Neonates PDF

‫أوليس ي ُجزىمحس ن اال باحسان‬ 442. A 15 month old child is admitted for hypospadias repair. After surgery, which of the following instruction should be given to the parents? A. Limit activity for 2 weeks B. Avoid apply ointment or powder...

‫أوليس ي ُجزىمحس ن اال باحسان‬ 442. A 15 month old child is admitted for hypospadias repair. After surgery, which of the following instruction should be given to the parents? A. Limit activity for 2 weeks B. Avoid apply ointment or powder C. Give a child a diet that is high in protein D. Isolate the child from other children with the infection 443. A two hour old newborn baby is given to the mother to start on breastfeeding. The mother is reluctant as the thinks is too early for the baby. The mother finally agrees to breast feed the baby after the midwife has discussed the advantages of early of breast feeding. Which of the following statement mad by the mother suggests her correct understanding? A. Improve natural immunity B. Strengthens sucking reflex C. Stimulates gut movement 444. A nurse is preparing a teaching session for elementary school students about the safety measures of hazards. Which of the following is the most appropriate topics for safety measure for children at this age? A. Sport activities B. Riding bicycle C. Swimming D. Driving 445. Establishes baby's hydrationA 11 month old boy with cleft lip & palate was discharged from the hospital after surgery. The nurse provided the parents with teaching. Which of the following statement by the parents indicate appropriate understanding of the teaching instruction? A. I should avoid that my infant's cry's as much as possible B. I will use a spoon to feed my child after the surgery C. I will put my child in his abdomen after feeding D. I will use lotion to ease my child's lip irritation 446. A newborn born by elective caesarian section under general anesthesia ter 28 weeks of pregnancy. His weight is 850 gm, and he is in (20) th percentile in intrauterine growth chart. He is admitted to Neonatal tensive Care Unit. Which of the following is the classification of this newborn according to stational age and birth weight using intrauterine growth chart? A. He is appropriate for gestational age B. He is extremely low birth weight C. He is small for gestational age D. He is very low birth weight. 447. A baby born at 38 weeks of gestation with birth weight 1800 gram. which of the following is the classification of this infant? A. Low birth weight B. Very low birth weight C. Appropriate for gestational age D. Small for gestational age 74  ‫أوليس ي ُجزىمحس ن اال باحسان‬ 448. A baby born at 24 weeks of gestation with birth weight 1000 gram and at 90th. which of the following is the classification of this infant? A. Low birth weight B. Very low birth weight C. Appropriate for gestational age D. Large for gestational age 449. A baby born at 29 weeks of gestation with birth weight 950 gram. which of the following is the classification of this infant? A. Low birth weight B. Very low birth weight C. Appropriate for gestational age D. Small for gestational age 450. Which of the following would be the proper interpretation by the nurse for a chromosomal analysis showing 46, XY? A. Normal male B. Abnormal male C. Normal female D. Abnormal female 451. Which of the following would be the proper interpretation by the nurse for a chromosomal analysis showing 46, XX? A. Normal male B. Abnormal male C. Normal female D. Abnormal female 452. To measure fatal heat rate fetus daily activity through ? A. Doppler sound B. Weighting measures C. Non-stress test D. Daily fetus kicks 453. Immediately following the birth of a full-term newborn, which of the following is the priority nursing diagnosis for this newborn? A. airway clearance related to nasal & oral secretions B. ineffective thermoregulation related to environmental factors C. risk for imbalance fluid volume related t weak sucking reflex D. risk for injury related to immature defense mechanisms 454. A full term newborn is admitted to NICU with a diagnosis of meningocele. Which of the following admission assessment is needed? A. Specific gravity of urine B. Head circumference C. Weight and length D. Palpation of the abdomen 455. A nurse is caring for a full term newborn who was delivered five minutes ago. The infant's Apgar score was 8 at one minutes and five minutes. Which of the following has the highest priority ? A. Assessing the infant's red reflex 75  ‫أوليس ي ُجزىمحس ن اال باحسان‬ B. Preventing heat loss from the infant C. Maintaining the infant in the supine position D. Administering humidified oxygen to the infant 456. A30week gestational preterm admitted to NICU 2hours ago the neonate starts to have grunting ,nasal flaring which of the following the nurse recognize regarding signs and symptoms? A. Neonate has RDS B. It is normally in the first 24 hours of birth C. This is not significant unless become cyanosis D. Neonate has hypoglycaemia 457. A 30 weeks of gestational age preterm is admitted to the neonatal intensive care unit 2 hours. the neonate starts to have grunting tachypnea, and nasal flaring. Which of the following is responsible factors for diagnosis of the premature ? A. Bronchial spasm B. Immature bronchioles C. Lack of surfactant D. Pulmonary over load 458. A 7 years old child is admitted to pediatric medical. Ward his urine analysis result revealed massive proteinuria. T he child was diagnosed with Nephrotic Syndrome. Which of the following medication can prevent the