21. An infant experienced an apparent life-threatening event (ALTE) and is being placed on home apnea monitoring. Parents have understood the instructions for use of a home apnea monitor when they state:

a. “We can adjust the monitor to eliminate false alarms.”

b. “We should sleep in the same bed as our monitored infant.”

c. “We will check the monitor several times a day to be sure the alarm is working.”

d. “We will place the monitor in the crib with our infant.”

22. What should the nurse suggest to the parents of an infant who has a prolonged need for middle-of-the-night feedings?

a. Decrease daytime feedings.

b. Allow child to go to sleep with a bottle.

c. Offer last feeding as late as possible at night.

d. Put infant to bed after asleep from rocking.

23. A nurse is preparing to feed a 12-month-old infant with failure to thrive. Which intervention should the nurse implement?

a. Provide stimulation during feeding.

b. Avoid being persistent during feeding time.

c. Limit feeding time to 10 minutes.

d. Maintain a face-to-face posture with the infant during feeding.

MULTIPLE RESPONSE

1. After the introduction of the Back to Sleep campaign in 1992, an increased incidence has been noted of which of the following pediatric disorders? (Select all that apply.)

a. SIDS

b. Torticollis

c. Failure to thrive

d. Apnea of infancy

e. Plagiocephaly

2. A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant’s risk of a sudden infant death syndrome incident? (Select all that apply.)

a. Breastfeeding

b. Low Apgar scores

c. Male sex

d. Birth weight in the 50th or higher percentile

e. Recent viral illness

3. An infant has been diagnosed with cow’s milk allergy. What are the clinical manifestations the nurse expects to assess? (Select all that apply.)

a. Pink mucous membranes

b. Vomiting

c. Rhinitis

d. Abdominal pain

e. Moist skin

4. Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS) infant? (Select all that apply.)

a. Allow parents to say goodbye to their infant.

b. Once parents leave the hospital, no further follow-up is required.

c. Arrange for someone to take the parents home from the hospital.

d. Avoid requesting an autopsy of the deceased infant.

e. Conduct a debriefing session with the parents before they leave the hospital.

SHORT ANSWER

1. An infant is having an anaphylactic reaction, and the nurse is preparing to administer epinephrine 0.001 mg/kg. The child weighs 22 pounds. What is the epinephrine dose the nurse should administer? (Record your answer using two decimal places.)

ESSAY

1. A school nurse observes a child, with a peanut allergy, in obvious distress, wheezing and cyanotic, after ingestion of some trail mix containing peanuts. Place the interventions the nurse should implement in order of the highest priority to the lowest priority. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d).

a. Call Jason’s parents and notify them of the situation.

b. Call Jason’s family practitioner to obtain further orders for medication.

c. Promptly administer an intramuscular dose of epinephrine.

d. Call 911 and wait for the emergency response personnel to arrive.