Chapter 16 PrepU quiz

Curious parents ask what type of immunity is provided to their child through immunization with various vaccines. What will be the nurse's answer?

Artificially acquired active immunity

The nurse is promoting language and cognitive development to the parents of a 3-year-old boy. Which guidance about reading with their child will be most helpful?

Ask the child questions as you read.

A parent is concerned because the toddler refuses to share. What is the nurses best response to the parent regarding this concern?

This is normal toddler behavior; sharing is learned later.

The nurse is caring for a toddler with special needs. Which developmental tasks related to toddlerhood might be delayed in the child with special needs?

Developing language and motor skills

The parents of an overweight 2-year-old boy admit that their child is a bit "chubby," but argue that he is a picky eater who will eat only junk food. Which response by the nurse is best to facilitate a healthier diet?

"Give him more healthy choices with less junk food available."

The mother of a toddler is frustrated because the toddler insists on brushing his own teeth and being left alone in the bathtub. What advice should the nurse provide to the mother about these expectations?

Helping with teeth brushing encourages autonomy.

The nurse has completed an examination of a 32-month-old girl with normal gross and fine motor skills. Which observation would suggest the child is experiencing a problem with language development?

Her vocabulary is between 10 and 15 words

A first-time parent asks the nurse what toys would be appropriate for her son's second birthday next month. What recommendations would be nurse make?

Play lawn mower

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

Playing independently and are side by side

The nurse is supervising a play group of children on the unit. The nurse expect the toddlers will most likely be involved in which activity?

Playing with the plastic vacuum cleaner and pushing it around the room

When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old toddler?

The toddler should speak in two-word sentences ("Me go").

The nurse is explaining safety precautions for toddlers to the mother of a normal 30-month-old boy. Which activity might the nurse suggest may be done without supervision?

Undressing himself

The nurse is caring for a 2-year-old postoperative PET client. Which consideration is the most appropriate for this child's developmental stage?

Uses words for pain such as owie, boo-boo, or hurt

During the toddler years, the child attempts to become autonomous. Which statement by a 3-year-old toddler's caregiver indicates that the toddler is developing autonomy?

"My toddler uses the potty chair and is dry all day long."

During a visit to the pediatric clinic the mother of a 2-year-old tells the nurse that her husband is concerned that their son isn't potty trained yet. The mother states, "There is no way he could be potty trained. His bladder is too small." How should the nurse respond?

"The bladder of a 2-year-old is actually the size of an adult's bladder, but there are a lot of variables to when a child is potty-trained."

The parents state they are afraid to have their child vaccinated and ask the nurse for more information. Which response by the nurse is most appropriate?

"Vaccinations are very effective at preventing serious disease and infection."

A mother of a 2-year-old girl is asking her friend when she should start potty training the child. The mother expresses concern about the high cost of diapers and training pants and would really like to have her trained as soon as possible. Which advice by the friend would be considered the best response?

"When she is uncomfortable in her wet diaper and brings a clean diaper to you, that's a good indication she is ready for potty training."

A mother asks the nurse about how much television her 3- and 4-year olds should be watching each day. Which of the following would the nurse suggest?

1-2 hours

A nurse is providing care for a child who will be undergoing a painful procedure. When developing the child's plan of care, which of the following be most appropriate? Select all that apply.

1. Allow the child to participate when possible. 2. Emphasize that pain is not a punishment. 3. Tell the child if pain is anticipated with a procedure.

The parents of a 30-month-old toddler have brought the toddler into the emergency department because of a seizure. During the health history, the nurse learns that the toddler was frustrated and angry immediately preceding the seizure. The nurse suspects the toddler had a breath-holding spell. Which parental report suggests breath-holding?

A tantrum preceded the event.

The nurse is assessing a healthy 2-year-old client. Which assessment finding most concerns the nurse?

The child speaks in one-word sentences

The nurse is discussing Varicella immunization with a mother of a 13-month-old. The mother is reluctant to vaccinate because she feels it is "not necessary." Which comment by the nurse will be most persuasive for immunization?

"Children not immunized are at risk if exposed to the disease."

The nurse is interviewing the parents of a 3-year-old child brought to the emergency department for fever and fussiness. Which question is the best example to use when completing a health history about pain?

"Does your child have pain?"

The nurse is teaching good sleep habits for toddlers to the parent of a 3-year-old client. Which response indicates the parent understands sleep requirements for the client?

"My child needs 12 hours of sleep per day including a nap."

The nurse is teaching the parents of a 2-year-old child how to handle the child's temper tantrums. The nurse determines that the teaching was successful if the parents make which statement?

"We will ignore our child while having the tantrum."

The nurse is helping parents prepare a healthy meal plan for their toddler. Which guidelines for promoting nutrition should be followed when planning meals? Select all that apply.

1. Extending breast-feeding into toddlerhood is believed to be beneficial to the child. 2. Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization. 3. The toddler requires an average intake of 500 mg calcium per day.

Blood pressure monitoring becomes part of the routine health assessment at what age?

3 years old

The nurse is caring for a toddler who was just diagnosed with a hearing impairment. What would the nurse expect to assess in the child?

A delay or lack of clear, understandable speech pattern

The nurse is providing parental anticipatory guidance to promote healthy emotional development in a 12-month-old boy. Which statement best accomplishes this?

A regular routine and rituals will provide stability and security.

Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels, what should the nurse expect to find?

Closed anterior and posterior fontanels

The pediatric nurse is performing a head-to-toe exam on a 2-year-old child during a well child assessment. Which method will the nurse use to accurately determine the child's heart rate?