relapses of the child condition? A. Antibiotics B. Corticosteroids C. Diuretics D. Immunosuppressive 459. An infant was admitted with patent Ductus arteriosus. Indomethacin 0.2mg/kg with prostaglandin inhibitor via intravenous route was prescribed for him. Which of the following is the function of indomethacin? A. Assist closure of ductus arteriosus B. Prevent infection C. Improve tissue perfusion D. Preserve hormone level 460. A newborn is diagnosed with Ventricular Septal Defect (VSD) Which of the following information should the nurse give to the newborn's mother? A. Cyanosis will occur most of the time during sleeping B. Breast feeding is not recommended for your child C. The defect might close spontaneously after 6 months D. Blood pressure is different on the child's arm and the leg 461. A 10 years old child had an appendectomy yesterday. Which pain scale should the nurse use to assess child pain? A. Numeric B. Faces C. FLACC D. Cries 462. Infant mortality is a critical indicator of children health status. Which of the following statements probably describes the " infant mortality " term? A. Deaths of infant during the first year of the life per 100 live births 76  ‫أوليس ي ُجزىمحس ن اال باحسان‬ B. Death of infants during the first year of life per 1000 live births C. Death of infants during the first year of life per 10000 live births D. Death of infants during the first year of life per 10000 live births 463. A child with rheumatic fever is having sever pain , tenderness and swelling in his left joint what should the nurse do to alleviate his pain? A. Apply heat on the affected joint B. Put the joint in flexion position C. Apply clod compresses to the joints D. Ask the child to walk for 15 minutes 464. 9 YEAR old child is admitted to the Postoperative Care Unit following in heart transplant. The nurse administers cyclosporine by intravenous infusion. Fifteen minutes later the child has difficult breathing, his skin feels cold and clammy and he appears restless. Which of the following is the most appropriate initial nursing action? A. Ensure airway patency B. Administer oxygen therapy C. Discontinue intravenous infusion D. Administer intramuscular epinephrine 465. A nurse in the Neonatal Intensive Care Unit is caring for premature newborn, is diagnosed with Respiratory Distress (RDS) and the doctor ordered administrating surfactant Surfactant should be given by which of the following routes? A. Intravenous B. Subcutaneous C. Intramuscular D. Endtracheal 466. A 7 year old child is assessed with a urinary tract infection BP 99/55 TEMP 36.4. which of the following is the most appropriate nursing action? A. Notify the physician immediately B. Notify the nurse manager immediately C. Document the findings in the nurse note D. Put the patient in Trendelenburg position 467. In an education session with pregnant mothers, the midwife explains the purpose of amniotic fluid sac or the water bag. After the completion, the midwife is revising the concepts by asking questions. Which of the following statement made by the mothers is most appropriate regarding the fluid bag. A. It provides the baby with immunity against diseases B. It provides important nutrition and fluid to the baby C. It protects and maintains baby's temperature D. It protects the baby from harmful chemicals in mother's blood 468. A23-year-old gravid 1 ,para 0 mother is presented to the Antenatal clinic. The health educator educates group of mothers in the waiting area. Which information regarding fetal circulation the educator should stress on? A. One umbilical artery and one umbilical vein B. One umbilical artery and two umbilical veins C. Two umbilical arteries and one umbilical vein D. Two umbilical arteries and two umbilical veins 469. 37 weeks of gestation neonate is admitted to the Neonatal Intensive Care Unit immediate after delivery because the mother has fever in the last 2 days before delivery. Which of the following is most expected finding for neonatal sepsis? A. decreased urinary output 77  ‫أوليس ي ُجزىمحس ن اال باحسان‬ B. poor feeding C. stable body weight D. sudden hyperthermia 470. Which of organism can cause neonate to develop septicemia including respiratory distress apnea and hypotension within 12 hours of birth A. Escherichia coli B. Cytomegalovirus C. variclla zoster virus D. Group B streptococcuss 471. while a nurse is assessing an infant born 11 hours ago caesarean section, she auscultated moist lung sounds. Which of the following is the most likely interpretation? A. Abnormal finding B. Normal finding C. Pneumothorax D. Surfactant aspiration 472. Lanugo hair is fine hair in preterm baby less than 30weeks 473. Vernix caseosa, also known as vernix, is the waxy or cheese-like white substance found coating the skin of newborn human babies. It is produced by dedicated cells and is thought to have some protective roles during fetal development and for a few hours after birth. 