Pediatric Practice Sheet

Terms in this set (25) A primipara has delivered a stillborn fetus at 30 provide a time for the parents to hold their infant in privacy weeks gestation. To asses the parents in the grieving process which intervention is most for the nurse to implement ? What is the priority nursing assessment immediately Body temperature following the birth of an infant with esophageal atresia and a tracheoesophageal (TE) fistula? What is the most important assessment for the Maternal blood pressure---Pain meds decrease all vital signs---Epidural block nurse to conduct following the administration of affects nerve fibers that controls muscle contractions inside blood vessel= epidural anesthesia to a client who is at 40 weeks decrease BP gestation? A 34-week primigravida woman with preeclampsia 75 ml is receiving lactated ringers 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many ml/hour should the nurse program the infusion pump? A 6-year-old with heart failure (HF) gained 2 Assess bilateral lung sounds pounds in the last 24 hours. Which intervention is most important for the nurse to implement? A mother of a 3-year-ld boy has just given birth to a new baby girl. The little boy asks the nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse respond?(select all that apply) Explain that newborns get milk from their mothers in this way. Reassure the older brother that it does not hurt his mother Remind him that his mother breastfed him too. The nurse is examining an infant for possible Place the infant in a warm room and use a calm approach (cold room keeps testes cryptorchidism. Which exam technique should be pulled up to body) used? The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome? Hesi Screen Shots Betamethasone (celestone) 12 mg deep IM Insulin therapy is initiated for a 12-year-old child Monitor serum glucose for adjustment in infusion rate of regular insulin (novolin R) who is admitted with diabetic ketoacidosis (DKA). Which action is most important for the nurse to include in the child's plan of care? A 3-month-old with myelomeningocele and atonic Change to latex-free gloves when handling infant (allergic reaction) bladder is catheterized every 4 hours to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take? The healthcare provider prescribes Amoxicillin 500 10 ml mg PO every 8 hours for a child who weighs 77 lbs. The available suspension is labeled, amoxicillin suspension 250 mg/5ml. The recommended maximum dose is 50mg/kg/24hr. How many mL should the nurse administer in a single dose based on the childs weight? The nurse is caring for a female client, a Magnesium Sulfate primigravida with preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand (anti seizure med, also smooth muscle relaxant to prevent preterm labor) swelling, complaints of blurry vision and a severe frontal headache. Which medication should the nurse anticipate for this client? A client at 35 weeks gestation complains of a "pain Chorioamnionitis whenever the baby moves." On assessment, the nurse notes the clients temperature to be 101.2, with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition? A 4-year-old boy was recently diagnosed with Lower legs become progressively weaker, causing waddling, unsteady gait Duchenne muscular dystrophy (DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching? A male infant with a 2-day history of fever and Infuse normal saline intravenously (because he is dehydrated) diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry without tears. Which prescription is most important to implement? After administering varicella vaccine to a five-year- Apply a cool pack to the injection site to reduce discomfort (for 24 hours, then old child, which instruction should the nurse warm) provide the child's parents? Hesi Screen Shots The nurse is planning care for a 4-year-old girl who Help her achieve her maximum potential is diagnosed as having a developmental disability. What should be the primary focus of treatment for this child? A 6-month-old child who had a cleft-lip repair has Remove restraints one at a time to provide range of motion exercises elbow restraints in place. What nursing intervention should the nurse plan to implement? A new mother calls the nurse stating that she wants Reassure the mother that the infant is old enough to eat iron-fortified cereal to start feeding her 6-month old child something besides breast milk, but is concerned that the infant is too young to start eating solid foods. How should the nurse respond? A 10-year-old is admitted to the orthopedic unit Pin and incisional care after surgery with a diagnosis of slipped femoral capital epiphysis (SFCE). What focus should the nurse include in this child's plan of care? While caring for a laboring client on continuous Change the maternal position (Its a variable deceleration so its due to cord fetal monitoring, the nurse notes a fetal heart rate compression) pattern that falls and rises abruptly with a "V" shaped appearance. What action should the nurse take first? A postpartum client who is Rh-negative refuses to RhoGam prevents maternal antibody formation for future Rh-positive babies receive Rho(D) immune globulin (RhoGAM) after delivery of an infant who is Rh-positive. Which information should the nurse provide this client? The nurse observes a mother giving her 11-month- Give the mother positive feedback about the way she administered the medication. old ferrous sulfate (iron drops), followed by 2 ounces of orange juice. What should the nurse do next? A 6-week-old infant diagnosed with pyloric Weak cry without any tears. stenosis has recently developed projectile vomiting. Which assessment finding indicates to the nurse that the infant is becoming dehydrated? Stimulate the infant to cry A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic. What OR should the nurse do first? Suction the oral and nasal passages