Title RECALLS 12 - NP2 - SC ✅

4 | Page B. To facilitate development of a close parent-newborn relationship. C. To assist parents in developing healthy attitudes about children’s practices. D. To provide the parents of the newborn with information about well-baby programs. 45.  Which of the following nursing diagnoses would be the top priority for a newborn delivered via cesarean section? A. Impaired gas exchange. B. RISK of infection. C. Ineffective thermoregulation. D. Altered nutrition- less than body requirements. Situation: Nurse Makidato works in the Pediatric ward, where she cares for many toddlers and preschoolers with non-communicable diseases. She focuses on effectively communicating each child's needs for diagnosis, treatment, and care. 46. A 2-year-old client named Glenn was admitted for bronchiolitis, with his mother and older sister taking turns caring for him. When Nurse Makidato offers medication, Glenn shakes his head, covers his mouth, and says, "I do not like it." How should Nurse Makidato address Glenn's refusal? A. Limit questions and offer options. B. Do a nonverbal approach by distracting him with some food. C. Tell him that you will be angry if he will not drink his drug. D. Ask the child if he wants it to be mixed with milk. 47. Pre-schoolers Aaron and Silver are having a fight over a toy provided by the ward. How will Nurse Makidato respond to the situation A. She asks: "Tell me what happened". B. She demands: "Explain to me why you did this?" C. She threatens the two saying:"You are both in a lot of trouble." D. She asks: "How many fights have you two had today?" 48. Four-year-old Mhaecy, who is able to walk, is crying and tugging at his hospital gown while holding a teddy bear. How should Nurse Makidato respond to Mhaecy's behavior? A. "I Know you feel scared. This must be your special teddy bear." B. "If you will not stop crying I will put your teddy bear in the trash bin.' C. "Please stop crying nobody will hurt you." D. "Hello, I am Nurse. Rizza, let us go to the play room." 49. When Nurse Makidato brings a dinner tray, Mhaecy says, "I am too sick to feed myself." How should Nurse Makidato respond? A. "Wait for few minutes and I will be back to help you." B. "Try to eat as much as you can." C. "You can eat later when you feel better." D. "You are a big boy now and you are able to feed yourself." 50. A mother voices her concern to the nurse about Mhaecy spending a lot of time playing with imaginary friends. How should Nurse Makidato respond? A. "Imaginary playmates are his way to release his tension and anxiety. B. "You have a reason to be concern as this is not a typical behavior. C. "I suggest psychological counseling." D. "That is the effect of absentee parent. Situation: Nurse Austria is conducting a cephalocaudal assessment on a 6-month-old infant during a routine well-child visit. As part of the assessment, Nurse Austria focuses on evaluating the infant’s head and its development. 51.The anterior fontanelle is characterized as: A. 3-4 cm antero-posterior diameter and 2-3 cm transverse diameter and diamond shape B. 2-3 cm antero-posterior diameter act. 3-4 cm: transverse diameter and: diamond shape: C. 2-3 cm in both antero-posterior and transverse diameter and diamond shape D. none of the above 52. Nurse Austria is developing a care plan for a newborn with fetal alcohol syndrome. What priority interventions should be included in the plan? A. Allow the newborn infant to establish own sleep-rest pattern. B. Maintain the newborn infant in a brightly lighted area of the nursery. C. Encourage frequent handling of the newborn infant by staff and' parents. D. Monitor the newborn Infant's response to feedings and weight gain pattern. 53. Nurse Austria is caring for an infant diagnosed with hydrocephalus. A key preoperative nursing intervention is to: A. Test the urine for protein. B. Reposition the infant frequently. C. Provide a stimulating environment. D. Obtain blood pressures every 30 minutes Situation: Nurse Matic is conducting a routine assessment of different children confined at the pediatric clinic. As part of the assessment, Nurse Matic focuses on evaluating patient’s sensory development, including his hearing, vision, and touch responses. 54. Nurse Matic is observing a 2-year-old child and suspects the child might have strabismus. What signs should the nurse look for to indicate this condition? A. The child has difficulty hearing. B. The child consistently tilts the head to see. C. The child consistently turns the head to see. D. The child does not respond when spoken to. 55. Baby Moco was born with Down syndrome. During a physical assessment, the nurse should pay close attention to the infant's: A. Heart sounds B. Lung expansion C. Gluteal fold D. Normal reflexes 56. Nurse Matic is caring for a newborn with tracheoesophageal fistula. What should be the priority nursing diagnosis? A. Risk for dehydration B. Ineffective airway clearance C. Altered nutrition D. Risk for Injury 57. Nurse Matic is caring for a child who has just returned from surgery after a tonsillectomy and adenoidectomy. What is the appropriate action for the nurse to take? A. Offer Ice cream every 2 hours B. Place the child in a supine position C. Allow the child' to drink through a straw D. Observe swallowing patterns Situation: A pregnant client named Mrs. Zarinna has been diagnosed with Deep Vein Thrombosis (DVT) and has been admitted for potential treatment. This is Nurse Pantig's first experience managing such a case, and she feels that it will contribute to her professional growth. 58. Nurse Pantig recalls that as part of the inflammation process and edema, the client's skin will be stretched making it shiny and white known as "milk leg" and this is medically termed as_. A. Phlegmasia Alba Dolens. B. Hyperfibrinogenemia.