Pediatrics Baby Fell off Bed Questions

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Which of the ff is the potential complication the nurse should monitor for when caring for a client with acute respiratory distress syndrome?

  • A. Chest wall bulging
  • B. Renal failure
  • C. Difficulty swallowing
  • D. Orthopnea CARING FOR CLIENTS WITH INFECTIOUS AND INFLAMMATORY DISORDERS OF THE HEART AND BLOOD VESSELS
Correct Answer: B

Rationale: Acute respiratory distress syndrome (ARDS) is a serious condition that can lead to various complications, including renal failure. When a client is experiencing ARDS, the lungs become severely inflamed and filled with fluid, which can lead to decreased oxygen levels in the blood. This decrease in oxygen can place a significant strain on the kidneys, potentially resulting in renal failure. Therefore, it is crucial for nurses to monitor the client for signs and symptoms of renal failure, such as changes in urine output, fluid imbalance, electrolyte abnormalities, and altered mental status. Timely detection and management of renal complications in clients with ARDS are essential to prevent further deterioration of the client's condition.

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A 1-year-old child develops right eye ptosis, miosis, and loss of sweating; you suspect neuroblastoma. The MOST valuable investigation to confirm the diagnosis is

  • A. CT scan of the neck and chest
  • B. CT scan of the abdomen
  • C. CT scan of the brain
  • D. magnetic resonance imaging (MRI) of the brain
Correct Answer: A

Rationale: CT scan of the neck and chest can help identify a primary neuroblastoma mass in the adrenal gland or sympathetic chain.

For the first 72 hours thyroidectomy surgery, the nurse would assess the client for Chvostek's sign and Trousseau's sign because they indicate which of the following?

  • A. Hypocalcamia
  • B. hypokalemia
  • C. Hypercalcemia
  • D. Hyperkalemia
Correct Answer: A

Rationale: Chvostek's sign and Trousseau's sign are both clinical manifestations of hypocalcemia, which is a common complication following thyroidectomy surgery.

Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?

  • A. Negative scarf sign
  • B. Asymmetric Moro reflex
  • C. Swelling of fingers on affected side
  • D. Paralysis of affected extremity and muscles
Correct Answer: C

Rationale: A newborn with a clavicle fracture may present with swelling of the fingers on the affected side. This is due to the injury disrupting the nerves and blood vessels that supply the arm, leading to edema and swelling in the fingers. The other signs mentioned in the options are not typically associated with a clavicle fracture. A negative scarf sign relates to positioning of the arm and is not specific to a clavicle fracture. Asymmetric Moro reflex can be a normal finding in newborns and not indicative of a fracture. Paralysis of the affected extremity and muscles would be more suggestive of a nerve injury rather than a clavicle fracture.

Mr. Dela Isla said he cannot comprehend what the nurse was saying. He suffers from:

  • A. Insomnia
  • B. Agnosia
  • C. Aphraxia
  • D. Aphasia
Correct Answer: D

Rationale: Aphasia is a communication disorder that affects a person's ability to understand and/or produce language. In this case, Mr. Dela Isla's inability to comprehend what the nurse was saying suggests a possible impairment in his language comprehension abilities, pointing towards aphasia as the most likely condition. Symptoms of aphasia can vary depending on the type and severity of the condition, but the common feature is difficulty with language tasks such as speaking, understanding speech, reading, and writing. Insomnia is a sleep disorder characterized by difficulty falling asleep or staying asleep, agnosia is a sensory perception disorder, and apraxia involves difficulty with performing purposeful movements.

In fetal period, all are true EXCEPT

  • A. returns of midgut to abdomen by 10 weeks
  • B. recognizable external genitalia formed by 12 weeks
  • C. surfactant production begins by 24 weeks
  • D. tripling of weight occurs during the third trimester
Correct Answer: B

Rationale: Recognizable external genitalia are formed by 14 weeks, not 12 weeks.

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