474. An 11 years old child has been diagnosed with type 1 diabetes mellitus. which of the following education should the nurse explain about the exercise? A. Extra insulin is require during exercise B. Extra snacks are needed before exercise C. Exercise will increase blood glucose D. Exercise should be restricted 475. newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as: A. Milia B. Lanugo C. Whiteheads D. Mongolian spots 476. A 25 years old primipara is admitted for labor. the infant is delivered by forceps because of breech presentation and full body assessment shows alrage blue macular marking over left buttocks which o the following the most likely cause ? A. Echymosis B. Nervus flames C. Telangiectasia nevi D. Mongolian spots 477. A nurse was observing the stool color for a newborn on the first day after delivery. What is the expected color of stool for this newborn? A. Brown B. Light green C. Light brown D. Brownish green 78  ‫أوليس ي ُجزىمحس ن اال باحسان‬ 478. An infant with developmental dysplasia of the hip is discharging with a Pavlik harness. Which of the following instructions should the nurse give to the infant's parents A. Put the baby's diaper over the harness B. Fasten the straps for at least 2 hours every day C. Press both legs together before applying the harness D. Soft, thin clothing should be worn under the harness 479. A neonatal is admitted to the NICU with a meningomyelocele. HR130.. RR 28….. TEM 36.7 which of the following action the nurse should perform to prevent infection of the meningomyelocele sac ? A. Wash the sac with betadine every shift B. Expose the defect to the room air C. Apply antibiotic cream every 24 hours D. Cover he sac with moist sterile saline dressing 480. A baby born at 38 weeks of gestational with birth weight 1800gram. Which of the following is the classification of this infant? A. Low birth weight B. Very low birth weight C. Appropriate for gestational age D. Small for gestational age 481. 24 weeks of gestation neonate is admitted to the Neonatal Intensive Unit immediately after delivery with respirator distress syndrome de 1. hart rate 140 /min respiratory rate 77 /min Temperature 36.5 Which of the following method of feeding is recommended to promote with of this premature? A. Enteral feeding of breast milk B. Enteral feeding of premature formula C. Oral breast feeding D. Oral premature formula 482. A newborn is delivered by the midwife. The umbilical cord i cut safely by following necessary aseptic techniques. Furth newborn is to be taken. Which of the following intervention is the most desired? A. Assess sucking response B. Increase mother child bonding C. Assess and record APGAR score D. Keep dry and maintain thermoregulation 483. A 2-year-old child is admitted to pediatric ward. The mother cannot stay the child and she will visit him in the weakened only. Which of the following nursing action indicates an understanding of the emotional needs this child? A. Give her a warm bath to calm down B. Allow the child to suck on a pacifier C. Ask the parents to bring the child favorite toy D. Tell he parents that frequently visiting is unnecessary 484. When assess newborn wight in scale the nurse must avoid heat loss by; A. Radiation B. Evaporation 79  ‫أوليس ي ُجزىمحس ن اال باحسان‬ C. Conduction D. Convection 485. A nurse is caring for a newborn in Well Born Nursery she warps the baby with blanket and ensures the nursey temperature is suitable for the babies. What type of heat loss is the nurse preventing? A. Radiation B. Conduction C. Convention D. Evaporation 486. A mother is asking the nurse how is sickle cell could be deducted. Which of the following is at test detected sickle cell disease of traits? A. Hemoglobin electrophoresis B. Bone marrow aspiration C. Complete blood count D. Free erythrocyte protoporphyrin 487. An 11-year-old child has been diagnosis with diabetes insipidus? A. Posterior pituitary B. Adrenal medulla C. Anterior pituitary D. Adrenal cortex 488. A term baby boy has diagnosed with Down syndrome. Physical examination revealed flattened nose, low set ears, upward slanting eyes, single palmer crease. Which of the following is the most common congenital anomaly associated with the this disease? A. Developmental dysplasia of hip (DDH) B. Congenital heart disease C. Hypospadias D. Pyloric stenosis 489. A neonate is admitted to the neonatal care unit with a meningomyelocele HR 130 RR 28 TEM 36.7 which of the following actions should the nurse perform to prevent infection of the meningomyelocele sac? A. Wash the sac with betadine every shift B. Expose the defect the room air C. Apply antibiotic cream every 24 hours D. Cover the sac with sterile dressing 490. If full term infant weight 3 kg at birth, approximately should the infant weight be at 12 months old ? A. 7 kg B. 9 kg C. 11kg D. 13kg 491. A nurse is performing physical examination on the new born she notes that the baby has cephalhetoma this baby is risk to develop which of the following? A. Sudden death B. Pathological jaundice C. Infected umbilical cord D. Increased intracranial pressure 80  ‫أوليس ي ُجزىمحس ن اال باحسان‬ 492. A4 days old baby diagnosed with physiological jaundice. his father is distressed and wants to know why he have this condition. what the nurse should the nurse tell the about the most prominent physiological jaundice A. Immature hepatic function B. Decrease milk intake C. Rh incompatibility D. Red blood cell enzyme defects 493. A newborn with hyperbilirubinemia was started on phototherapy What will be the nurse's instruction regarding feeding? A. Feed glucose drinks B. Breastfeed two hourly C. Bottle feed till the bilirubin level reduce D. Breastfeed alternatively with bottle feeds 494. Which action a nurse needs to include when caring for a newborn receiving phototherapy? A. Expose all surfaces B. Prevent stimulation C. Cover the eyes with shield D. Change position every four hourly 495. A baby born at 35-week was admitted in neonatal intensive 27hours ago, physical examination revealed yellow discoloration sclera and mucus membrane. The result of