q: This age group you will be able to prepare them more for a hospitalization and give more
information and explanations
- They will also try to negotiate with you by saying a few more minutes, I’m not ready yet, give
me 30 more minutes
Answer:
School age 6-12 yrs
Q: An infant will develop a social smile when?
Answer:
2 mo
Q: Posterior fontanel closes by when?
Answer:
3 mo
Q: When can an infant typically fully roll over?
Answer:
5-6 mo
Q: An infant should be sitting unsupported by how many months?
Answer:
8 mo
Q: An infant can waive bye bye when?
Answer:
10 mo
Q: When can an infant walk with assistance?
Answer:
10-12 mo
Q: Growth spurts in girls typically happens at what age?
Answer:
10 yrs
Q: When can a toddler begin to kick a ball?
Answer:
24 mo
Q: When can a child typically tie their shoes?
Answer:
Exam 4: NUR230/ NUR 230 (Latest 2023/
2024) The Childbearing/Child Caring Family
Exam | Questions and Verified Answers|
Grade A- Galen
Q: How do you handle a fresh cast?
Answer:
palms of hands, not fingertips
Q: Tx for Osteomyelitis
Answer:
begin IV antibiotics even before C&S is done
Q: What is Osteomyelitis?
Answer:
infection of the bone and bone marrow, causing inflammation
Q: What is the preferred diet for a pt with osteomyelitis?
Answer:
high protein – milkshakes
Q: What is DDH (developmental dysplagia of the hip)?
Answer:
genetic condition in which the head of the femur dislocates from the acetabulum of the pelvis
Q: The limb on the affected side of a pt with DDH is __.
Answer:
shorter
Q: What two tests are performed to diagnose DDH?
Answer:
Barlow and Ortolani
Q: What is the Ortalani test?
Answer:
hip abduction w/ a resulting “clunk” as the head of the femur relocates into the joint
Q: What is the Barlow test?
Answer:
detection of unstoppable hip adduction and extension of the hip; feel the dislocation of the
femoral head from the acetabulum
Q: S/S of DDH
Answer:
restricted abduction of the hip on the affected side, shortened limb, unequal gluteal folds,
positive Ortolani and Barlow tests
Q: Juvenile Rheumatoid Arthritis can lead to what long term conditions?
Answer:
iridocyclitis and uveitis (blindness)
Q: What is juvenile rheumatoid arthritis?
Answer:
autoimmune disorder that affects children, typically under 16 y/o with sx’s that include stiffness,
joint swelling, pain, skin rash, fever, slowed growth, and fatigue
Q: What is iridocyclitis?
Answer:
inflammation of the iris and ciliary body of the eye
Q: What is uveitis?
Answer:
inflammation of the uvea of the eye
Q: What is the best non-pharmacological pain management for juvenile rheumatoid arthritis?
Answer:
moist heat, warm baths
Q: What is osteogenic sarcoma?
Exam 4: NUR230/ NUR 230 (Latest 2023/
2024) The Childbearing/Child Caring Family
Exam Review| Questions and Verified
Answers| 100% Correct- Galen
Q: sickle cell anemia
Answer:
a genetic disorder that causes abnormal hemoglobin, re- sulting in some red blood cells
assuming an abnormal sickle shape
Hereditary presence of HbS; autosomal recessive trait
Q: sickle cell anemia diagnostics
Answer:
Newborn screening
Q: Sickle Cell Crisis cause
Answer:
infection, stress, dehydration, trauma
Q: Sickle Cell Crisis types
Answer:
Vaso-occlusive- Splenic sequestration
Aplastic
Q: Vaso-occlusive
Answer:
“painful episode”
Q: Splenic sequestration –
Answer:
pooling of blood in the spleen
Q: Aplastic
Answer:
decreased production of RBCs
Q: what are some complications of sickle cell crisis
Answer:
Acute chest syndrome
CVA
Q: sickle cell crisis management
Answer:
Oral/IV hydration decrease o2 demands
pain management prevent infection splenectomy
blood transfusion stem cell transplant
Q: sickle cell crisis management: what can be done to prevent infections
Answer:
Im- munizations, PCN prophylaxis, hydroxyurea
Q: sickle cell crisis management: what is considered curative ?
