Nokea
A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?
- A. Absent plantar reflexes
- B. Inwardly turned foot on the affected side
- C. Asymmetric thigh folds
- D. Lengthened thigh on the affected side
Correct Answer: C
Rationale: Asymmetric thigh folds is a common finding in DDH.
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A nurse is preparing to administer vaccines to a 4-month-old Infant. Which of the following vaccines should the nurse plan to administer?
- A. Rotavirus
- B. Measles
- C. mumps
- D. rubella (MMR)
- E. Varicella (VAR)
- F. Influenza
Correct Answer: A
Rationale: The rotavirus vaccine is recommended for infants at 2 4 and possibly 6 months of age.
A nurse is reviewing the medical record of a toddler who has moderate dehydration. Which of the following findings should the nurse expect?
- A. Decreased hematocrit
- B. Increased respiratory rate
- C. Decreased heart rate
- D. Increased platelet count
Correct Answer: B
Rationale: Dehydration can lead to tachypnea (increased respiratory rate) as the body attempts to compensate for the decreased blood volume.
A nurse in a pediatric clinic is talking with a parent of a toddler. The parent tells the nurse that her toddler drinks a quart of milk a day. The nurse should recognize that the toddler is at risk for which of the following disorders?
- A. Beriberi
- B. Dehydration
- C. Diabetes mellitus
- D. Iron-deficiency anemia
Correct Answer: D
Rationale: Excessive milk can lead to iron-deficiency anemia because milk is low in iron and can interfere with iron absorption from other foods.
A nurse is caring for a 4-year-old child who is postoperative following abdominal surgery. Which of the following statements should the nurse make to encourage the child to take deep breaths?
- A. This will not be painful, just a little uncomfortable.
- B. Let's play a game of blowing cotton balls across your table.
- C. Do you want to take deep breaths for me now?
- D. You can't go to the playroom until you finish doing your deep breathing.
Correct Answer: B
Rationale: This makes deep breathing fun and engaging for the child encouraging them to participate.
A nurse in a clinic is preparing to administer pre-kindergarten vaccines to a 5-year-old child whose medical record indicates that his Immunizations are up to date. Which of the following vaccines should the nurse plan to administer?
- A. Hepatitis B (HBV)
- B. Measles
- C. mumps
- D. and rubella (MMR)
- E. Haemophilus influenzae type B (Hib)
- F. Pneumococcal conjugate vaccine (PCV)
Correct Answer: B
Rationale: The MMR vaccine is part of the pre-kindergarten immunization schedule.