Deck 20: Sensory Perceptions: Impairments and Disorders

Question 1

What anticipatory guidance should be given to the mother of a newborn in order to stabilize neonatal breathing, temperature, and blood sugar; reduce crying; and produce a much calmer newborn?

A) Encourage vaccinations
B) Encourage bottle feeding
C) Encourage soy-based formulas
D) Encourage skin-to-skin contact

Answer 1

D

Question 2

A child with a history of an upper respiratory infection presents with fever and ear pain. As a pediatric nurse, what method would you use to confirm the presence of acute otitis media?

A) Audiology testing
B) Positive cultures
C) Elevated white count
D) Otoscopic assessment of the tympanic membrane

Answer 2

D

Question 3

If a child younger than 6 months of age presents with acute otitis media, what would be the best course of treatment for this infant because of his or her immature immune system?

A) Build up the immune system by allowing natural defenses to get rid of the infection
B) Immediately initiate antibiotic treatment
C) Wait 72 hours for clinical improvement, then initiate antibiotic treatment
D) Refer the patient for a myringotomy

Answer 3

C

Question 4

Laser therapy and cryotherapy are both effective treatments for retinopathy of prematurity. The goal of treatment is to slow or reverse the abnormal blood vessel growth in the retina; however, both of these treatments have an effect on which aspect of vision?

A) Visual acuity
B) Central vision
C) Peripheral vision
D) Color vision

Question 5

What education should you provide to the parents of a child who just completed radiation therapy as part of his or her treatment for retinoblastoma?

A) Take the entire regimen of antibiotics to prevent infection
B) Only seek further treatment if leukocoria returns
C) Note that the patient may experience conjunctivitis as part of his or her recovery
D) Remember that retinoblastoma may predispose the patient to other cancers later in life

Question 6

As a pediatric nurse, you should be aware that if a child has genetic disorder such as fragile X syndrome, Rett syndrome, or tuberous sclerosis, the child will also have risk factors for developing which medical condition?

A) Retinoblastoma
B) Autism spectrum disorders
C) Attention-deficit/hyperactivity disorders
D) Anxiety/behavioral disorders

Question 7

As a pediatric nurse, what education would you offer to the parents of a child who was recently diagnosed with Asperger syndrome?

A) Their child has a low-functioning form of autism.
B) Their child may have difficulties with social interactions and repetitive behaviors.
C) Their child should not experience any motor delays and be well coordinated.
D) Delayed language and cognitive development are usually part of the clinical picture.

Question 8

Neomycin is a highly ototoxic antibiotic. As a pediatric nurse, your role is to administer this drug according to the recommendations; this also means that you should know that this medication may result in what type of hearing loss?

A) Conductive hearing loss
B) Mixed hearing loss
C) Reversible sensorineural hearing loss
D) Permanent sensorineural hearing loss

Question 9

Otitis media is the most common childhood infection for which antibiotics are prescribed, and antibiotic use has led to a decrease in the complication of mastoiditis. However, antibacterial medications for treatment of otitis media are only encouraged under which circumstances?

A) If there are malformations to the outer ear structures
B) If the tympanic membrane is at risk of perforation
C) If there is purulent drainage from the ear canal
D) If the child does not demonstrate clinical improvement

Question 10

As a pediatric nurse, you should be aware that prevention of retinopathy of prematurity is focused on which of the following?

A) Reducing the number of premature births
B) Light reduction in the neonatal intensive care unit
C) Decreasing the use of supplemental oxygen
D) Obtaining an eye exam immediately after birth