Counting the apical rate

The nurse is assessing 2-year-old twins. The parent states, "My twins willl not play together, only alongside each other." Which action will the nurse take first?

Explain this is normal behavior for toddlers

A nurse is conducting a physical examination on a 5-year-old boy and is examining his abdomen. First she visually inspects the region. Then she auscultates it with a stethoscope. Finally, she palpates the area. What is the proper rationale for performing the auscultation before palpation?

Handling the abdomen may obliterate bowel sounds

The nurse is designing a nursing care plan for a toddler with lymphoma, who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan?

Monitoring the toddler for developmental delays

The nurse is discussing medications to be given to a child who has been diagnosed with candidiasis. Which of the following medications would most likely be prescribed for the child?

Nystatin

Which would be least effective in gaining the cooperation of a toddler during a physical examination?

Tell the child that another child the same age wasn't afraid.

Which would be least effective in gaining the cooperation of a toddler during a physical examination? You Selected:

Tell the child that another child the same age wasn't afraid.

The nurse is providing guidance after observing a mother interact with her negative 2-year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?

Telling the child firmly that we don't scream in the office

A 3-year-old child is hospitalized. The parents are concerned because the child is now refusing to use the potty and is wetting the bed, even though the child has achieved toilet training. Which response by the nurse is most appropriate?

"Your child is experiencing regression as a result of stress."

A nurse, who is also a mother of a 2-year-old child, attends a party at a friend's house and notes some safety concerns that she would like to share with the other mother privately. Which observations during the party would be considered a safety concern that should be addressed privately when appropriate? Select all that apply.

1. The nurse/mother notes that the toddler's car seat is located in the passenger front seat. 2. The parent is busy entertaining guests and did not notice the toddler running out in the neighborhood street to get a toy. 3. The parents allow the toddler to climb up on the counter and watch as food is stirred on the stove.

A toddler is ordered amoxicillin for bilateral otitis media. The mother complains that the child refuses to take the oral medication. The nurse knows that more education is needed when the mother states:

I will shake the medication well, and draw up the medication to the top of the syringe. My husband and I will hold the child down and force the medication down his throat.

The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child?

The child demonstrates separation anxiety.

A 3 ½-year-old girl is admitted to the hospital with a severe respiratory infection. The parents tell the nurse that they have noticed that their child has been using "baby talk" and has been wetting the bed. The parents are concerned and ask the nurse what they should do. How should the nurse respond?

"It is normal for children to regress during a stressful event like a hospitalization. Just praise her good behavior and don't give attention to the regressive behavior."

A mother is concerned because her 14-month-old son, who had a big appetite when breast-feeding a few months ago, seems uninterested in eating solid food. She still breast-feeds him daily, but is thinking of weaning him soon. How should the nurse respond to this mother?

"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."

After teaching a group of parents about language development in toddlers, which statement by a member of the group indicates successful teaching?

"When my 3-year-old asks 'Why?' all the time, this is completely normal.

The ability of the child to soothe herself is a positive sign of development.A nurse, who is also a mother of a 2-year-old child, attends a party at a friend's house and notes some safety concerns that she would like to share with the other mother privately. Which observations during the party would be considered a safety concern that should be addressed privately when appropriate? Select all that apply.

1. The nurse/mother notes that the toddler's car seat is located in the passenger front seat. 2. The parent is busy entertaining guests and did not notice the toddler running out in the neighborhood street to get a toy. 3. The parents allow the toddler to climb up on the counter and watch as food is stirred on the stove.

A nurse is assisting the parents of 2-year-old who is having temper tantrums. What would the nurse encourage the parents to do once temper tantrums have started?

Move objects out of the way or move the child to prevent injury.

The mother of 2-year-old triplets is anxious and worried because one of the trio does not seem to be developing at the same rate as the other two. Which assessment finding would lead the nurse to question the need for further diagnostic testing for this child?

The tops of her ears are below the corners of her eyes.

A nurse is interviewing a parent regarding the 2-year-old child's recent illness. The nurse would like the parent to elaborate about any symptoms of the illness noticed. Which would be the most effective question for the nurse to ask the parent in this situation?

"What symptoms has your child exhibited?"

Two-year-old Johnny does not like his new sister. When his mom leaves the room, he tries to pull her out of her bouncy seat. She cries and mom comes in running. Mom talks with the nurse at the pediatrician's office about ways to discipline him. Which of the following would be most helpful for the nurse to suggest?

"You should try and reinforce to Johnny not to hurt the baby."

The nurse is preparing a female toddler for the repair of an eyebrow laceration. The girl is most likely to demonstrate which response in anticipation of the procedure?

Scream and cling tightly to her parent.

The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?

Advising them to use praise, not scolding

The charge nurse observes a new graduate nurse assess the cremasteric reflex in an 8-month-old boy. The new graduate nurse strokes the lateral aspect of the thigh. Which action should the charge nurse take?

Demonstrate the appropriate technique.

The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. What is a recommended intervention for this age group?

Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior.

The nurse is assessing the vital signs of several toddlers in the pediatric medical unit. Which findings are of most concern to the nurse?

Heart rate 60 beats per minute; respiratory rate 14 breaths per minute

The nurse is caring for a 17-month-old child admitted to the acute care facility. The child is fretful and becomes calmer when given a tattered blanket from home. What inference can be made about the child's behavior in response to receiving the blanket?

The ability of the child to soothe herself is a positive sign of development.