Bullets

1. A child with HIV-positive blood should receive inactivated poliovirus vaccine

(IPV) rather than oral poliovirus vaccine (OPV) immunization.
2. To achieve postural drainage in an infant, place a pillow on the nurses lap and
lay the infant across it.
3. A child with cystic fibrosis should eat more calories, protein, vitamins, and
minerals than a child without the disease.
4. Infants subsisting on cows milk only dont receive a sufficient amount of iron
(ferrous sulfate), which will eventually result in iron deficiency anemia.
5. A child with an undiagnosed infection should be placed in isolation.
6. An infant usually triples his birth weight by the end of his first year.
7. Clinical signs of a dehydrated infant include lethargy, irritability, dry skin
decreased tearing, decreased urinary output, and increased pulse.
8. Appropriate care of a child with meningitis includes frequent assessment of
neurologic signs (such as decreasing levels of consciousness, difficulty to
arouse) and measuring the circumference of the head because subdural
effusions and obstructive hydrocephalus can develop.
9. Expected clinical findings in a newborn with cerebral palsy include reflexive
hypertonicity and criss-crossing or scissoring leg movements.
10.Papules, vesicles, and crust are all present at the same time in the early
phase of chickenpox.
11.Topical corticosteroids shouldnt be used on chickenpox lesions.
12.A serving size of a food is usually 1 tablespoon for each year of age.
13.The characteristic of fifth disease (erythema infectiosum) is erythema on the
face, primarily the cheeks, giving a slapped face appearance.
14.Adolescents may brave pain, especially in front of peers. Therefore, offer
analgesics if pain is suspected or administer the medication if the client asks
for it.
15.Signs that a child with cystic fibrosis is responding to pancreatic enzymes are
the absence of steatorrhea, improved appetite, and absence of abdominal
pain.
16.Roseola appears as discrete rose-pink macules that first appear on the trunk
and that fade when pressure is applied.

17.A ninety degree-ninety degree traction is used for fracture of a childs femur
or tibia.
18.One sign of developmental dysplasia is limping during ambulation.
19.Circumcision wouldnt be performed on a male child with hypospadias because
the foreskin may be needed during surgical reconstruction.
20.Neonatal abstinence syndrome is manifested in central nervous system
hyperirritability (for example, hyperactive Moro reflex) and gastrointestinal
symptoms (watery stools).
21.Classic signs of shaken baby syndrome are seizures, slow apical pulse
difficulty breathing, and retinal hemorrhage.
22.An infant born to an HIV-positive mother will usually receive AZT (zidovudine)
for the first 6 weeks of life.
23.Infants born to an HIV-positive mother should receive all immunizations of
schedule.
24.Blood pressure in the arms and legs is essentially the same in infants.
25.When bottle-feeding a newborn with a cleft palate, hold the infants head in
an upright position.
26.Because of circulating maternal antibodies that will decrease the immune
response, the measles, mumps, and rubella (MMR) vaccine shouldnt be given
until the infant has reached 1 year of age.
27.Before feeding an infant any fluid that has been warmed, test a drop of the
liquid on your own skin to prevent burning the infant.
28.A newborn typically wets 6 to 10 diapers per day.
29.Although microwaving food and fluids isnt recommend for infants, its
commonplace in the United States. Therefore the family should be toughs to
test the temperature of the food or fluid against their own skin before
allowing it to be consumed by the infant.
30.The most adequate diet for an infant in the first 6 months of life is breast
milk.
31.An infant can usually chew food by 7 months, hold spoon by 9 month, and
drink fluid from a cup by 1 year of age.
32.Choking from mechanical obstruction is the leading cause of death (by
suffocation) for infants younger than 1 year of age.
33.Failure to thrive is a term used to describe an infant who falls below the fifth
percentile for weight and height on a standard measurement chart.

34.Developmental theories include Havighursts age periods and developmental

tasks; Freuds five stages of development;
35.Kohlbergs stages of moral development; Eriksons eight stages of
development; and Piagets phases of cognitive development.
36.The primary concern with infusing large volumes of fluid is circulatory
overload. This is especially true in children and infants, and in clients with
renal disease.
37.Certain hazards present increased risk of harm to children and occur more
often at different ages. For infants, more falls, burns, and suffocation occur;
for toddlers, there are more burns, poisoning, and drowning for preschoolers,
more playground equipment accidents, choking, poisoning, and drowning; and
for adolescents, more automobile accidents, drowning, fires, and firearm
accidents.
38.A child in Bryants traction whos younger than age 3 or weighs less than 30 lb
(13.6 kg) should have the buttocks slightly elevated and clear or the bed. The
knees should be slightly flexed, and the legs should be extended at a right
angle to the body.
39.The body provides the traction mechanism.
40.In an infant, a bulging fontanel is the most significant sign of increasing
intracranial pressure.