bilirubin level every 170mol. The infant was diagnosed with neonatal jaundice physician order to start single phototherapy. Which of following should the nurse consider as a priority during phototherapy of this newborn? A. ensure proper fitting of eye covering (patches) B. monitor bilirubin levels every 48 hours C. feed the infant formula every 4 to 5 hours D. avoid removing the infant from phototherapy 496. A nurse prepares to administer a vitamin K injection to a full term the mother wants to know the importance of the injection Which of the following is the best nurse response to the mother A. needed for blood clotting to prevent haemorrhage B. accelerate the growth and development of infants C. help in maintain healthy gut and passage of meconium D. protect the infant from developing sever respiratory distress 497. A nurse is caring for child who is pot tonsillectomy and adenoidectomy the nurse should plan to assess which of the following complication? A. Pulmonary hypertension B. Hemorrhage C. Hearing loss D. Orthopnea 498. Term baby boy is admitted to Neonatal Intensive Care Unit. Physical examination revealed flattened nose, low set ears, upward slanting eyes, gle palmer crease. Which of the following is the possible diagnosis of the new-born? A. Cushing syndrome B. Down syndrome C. Intra-Uterine Growth Retardation D. Congenital hypothyroidism 499. A nurse performing nursing care plan for a neonate after a birth, which intervention has the highest nursing priority neonate? 81  ‫أوليس ي ُجزىمحس ن اال باحسان‬ A. btained a dextrostix B. give the initial bath C. Give the vitamin k injection D. cover the neonate head with a cap 500. During physical assessment of a male infant genitalia, the nurse found that one of the testes are enlarged. Which of the following could be the reason for swollen testes? A. Chordee B. Cryptorchidism C. Hydrocele D. Hypospadias 501. A newborn is diagnosed with hypospadias. When teaching the parents of this child, the nurse should tell them to avoid which of the following before the hypospadias repair? A. circumcision B. drinking acidic juices C. urinary catheterization D. riding a bicycle 502. A6-year-old child is diagnosed with sickle. cell disease is admitted with severe pain in upper and lower extremities. What type of crisis that the child experiences? A. Sequestration B. Aplastic Lae. C. Vasoocclusive D. Hyperhemolytic 503. Mother of a sickle cell anemia child is asking why her child can't go hiking with his friends.Which of the following complications hiking can leads to ? A. Enhance iron absorption B. Decrease oxygen consumption C. Inhibit hemoglobin production D. Precipitate vaso-oclusive crisis 504. The nurse admits a client who is in sickle cell crisis. The nurse should prepare for which intervention as a priority in the management of the client? A. Pain management with an opioid B. Intravenous fluid therapy C. Oxygen administration D. Blood transfusion 505. When performing a new-born assessment, the nurse should measure the vital signs in the following sequence: A. Pulse, respirations, temperature B. Temperature, pulse, respirations C. Respirations, temperature, pulse D. Respirations, pulse , temperature 506. An infant arrives in the Emergency Department not breathing and does not have a pulse. When starting CPR, which of the following arteries is appropriate to perform the pulse checks? A. carotid B. Radial C. Brachial D. termporal 82  ‫أوليس ي ُجزىمحس ن اال باحسان‬ 507. A nurse is assessing a 2 days old full-term male neon circumcision. She observed that the circumcised area is re a large amount of fresh blood. Heart rate 110 /min Respiratory rate 40 /min Temperature 36.6 C Which of the following action should the nurse take? A. Apply antibiotic ointment on the affected area B. Give the infant another injection of vitamin K C. Clean the area with betadine to prevent infection D. Apply gentle pressure with a sterile gauze 508. A maternity nurse is performing a newborn assessment thirty minutes after delivery of a baby who did not receive any prenatal care and has an unknown gestational age. The skin is extensively leathery, cracked and dry and there is an absence of lanugo and vernix. How many weeks ’gestation is this neonate? A. 40 509. A nurse is caring for a female newborn who born with an imperforate anus. When assessing the newborns urine, she should notify the doctor immediately if the newborn's urine contains which of the following? A. meconium B. sugar C. albumin D. crystals 510. A newborn has diagnosed Development Dysplasia of hip DDH and is using a Pavlik Harness as treatment. A. Multiple B. Acetabular dysplasia C. Subluxation D. Dislocation 511. Which of the Following Is the Most Commend Site to Obtain a Capillary blood sugar sample from neonate? A. Earl ape B. fingertip C. Heel D. Abdomen 512. A 6 years old preschool returned from the operating room after tonsillectomy. A nurse received the patient from recovery room. Which position the nurse place the child post tonsillectomy? A. Supine B. Side lying C. Low fowler D. High fowler 513. female teenager was diagnosed with sickle cell anemia inform a nurse school arranged a hiking activity in nearby mountains. She shows excitement while informing the nurse about her new water bottle for this trip. What is the appropriate initial response by the nurse? A. "what do your parents think?" B. "you realize that this type of activity might cause you a pain crisis" C. "you need to get approval from your doctor before attending this