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Where is the typical IV insertion site in an infant younger than 9 months of age?
- A. Radial vein
- B. Scalp vein
- C. Femoral vein
- D. Brachial vein
Correct Answer: B
Rationale: A superficial scalp vein is the injection site for administering IV medication to infants younger than 9 months of age.
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What is one way to enhance the nutrition of the hospitalized toddler?
- A. Reward with sweets for eating meals.
- B. Discourage participation in noneating activities.
- C. Offer nutritious fluids frequently.
- D. Leave nutritious finger foods out for the child to eat.
Correct Answer: C
Rationale: Using nutritious liquids may satisfy the nutritional needs when a toddler is 'too busy' to eat. Toddlers should not be left to eat unsupervised because of the danger of aspiration. Junk food should not be used as rewards. Activities are important and should not be discouraged.
After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse?
- A. If the parent confesses to child abuse
- B. If the child admits to being abused
- C. Whenever maltreatment of a child is suspected
- D. When the type of abuse can be determined
Correct Answer: C
Rationale: Mandatory reporting of child abuse is required when the health care provider has reason to suspect the child has been abused.
What is the purpose of a mist tent?
- A. To provide a constant oxygen supply
- B. To liquefy respiratory secretions
- C. To aid in lowering temperature
- D. To improve the infant's hydration
Correct Answer: B
Rationale: The purpose of the mist tent is to liquefy respiratory secretions. A constant oxygen supply can be given by methods other than a mist tent. A mist tent does not lower temperature or improve hydration.
The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate?
- A. Although the actual reports are not shared, I can tell you the blood sugar is 200 mg.
- B. I'll write them down for you and bring them to your room.
- C. Come to the conference room where we can have privacy while you look at them.
- D. I'll notify the health care provider that you wish to see the reports.
Correct Answer: C
Rationale: With a family-centered care approach, hospitals welcome parents, and parents have access to information 24 hours a day.
When measuring the head circumference of an infant, where should the nurse place the tape measure?
- A. Across the eyebrows and around the occipital lobe
- B. Over the zygomatic arches and around the parietal areas
- C. Around forehead and around the crown of the head
- D. Above the eyebrows and pinnas, and around the occipital lobe
Correct Answer: D
Rationale: Head circumference is measured in children up to 36 months above the eyebrows and pinnas, and around the occipital lobe.