Bullets

1. A child with HIV-positive blood should receive inactivated poliovirus vaccine (IPV)
rather than oral poliovirus vaccine (OPV) immunization.
2. To achieve postural drainage in an infant, place a pillow on the nurses lap and lay the
infant across it.
3. A child with cystic fibrosis should eat more calories, protein, vitamins, and minerals than
a child without the disease.
4. Infants subsisting on cows milk only dont receive a sufficient amount of iron (ferrous
sulfate), which will eventually result in iron deficiency anemia.
5. A child with an undiagnosed infection should be placed in isolation.
6. An infant usually triples his birth weight by the end of his first year.
7. Clinical signs of a dehydrated infant include lethargy, irritability, dry skin decreased
tearing, decreased urinary output, and increased pulse.
8. Appropriate care of a child with meningitis includes frequent assessment of neurologic
signs (such as decreasing levels of consciousness, difficulty to arouse) and measuring the
circumference of the head because subdural effusions and obstructive hydrocephalus can
develop.
9. Expected clinical findings in a newborn with cerebral palsy include reflexive
hypertonicity and criss-crossing or scissoring leg movements.
10. Papules, vesicles, and crust are all present at the same time in the early phase of
chickenpox.
11. Topical corticosteroids shouldnt be used on chickenpox lesions.
12. A serving size of a food is usually 1 tablespoon for each year of age.
13. The characteristic of fifth disease (erythema infectiosum) is erythema on the face,
primarily the cheeks, giving a slapped face appearance.
14. Adolescents may brave pain, especially in front of peers. Therefore, offer analgesics if
pain is suspected or administer the medication if the client asks for it.
15. Signs that a child with cystic fibrosis is responding to pancreatic enzymes are the absence
of steatorrhea, improved appetite, and absence of abdominal pain.
16. Roseola appears as discrete rose-pink macules that first appear on the trunk and that fade
when pressure is applied.
17. A ninety degree-ninety degree traction is used for fracture of a childs femur or tibia.
18. One sign of developmental dysplasia is limping during ambulation.
19. Circumcision wouldnt be performed on a male child with hypospadias because the
foreskin may be needed during surgical reconstruction.
20. Neonatal abstinence syndrome is manifested in central nervous system hyperirritability
(for example, hyperactive Moro reflex) and gastrointestinal symptoms (watery stools).
21. Classic signs of shaken baby syndrome are seizures, slow apical pulse difficulty
breathing, and retinal hemorrhage.
22. An infant born to an HIV-positive mother will usually receive AZT (zidovudine) for the
first 6 weeks of life.
23. Infants born to an HIV-positive mother should receive all immunizations of schedule.
24. Blood pressure in the arms and legs is essentially the same in infants.
25. When bottle-feeding a newborn with a cleft palate, hold the infants head in an upright
position.
26. Because of circulating maternal antibodies that will decrease the immune response, the
measles, mumps, and rubella (MMR) vaccine shouldnt be given until the infant has
reached 1 year of age.
27. Before feeding an infant any fluid that has been warmed, test a drop of the liquid on your
own skin to prevent burning the infant.
28. A newborn typically wets 6 to 10 diapers per day.
29. Although microwaving food and fluids isnt recommend for infants, its commonplace in
the United States. Therefore the family should be toughs to test the temperature of the
food or fluid against their own skin before allowing it to be consumed by the infant.
30. The most adequate diet for an infant in the first 6 months of life is breast milk.
31. An infant can usually chew food by 7 months, hold spoon by 9 month, and drink fluid
from a cup by 1 year of age.
32. Choking from mechanical obstruction is the leading cause of death (by suffocation) for
infants younger than 1 year of age.
33. Failure to thrive is a term used to describe an infant who falls below the fifth percentile
for weight and height on a standard measurement chart.
34. Developmental theories include Havighursts age periods and developmental tasks;
Freuds five stages of development;
35. Kohlbergs stages of moral development; Eriksons eight stages of development; and
Piagets phases of cognitive development.
36. The primary concern with infusing large volumes of fluid is circulatory overload. This is
especially true in children and infants, and in clients with renal disease.
37. Certain hazards present increased risk of harm to children and occur more often at
different ages. For infants, more falls, burns, and suffocation occur; for toddlers, there are
more burns, poisoning, and drowning for preschoolers, more playground equipment
accidents, choking, poisoning, and drowning; and for adolescents, more automobile
accidents, drowning, fires, and firearm accidents.
38. A child in Bryants traction whos younger than age 3 or weighs less than 30 lb (13.6 kg)
should have the buttocks slightly elevated and clear or the bed. The knees should be
slightly flexed, and the legs should be extended at a right angle to the body.
39. The body provides the traction mechanism.
40. In an infant, a bulging fontanel is the most significant sign of increasing intracranial
pressure.