activity" 83  ‫أوليس ي ُجزىمحس ن اال باحسان‬ D.."it is great that you are hydrating yourself in preparation of this activity 514. A child with thalassemia was given desferoxamine (Desferal);which of the following should alert the nurse to notify the physician? A. Decreased hearing B. Hypertension C. Red urine D. Vomiting 515. A client is diagnosed as having secondary Cushing’s syndrome. The nurse knows that the client has most likely been taking which medication: A. Estrogen B. Penicillin C. Lovastatin D. Prednisone 516. A nurse is planning to give a 5 year old child an intramuscular injection. Which of the following is the best nursing intervention to minimize fear? A. Show a cartoon video injection attention B. Allow child to give injection to a doll C. Observe another child receiving injection D. Get parents to reassure child 517. A client who is breastfeeding her newborn requests assistance from the lactation nurse. Which reflex does the nurse explain in order to assist with latching on? A. Extrusion reflex B. Rooting reflex C. Swallowing reflex D. Tonic neck reflex 518. A healthy baby is born normally via vaginal delivery and when transferred to newborn until the nurse administered vitamin K intramuscularly. Which sits recommended for vitamin K injection ? A. Biceps B. Deltoid C. Vastus lateralis D. Gluteus maximus 519. The nurse determines that a client understands the purpose of a vitamin K injection for her new-born if the client states that V K is administered for which purpose A. New born lack vitamin B. New born have low blood levels C. New born lack intestinal bacteria D. New born cannot produce vitamin k in the liver 520. A nurse is administering a shot of vitamin K to 30 days old infant. which of the following target area is the most appropriate A. Gluteus maximus B. Gluteus minimus C. Vastus lateralis D. Vastus medialis 521. While a nurse is assessing the head of a newborn at the first hour after delivery , she observed a soft edema over the vertex which crosses the suture line. Which of the following would be the proper nurses interpretation? 84  ‫أوليس ي ُجزىمحس ن اال باحسان‬ A. Cephalohematoma B. Hydrocephaly C. Large head D. Caput succedaneum 522. A mother asked the nurse that while she was changing the diaper for her female newborn, she noticed a brick red stain on it. What is the best response by the nurse? A. It is a sign of low iron excretion B. It is expected in female newborn C. It is due to medication given to the mother D. it due to medication given to the newborn 523. A nurse is assessing a4-month-old formula fed infant.the parent reported that the infant was irritable, crying excessively, not sleeping well, and vomiting, gastro esophageal reflux is expected. What nursing intervention should the nurse expect to each parent ? A. Place in an infant seat after eating B. Give frequent feedings C. Position the child in a swing D. Thin formula with water 524. The normal systolic Bp for new Born:- A. 40-60 B. 60-80 C. 80-100 D. 100-120 525. Neonatal mortality rate : A. 1:100 B. 1:1000 C. 1:100000 D. 1:1000000 526. New born stomach capacity A. 6ml B. 12ml C. 28ml. 85  ‫أوليس ي ُجزىمحس ن اال باحسان‬ Age for surgery repair 527. Cleft lip 3 – 6 month after surgery consideration elbow restrain after surgery the infant should not be allow to cry and the infant not allow to breast feed by sucking. never to put the baby prone position after cleft lip repair surgery 528. Cleft palate 12 – 18 month position after surgery prone position , 529. Consideration after cleft lip and cleft palate is :  Burping the child frequently every 15 minutes  To prevent cleft lip and cleft palate the pregnant woman u should advice:  Folic acide 400 iu  Increase green vegetables & Citrus intake  Feeding up right setting position Questions 530. A 32year old gravid 1 and para, is now planning to become pregnant within the next year. The patient herself had born with born with neural tube defects, which were surgically repaired in early childhood. The nurse recommends that the patient begin taking tablet of folic acid. How many micrograms would be most appropriate for this patient? A. 400 B. 600 C. 1800 D. 4000 531. A 2-month-old infant with cleft lip is seen in the primary health care to get the regular vaccine of 2 months. The mother asked proper time for the corrective cleft lip surgery of her infant. Which of following is the best nurse response? A. No specific age for repair of cleft lip B. It is too late, repair should be done immediate after delivery C. The age of 2 months old is the time for repair D. The proper time for repair after the age of one year, 532. A nurse is assigned to care for a child after a cleft palate repair which of the following types of restraints is very effective for child? A. Mummy restraint B. Elbow restraint C. Wrist restraint D. Mitt restraint 533. A 4 month old infant returned immediately from OR room post cleft lip repair which of the following nursing intervention should be considered? A. Apply elbow restrain B. Apply suction when needed C. Measure temperature D. Put infant in prone position 534. The nurse have been teaching a new mother how to feed was born with a cleft lip and palate before surgical repair of Which of the following action from the mother indicate teaching has been successful? A. burping the baby frequently 86  ‫أوليس ي ُجزىمحس ن اال باحسان‬ B. Prevent the infant from crying C. Placing the baby flat during feeding D. Keep the infant prone following feedings 535. Mother came to the Outpatient