Which of the following findings in a 3-hour-old newborn should be reported?

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Pediatric Nursing Practice Test Questions Questions

Question 1 of 9

Which of the following findings in a 3-hour-old newborn should be reported?

Correct Answer: C

Rationale: Chest circumference 35 cm; head circumference 36 cm C is abnormal as head should typically be 2-3 cm larger than chest at birth, per AAP, indicating potential need for evaluation.

Question 2 of 9

The most common nutritional deficiency in children is

Correct Answer: B

Rationale: Iron B deficiency is most prevalent globally, per document p28, and WHO data.

Question 3 of 9

A 2-year-old is in for an annual examination. Which comment by the mother alerts the nurse to a risk for lead poisoning?

Correct Answer: A

Rationale: Eating paint (A) is a major lead poisoning risk, especially from old homes. Toilet training (B), messy eating (C), and tantrums (D) are normal toddler behaviors. Document: 'Eating paint is one of the major risk factors for lead poisoning.'

Question 4 of 9

The greatest risk factor for NEC is:

Correct Answer: D

Rationale: Prematurity is the greatest NEC risk factor, due to immature gut (AAP). A, C, E contribute, B is protective.

Question 5 of 9

Care for a baby under phototherapy includes select all

Correct Answer: D

Rationale: Fluids A, exposure B, temperature C, eyes D I, II, III, IV, per document p9, 9.

Question 6 of 9

One minute after delivery, the nurse observes the following in a newborn: Heart rate=112; some flexion of the extremities; good cry; skin pink except hands and feet are blue; actively crying. The nurse should assign the Apgar score to be a:

Correct Answer: D

Rationale: Apgar of 8 D: HR=2 100-112, Resp=2 good cry, Muscle tone=1 some flexion, Reflex=2 crying, Color=1 acrocyanosis, per document 0.

Question 7 of 9

A 4-year-old girl presents with fever and drooling. X-ray shows a thumbprint sign. Most likely diagnosis is:

Correct Answer: B

Rationale: Epiglottitis shows fever and thumbprint sign, per AAP. A, C-E differ.

Question 8 of 9

The primary task for an infant between 12 and 15 months is to learn to

Correct Answer: D

Rationale: Walking erect D is a key milestone at this age, per document 3.

Question 9 of 9

A girl with Turner syndrome developed some form of masculinization. Her mother is worried because her daughter might develop gonadoblastoma. The following screening test is indicated:

Correct Answer: D

Rationale: Screening for Y-chromosome material via karyotyping/FISH is key in Turner syndrome with masculinization to assess gonadoblastoma risk (Endocrine Society). A-D are nonspecific.

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