Parents of a newborn who was diagnosed with Tetralogy of Fallot with pulmonary atresia are preparing to discharge home. The nurse is developing a teaching sheet regarding care of the newborn for the parents. Which information does the nurse need to include in the teaching plan?

The neonate has natural immunity to infections.

No secondary complications are expected.

It is important to maintain caloric intake.

There is no need to limit activities.

Answer and Explanation

The Correct Answer is C

A. Newborns do not have natural immunity to infections, and protection through immunizations is important.

B. Secondary complications such as cyanosis and growth failure are possible.

C. Newborns with Tetralogy of Fallot with pulmonary atresia often have feeding difficulties and require extra caloric intake to meet their nutritional needs.

D. Activity levels should be limited to prevent excess strain on the heart, especially with congenital heart defects like Tetralogy of Fallot.

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Correct Answer is C

Explanation

A. Honey should be avoided in infants under 1 year due to the risk of botulism, but tomatoes and spinach are typically safe.

B. Squash and pork are not common allergens, and tomatoes are usually introduced around 6 months.

C. Strawberries, eggs, and wheat are common allergens and should be introduced cautiously after the first year of life to avoid the risk of an allergic reaction.

D. Carrots and beets are not typically delayed due to allergies, but peanut butter may need to be introduced cautiously.

A. Wheezing and a barky cough. B. Drooling and diaphoresis. C. Crackles auscultated in bilateral lower lobes. D. Inspiratory stridor heard in the upper airway.

Correct Answer is D

Explanation

A. Wheezing is more common in lower airway diseases like asthma.

B. Drooling and diaphoresis are more indicative of epiglottitis.

C. Crackles are associated with lower respiratory tract infections like pneumonia.

D. Inspiratory stridor is a hallmark sign of laryngotracheobronchitis (croup), resulting from upper airway narrowing and inflammation.

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Parents of a newborn who was diagnosed with Tetralogy of Fallot with pulmonary atresia are preparing to discharge home. The nurse is developing a teaching sheet regarding care of the newborn for the parents. Which information does the nurse need to include in the teaching plan?

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Naxlex Comprehensive Predictor Exams

During a 6-month-old's well child checkup, the nurse discusses introduction of solid foods into the infant's diet. Which foods should the nurse instruct the parents to delay introduction of until after one year of age due to potential allergy development?

Correct Answer is C

Explanation

Parents bring a toddler who is 2-1/2 years old to the hospital because of observed difficulty with breathing. The toddler is diagnosed with laryngotracheobronchitis. Which assessment finding does the nurse expect related to the diagnosis?

Correct Answer is D

Explanation

A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?

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A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

Parents of a newborn who was diagnosed with Tetralogy of Fallot with pulmonary atresia are preparing to discharge home. The nurse is developing a teaching sheet regarding care of the newborn for the parents. Which information does the nurse need to include in the teaching plan?

A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints. The nurse should apply which of the following types of restraints for this infant?

A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?

A nurse is providing anticipatory guidance to parents who are introducing their child to more solid foods. Which of the following foods should the nurse educate the parents about that increases the risk of foreign body aspiration? (Select All that Apply.)