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Parents of a 2-month-old infant with Down syndrome should be instructed, because of the generalized hypotonicity of the child, that special attention should be given to:


A) preventing hyperthermia.
B) respiratory care.
C) prevention of diarrhea.
D) incontinence care.

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The nurse caring for the child who has had a ventriculoperitoneal shunt (VP) for hydrocephalus observes an increasing abdominal girth. The most appropriate response would be to:


A) elevate the child's head.
B) check bowel sounds.
C) record retention of feeding.
D) notify charge nurse of possible malabsorption.

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The statement that indicates parents understand how to feed their infant who had surgical repair of a cleft lip is:


A) "We are feeding the baby with a dropper for two weeks."
B) "We resumed bottle feeding after discharge."
C) "We started the baby on solid food yesterday."
D) "The baby is drinking well from a straw."

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After feeding an infant with hydrocephalus, the nurse will take special care to:


A) sit the infant upright in an infant seat.
B) place the infant over the shoulder to burp.
C) leave the infant in a side-lying position.
D) stimulate the infant by rubbing its feet.

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A 3-month-old infant is diagnosed with developmental hip dysplasia. The nurse explains that the usual treatment for this infant would be:


A) a Pavlik harness.
B) a body spica cast.
C) traction.
D) triple-diapering.

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The nurse instructing parents about positioning their toddler who has just had a body spica cast applied would include to:


A) prop the child upright with pillows for meals.
B) use the bar between the legs to turn the child.
C) put the child on her abdomen to sleep.
D) change the child's position frequently.

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A newborn was just admitted to the neonatal intensive care unit with a meningomyelocele. The priority for preoperative nursing care of this newborn is to protect the sac by:


A) keeping the sac dry.
B) diapering snugly.
C) positioning prone in an incubator.
D) moving from side to side every hour.

Correct Answer

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When the parents ask what the light does for their jaundiced infant, the nurse responds that the light:


A) increases the infant's metabolism.
B) stimulates liver function.
C) dilates blood vessels.
D) breaks down bilirubin.

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The nurse in the newborn nursery is watchful for neonatal abstinence syndrome in the newborn of a crack-addicted mother. What would be the manifestation(s) of this syndrome? Select all that apply.


A) Body tremors
B) Excessive sneezing
C) Hyperirritability
D) Drowsiness
E) Excessive appetite

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Following delivery, a mother asks the nurse about newborn screening tests. The nurse explains that the optimal time for testing for phenylketonuria is:


A) in the first 24 hours of life.
B) after 2 to 3 days.
C) at 4 to 6 weeks of age.
D) at 2 months of age.

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The nurse demonstrates how to flush the ventriculoperitoneal shunt by the use of the ____________________ that is in place behind the infant's ear.

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pump
A small pump is part of the VP shun...

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