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**The PEDS Edge: Pediatric Nursing Mastery Certification*
Typology: Exams
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C) Mild upper respiratory infection with runny nose D) Current antibiotic therapy for otitis media 💫RATIONALE✔️ ✔️ : A true contraindication to DTaP is encephalopathy or seizure within 7 days of a previous dose. Minor illness with low-grade fever is not a contraindication. 💫ANSWER✔️ ✔️ : B) History of a seizure after a previous DTaP
💫RATIONALE✔️ ✔️ : Failure to pass meconium in first 24-48 hours with bilious vomiting and distention suggests Hirschsprung disease or intestinal obstruction. Notify provider immediately for surgical evaluation. 💫ANSWER✔️ ✔️ : D) Notify the provider of possible Hirschsprung disease
💫RATIONALE✔️ ✔️ : Chest physiotherapy (postural drainage, percussion, vibration) is the standard airway clearance technique for CF to mobilize thick secretions. Albuterol is adjunctive but not primary. 💫ANSWER✔️ ✔️ : A) Postural drainage and percussion (chest physiotherapy)
A) Blood culture B) Lumbar puncture C) CT scan of the head D) Urinalysis 💫RATIONALE✔️ ✔️ : Lethargy, poor feeding, and bulging fontanel in an infant suggest meningitis. Lumbar puncture for CSF analysis is essential to confirm diagnosis and guide antibiotics. Do not delay antibiotics if LP is delayed. 💫ANSWER✔️ ✔️ : B) Lumbar puncture
D) 420 mg 💫RATIONALE✔️ ✔️ : 80 mg/kg/day x 14 kg = 1,120 mg/day. Divided BID = 1,120 / 2 = 560 mg per dose. 💫ANSWER✔️ ✔️ : A) 560 mg
B) Bracing with a thoracolumbosacral orthosis (TLSO) C) Surgical spinal fusion D) Physical therapy for core strengthening 💫RATIONALE✔️ ✔️ : For a 14-year-old with a Cobb angle between 25-40 degrees and remaining growth, bracing is indicated to prevent progression. Observation for <25°, surgery for >45°. 💫ANSWER✔️ ✔️ : B) Bracing with a thoracolumbosacral orthosis (TLSO)
A) Hydrops fetalis B) Vesicular rash on the palms and soles C) Hepatosplenomegaly and snuffles D) Asymptomatic carrier state 💫RATIONALE✔️ ✔️ : Congenital syphilis presents with hepatosplenomegaly, rhinitis ("snuffles"), rash on palms/soles, and bone changes. Asymptomatic at birth is also possible, but symptomatic includes these findings. 💫ANSWER✔️ ✔️ : C) Hepatosplenomegaly and snuffles