CPNRE - Canadian Practical Nurse Registration Examination Pediatric and Child Health Nursing Questions and Answers Flashcards

A nurse is assessing a newborn at 1 minute after birth using the APGAR scale. The infant has a heart rate of 96 bpm, weak cry, some flexion, grimace to stimulation, and blue extremities. What is the APGAR score?

Answer: 6

HR 96 (1) + weak cry (1) + some flexion (1) + grimace (1) + blue extremities acrocyanosis (1) = APGAR score of 6.

A child is suspected of being a victim of physical abuse. What is the nurse's priority action?

Answer: Follow mandatory reporting laws and report suspicions to the appropriate authority

Nurses are mandatory reporters and must report suspected child abuse to appropriate child protective services immediately.

Which pain assessment tool is most appropriate for a 4-year-old child?

Answer: FACES Pain Rating Scale

The FACES Pain Rating Scale uses visual expressions that young children can relate to and is valid for ages 3 and older.

A nurse is teaching a mother about safe sleep for her 3-month-old infant. Which instruction is correct?

Answer: Always place the infant on their back on a firm flat sleep surface

Back sleeping on a firm flat surface is the evidence-based recommendation to reduce the risk of Sudden Infant Death Syndrome (SIDS).

A child with Type 1 diabetes presents with shakiness, diaphoresis, and confusion. The nurse's first action should be:

Answer: Give 15 grams of fast-acting carbohydrate (e.g., juice)

Shakiness, sweating, and confusion indicate hypoglycemia; 15g of fast-acting carbohydrate should be given immediately.

A nurse is assessing a 3-year-old for signs of epiglottitis. Which finding would prompt immediate emergency action?

Answer: High fever, drooling, tripod positioning, and inspiratory stridor

High fever, drooling, tripod position, and stridor are signs of epiglottitis, a life-threatening emergency requiring immediate action.