AMS Pediatric Final

Before a routine check up in the Pediatrician’s office, an eight month old infant is sitting contentedly on his mother’s lap chewing on a toy. When preparing to examine this infant, which of the following actions should the nurse do first?

Which of the following directions is most important when administering immunizations?

Which of the following is a vaccine given to a healthy 4 month old baby?

What is the recommended age for receiving the measles vaccine?

Which comment by a 7 yr old boy to his friend best typifies his developmental age?

Which instructions should a nurse give to those visiting a child on protective isolation?

A person apparently in good health who’s body harbors the specific organisms of a disease is called a:

Neonates (0-28 days) born to women infected with Hepatitis B should receive which of the following treatments?

Which of the following characteristics is commonly seen in a child with Pertussis?

Which of the following characteristics is commonly seen in a child with Pertussis?

On observation of a child’s skin, the nurse notes a papular puretic rash with some vesicles. The rash is profuse on the trunk and sparse on the distal limbs.
Based on this observation, which of the following illnesses does the client have?

A child was admitted because of chickenpox, she was put into airborne precaution, which nursing action is correct when implementing the prescribed isolation precaution?

A mother is concerned that her three yr old daughter has been exposed to Erythema Infectiosum (fifth disease). Which of the following are characteristics of this infection?

SRS for Leukemia complains bone/joint pain

Lyme’s disease: A family recently went camping, bring child to clinic after complaint of rash after tick bite. Which finding will be seen along with?

Which of the following periods of communicability is indicated for a client with Scarlet Fever?

The causative organism for Scarlet Fever is:

Which of the following definition best describes etiology of SID (sudden infant death syndrome)

A 6 week old infant, not breathing is brought to ED. A finding of SIDS is made to parents. Nursing interventions should nurse take?

Therapy for Kawasaki disease includes IV and prescribed at 400mg/kg a day for 4 days. Child weights 10kg

Following route is allowed to take temperature for leukemia patient except:

To prevent trauma to suture line of an infant who underwent cleft lip/palate repair, the nurse should perform which of the following interventions?

Complication of cleft lip repair?

_________ is the absence of a normal body opening or the abnormal closure of a body passage

Cause of esophageal atresia and tracheoesophageal fistula?

___________is a protrusion of the intestine through the umbilical ring.

A 38 year old multiparas client gave birth a day ago to a full term newborn with myelomeningocele. Which assessment finding best indicates that the client is grieving over the loss of her “perfect” baby?

Which of the following nursing diagnosis is most relevant in the first 12 hrs of life in a neonatal born with myelomeningocele?

While assessing a full term neonate, which of the following symptoms would cause the nurse to suspect a neurological impairment?

Myelomeningocele requires nearly immediate surgical repair for which of the following purposes?

_____________ is characterized by an excess of cerebrospinal fluid (CSF) within the ventricular and subarachnoid spaces of the cranial cavity.

IV ordered for 27ml/hr, tubing delivers 60ml/hr. How many drops per minute should the nurse set the pump for?

An infant is being treated for inadequate treatment for congenital hypothyroidism. The nurse would expect to observe which of the following symptoms?

The mother of a neonate born with hypospadias is sharing her feeling of guilt about this anomaly with the nurse. The nurse should explain which of the following about the defect?

__________ is a congenital condition in which the urethra terminates on the ventral (underside) surface.

The following are considered chromosomal abnormalities. Select all that apply

Which of the following definitions best describes a condition called clubfoot Talipes Varus?

A boy with patent (open) ductus arteriosus (usually closes within 1st hr after delivery but doesn’t stay close until healed – sealed shut) was delivered
6 hrs ago and is being held by his mother. As the nurse enters the room to assess the neonate’s vital
signs, the mother states that my baby has a heart murmur and the mother says, “Does that mean he has a bad heart?” Which response by the nurse would be appropriate?

A mother is concerned that her 3yr old daughter has been exposed to fifth’s disease. Which of the following symptoms are characteristic of this viral infection?

Diagnosis of congenital hip dislocation can best be confirmed by which of the following diagnostic techniques?

For coarctation of the aorta, the nurse correctly advises the parents that the optimal time for surgical correction is when?

A 2 yr old child is showing signs of shock. A 10ml/kg bolus of normal saline solution is ordered. The child weighs 20kg. How many ml should be administered?

A teenage client with heart failure is prescribed Digoxin, to which of the following classifications does this drug belong?

A child with congenital heart defect is receiving Digoxin, which nursing intervention is most important to perform before giving the medication?

A toddler is immobilized with traction to the legs, which play activity would be appropriate for this child?

Which of the following statements about patent ductus arteriosus is correct?

The nurse can best facilitate reduction of the heart’s workload by which method?

The nurse should counsel parents to postpone which of the following actions until after their son’s hypospadias has been repaired?

A child is given 0.5mg/kg/day in two divided dosages. The child’s weight is 10kg. How much is given in each dose?

Order: 80mg/kg/day in 4 divided doses until child is afibrile. The child weighs 15kg. How much is given in 1 dose?

A child has sinus bradycardia. Treatment includes atropine 0.02mg/kg. If the child weighs 20kg, how much is given per dose?

Which intervention would be appropriate for an infant after cardiac catheterization?

Which of the following explanations of how to decrease the chances of having a second child with spina bifida is most accurate?

Which of the following complications involving leg length is seen with congenital hip dislocation?

When obtaining a blood specimen for a PKU test, which action by the nurse is incorrect?