A nurse is caring for a newborn with hypotonia and a protruding tongue. Lab work reveals a high TSH and low T3/T4. Urgent intervention is necessary to prevent which of the following? 

While changing the diaper of an infant with Tetralogy of Fallot, the nurse notes the infant starts to appear cyanotic and goes limp. What is the priority nursing action?

A nurse is taking care of a 15-month-old in the emergency department who came in with respiratory distress. Which observation helps the nurse to determine that the child is NOT in immediate danger?

The parents of a 5-month-old infant with an asymptomatic ventricular septal defect (VSD) are concerned about the treatment process. Which statement should be included when providing teaching?

A nurse is performing a well child checkup on a 12-month old infant. The infant weighed 7 lb, 2 oz at birth. Which measurement below would indicate that the infant’s weight pattern is developing normally?

A nurse is caring for a 3-year-old child who has a new diagnosis of diabetes mellitus and is distressed about insulin injections. Which of the following activities should the nurse recognize is therapeutic in helping the child deal with the injection?

A 10-year-old girl comes to the school nurse’s office with type 1 diabetes.  The child reports she took the dose of insulin this morning as instructed and a few bites of breakfast. The nurse notices that the student is nervous, has hand tremors, and is pale & sweaty. The school nurse would suspect:

A mother attends the pediatric clinic with her 11-year-old daughter who has type 1 diabetes. After completing the diabetic teaching, the nurse evaluates the mother’s knowledge. Which statement by the mother indicates a satisfactory understanding of diabetes?

A preadolescent girl is being followed in the endocrine clinic for precocious puberty. The child has already developed secondary sexual characteristics and is taller than her classmates. She expresses concern that because of her height she “stands out and everyone stares at her.” The most appropriate nursing diagnosis for this child would be:

A nurse is conducting a focused physical assessment on a 3-month-old infant who is admitted for respiratory distress. Which assessment finding indicates a need for further action?