Department with an infant having cleft and palate. The infant was underweight, so the nurse has to consider Teaching the proper way of feeding the child in the treatment plan. Which of the following is the proper way of feeding A. Use a non-squeezable bottle during feeding B. Feed infant in an upright, sitting position C. Enlarge nipple holes of bottle to allow more milk to pass through D. Feed infant longer than 45 minutes to allow more food to be small 536. A 40-year-old women is a gravida 2, para 2 and is current conceive. Her previous pregnancy resulted in the birth of a cleft lip and palate. The patient is anxious and concerned pregnancies and the nurse provides genetic counselling and Which foods would most effectively prevent recurrence a palate? A. Green vegetables and citrus fruit B. Eggs, milk and dairy products C. Wheat, corn, rice, oats and rye D. Beef, chicken and yellow vegetables 537. A nurse is caring for a new-born with cleft lip. At which age would the nurse expect the doctor to perform? A. 3-6 months B. 6-10 months C. 11-14 months D. more than 14 months 538. A 2-day-old new-born is admitted to the nursery. While the nurse is administrating oral feeding, the milk returns through the child's nose and mouth and the infant become cyanotic. Which of the following condition the new-born should have? A. Anorectal malformation B. Tracheoesophageal fistula C. Cleft lip and palate D. Cardiac condition 539. A full-term newborn admitted to the neonatal intensive care unit with diagnosis of tracheoesophageal fistula. Which of the following nursing measure to prevent pulmonary complication and improve good prognosis of the newborn condition? A. encourage exclusive breast feeding B. insert nasogastric tube for gastric decompression C. intermittent suction by double-lumen catheter D. prepare for the insertion of tracheostomy 540. A nurse is caring for 14 month old immediately after a surgical repair of cleft palate. In which position of the following should the nurse put the child? A. Prone B. LateralSupine 541. A 9-month-old child who has a repair cleft palate the nurse explaining mother on how she will give feeds to her child. Which of the following instruction can be expected to include feeling education? A. Open cup B. Tea spoon 87  ‫أوليس ي ُجزىمحس ن اال باحسان‬ C. Bottle feed D. Special bottle feed Spina bifida 542. 26- Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-borns ? A. Vitamin A B. Riboflavin C. Folic Acid D. Vitamin K 543. All of the following are types of spina bifida EXCEPT: A. Myelomeningocele B. Hemophilia C. Meningocele D. Spina Bifida Occulta 544. While caring for a neonate with a meningococcal, the nurse should avoid positioning the child on the: A. Abdomen B. Left side C. Right side D. Back 545. infant is born with spinal bifida Which of the following complication is always found in these Infants? A. Hydrocephalus B. Craniosynostosis C. Meningitis D. Cerebral palsy 546. On the second day of hospitalization for ventriculoperitoneal shunt revision, a child with spina bifida developed hives, itching and wheezing. The nurse should determine if the patient has been exposed to: A. Peanuts B. Strawberries C. Eggs D. Latex 547. Infant with spina bifida the nurse should monitor A. Head circumference B. Abdomen circumference 548. Position for the baby with spina bifida is : A. prone position B. back C. supine 549. A full term infant is admitted to NICU with a diagnosis of Spina vital signs are stable. Which of the following positions is suitable for this infant? A. Supine position B. Semi-fowler position C. Prone position D. Sitting position 88  ‫أوليس ي ُجزىمحس ن اال باحسان‬ Hirschsprung’s Disease : 550. Definition :is a congenital anomaly also known as congenital aganglionosis or aganglionic megacolon. The disease occurs as the result of an absence of ganglion cells in the rectum and other areas of the affected intestine 551. A 24 hours after delivery , the nurses noted that the newborn failed to pass meconium. This indicates which of the following condition? A. GERD B. Pyloric stenosis C. Failure to thrive D. Hirsch sprung disease 552. A nurse is assessing a 6-month-old infant that has retar reduced responsiveness and interaction with the environment to smile or make eye contact. The nurse notices that the attempt to hold or comfort the crying infant. What diagnosis should the nurse anticipate? A. Celiac disease B. Failure to thrive C. Cystic fibrosis D. Growth hormone deficiency 553. A 3 days old newborn is diagnosed with Hirschsprung disease. The nurse is conducting a physical examination. Which of the following findings will alert the nurse to suspect this disease in the newborn? A. palpable sausage-shaped mass B. cyanosis of fingers and toes C. failure to pass meconium within 24-48 hours of life D. weight less than expected for height and age 554. A 9 month old child is diagnosed Hischsprung disease scheduled for surgical operation which of the following should the nurse understand the purpose for surgical intervention? A. To remove the aganglion portion of the bowel to relieve obstruction B. To maintain optimum nutritional status growth the intertinal C. To stimulate intestinal adaptation with internal feeding D. To minimize complication related to the disease 555. A 9 month old child is diagnosed with Hirschsprung disease he is scheduled for surgical operation which of the following is the most common complication expected during this age ? A. Mechanical obstruction B. Entro colitis C. Pleural