LPN Pediatrics

LPN Pediatrics Related

Review LPN Pediatrics related questions and content

During transport of a woman in labor, the patient tells you that she feels the urge to push. You assess her and see the top of the baby's head bulging from the vagina. What should you do?

  • A. Ask the mother to take short, quick breaths until you arrive at the hospital.
  • B. Allow the head to deliver and check for the location of the cord.
  • C. Apply gentle pressure to the baby's head and notify the hospital immediately.
  • D. Advise your partner to stop the ambulance and assist with the delivery.
Correct Answer: D

Rationale: When the top of the baby's head is visible (crowning) during transport, it indicates imminent delivery. In this situation, it is crucial to stop the ambulance and assist with the delivery. This ensures a safe delivery process for the mother and the baby. Waiting to arrive at the hospital or attempting to apply pressure to the baby's head can lead to complications. Allowing the head to deliver and checking for the cord's location is a necessary step during the delivery process, but the immediate priority is to assist in the safe delivery of the baby.

You may also like to solve these questions

Which of the following techniques represents the MOST appropriate method of opening the airway of an infant with no suspected neck injury?

  • A. Perform the technique as you would for an older child or adult.
  • B. Lift up the chin and hyperextend the neck.
  • C. Gently lift the chin while maintaining slight flexion of the neck.
  • D. Tilt the head back without hyperextending the neck.
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A 5-year-old boy was struck by a car when he ran out into the street. When you arrive at the scene and approach the child, you see him lying supine approximately 15 feet from the car. Based on the child's age and mechanism of injury, which of the following should you suspect to be his PRIMARY injury?

  • A. Lower leg injury
  • B. Head injury
  • C. Upper thorax injury
  • D. Pelvic injury
Correct Answer: D

Rationale: Given the mechanism of injury and the distance the child was thrown, a primary pelvic injury should be suspected due to the high impact and force. The pelvis is a common site for significant injury in such cases, and the distance the child was thrown indicates a high-energy impact that could lead to pelvic fractures or injuries.

After the baby's head delivers, how is it usually tilted?

  • A. with the face up.
  • B. anteriorly, with the chin up.
  • C. posteriorly, to one side.
  • D. posteriorly, face down.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

When assessing a 6-year-old boy with pain in the right lower quadrant of his abdomen, which action should be performed first?

  • A. Avoiding palpation of the abdomen.
  • B. Palpating the right lower quadrant first.
  • C. Auscultating bowel sounds for 2 minutes.
  • D. Palpating the left upper quadrant first.
Correct Answer: D

Rationale: Palpating the left upper quadrant first is the correct approach when assessing abdominal pain in a child. This method helps to minimize causing additional discomfort to the child and allows for a more accurate assessment of their reaction to palpation. By starting on the left upper quadrant, you can gauge the child's pain response before moving to the area of complaint, which may be more sensitive. This approach is essential for a thorough and less distressing abdominal assessment in pediatric patients.

You are called to a local park for a 7-year-old boy with respiratory distress. During your assessment, you find that the patient is wheezing and has widespread hives and facial edema. What should you suspect has occurred?

  • A. Poison oak exposure
  • B. Allergic reaction
  • C. Heat illness
  • D. Acute asthma attack
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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