Pediatric Nursing Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric Nursing flashcards as text
A nurse assesses a newborn and notes the infant has not passed meconium within 48 hours of birth. Which condition should the nurse suspect?
Answer: Hirschsprung's disease
Hirschsprung's disease (aganglionic megacolon) commonly presents as failure to pass meconium within 48 hours of birth in a newborn.
A 4-year-old child with leukemia has an ANC of 400/mm³. Which nursing action is most appropriate?
Answer: Place the child in protective (reverse) isolation
An ANC below 500/mm³ indicates severe neutropenia; protective isolation prevents exposure to pathogens that could cause life-threatening infection.
The nurse is calculating fluid maintenance for a 20 kg child using the Holliday-Segar method. What is the correct 24-hour fluid requirement?
Answer: 1600 mL
Using Holliday-Segar: 100 mL/kg for the first 10 kg + 50 mL/kg for the next 10 kg = 1000 + 600 = 1600 mL/24 hours.
A toddler is brought to the ED after ingesting an unknown substance. The nurse notes the child has pinpoint pupils and decreased respirations. Which substance is most likely?
Answer: Opioids
Opioid toxicity classically presents with the triad of miosis (pinpoint pupils), CNS depression, and respiratory depression.
Which positioning is safest for an infant to prevent sudden infant death syndrome (SIDS)?
Answer: Supine (on back)
The 'Back to Sleep' campaign recommends placing healthy infants supine on a firm, flat surface to reduce SIDS risk.
A nurse is caring for a child with nephrotic syndrome. Which assessment finding is most characteristic?
Answer: Massive proteinuria and edema
Nephrotic syndrome is characterized by massive proteinuria (>3.5 g/day), resulting in hypoalbuminemia and dependent edema.
A 5-year-old is scheduled for a tonsillectomy. In the immediate post-operative period, which assessment is the nurse's highest priority?
Answer: Frequent swallowing indicating bleeding
Frequent swallowing in a post-tonsillectomy patient is a sign of hemorrhage as the child swallows blood draining from the surgical site.