A new mother wants to be discharged with her newborn as soon as possible. What should be done prior to discharge?

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Pediatric Nursing Practice Questions Questions

Question 1 of 5

A new mother wants to be discharged with her newborn as soon as possible. What should be done prior to discharge?

Correct Answer: D

Rationale: Prior to discharge from the hospital, it is important that a new mother makes an appointment for home care or a primary care practitioner office visit within the next 2 or 3 days for the newborn. This ensures that the newborn will receive necessary follow-up care, monitoring, and evaluation after leaving the hospital. It is crucial for the newborn's health and well-being to have timely postnatal check-ups to address any concerns or issues that may arise in the early days after birth. This follow-up care also allows healthcare providers to assess the newborn's growth, feeding, and overall health progression.

Question 2 of 5

A neonate presents with cyanosis that worsens with feeding and improves with crying. What is the most likely diagnosis?

Correct Answer: D

Rationale: Choanal atresia is a congenital nasal obstruction that causes cyanosis that worsens with feeding and improves with crying, since crying opens the mouth for breathing. Bilateral atresia requires urgent intervention.

Question 3 of 5

Cancer is the second major cause of death in this country. What is the first step toward effective cancer control?

Correct Answer: B

Rationale: The first step toward effective cancer control is changing habits and customs that predispose individuals to cancer. Prevention is key in reducing the incidence of cancer. By addressing factors like smoking, poor diet, lack of physical activity, excessive alcohol consumption, and exposure to carcinogens in the environment, the risk of developing cancer can be significantly reduced. Education and awareness play a crucial role in encouraging individuals to adopt healthier lifestyles and behaviors to minimize their cancer risk. While screening and early detection are also important aspects of cancer control, prevention through lifestyle modifications is the fundamental strategy in reducing the burden of cancer in the population.

Question 4 of 5

A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse's first best action?

Correct Answer: D

Rationale: The client is exhibiting signs of a transfusion reaction, most likely a hemolytic reaction. The first best action for the nurse to take in this situation is to immediately stop the blood transfusion to prevent further complications for the client. Once the infusion is stopped, the nurse can then proceed with assessing the client's vital signs, respiratory status, and other appropriate interventions. It is crucial to prioritize stopping the transfusion to ensure the client's safety and well-being.

Question 5 of 5

A term infant presents with tachypnea, grunting, and nasal flaring shortly after birth. A chest X-ray shows fluid in the lung fissures. What is the most likely diagnosis?

Correct Answer: C

Rationale: Transient tachypnea of the newborn (TTN) is caused by delayed clearance of fetal lung fluid, common in infants born via cesarean section. Symptoms resolve within 24-72 hours with supportive care.

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