effusion D. Esophageal Artesia 556. An 8-month-old infant is admitted with Hirschsprung disease. Which of the following would be a significant finding in this infant? A. Depressed anterior fontanel B. Polyuria, hematuria C. Weight gain, edema D. Failure to thrive, constipation 557. The nurse is assessing a 2 -years-old child with Wilms surgery Which of the following should the nurse avoid? A. Putting the child in lateral position B. Palpating the child's abdomen C. Putting the child in a private room 89  ‫أوليس ي ُجزىمحس ن اال باحسان‬ D. Provide mouth hygiene 30 minutes after meal Intussusceptions 558. A nurse is taking a history from the infant parents who have a suspected diagnosis of intussusception. Which of the following assessment question would be most helpful? A. Do you breast feeding your child ? B. What does your child's stool look like? C. How often your child urinating? D. What is the colour of your child' urine? 559. A 5-month-old boy has been vomiting green coloured vomit He has intermittent abdominal pain during which he draws his chest, turns pale and cries forcefully. On observation, the in the stool which has a jelly-like consistency. Abdominal pal a long. tube-like mass. There is no fever, rash nor diarrhea are hyperactive in all quadrants which is the most likely form of initial treatment? A. Manual manipulation B. Surgical resection C. Normal saline enema D. Laparoscopy 560. A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant's stool became like red jelly. Abdominal examination revealed palpable sausage- shaped mass in the right upper quadrant. Which of the following is the first line of therapeutic management for this infant? A. Non-surgical hydrostatic reduction B. Surgical simple reduction C. Pyloromyotomy D. Endorectal pull-Through 561. 7month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant’s stool become like red jelly. Abdominal examination revealed palpable sausage-shaped mass in the right upper quadrant which of the following is the best diagnosis? A. Hirschsprung disease B. Hypertrophic pyloric stenosis C. Infant colic D. Intussuception 562. Nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented? A. watery diarrhea B. rib bone-like stools C. profuse projectile vomiting D. Red jelly stool 563. A 5year-old child was seen to the Emergency Department abdominal pain, palpable sauge-shaped mass, and Intussusception is suspected Which of the following is the best diagnostic evaluation to? A. X-ray B. endoscopy C. Rectal biopsy D. Ultrasonograph 90  ‫أوليس ي ُجزىمحس ن اال باحسان‬ Pyloric stenosis 564. A 5-week-old newborn was admitted to pediatric Ward with pyloric stenosis, the newborn has weight loss, and projectile vomiting during feeding. They scheduled surgical repair of pyloric stenosis Which of the following postoperative intervention for this A. IV fluid infant is retaining adequate amount by mouth B. Administration of proper analgesia until infant discomfort resolve C. Start feeding immediately after postoperative D. Vomiting is uncommon in the first24-48 hrs 565. Surgery for pyloric stenosis movement? A. Pylorotomy B. Pylorectomy C. Pylorostomy D. Pyloromyotomy 566. PYLORIC stenosis peristalsis movement ? A. From right to left B. From left to right 567. 1 month-old infant is admitted to the surgical unit with hypertrophic pyloric stenosis and scheduled for the surgery. Which of the following is the findings of abdominal examination? A. palpable olive-like mass in the left side B. palpable olive-like mass in the right side C. Palpable olive-like mass moved from left to right D. Palpable olive-like mass moved from right to left 568. A 7-week-old infant boy is admitted with projectile vomiting decreased urine output, decreased bowel movements and weight loss. He has poor turgor and appears hungry. The nurse observes left-to right peristaltic waves after he vomits. The nurse would expect to find which of the following during the physical assessment? A. Hepato-splenomegaly B. A palpable pyloric mass C. Lymphadenopathy D. Bulging fontanelles 569. The nurse is assessing a child (an infant ) with pyloric stenosis. which of the following is likely to note? A. Diarrhea B. Projectile vomiting C. Swallowing difficulties D. Currant jelly like stool 570. A 5 week old newborn admitted paediatric ward with pyloric stenosis the newborn has weight loss, and projectile vomiting after feeing. Which of the following abdominal organs are directly affected when stenosis diagnosed? A. Stomach and duodenum B. Stomach and oesophagus C. Liver and spleen D. Liver and bile duct 571. Tetralogy of Fallot where is it located : A. right heart side B. left heart side 91  ‫أوليس ي ُجزىمحس ن اال باحسان‬ 572. The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot. Which of the following positions is used for congenital heart condition? A. Semi fowler's position B. knee chest position C. prone position 573. Which of the following instruction should be given to the parents about colostomy care? A. Use baby powder after stoma cleaning B. Empty the pouch when it is completely full C. Avoid tight diapers around the infant abdomen. D. Use baby wipes to clean the skin around the stoma 574. A Community Nursing nurse is working with a family in their home The parents complain that their eight year-old son is "wild" and that he never listens to them. They become upset at his antics to gain attention from the nurse and send him out of the room. Which of the following responses from the nurse is the most appropriate? A. " That was the right thing, it teaches him who is in charge” B. " Don't worry, he is a boy and with time, he will grow out of this” C. " Let's talk about how we can teach your child the right behavior and your expectations of him” D. " You are only reinforcing his behavior when you do that. Try putting him in time out instead” 575. 