Question

Doctor orders Amoxil for a child that weighs 63 lbs. The safe dosage range for this medication is 50 mg/kg/day every 8 hours. What is the safe dose for this child per dose? (round to the nearest tenth)

Answer 1

Correct Answers:

1320

Rationale :

💎 Step 1: Convert 63 lb → kg → 63 ÷ 2.2 = 28.6 kg.

💎 Step 2: Safe daily range = 50 mg/kg/day → 50 × 28.6 = 1430 mg/day.

💎 Step 3: Given q8h = 3 doses/day → 1430 ÷ 3 = ~476.6 mg per dose (round to nearest tenth).

💎 Step 4: Verify medication form — Amoxil often available as 250 or 500 mg tablets or suspension.

💎 Step 5: Always check safe pediatric dosage ranges and round according to protocol.

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Answer 2

Correct Answers:

Placental insufficiency

Rationale :

🔷 Small for gestational age (SGA) results from restricted intrauterine growth.

🔷 Common causes include placental insufficiency, maternal hypertension, smoking, and malnutrition.

🔷 These factors limit oxygen and nutrient delivery to the fetus.

🔷 SGA infants have increased risk for hypoglycemia, hypothermia, and meconium aspiration.

🔷 Monitoring fetal growth and maternal health improves outcomes.

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Answer 3

Correct Answers:

Administer magnesium sulfate IV
Ensure that calcium gluconate is readily available.
Provide a dark, quiet environment.

Rationale :

✳️ Magnesium sulfate prevents seizures (eclampsia) by depressing CNS activity.

✳️ Calcium gluconate must be readily available as the antidote to magnesium toxicity.

✳️ Reducing stimuli (dim lights, quiet environment) prevents triggering seizures.

✳️ Neurologic assessments should occur frequently (q1h), not every 8 hours.

✳️ Respiratory assessment is done hourly—4 hours is too infrequent.

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Answer 4

Correct Answers:

Viewing their infant sibling’s illness as their fault.

Rationale :

🟢 Preschoolers (3–6 years) often use egocentric thinking per Piaget’s preoperational stage.

🟢 They may assume responsibility or guilt for family events, such as a sibling’s illness.

🟢 This belief can cause sadness, withdrawal, or behavioral regression.

🟢 Nurses should reassure the sibling they are not to blame and encourage open discussion.

🟢 Providing family support prevents maladaptive guilt and emotional distress.

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Answer 5

Correct Answers:

administer rapid volume expansion with IV fluids

Rationale :

💠 Rapid volume expansion may increase intracranial pressure and worsen hemorrhage in a preterm infant with IVH.

💠 Management focuses on reducing external stimuli and maintaining gentle, stable oxygenation.

💠 The head should be midline and slightly elevated to promote venous return.

💠 Avoid procedures that cause sudden BP fluctuations (suctioning, rough handling).

💠 Oxygen therapy should be controlled to prevent cerebral ischemia.

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Answer 6

Correct Answers:

Knowing which toys are their toys.

Rationale :

🔶 At 18 months, toddlers demonstrate egocentric thought and ownership awareness (“mine”).

🔶 Make-believe play emerges closer to age 3.

🔶 Completing puzzles and winding toys require advanced fine-motor coordination, seen at later stages.

🔶 Recognizing possession reflects self-awareness and autonomy development.

🔶 Encouraging parallel play supports normal social development.

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Answer 7

Correct Answers:

"l understand you have some concerns about their development. While each child develops at their own pace, we can discuss your concerns with the primary care provider."

Rationale :

🟣 This therapeutic response shows active listening and collaboration.

🟣 Avoids dismissal or comparison to other children.

🟣 Encourages early intervention through referral to pediatric specialist if needed.

🟣 Each child develops individually, but early screening prevents delay progression.

🟣 Demonstrates professional empathy and prioritizes family involvement.

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Answer 8

Correct Answers:

Necrotizing enterocolitis

Rationale :

💎 NEC is a life-threatening GI emergency in preterm infants.

💎 Symptoms: abdominal distention, bloody stools, lethargy, and increased gastric residuals.

💎 It results from intestinal ischemia and bacterial invasion of the bowel wall.

💎 Management includes NPO, gastric decompression, IV fluids, and antibiotics.

💎 Prevention includes breast milk feeding and avoiding overfeeding.

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Answer 9

Correct Answers:

Acts out roles of other people
Plan activities and make up games
Initiates activities with others

Rationale :

💎 Preschoolers (ages 3–6) are in Erikson’s initiative vs. guilt stage, where imagination and planning develop.

💎 They enjoy role-playing, pretending to be adults or community helpers.

💎 They begin to initiate play with others, showing early social leadership skills.

💎 This age fosters creativity and self-confidence through interactive, imaginative play.

