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1. Mrs. Quijones gave birth by spontaneous delivery to a full term baby boy.

After a
minute after birth, he is crying and moving actively. His birth weight is 6.8 lbs. What
do you expect baby Quijones to weigh at 6 months?

a. 13 -14 lbs
b. 16 -17 lbs
c. 22 -23 lbs
d. 27 -28 lbs

2. During the first hours following delivery, the post partum client is given IVF with
oxytocin added to them. The nurse understands the primary reason for this is:

a. To facilitate elimination
b. To promote uterine contraction
c. To promote analgesia
d. To prevent infection

3. Nurse Luis is assessing the newborn’s heart rate. Which of the following would be
considered normal if the newborn is sleeping?

a. 80 beats per minute


b. 100 beats per minute
c. 120 beats per minute
d. 140 beats per minute

4. The infant with Down Syndrome should go through which of the Erikson’s
developmental stages first?

a. Initiative vs. Self doubt


b. Industry vs. Inferiority
c. Autonomy vs. Shame and doubt
d. Trust vs. Mistrust

5. The child with phenylketonuria (PKU) must maintain a low phenylalanine diet to
prevent which of the following complications?

a. Irreversible brain damage


b. Kidney failure
c. Blindness
d. Neutropenia

6. Which age group is with imaginative minds and creates imaginary friends?

a. Toddler
b. Preschool
c. School
d. Adolescence

7. Which of the following situations would alert you to a potentially developmental


problem with a child?

a. Pointing to body parts at 15 months of age.


b. Using gesture to communicate at 18 months.
c. Cooing at 3 months.
d. Saying “mama” or “dada” for the first time at 18 months of age.

8. Isabelle, a 2 year old girl loves to move around and oftentimes manifests
negativism and temper tantrums. What is the best way to deal with her behavior?

a. Tell her that she would not be loved by others is she behaves that way..
b. Withholding giving her toys until she behaves properly.
c. Ignore her behavior as long as she does not hurt herself and others.
d. Ask her what she wants and give it to pacify her.

9. Baby boy Villanueva, 4 months old, was seen at the pediatric clinic for his
scheduled check-up. By this period, baby Villanueva has already increased his height
by how many inches?

a. 3 inches
b. 4 inches
c. 5 inches
d. 6 inches

10. Alice, 10 years old was brought to the ER because of Asthma. She was
immediately put under aerosol administration of Terbutaline. After sometime, you
observe that the child does not show any relief from the treatment given. Upon
assessment, you noticed that both the heart and respiratory rate are still elevated and
the child shows difficulty of exhaling. You suspect:

a. Bronchiectasis
b. Atelectasis
c. Epiglotitis
d. Status Asthmaticus

11. Nurse Jonas assesses a 2 year old boy with a tentative diagnosis of
nephroblastoma. Symptoms the nurse observes that suggest this problem include:

a. Lymphedema and nerve palsy


b. Hearing loss and ataxia
c. Headaches and vomiting
d. Abdominal mass and weakness
12. Which of the following danger sings should be reported immediately during the
antepartum period?

a. blurred vision
b. nasal stuffiness
c. breast tenderness
d. constipation

13. Nurse Jacob is assessing a 15 month old child with acute otitis media. Which of
the following symptoms would the nurse anticipate finding?

a. periorbital edema, absent light reflex and translucent tympanic membrane


b. irritability, purulent drainage in middle ear, nasal congestion and cough
c. diarrhea, retracted tympanic membrane and enlarged parotid gland
d. Vomiting, pulling at ears and pearly white tympanic membrane

14. Which of the following is the most appropriate intervention to reduce stress in a
preterm infant at 33 weeks gestation?

a. Sensory stimulation including several senses at a time


b. tactile stimulation until signs of over stimulation develop
c. An attitude of extension when prone or side lying
d. Kangaroo care

15. The parent of a client with albinism would need to be taught which preventive
healthcare measure by the nurse:

a. Ulcerative colitis diet


b. Use of a high-SPF sunblock
c. Hair loss monitoring
d. Monitor for growth retardation
1. (A) 13 -14 lbs
The birth weight of an infant is doubled at 6 months and is tripled at 12 months.

2. (B) To promote uterine contraction


Oxytocin is a hormone produced by the pituitary gland that produces intermittent
uterine contractions, helping to promote uterine involution.

3. (B) 100 beats per minute


The normal heart rate for a newborn that is sleeping is approximately 100 beats per
minute. If the newborn was awake, the normal heart rate would range from 120 to 160
beats per minute.

4. (D) Trust vs. Mistrust


The child with Down syndrome will go through the same first stage, trust vs. mistrust,
only at a slow rate. Therefore, the nurse should concentrate on developing on bond
between the primary caregiver and the child.

5. (A) Irreversible brain damage


The child with PKU must maintain a strict low phenylalanine diet to prevent central
nervous system damage, seizures and eventual death.

6. (B) Preschool
During preschool, this is the time when children do imitative play, imaginative play—
the occurrence of imaginative playmates, dramatic play where children like to act,
dance and sing.

7. (D) Saying “mama” or “dada” for the first time at 18 months of age.
A child should say “mama” or “dada” during 10 to 12 months of age. Options A, B
and C are all normal assessments of language development of a child.

8. (C) Ignore her behavior as long as she does not hurt herself and others.
If a child is trying to get attention or trying to get something through tantrums—
ignore his/her behavior.

9. (B) 4 inches
From birth to 6 months, the infant grows 1 inch (2.5 cm) per month. From 6 to 12
months, the infant grows ½ inch (1.25 cm) per month.

10. (D) Status Asthmaticus


Status asthmaticus leads to respiratory distress and bronchospasm despite of treatment
and interventions. Mechanical ventilation maybe needed due to respiratory failure.

11. (D) Abdominal mass and weakness


Nephroblastoma or Wilm’s tumor is caused by chromosomal abnormalities, most
common kidney cancer among children characterized by abdominal mass, hematuria,
hypertension and fever.

12. (A) blurred vision


Danger signs that require prompt reporting are leaking of amniotic fluid, blurred
vision, vaginal bleeding, rapid weight gain and elevated blood pressure. Nasal
stuffiness, breast tenderness, and constipation are common discomforts associated
with pregnancy.

13. (B) irritability, purulent drainage in middle ear, nasal congestion and cough
Irritability, purulent drainage in middle ear, nasal congestion and cough, fever, loss of
appetite, vomiting and diarrhea are clinical manifestations of otitis media. Acute otitis
media is common in children 6 months to 3 years old and 8 years old and above.
Breast fed infants have higher resistance due to protection of Eustachian tubes and
middle ear from breast milk.

14. (D) Kangaroo care


Kangaroo care is the use of skin-to-skin contact to maintain body heat. This method
of care not only supplies heat but also encourages parent-child interaction.

15. (B) Use of a high-SPF sunblock


Without melanin production, the child with albinism is at risk for severe sunburns.
Maximum sun protection should be taken, including use of hats, long sleeves,
minimal time in the sun and high-SPF sunblock, to prevent any problems.