Hesis Pediatric 2021
1-A 2-year-old girl is brought to the clinic by her 17-year old mother. When the nurse observes
that the child is drinking sweetened soda from her bottle, what information should the nurse
discuss
...
Hesis Pediatric 2021
1-A 2-year-old girl is brought to the clinic by her 17-year old mother. When the nurse observes
that the child is drinking sweetened soda from her bottle, what information should the nurse
discuss with this mother? (Select all that apply.)
• Drinking soda is related to childhood obesity.
• Toddlers should be drinking from a cup by age 2.
• Dental caries are associated with drinking soda.
• A 2-year-old should be speaking in 2 word phrases.
• Toddlers should be sleeping 10 hours a night
2-After receiving a single fluid bolus of 20 mg / kg of normal saline, a child's heart rate is 140
beats/
minute, blood pressure is 70/50, and capillary refill is 6 seconds. The child is anxious and crying.
Which
intervention should the nurse implement first?
• Encourage the caregiver to remain at bedside
• Repeat the normal saline bolus as prescribed
• Allow the child to assist with caregiving
• Recommend age appropriate activities
3-A breastfeeding infant, screened for congenital hypothyroidism,is found to have low levels of
thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best
explanation
for this finding?
• The TSH is high because of the low production of T4 by the thyroid
• High thyroxine levels normally occur in breastfeeding infants
• The thyroxine levels low because the TSH level is high
• The thyroid gland does not produce normal levels of thyroxine for several weeks after birth
4-A breast feeding mother returns to work when her infant is 5 months old. She is having
difficulty pumping enough milk to meet her infant's dietary requirements. Which suggestion
should the nurse provide to this mother?
• Mix infant formula with breast milk
• Supplement with an iron-rich formula
• Introduce baby food for one meal daily
• Offer a follow-up transitional formula
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