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DHA Pediatric Nursing - Reviews


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See why our users from 154 countries love us for their exam prep! Including 170 reviews for the DHA Pediatric Nursing exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

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DHA Pediatric Nursing - Test Reviews Sample Questions

You are seeing a 10-day old infant who has diarrhea, irritability, and tachycardia. The breastfeeding mother is a young woman age 22 who smokes and is thin. Her nutritional intake is not adequate and she tells you the vitamins she was prescribed "make her sick at her stomach." What does the Pediatric Nurse suspect is the cause of the infant's symptoms?

Correct Answer:
nicotine in the breast milk.


the pediatric nurse suspects that the cause of the infant's symptoms, including diarrhea, irritability, and tachycardia, is due to the presence of nicotine in the breast milk. this suspicion arises from the fact that the infant's mother, a young breastfeeding woman, is a smoker. nicotine, which is found in cigarettes, is known to be a highly lipid-soluble substance with a low molecular weight, allowing it to pass easily into breast milk.

nicotine exposure in infants through breast milk can lead to several symptoms that affect their health and well-being. these include gastrointestinal disturbances such as diarrhea, signs of increased nervous system activity like irritability and tachycardia, and potential vomiting. the symptoms observed in the infant align with those commonly associated with nicotine exposure from breastfeeding mothers who smoke.

furthermore, maternal cigarette smoking can have additional indirect effects on breastfeeding and infant health. smoking has been linked to reduced milk supply, potentially affecting the nutritional status of the infant. additionally, infants of smoking parents are also at risk of passive smoke exposure, which carries its own health risks.

in this scenario, while the mother mentioned that the vitamins prescribed to her cause stomach upsets, leading to inadequate nutritional intake, the primary concern highlighted by the symptoms in the infant is the nicotine exposure through breast milk, rather than nutritional deficiencies directly caused by a lack of vitamins. addressing the mother's smoking habit is crucial for improving the infant's symptoms and overall health.

You have a 19-year-old mother who has a 3-year-old son who was diagnosed with pinworms. The mother indicates that her son is being treated but now she is experiencing rectal itching. How should the PN manage the rectal pruritis?

Correct Answer:
perform the "scotch tape" test and look at the collection under the microscope.


pinworms, or enterobiasis, is a common parasitic infection particularly in children, but it can also affect adults who are in close contact with infected individuals. the primary symptom of pinworms is rectal itching, particularly intense at night. this itching occurs as female pinworms migrate to the anus to lay their eggs, causing irritation. given that this 19-year-old mother is experiencing rectal itching and her son has been diagnosed with pinworms, it is highly likely that she might also be infected.

the first step in managing the mother’s symptoms would be to confirm the presence of pinworms. this is typically done through the "scotch tape" test, which is a simple and effective diagnostic tool. to perform this test, a piece of clear adhesive tape is pressed against the skin around the anus, preferably in the morning before the patient has bathed or used the toilet. the tape is then placed sticky-side down on a microscope slide and examined under a microscope for the presence of pinworm eggs. if eggs are found, a diagnosis can be confirmed.

given the contagious nature of pinworms and the close mother-child contact, it is reasonable to assume the mother could be infected if she exhibits symptoms like rectal itching. in such cases, it is common practice to treat symptomatically even without visual confirmation from the scotch tape test. treatment typically involves anti-parasitic medication, which may be prescribed to all family members to prevent reinfection and to eradicate the infestation effectively.

it is also important to address hygiene measures to prevent the spread and recurrence of pinworms. this includes washing hands thoroughly with soap and water after using the toilet and before eating, daily showering to remove potential eggs from the body, regular laundering of bed linens and nightclothes, and cleaning and vacuuming the living areas.

the healthcare provider should reassure the mother that pinworms are common and treatable. they should also inform her of the symptoms to watch for in case of reinfection and advise on the importance of treating all household members to prevent the cycle of reinfection. if her symptoms persist or worsen, further evaluation and possibly a different course of treatment may be necessary. proper communication and education about the infection can help alleviate anxiety and ensure compliance with treatment and preventive measures.