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Which statement by the child indicates teaching about the use of ibuprofen (Motrin) has been effective?
- A. I should take Motrin every day to control my joint inflammation.
- B. I should take Motrin when my temperature is 101°F (38.3°C) or higher.
- C. I should take Motrin only when I'm having joint pain.
- D. I should take Motrin every day to thin my blood.
Correct Answer: C
Rationale: Ibuprofen is used as needed for pain and inflammation in juvenile rheumatoid arthritis (JRA). Taking it only for joint pain reflects correct understanding, as daily use is not typically required unless prescribed.
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The nurse would expect to withhold penicillin V (Pen-Vee-K) and notify the physician if the child had a previous allergic reaction to a medication from which drug group?
- A. Aminoglycosides
- B. Cephalosporins
- C. Macrolides
- D. Sulfonamides
Correct Answer: B
Rationale: Penicillin V is a penicillin antibiotic, and cephalosporins have a similar beta-lactam structure, which can lead to cross-reactivity in patients with penicillin allergies. Withholding penicillin and notifying the physician is necessary if the child has a cephalosporin allergy.
Perinatal mortality rate is defined as:
- A. Number of perinatal deaths per thousand live births and still births.
- B. Deaths in the first week after birth.
- C. All still births plus deaths in the first week after birth.
- D. Deaths from age 7 days the 27 completed days of life.
- E. Deaths in first week after birth.
Correct Answer: A
Rationale: Perinatal mortality rate is defined as the number of stillbirths and deaths in the first week of life per 1000 live births and stillbirths capturing early neonatal and late fetal losses.
Which of the following statements made by the adolescent best supports the nurse's suspicion of scoliosis?
- A. My friends are getting taller faster than I am.
- B. One of my sleeves is always shorter than the other.
- C. I have a difficult time sleeping on my side at night.
- D. I have a difficult time sleeping on my side at night.
Correct Answer: B
Rationale: Uneven sleeve length suggests shoulder asymmetry, a common sign of scoliosis due to lateral spinal curvature affecting posture.
Calculating from the date of the mother’s last menstrual period,the nurse determines that her newborn’s gestational age is 40 weeks. Which normal findings should the nurse expect when assessing this newborn at birth? Select all that apply.
- A. Hypertonic flexion of all extremities.
- B. Sole creases on the anterior two-thirds of the sole.
- C. Well-defined incurving of the entire ear pinna.
- D. Presence of a prominent clitoris.
- E. Infant is able to support the head momentarily when pulled to a sitting position.
Correct Answer: A,C,E
Rationale: Full-term newborns (40 weeks) exhibit hypertonic flexion well-defined ear pinna incurving and momentary head support. Sole creases over two-thirds indicate ~37 weeks and a prominent clitoris is seen at 30–32 weeks.
Which of the following is the priority nursing action if the child shows symptoms of hypoglycemic reaction?
- A. Give the child orange juice or milk to drink.
- B. Give the child 10% glucose I.V.
- C. Notify the physician immediately.
- D. Administer a second dose of insulin.
Correct Answer: A
Rationale: For hypoglycemia, the priority is to rapidly raise blood glucose. Giving orange juice or milk provides quick-acting carbohydrates, the first-line treatment for conscious patients with mild to moderate hypoglycemia.