NCLEX Pediatric Respiratory Wong Nursing Questions

ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 1 of 110

Which statement about pneumonia is accurate?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 2 of 110

What should the parent of a 9-month-old do while awaiting EMS for a choking incident?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 3 of 110

In addition to monitoring prothrombin time and partial thromboplastin time, many centers measure factor V serially as a sensitive index of synthetic function.

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 4 of 110

Which is a common initial reaction of parents to illness or injury and hospitalization of their child?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 5 of 110

The nurse would explain to the father which concept of Piaget's cognitive development as the basis for the child's fear of darkness?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 6 of 110

The classic laboratory findings of idiopathic pulmonary hemosiderosis (IPH) are the following EXCEPT:

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 7 of 110

The appropriate treatment of the 3-year-old in Question 11 is

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 8 of 110

Vocal cord paralysis is an important cause of laryngeal dysfunction. Paralysis may be unilateral or bilateral and is more often caused by

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 9 of 110

A child presents with a fever, cough, and difficulty breathing. Which of the following interventions should the nurse perform first?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 10 of 110

Oedipal complex arises during the preschool based on the phallic stage of Freud's psychosexual development. This means that the child is towards the parent of the opposite sex. Dingdong and Marian has a son Kenneth, who is now 4 years of age. Kenneth seems to be more affectionate to his mother. What is the best indicator that Kenneth has solved this conflict?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 11 of 110

Clinical manifestations depend on the region of involvement. UC involves only the colon, whereas CD can include the entire gut from mouth to anus.

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 12 of 110

The nurse notes that the fundus of a postpartum patient is boggy, shifted to the left of the midline, and 2 cm above the umbilicus. What is the nurse's priority action?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 13 of 110

What should the nurse's first action be with a child who has a high fever, dysphagia, drooling, tachycardia, and tachypnea?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 14 of 110

A nurse is planning to administer recommended immunizations to a 4-year-old child. Which of the following vaccines should the nurse plan to give? (Select one that doesn't apply.)

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 15 of 110

Following a traumatic birth of a 10lb infant, the nurse should evaluate

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 16 of 110

What is the most common congenital anomaly in neonates?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 17 of 110

A nurse is caring for a child with a history of chronic asthma. The nurse should educate the parents about which of the following as a key factor in managing the child's condition?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 18 of 110

What is the function of Wharton's jelly inside the umbilical cord?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 19 of 110

A 3.5-kg full-term infant is born after an uncomplicated delivery with Apgar scores of 9and 9 at 1 and 5 minutes. The infant cries vigorously after birth but then goes into a quiet state. Within 10 minutes, the infant experiences cyanosis and respiratory arrest. During resuscitation, the nurse is unable to pass a nasogastric tube. The most likely diagnosis is

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 20 of 110

A nurse is caring for a child with a burn injury. Which of the following interventions should be included in the initial treatment of a burn?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 21 of 110

Which description best explains the term reciprocal attachment behavior?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 22 of 110

A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following?

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Question 23 of 110

A mother brings her 4-month-old infant to the clinic. The mother asks the nurse when she should wean the infant from breastfeeding and begin using a cup. The nurse should explain that the infant will show readiness to be weaned by...

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Question 24 of 110

An infant is observed to be competent in the following developmental skills: stares at an object, places her hands to the mouth and takes it off, coos and gargles when talked to, and sustains part of her own weight when held in a standing position. The nurse correctly assesses the infant's age as...

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Question 25 of 110

A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 26 of 110

Supplemental O2 may be delivered by a variety of face-mask systems ranging from a simple face mask, which can provide 30% to 40% O2, to a nonrebreather mask with reservoir that can provide nearly

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 27 of 110

The primary cause of bronchiolitis is

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 28 of 110

Which of the following is the most common cause of jaundice in neonates?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 29 of 110

Blood cultures should be performed on hospitalized children to attempt to diagnose a bacterial cause of pneumonia. Blood cultures are positive in

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 30 of 110

The nursing instructor is discussing congenital heart disease with a group of students. Which statement indicates that students need further teaching?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 31 of 110

What is the main goal of enteral feeding in preterm neonates?