11- child is admitted to the pediatrics ward with acute lymphocytic LEUKEMIA , and has had joint pain for several weeks. Physical findings ude widespread ecchymosis, generalized lymphadenopathy, hepatosplenomegaly, and pallor. Lab work shows a low haemoglobin level, RBC count, low WBC count low haematocrit , and low platelets. Which high risk is expected? A. Infection B. Fractures C. Dehydration D. Hepatitis 576. A nurse is teaching a group of new mothers in the post-natal ward on how to manage breast engorgement after they are discharged to home. Which of the following statements by the mother will indicate to the nurse that they understood how to prevent engorgement of the breasts? A. breast feed every 4 hours B. breast feeding during the day and bottle feeds at night C. breast feed every 2-3 hours during the day and stop at night D. breastfeed the baby every 2-3 hours during the day and night 577. Which of the following is the most common site to obtain a capillary blood sample from Neonates? A. Heel B. Earlobe C. Fingertip 578. mother came to the clinic and afraid that her baby maybe will have meningitis as his brother already have What should the nurse tell the mother? A. The vaccine is reducing the risk for this decease 579. Temperature 41 c is............. Hyperpyrexia 92  ‫أوليس ي ُجزىمحس ن اال باحسان‬ 580. When checking rectal temperature how depth thermometer should be inserted A. 2cm B. 3.5cm C. 4cm D. 4.5 581. Patients with cardiac disease, the nurse should avoided which of the following place when taking temperature A. Rectal B. Oral C. Axillary D. Tympanic 582. A 15-year-old girl is admitted to the hospital with diarrhea. She has been repeatedly vomiting for now weak and lethargic. She is oriented to time to questions appropriately. The nurse prepares temperature using an electronic thermometer. Which measurement would be most appropriate? A. Oral B. Rectal C. Axillary D. Tympanic 583. Fastest and most sanitary thermometer is : A. Glass B. Electronic C. Chemical D. Tympainc 93  ‫أوليس ي ُجزىمحس ن اال باحسان‬ ‫‪Vaccination‬‬ ‫‪94‬‬  ‫أوليس ي ُجزىمحس ن اال باحسان‬ 584. Vacciine refrigator temerature is ? A. 0-3 B. 1-5 C. 2-8 D. 3-9 585. How to storage vaccines in ICE 586. Vaccination refrigerator temperature 2-8 c 587. 9 month vaccine : A. MCV4 B. Hepatitis A C. Hib D. MMR 588. 1 year vaccine : A. Opv B. Hib C. DTap D. Hepatitis A and varicella 589. 18 month vaccine : A. Rota B. Hepatitis B C. Hepatitis A 590. First dose of hepatitis B should be given when ? A. At birth B. At 2 month C. At 6 month D. At 1 year 591. Measles vaccine administration route A. Intramuscular B. Subcutaneous C. Intradermal D. Intravenous 592. DTap vaccine administration route A. Intramuscular B. Subcutaneous C. Intradermal D. Intravenous 593. What of the following disease are prevented by MMR vaccine? A. Mumps-measles-Scarlet fever B. Mumps-measles-rotavirus C. Mumps-measles-rabies D. Mumps-measles-germen- measles 594. A mother brought her 6-month-old healthy infant to the well-baby clinic Which immunization should the nurse anticipate to administer as per World Health Organization's recommendation? A. Varicella (Chicken pox) 95  ‫أوليس ي ُجزىمحس ن اال باحسان‬ B. Rotavirus and hepatitis C. Measles, Mumps, Rubella D. Diphtheria, Tetanus and pertussis 595. 6month-old boy with hydrocephalus is admitted to the pediatric surgical Ward for ventriculoperitoneal Shunt (VPS) insertion. Which of the following findings should be of the most concern when assessing the child postoperative? A. Sunken fontanelle and irritability B. decreased head circumference C. poor feeding and pupillary change D. headache and excessive sleepiness 596. Which of the following routes is used to administered Diphtheria, Tetanus and pertussis DTP vaccine? A. Oral B. Intramuscular C. Subcutaneous D. Intradermal 597. The nurse are reviewing the immunized schedule if the 11-month of baby Which of the disease should the nurse expect the infant that here immunized against? A. Pertussis, Tetanus, polio, and varicella B. Polio, Pertussis, Tetanus, and Diphtheria C. Varicella, polio, Tuberculosis, and pertussis D. Measles, Mumps. Rubella, and Tuberculosis 598. Dexamethasone............ accelerates maturation of fetal lung. 599. Hirschsprung disease failure of neonate to pass stool )Meconium ) for 24 hours 600. Apgar score done at 1 minute and 5 minutes at birth 601. most common cause of diarrhoea in paediatric......................... virus rotavirus , 602. Meconium is................ Dark green stool in newborn 603. In determining the one minute APGAR score of a male infant the nurse assesses a heart rate of 120 beats per minute and respiratory rate of 44 per minute. He has flaccid muscle tone with slight flexion and resistance to straightening. He has a loud cry with colour is acrocyanotic What is the APGAR score for the infant A. 7 B. 8 C. 9 D. 10 604. Five minutes post-birth, a neonate has a heart rate of 98, irregular breathing, actively moves all extremities, but has bluish hands and feet, as ll as a weak and timid cry. Which is the correct APGAR assessment score? A. 9 B. 8 C. 7 D. 6 605. A nurse documented assessment on a newborn as listed (see 96