A 2-month-old infant presents with poor feeding and a murmur. Echocardiogram shows pulmonary stenosis. The next step is:

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Question 1 of 5

A 2-month-old infant presents with poor feeding and a murmur. Echocardiogram shows pulmonary stenosis. The next step is:

Correct Answer: B

Rationale: Balloon valvuloplasty relieves pulmonary stenosis, per AHA. A, C-E depend on severity.

Question 2 of 5

Which data should alert the nurse that the neonate is premature?

Correct Answer: A

Rationale: Large amounts of vernix caseosa A suggest prematurity, per document 9.

Question 3 of 5

The nurse observes that when a newborn is supine and the head is turned to one side, the extremities straighten to that side while the opposite extremities flex. How would the nurse document this finding?

Correct Answer: D

Rationale: Tonic neck reflex D matches this description, per document p5, 6.

Question 4 of 5

An essential nursing action for a small child with severe diarrhea and vomiting is to

Correct Answer: A

Rationale: Checking weight daily A assesses fluid loss severity, per document .

Question 5 of 5

An 18-month-old with a severe asthma attack on prednisolone 15 mg b.i.d. requires the nurse to

Correct Answer: D

Rationale: Preventing infection D is key due to steroid immunosuppression, per document 2.

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