NCLEX : Pediatric Condition Follow-Up
Study concepts, example questions & explanations for NCLEX
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Example Questions
Example Question #1 : Pediatric Condition Follow Up
The pediatric nurse is counseling a mother/baby couplet who are having trouble breastfeeding. The baby is showing poor suck and falling asleep at the breast. Which of the following is not an appropriate intervention?
Feed the infant according to infant's cues
Gently caress or rub the head of the infant
Play with the feet of the newborn while feeding
Unswaddle and undress the baby prior to placing at breast
Feed the baby every three hours until they become in-sync with the pattern
Feed the baby every three hours until they become in-sync with the pattern
When presented with an infant showing poor suck, it is important to feed when cues are given. The infant will suck best when hungry. However, a breast-fed infant should not go more than 3 hours between routine feedings in order to establish healthy weight gain. Feeding every 3 hours regardless of cue is less advisable. Unswaddling, undressing, and stimulating the infant can sometimes aid in keeping them awake and sucking well at the breast.
Example Question #41 : Pediatric Conditions
Individuals who contracted varicella zoster (chicken pox) in childhood may experience which of the following if the virus is reactivated later in life?
Shingles
Scarlet fever
Orchitis
Rheumatic fever
Shingles
A common sequela of varicella is shingles, a painful rash caused by reactivation of the varicella zoster virus along the single dermatome that corresponds with the site of initial infection. Rheumatic fever and scarlet fever are both possible sequelae of streptococcus infection, and orchitis is a potential sequela or co-morbidity of infection with the mumps virus.
Example Question #41 : Pediatric Conditions
At what point is a child with varicella no longer contagious?
7 days after the initial presentation
After the last lesion has broken open and crusted over
After the last lesion is no longer visible
By the time the lesions are visible, the child is no longer contagious
After the last lesion has broken open and crusted over
Varicella is a highly contagious infectious disease of childhood. It is no longer contagious when the last lesion has broken open and crusted over. Until then the virus can be spread via respiratory droplets, by contact with the saliva of an infected child, or by touching an unbroken blister or the fluid within a blister.
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