💎 Parallel play transitions to cooperative play during this stage, supporting teamwork.

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Answer 10

Correct Answers:

Cigarette Use
Cocaine Use
Hypertension

Rationale :

🔷 Placental abruption occurs when the placenta prematurely separates from the uterine wall.

🔷 Risk factors include hypertension, smoking, and cocaine use, which impair placental blood flow.

🔷 Symptoms: painful, dark red vaginal bleeding, rigid abdomen, and fetal distress.

🔷 Immediate management includes IV fluids, oxygen, and emergency cesarean birth.

🔷 Close maternal-fetal monitoring is essential to prevent complications.

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Custom 2221 Unit 3 Exam 2025LAF

No.

1 :
Doctor orders Amoxil for a child that weighs 63 lbs. The safe dosage range for this medication is 50 mg/kg/day every 8 hours. What is the safe dose for this child per dose? (round to the nearest tenth)

2 :
A nurse is providing teaching to the mother of a newborn born small for gestational age. Which of the following should the nurse include as possible cause of this condition?

3 :
A nurse is admitting a client who at 37 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse expect to implement? (Select all that apply)

4 :
The nurse is caring for a newborn in NICU. The parent reports that the infant's normally happy and outgoing 5-year-old Sibling is acting sad and withdrawn. The nurse understands that due to the siblings developmental stage,. the sibling is at risk

5 :
A nurse is caring for a preterm newborn with an intraventricular hemorrhage. It would be prudent for the nurse to provide all of the following interventions, except

6 :
The nurse is caring for an 18-month-old child. Based on the cognitive development at this age, which task would the nurse expect the child to be able to perform?

7 :
A nurse is assessing the developmental milestones of a 2-year-old child during a well-child visit. The parents state they have concerns because the child does not speak much and is having difficulty learning to walk. Which of the following statements should the nurse make?

9 :
The nurse is assessing the psychosocial development of a preschool-aged child. What is a normal activity of this age group? Select all that apply.

10 :
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is a risk factor for abruption? (Select all that Apply 0/1)

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Custom 2221 Unit 3 Exam 2025LAF

No.

1 : Doctor orders Amoxil for a child that weighs 63 lbs. The safe dosage range for this medication is 50 mg/kg/day every 8 hours. What is the safe dose for this child per dose? (round to the nearest tenth)

2 : A nurse is providing teaching to the mother of a newborn born small for gestational age. Which of the following should the nurse include as possible cause of this condition?

3 : A nurse is admitting a client who at 37 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse expect to implement? (Select all that apply)

4 : The nurse is caring for a newborn in NICU. The parent reports that the infant's normally happy and outgoing 5-year-old Sibling is acting sad and withdrawn. The nurse understands that due to the siblings developmental stage,. the sibling is at risk

5 : A nurse is caring for a preterm newborn with an intraventricular hemorrhage. It would be prudent for the nurse to provide all of the following interventions, except

6 : The nurse is caring for an 18-month-old child. Based on the cognitive development at this age, which task would the nurse expect the child to be able to perform?

7 : A nurse is assessing the developmental milestones of a 2-year-old child during a well-child visit. The parents state they have concerns because the child does not speak much and is having difficulty learning to walk. Which of the following statements should the nurse make?

9 : The nurse is assessing the psychosocial development of a preschool-aged child. What is a normal activity of this age group? Select all that apply.

10 : A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is a risk factor for abruption? (Select all that Apply 0/1)

1 :
Doctor orders Amoxil for a child that weighs 63 lbs. The safe dosage range for this medication is 50 mg/kg/day every 8 hours. What is the safe dose for this child per dose? (round to the nearest tenth)

2 :
A nurse is providing teaching to the mother of a newborn born small for gestational age. Which of the following should the nurse include as possible cause of this condition?

3 :
A nurse is admitting a client who at 37 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse expect to implement? (Select all that apply)

4 :
The nurse is caring for a newborn in NICU. The parent reports that the infant's normally happy and outgoing 5-year-old Sibling is acting sad and withdrawn. The nurse understands that due to the siblings developmental stage,. the sibling is at risk

5 :
A nurse is caring for a preterm newborn with an intraventricular hemorrhage. It would be prudent for the nurse to provide all of the following interventions, except

6 :
The nurse is caring for an 18-month-old child. Based on the cognitive development at this age, which task would the nurse expect the child to be able to perform?

7 :
A nurse is assessing the developmental milestones of a 2-year-old child during a well-child visit. The parents state they have concerns because the child does not speak much and is having difficulty learning to walk. Which of the following statements should the nurse make?

9 :
The nurse is assessing the psychosocial development of a preschool-aged child. What is a normal activity of this age group? Select all that apply.

10 :
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is a risk factor for abruption? (Select all that Apply 0/1)