Practice Exercise 2

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Total Questions : 5

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Question 1:

A sleeping 5-month-old girl is being held by the mother when the nurse comes in to do a physical examination. What assessment should be done initially?

Answer and Explanation

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Question 2:

Which assessment finding is considered normal in children?

Answer and Explanation

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Question 3:

A nurse is attempting to get a 5-year-old child’s cooperation when auscultating heart sounds. Which of the following comments is most likely to elicit the child’s cooperation?

Answer and Explanation

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Question 4:

The nurse enters the examination room of a mother and her 8-month-old. The baby is asleep in the mother’s arms. Which of the following actions would be best for the nurse to perform at this time?

Answer and Explanation

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Question 5:

A clinic nurse assesses an infant diagnosed with thrush. Place an X on the photograph illustrating a thrush infection.

Answer and Explanation

Explanation

Rationale:

Oral thrush, also called oral candidiasis, is a fungal infection in the mouth caused by Candida albicans, a type of yeast that normally lives in the body but can overgrow under certain conditions. They appear as creamy white patches on the tongue, inner cheeks, gums, or roof of the mouth. The patches resemble cottage cheese and don’t wipe off easily.

Take home points

  • White patches in the mouth that resemble cottage cheese and don’t wipe off easily are a hallmark sign of oral thrush.
  • Feeding difficulties or fussiness may indicate discomfort caused by the infection, especially in infants.

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