Which clinical sign is pathognomonic of rubella?

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Pediatric Nursing Practice Questions Questions

Question 1 of 5

Which clinical sign is pathognomonic of rubella?

Correct Answer: D

Rationale: Postauricular, occipital, and cervical lymphadenopathy are characteristic signs of rubella, often preceding the rash.

Question 2 of 5

A 3-month-old, former 29-week-premature infant has been scheduled for repair of bilateral inguinal hernias. The infant had received mechanical ventilation for the first 6 days of life and had apnea of prematurity that resolved 5 weeks ago. The infant is feeding well and gaining weight and has no requirement for supplemental oxygen. The hematocrit is 28. The HMO clerk approves the surgery on an outpatient basis. All of the following are true EXCEPT

Correct Answer: D

Rationale: Even after spinal anesthesia, premature infants are at risk for apnea and require monitoring, making outpatient discharge unsafe.

Question 3 of 5

A 2-year-old child is found playing with a can of crystalline drain cleaner. There are several crystals in the mouth, which you have the mother wash out. Treatment should be to

Correct Answer: C

Rationale: Alkaline substances like drain cleaner can cause severe esophageal burns. Immediate administration of water or milk to dilute the substance and esophagoscopy to assess damage are necessary.

Question 4 of 5

In severe form of Tetralogy of Fallot, all are true Except:

Correct Answer: A

Rationale: Severe TOF typically presents with cyanosis, clubbing, right ventricular hypertrophy, and a systolic murmur. Cardiomegaly is not a common feature as the right ventricle is hypertrophied but not dilated.

Question 5 of 5

The nurse is assisting a health care provider (HCP) examining an infant with developmental dysplasia of the hip perform an Ortolani maneuver. The nurse understands that this maneuver is performed for which purpose?

Correct Answer: A

Rationale: The Ortolani maneuver is a physical examination test specifically used to assess for hip instability in infants with suspected developmental dysplasia of the hip (DDH). This maneuver helps the healthcare provider determine if the femoral head can be gently relocated into the acetabulum, which can indicate the presence of hip dysplasia in newborns. Hip instability may be a sign of DDH, which is a condition where the hip joint has not developed properly. It is crucial to detect DDH early to prevent long-term complications such as hip dysplasia or dislocations.

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