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Question 32 of 110

In lieu of obtaining a scalp blood gas sample, what can the therapist do to conduct intrapartum assessment of the fetus?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 33 of 110

Which of the following is the best method for preventing neonatal nosocomial infections?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 34 of 110

Immunizations have had a great impact on the incidence of pneumonia caused by all the following EXCEPT

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 35 of 110

The differential diagnosis for the patient in Question 22 includes all of the following EXCEPT

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 36 of 110

The treatment of choice for the patient in Question 25 is

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 37 of 110

The primary goal in caring for the child with cognitive impairment is to

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 38 of 110

When teaching parents about typical toddler eating patterns, which of the following should be included?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 39 of 110

What is the most common cause of neonatal jaundice?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 40 of 110

Which of the following is the most common cause of neonatal hypoglycemia?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 41 of 110

What is the most appropriate first-line intervention for a neonate with apnea?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 42 of 110

How should the nurse advise a parent caring for a child at home diagnosed with viral tonsillitis?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 43 of 110

Which of the following is the first-line treatment for hypoxic-ischemic encephalopathy (HIE) in neonates?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 44 of 110

A therapist is resuscitating a term newborn. What should be the rate of ventilation?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 45 of 110

A nurse is assessing a child with a fever. The nurse recognizes that a fever is typically an indicator of

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 46 of 110

A nurse is assessing a child with suspected appendicitis. Which of the following findings would indicate a ruptured appendix?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 47 of 110

What instruction should be given to the parent of a child prescribed amoxicillin for an ear infection?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 48 of 110

Which child with pneumonia would benefit most from hospitalization?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 49 of 110

Which is the first step in assisting the breastfeeding mother to nurse her infant?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 50 of 110

An 18-year-old female presents with an acute onset of chest pain, tachypnea, and cyanosis 1 week after the birth of her first child. Her chest radiograph is nondiagnostic, but her Pao, is 60 mm Hg on 40% oxygen. The most likely diagnosis is

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 51 of 110

Which of the following is an appropriate intervention for a neonate with neonatal abstinence syndrome (NAS)?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 52 of 110

A nurse is providing care for a child with a respiratory infection. The nurse should prioritize which of the following interventions?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 53 of 110

Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 54 of 110

The LEAST likely cause of hemothorax in children is:

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 55 of 110

A newborn is admitted to the special care nursery with hypothermia. Which complication should the nurse monitor for closely?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 56 of 110

Defects associated with Tetralogy of Fallot include:

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Question 57 of 110

A nurse is caring for a newborn with a myelomeningocele. What should immediate nursing care for this infant include?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 58 of 110

A nurse is assessing a child with asthma. Which of the following signs or symptoms would indicate that the child's asthma is poorly controlled?

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Question 59 of 110

A nurse is caring for a child who has received a solid organ transplant. The nurse should monitor for which of the following complications?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 60 of 110

Cystic fibrosis can present with all the following EXCEPT:

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 61 of 110

Which of the following is the first step in the management of a neonate with suspected congenital heart disease?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 62 of 110

The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement by the nurse to the parent is most appropriate? "Your child will....

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 63 of 110

Which of the following microorganisms often affect pregnancy outcome?

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Question 64 of 110

At which of the following ages would the nurse expect to administer the varicella zoster vaccine to a child?

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Question 65 of 110

A Significant difference of blood pressure in upper and lower limbs is found in;

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Question 66 of 110

An acute life-threatening event (ALTE) is defined as any unexpected and frightening change in condition characterized by apnea, color change (usually blue or pale), sudden limpness, choking, or gagging. Of the following, the MOST likely cause is

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Question 67 of 110

Autism is a complex developmental disorder. Which of the following core deficits can be associated with this disorder?

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ATI RN · NCLEX Pediatric Respiratory Wong Nursing Questions

Question 68 of 110

Definitive diagnosis of pulmonary arterial hypertension is made by

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Question 69 of 110

What is the most common cause of transient tachypnea of the newborn (TTN)?

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Question 70 of 110

The mother of a 10-year-old boy expresses concern that he is overweight. When developing a plan of care with the mother, Nurse Katrina should encourage her to...

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Question 71 of 110

A hypercoagulable state in nephrotic syndrome results from?

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Question 72 of 110

A 9-year-old girl is brought to the pediatrician's office for an annual physical checkup. She has no history of significant health problems. When the nurse asks the girl about her best friend, the nurse is assessing...

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Question 73 of 110

Which of the following is a primary cause of persistent pulmonary hypertension (PPHN) in the newborn?

