Nokea
The nurse is recording a history for a child who has been diagnosed with recurrent abdominal pain (RAP). What is a finding that is characteristic of this disorder?
- A. Morning headaches
- B. Pain for 3 consecutive months
- C. Febrile episodes in the late afternoon
- D. Diaphoresis when attacks occur
Correct Answer: B
Rationale: Recurrent abdominal pain occurring consecutively for 3 months supports a diagnosis of RAP once other causes have been ruled out.
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What is the hallmark sign of intussusception?
- A. Mucus-like stools
- B. Currant jelly-like stools
- C. Tarry, black stools
- D. Green, soft stools
Correct Answer: B
Rationale: The hallmark sign of intussusception is currant jelly stools.
When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:
- A. encouraging the parents to have another baby.
- B. encouraging the parents to remain stoic.
- C. allaying feelings of guilt and blame.
- D. learning how the event could have been prevented.
Correct Answer: C
Rationale: As parents try to cope, they have feelings of guilt and blame.
The nurse reassures the anxious mother of a child with pyloric stenosis who is to have surgery that the surgical procedure, called a
Correct Answer: pyloromyotomy
Rationale: When the muscle is cut, the obstruction is immediately relieved and the child who is hungry will begin to eat and keep food down.
The nurse anticipates that the cerebrospinal fluid (CSF) taken from a child with bacterial meningitis would have a low
Correct Answer: glucose
Rationale: The glucose level in the CSF of a child with bacterial meningitis is low because the bacteria in the fluid have digested the glucose.
The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness is necessary. In what position will the harness hold the child's femurs?
- A. Abduction
- B. Adduction
- C. Flexion
- D. Extension
Correct Answer: A
Rationale: The use of the Pavlik harness maintains the hips in abduction for 4 to 6 months.