NURS 2258-4331 Pediatrics Proctored Exam Practice Questions

A nurse is called to attend a delivery of a Gravida 2 Term 0 Preterm 1 Abortion 0 Living 1 patient at 10 centimeters, 100 percent effacement, and plus 4 station.

The mother has had minimal prenatal care during this pregnancy and thinks she is 38 weeks gestation.

The Labor and Delivery nurse states the only significant issues during labor are: spontaneous rupture of membranes 19 hours ago with clear fluid.

Vital signs stable.

Required augmentation with Pitocin for the past 10 hours.

The patient experienced a 20 minute episode of uterine tachysystole 2 hours ago.

Pitocin was turned off, the patient was turned, an intravenous bolus was given, and oxygen was started, and the uterine tachysystole resolved.

The fetal heart rate during that time had a prolonged deceleration lasting 4 minutes but returned to the baseline of 140 with intrauterine resuscitative measures.

The fetal heart rate is currently 145, with moderate variability, accelerations, and early decelerations present.

The nursery nurse would anticipate which of the following? Select all that apply:

Using the following formula, calculate the daily fluid requirement in milliliters for a child who weighs 46 pounds.

• 100 mL/kg for the first 10 kg
• 50 mL/kg for the next 10 kg
• 20 mL/kg for the remaining kg

Please enter the numeric value only. Round to the nearest whole number.

Ordered: Metronidazole 140 mg IV to be infused over 60 minutes.
Available: Metronidazole in a syringe pre-mixed with normal saline.
Correct concentration: 5 mg/mL.
Patient's weight: 43 lb.

Based on the correct concentration, the pre-mixed syringe contains how many mL? Round to the nearest whole number.

A 15-year-old boy presents to the emergency department after a straddle injury with complaints of testicular pain and swelling. Which of the following interventions is the priority for the nurse?

An 8-year-old boy and his father visit the pediatrician’s office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy’s health history, the nurse learns that he had strep throat a little over a week ago. Which condition should the nurse suspect?

The nurse is caring for a child diagnosed with a urinary tract infection. The caregiver asks the nurse why it is so important for the child to have so much fluid. What is the most important reason the child needs increased fluids?

A voiding cystourethrogram (VCUG) is prescribed for a child. What education should be provided to the parents?

 A nurse is caring for an infant with a temperature of 102.5°F (39.1°C). The health care provider has prescribed acetaminophen 10 mg/kg every 4 to 6 hours for a temperature of 101.4°F (38.6°C) or higher. The infant weighs 14 pounds. How many milligrams should the nurse administer? Please enter the numeric value only. Round to the nearest whole number.

The nurse is caring for a child diagnosed with a urinary tract infection. The caregiver asks the nurse why it is so important for the child to have so much fluid. What is the most important reason the child needs increased fluids?

An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy’s health history, the nurse learns that he had strep throat a little over a week ago. Which condition should the nurse suspect?

A 15-year-old boy presents to the emergency department after a straddle injury with complaints of testicular pain and swelling. Which of the following interventions is the priority for the nurse?