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Question 74 of 110

The following are clinical manifestations of primary ciliary dyskinesia (PCD) EXCEPT:

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Question 75 of 110

Gino Ang, who weighed 7 lbs. at birth, was discharged from the hospital on his 3rd day of life. During the nest 2 weeks at home he developed severe vomiting & weight loss, although his appetite remained good. Finally, Gino's mother brought him to the hospital ER for treatment. Gino's PE revealed severe dehydration, epigastric pain & distention, and a palpable olive-size mass in the right upper quadrant. Careful history taking may reveal that Gino had developed which gastrointestinal symptom besides vomiting?

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Question 76 of 110

How will a child with respiratory distress, stridor, and a diagnosis of RSV be treated?

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Question 77 of 110

The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?

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Question 78 of 110

If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to correct the cause of this condition?

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Question 79 of 110

Which is diagnostic for epiglottitis?

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Question 80 of 110

Which patient data received during report should the nurse recognize as being at risk for postpartum complications?

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Question 81 of 110

Which of the following would the nurse identify as the initial priority for a child with acute lymphocytic leukemia?

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Question 82 of 110

Which of the following nursing diagnoses would be inappropriate for the infant with gastroesophageal reflux (GER)?

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Question 83 of 110

What is the most common cause of anemia in preterm neonates?

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Question 84 of 110

What is the most common complication of mechanical ventilation in neonates?

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Question 85 of 110

Which of the following phases of human lung development is characterized by the formation of a capillary network around airway passages?

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Question 86 of 110

The most common cause of a nasal polyp in children is

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Question 87 of 110

The adolescent's inability to develop a sense of who he is and what he can become results in a sense of which of the following?

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Question 88 of 110

Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia. A vacuum extraction was necessary. Based on this information the nurse would

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Question 89 of 110

Which of the following is the most common cause of respiratory distress in full-term neonates?

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Question 90 of 110

The ratio of pulmonary vascular resistance to systemic vascular resistance in a healthy child after birth is approximately:

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Question 91 of 110

Which child would benefit most from having ear tubes placed?

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Question 92 of 110

Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?

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Question 93 of 110

A patient with mastitis is concerned about breastfeeding while she has an active infection. Which is an appropriate response by the nurse?

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Question 94 of 110

The reflexes present in the mouth can identify the readiness of the infant to facilitate feeding. Analyn is a mother of a 4 month old infant asks the nurse when she can start feeding her baby solid food. Which of the following should the nurse include in teaching Analyn about the nutritional needs of the infant?

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Question 95 of 110

Sarah's parents are excited about the possibility of her receiving a double lung transplant. What is important for Sarah's parents to understand?

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Question 96 of 110

A pregnant woman at 30 weeks of gestation with premature rupture of membranes has been admitted to the hospital with preterm labor. The physician has ordered betamethasone. When does the maximal benefit of antenatal corticosteroid occur to reduce RDS?

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Question 97 of 110

Which statement by a parent suggests that the nurse intervene with further teaching?

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Question 98 of 110

What is the primary concern for neonates with congenital diaphragmatic hernia (CDH)?

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Question 99 of 110

A nurse is caring for a child with a history of frequent ear infections. The nurse should educate the parents about the importance of keeping the child's ears

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Question 100 of 110

What is the most common method used to assess neonatal pain?

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Question 101 of 110

When performing the physical assessment, the nurse explains to the mother that in a term neonate, sole creases are...

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Question 102 of 110

Which of the following guidelines should the nurse implement to prevent the abduction of a newborn from the hospital?

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Question 103 of 110

When an infant's temperature drops from (37 to 36.3Â°C) 98.7 to 97.4Â°F, the nurse should

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Question 104 of 110

Which approximate percent of patients with CF are born with intestinal obstruction caused by inspissated meconium (meconium ileus)?

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Question 105 of 110

What is the first-line treatment for a neonate diagnosed with hypothermia?

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Question 106 of 110

What treatment will a child with strep throat need?

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Question 107 of 110

What is the most important step in the management of an infant with hypoxic-ischemic encephalopathy (HIE)?

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Question 108 of 110

A postpartum patient asks, "Will these stretch marks ever go away?" Which is the nurse's best response?

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Question 109 of 110

Which action should the nurse take in order to provide support and encouragement to the new postpartum patient?

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Question 110 of 110

The MOST common physical finding on exam in bronchopulmonary dysplasia (BPD) is:

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