Pediatric Research Questions

Pediatric Research Questions Related

Review Pediatric Research Questions related questions and content

A spica cast was put on Baby Betty after an unfortunate incident to immobilize her hips and thighs; which of the following is the priority nursing action immediately after application?

  • A. Keep the cast dry and clean.
  • B. Cover the perineal area.
  • C. Elevate the cast.
  • D. Perform neurovascular checks.
Correct Answer: D

Rationale: Performing neurovascular checks is the priority nursing action immediately after applying a spica cast on Baby Betty. A spica cast is used to immobilize the hips and thighs, which can affect circulation and nerve function in the lower extremities. Neurovascular checks involve assessing the circulation, sensation, and movement of the affected limb to ensure there are no signs of impaired circulation or nerve damage. It is crucial to monitor for any signs of compartment syndrome, such as pain, numbness, tingling, or decreased pulse, which could indicate a vascular compromise. Timely identification of any neurovascular compromise is essential to prevent complications and ensure the baby's safety and well-being.

You may also like to solve these questions

What is oral candidiasis (thrush) in the newborn?

  • A. Bacterial infection that is life threatening in the neonatal period
  • B. Bacterial infection of mucous membranes that responds readily to treatment
  • C. Yeastlike fungal infection of mucous membranes that is relatively common
  • D. Benign disorder that is transmitted from mother to newborn during the birth process only
Correct Answer: C

Rationale: Oral candidiasis, also known as thrush, is a yeastlike fungal infection of the mucous membranes in the mouth. It is relatively common in newborns, as their immune systems are still developing and can be easily affected by the overgrowth of Candida fungi. Thrush can present as white patches or plaques on the tongue, gums, or inner cheeks. It is important to treat oral thrush to prevent any discomfort for the newborn and potential complications such as difficulty feeding or spreading of the infection.

A 5-year-old child, recently diagnosed with ileocecal Burkitt lymphoma; lab investigations reveal: serum uric acid 12 mg/dl, serum sodium, 145 meq/dl; serum potassium, 4.5 meq/dl; serum phosphate 4.4 meq/dl; serum calcium, 8.9 mg/dl; blood urea, 22 mg/dl; serum creatinine, 0.8 mg/dl. Of the following, the MOST effective treatment is

  • A. excessive hydration
  • B. sodium bicarbonate
  • C. xanthine oxidase inhibitor
  • D. recombinant urate oxidase
Correct Answer: D

Rationale: Recombinant urate oxidase (rasburicase) effectively lowers uric acid levels in cases of tumor lysis syndrome.

You are discussing physical child abuse with medical students; you state that fractures are common presentation and those that should raise suspicion for abuse include fractures that are unexplained, occurring in young, non-ambulatory children, or involve multiple bones. Of the following, the site of the fracture that is LESS specific for abuse is

  • A. rib
  • B. scapula
  • C. skull
  • D. vertebra
Correct Answer: D

Rationale: Fractures of the vertebrae are less specific for abuse compared to other sites like ribs, scapula, or skull, which are more characteristic of inflicted trauma.

A nurse is preparing to administer an angiotensin-converting enzyme (ACE) inhibitor. Which drug should the nurse administer?

  • A. Captopril (Capoten)
  • B. Furosemide (Lasix)
  • C. Spironolactone (Aldactone)
  • D. Chlorothiazide (Diuril)
Correct Answer: A

Rationale: Angiotensin-converting enzyme (ACE) inhibitors, such as captopril, work by inhibiting the conversion of angiotensin I to angiotensin II. This leads to vasodilation, reduced aldosterone secretion, and ultimately decreases blood pressure. ACE inhibitors are commonly used in the management of hypertension, heart failure, and post-myocardial infarction. In this case, the nurse should administer captopril as it is an ACE inhibitor, while the other options (B. Furosemide, C. Spironolactone, D. Chlorothiazide) are not ACE inhibitors and have different mechanisms of action.

The nurse is discussing development and play activities with the parent of a 2-month-old. Recommendations should include giving a first rattle at about which age?

  • A. 2 months
  • B. 4 months
  • C. 7 months
  • D. 9 months
Correct Answer: A

Rationale: At 2 months old, infants start to demonstrate more control over their arm movements and are becoming more aware of objects around them. They may also start to grasp objects intentionally. Giving a first rattle at this age can help stimulate their senses, promote sensory exploration, and encourage their fine motor skills development. This early exposure to different textures, shapes, and sounds can also aid in their cognitive and sensory development, making it an appropriate choice for a parent looking to support their baby's early growth and learning.

Copyright © 2025 Nokea. All rights reserved.