Pediatric Hesi TEST BANK UPDATED 2022

Document Content and Description Below

Pediatric Hesi TEST BANK Norms for growth and development ans: Birth weight doubles by 6 months, triples by yr Peek a boo by 6 month Sits upright without support by 8 pincher grip by 10-12 He... si hint ans: Mobiles: infant Puppets: toddler/preschool Cars: preschool Games: school age Themselves: adolescent Toddlers ans: 2-3 word sentences at 2 Ritualistic Preschool ans: Favorite word is why Sentences of 5-8 School age ans: Each yr gains 4-6 lbs grows 2 inches Socialization with peers very important Immunization ans: Cold doesn't stop it unless > 99 Use acetaminophen orally Cystic fibrosis ans: Autosomal recessive Absence of pancreatic enzymes Greasy stool Chronic pulmonary infections High sweat test Pancreatic enzymes with meals Digoxin therapy in kids ans: Hold infants <100, kids <80 Don't skip or make up dose Give 1-2 hrs before meals S/s over dose: vomiting, diarrhea, muscle weakness, drowsiness Vent septal defect ans: Abnormal opening between ventricles Acyanotic Atrial septal defect ans: Opening in atria Acyanotic Patent ductus arterious ans: Hole between aorta and pulmonary artery Acyanototic So are coarctation of aorta and aortic stenosis Cyanotic heart defects ans: Tetralogy of fallot: 4 defects Transposition of the great vessels: everything is criss crossed Truncus arterious : single great vessel instead of 2 Rheumatic fever ans: Most common cause of acquired heart disease Affects connective tissue, sore throat than fever Lots of rest, home school Resp distress infants ans: Increase rr axillAry muscles for breathing Restlessness Nasal flaring Tripod Grunting Cyanotic Resp failure infants ans: Brady Deceased rr Apneic Deceased loc Grunting Deceased breath sounds When does birth length double? ans: By 4 years When does the child sit unsupported? ans: 8 months When does a child achieve 50% of adult height? ans: 2 years When does a child throw a ball overhand? ans: 18 months When does a child speak 2-3 word sentences? ans: 2 Yeears Age groups concepts of bodily injury ans: Infants: After 6 months, their cognitive development allows them to remember pain. Toddlers: Fear intrusive procedures. Preschoolers: Fear body mutilation. School age: Fear loss of control of their body. Adolescent: Major concern is change in body image. Following immunization, what teaching should the nurse provide to the parents? ans: Irritability, fever (<102 degrees F), redness and soreness at injection site for 2-3days are normal side effects of DPT and IPV administration.Call healthcare provider if seizures, high fever, or high -pitched crying occur.A warm washcloth on the thigh injection site and "bicycling" the legs w/each diaper change will decrease soreness.Acetaminophen (Tylenol) is administered orally every 4-6 hours (10-15 mg/Kg) Hgb norms ans: Newborn: 14 to 24 g/dl Infant: 10 to 15 g/dl Child: 11 to 16 g/dl Autosomal recessive ans: Both parents must be heterozygous, or carriers of the recessive trait, for the disease to be expressed in their offspring. With each pregnancy, there is a 1:4 chance of the infant having the disease. However, all children of such parents CAN get the disease - NOT 25% of them. A child with leukemia is being discharged after beginning chemotherapy. Which of the following instructions will the nurse include when teaching the parents of this child? a)provide a diet low in protein and high carbohydrates b) avoid fresh vegetables that are not cooked or peeled c) notify the doctor if the child's temperature exceeds 101 F (39C) d) increase the use of humidifiers throughout the house ans: Answer B fresh fruits and vegetables harbor microorganisms, which can cause infections in immune-compromised child. Fruits and vegetables should either be peeled or cooked. The physician should be notified of a temperature above 100F, a diet low in protein is not indicated, and humidifiers harbor fungi in the water containers. A client with hemophilia has a very swollen knee after falling from bicycleriding. Which of the following is the first nursing action? a)initiate an IV site to begin administration of cryoprecipitate b) type and cross-match for possible transfusion c) monitor the client's vital signs for the first 5 minutes d) apply ice pack and compression dressings to the knee ans: Answer D rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the swelling and bleeding into the joint. These are the priority actions for bleeding into the joint of a client with hemophilia A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances of her children having sickle cell disease. Which of the following is appropriate response by the nurse? a)one of her children will have sickle cell disease b) only the male children will be affected c) each pregnancy carries a 25% chance of the child being affected d) if she had four children, one of them would have the disease ans: Answer C In autosomal recessive traits, both parents are carriers. There is a 25% chance with each pregnancy that a child will have the disease. [Show More]

Last updated: 1 year ago

Preview 1 out of 70 pages