Answer:
Stem cell transplant
Q: hemophilia is what
Answer:
Bleeding disorder resulting from deficiency or dysfunction of factors (proteins) needed for
clotting
Q: Hemophilia: Pathophysiology
Answer:
Deficiency of factor VIII, produced by liver
Q: Hemophilia manifestations
Answer:
Prolonged bleeding
Hemorrhage Bruising Hemarthrosis
Spontaneous hematuria
Q: Hemophilia diagnostic tests
Answer:
History of bleeding episodes
Evidence of inheritance
Labs: clotting factors, DNA
Final Exam: NUR230/ NUR 230 (Latest 2023/
2024) The Childbearing/Child Caring Family
Exam | Questions and Verified Answers|
Grade A- Galen
Q: What should be done for pediatric seizures?
Answer:
side lying to maintain patent airway, NPO, document length and precipitating factors
Q: How many concussions within a several month period can lead to permanent brain injury?
Answer:
2
Q: Developmental S/S of cerebral palsy
Answer:
poor head control after 3 months, clenched fists after 3 months, unable to sit w/o support at 8
months
Q: ADHD medications
Answer:
adderall, ritalin, dexedrine
Q: Common SE of ADHD medications
Answer:
insomnia, anorexia, weight loss, HTN, and long term use may suppress growth
Q: 5 P’s of fracture
Answer:
Pain, Pallor, Parasthesia, Paralysis, Pulse
Q: Where are the 5 P’s of fracture assessed?
Answer:
distal to the break
Q: How do you handle a fresh cast?
Answer:
palms of hands, not fingertips
Q: Tx for Osteomyelitis
Answer:
begin IV antibiotics even before C&S is done
Q: What is Osteomyelitis?
Answer:
infection of the bone and bone marrow, causing inflammation
Q: What is the preferred diet for a pt with osteomyelitis?
Answer:
high protein – milkshakes
Q: What is DDH (developmental dysplagia of the hip)?
Answer:
genetic condition in which the head of the femur dislocates from the acetabulum of the pelvis
Q: The limb on the affected side of a pt with DDH is __.
Answer:
shorter
Q: What two tests are performed to diagnose DDH?
Answer:
Barlow and Ortolani
Q: What is the Ortalani test?
Answer:
hip abduction w/ a resulting “clunk” as the head of the femur relocates into the joint
Q: What is the Barlow test?
Exam 3: NUR230/ NUR 230 (Latest 2023/
2024) The Childbearing/Child Caring Family
Exam | Questions and Verified Answers|
Grade A- Galen
Q: What would be a good snack for a child following a tonsillectomy?
Answer:
banana popsicle
Q: What is a suggested activity for a child with asthma?
Answer:
swimming
Q: What statement made by mom regarding meals requires further teaching?
Answer:
I bought hot dogs to grill for dinner
Q: The purpose of a cool mist humidifier for croup is?
Answer:
to liquify secretions and relieve laryngeal spasms
Q: When teaching a mom how to chest percuss on her child with CF, the nurse should include?
Answer:
how to use cupped hands while percussing
Q: What is the priority nursing diagnosis for a child following a tonsillectomy?
Answer:
risk for aspiration
Q: Which infection can be prevented by vaccination?
Answer:
pertussis
Q: Children aged 9 months, 2 years, 4 years and 17 years, which child is striving for autonomy
according to Erikson?
Answer:
the 2 year old
Q: When admitting a 6 month old suspected of intussusception, what information is least
useful?
Answer:
description of child’s usual diet
Q: What food should a child with celiac disease avoid?
Answer:
cream of wheat
Q: A 6 month old is on bedrest after a hernia repair. What toy is best suited for this child?
Answer:
cars in a plastic container
Q: What are the usual restraints for a child with a cleft palate repair?
Answer:
elbow restraints
Q: Assessment of the newborn reveals he/she has hypospadias. The nurse knows that?
Answer:
the infant should not be circumcised
Q: The nurse is teaching the mother of a 3 month old with GER, what should be included in the
teaching regarding feedings?
Answer:
to burp the baby frequently during feedings
Q: What would indicate that the dose of pancreatic enzymes for a child with CF is adequate?
Answer:
increased weight