Georgian Court University

NURSING HEALTH ASS

Peds- Quiz 1

1)Which of the following is not a description of the use of time-out as a discipline?

1. Involves no physical punishment
2. Facilitates the parent’s ability to consistency apply the punishment
3. Allows the reinforcer to be maintained
4. Offers both parents and child “cooling off” time

2. A couple expecting their first child has a positive family history for several congenital defects and disorders? The couple tells the nurse that they are opposed to abortion for religious reasons. Which should the nurse consider when counseling the couple?

1. Diagnostic testing is of limited values if termination of pregnancy is not an option
2. Diagnostic testing is required by law in this situation
3. The couple needs counseling regarding advantages and disadvantages of pregnancy termination
4. The couple should be encouraged to have recommended diagnostic testing

3. Which one of the following disorders is considered to be teratogenic?

1. Myasthenia gravis
2. Type I diabetes
3. Rheumatoid arthritis
4. Fetal alcohol syndrome

4. The deleterious effects of phenylketonuria (PKU) are expressed with the ingestion of:

1. Gluten
2. Hormones
3. Vitamin supplement
4. Milk

5. Obesity in children and adolescents is defined as:

1. BMI greater than or equal to 95^th percentile for age and gender
2. BMI less than or equal to the 90^th percentile for age and gender
3. BMI greater than or equal to 95^th percentile for age and height
4. BMI less than or equal to the 90^th percentile for age and height

6. In performing an examination for scoliosis, the nurse understands that which one of the following is an incorrect method?

1. The child should squat down with hands extended forward so the nurse can observe for asymmetry of the shoulder blades
2. The child should be examined only in his or her underpants (and bra if older girl)
3. The child should bend forward with the back parallel to the floor so that the nurse can observe from the side
4. The child should stand erect, with the nurse observing from behind

7. During the transition from fetal to neonatal circulation, the newborns cardiovascular system accomplishes which of the following anatomic and physiologic alteration? Select all that apply.

1. Decreased pulmonary artery pressure and increased systemic pressure
2. Closure of the ductus arteriosus
3. Closure of the ductus venosus
4. Closure of the foramen ovale

8. A father with an X-linked recessive disorder asks the nurse what the probability is that his sons will have the disorder. Which response should the nurse make?

1. “It cannot be determined without more data”
2. “All male children will be affected”
3. “Male children will be carriers”
4. “None of the sons will have the disorder”

9. Which of the following accounts for the most deaths in infants under 1 year of age?

1. Congenital anomalies
2. Accidental injuries
3. Infections specific to the perinatal period
4. Pneumonia and influenza

10. During the physical examination, which of the following physical finishing’s could be consistent with excess carbohydrate nutrition?

1. Enlarged thyroid
2. Hair stringy, friable, dull, and dry
3. Skin elastic and firm
4. Carries

11. Kayla is 2 years old and lives with her brother, and her sister, and her mother. her father and mother recently divorced, and now her father lives 1 hour away. Kayla sees her father once a month for a day’s visit. Her mother retains custody of Kayla. Kayla’s grandparents live in a different state, but she visits them each year. Kayla’s family represents which of the following?

1. Nuclear family
2. Blended family
3. Extended family
4. Single-parent family

12. When considering the impact of culture on the pediatric patient, the nurse recognizes that culture:

1. Affects the development of health beliefs
2. Refers to the universal manner and sequence of growth and development
3. Is synonymous with race
4. Refers to a group of people with similar physical characteristics

13. The Apgar score of an infant 5 minutes after birth is 8. Which is the nurses best interpretation of this?

1. Additional scoring in 5 more minutes is needed
2. Maternal sedation or analgesia contributed to the low score
3. Adjustment to extrauterine life is adequate
4. Resuscitation is likely to be needed