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BURNS’ PEDIATRIC PRIMARY QUESTIONS BURNS’ PEDIATRIC PRIMARY QUESTIONS
Typology: Exams
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A mother brings her 9 month infant in for a routine visit. What milestone would be appropriate for the doctor as if the infant is meeting? - ANSWERS-Rolls back to stomach and stomach to back 5 day old infant comes in for newborn checkup. On assessment — skin is jaundice, anterior fontanelle is slightly sunken, only had 2 diapers today, infant has trouble latching on, mom's first child. Bilirubin is sent and comes back at 18. Baby is most likely having breast milk jaundice. Which nursing intervention is required? - ANSWERS-All of above — Phototherapy, providing support and education for the lactating mother, strict monitoring of intake and output Excessive heat loss results in which of these:
A part of injury prevention is making and keeping infant appointments. The required checkups and vaccinations are at: - ANSWERS-2 months, 4 months, 6 month, 9 months, and 1 year While interviewing the mother of an infant, you note that the mother gets frustrated as she explains that her baby has been up all night crying at least 3 times a week for the last 2 weeks. She states that she has tried everything and feels hopeless. What would be the BEST response from you as the nurse? - ANSWERS- You are doing nothing wrong. This can be a common occurrence in infants and you should not feel guilty. The parent of a newborn infant asks the PNP when to intervene to help the infant's future intellectual growth. What will the NP tell the parent? - ANSWERS-Language and literacy skills begin at birth The PNP performs a well baby examination on a 7 day old infant who is nursing well. The NP notes that the infant weighed 3250 grams at birth and 2990 grams when discharged on the second day of life. The infant weighs 3080 grams at this visit. Which action is correct? - ANSWERS-Schedule a weight check in 1 week During an assessment of a 4 week old infant, the PNP learns that a breastfed infant nurses every 2 hours during the day but is able to sleep for a 4 hour period during the night. The infant has gained 20 grams per day in the interval since last seen in the clinic. What will the NP recommend? - ANSWERS-Continue to nurse the infant using the current pattern
with only single syllabus vocalizations. What will the NP recommend to the parents to improve speech and language skills in this infant? - ANSWERS-Read simple board books to the infant at bedtime The PNP is examining a 12 month old infant who was 6 weeks premature and observes that the infant uses a raking motion to pick up small objects. The PEDS questionnaire completed by the parent did not show significant developmental delays. What will the NP do first? - ANSWERS-Perform an in-depth developmental assessment