EAQ Week 1

Which statement would the nurse provide regarding blood and body fluids precautions for a school-age client?

"Gloves should be worn for contact with nonintact skin and mucous membranes."

Which sign indicates inadequate sleep in school-age children? Select all that apply. One, some, or all responses may be correct

- Fatigue - Irritability - Inattention

Which physiologic change occurs in pregnant women during the third trimester? Select all that apply. One, some, or all responses may be correct

- Fatigue - Urinary frequency - Braxton Hicks contractions

Which nursing intervention can help an older adult successfully complete Erikson's major task at this stage?

Develop a sense of satisfaction when considering past achievements

On the fourth day after birth, an infant passes light brown stools that are firm and have an offensive odor. Which would the nurse infer regarding the infant from these findings?

Is exclusively formula-fed

Which action will the nurse take to reduce gastric irritation in a client with epilepsy who is prescribed valproic acid?

Provide food or milk with the medication

Which strategy would the nurse use when providing safe and atraumatic care for a 6-year-old during a venipuncture?

Retrain the child only as needed to perform the venipuncture safely

Which solid food does the nurse recommend that a parent introduce first to his or her infant?

Rice cereal

Which activity would the nurse expect a 3-year-old client to be able to perform?

Ride a tricycle

Which behavior may result if a child is not encouraged by a teacher or a parent when they are unable to master schoolwork and, as a result, receive low scores?

Sense of inferiority

While caring for a newborn in a neonatal intensive care unit, the nurse notices that the neonate is not moving his legs appropriately. Which condition would the nurse suspect to be the reason for this?

Spinal cord injury

Which is the average weight in pounds of a 5-year-old child?

41

Which treatment is frequently prescribed for lead poisoning?

Chelating agents

Which classification of cognitive impairment does an intelligence quotient (IQ) below 25 fall?

Profound

Which developmental task will the nurse consider when caring for toddlers?

Autonomy

Which type of family is formed when both parents bring children from previous relationships into a joint living situation?

Blended

Which family structure is composed of at least one step-parent and one step-sibling?

Blended family

Which life event occurs during the senescence stage?

End of life

While assessing a newborn, the nurse finds a pink rash with papules on the thorax and abdomen. This assessment describes which condition?

Erythema toxicum

Which neurologic righting reflex of infancy will the nurse expect to appear at 3 months and persist until 24 to 36 months of age?

Neck

According to Freud's theory, in which stage of development can a child identify with the parent of the same sex?

Phallic

Which behavior by the nurse indicates that correct precautions are being followed to prevent the transmission of acquired immune deficiency syndrome (AIDS) from a pediatric client?

Puts on a mask and protective eyewear before assisting with suctioning a tracheostomy

Which enzyme is responsible for retaining milk in an infant's stomach for digestion?

Rennin

An adolescent has had type 1 diabetes for 5 years and stops adhering tot he therapeutic regimen. The nurse concludes that this is a reflection of which developmental behavior?

Struggles for identity

Which finding indicates an 8-year-old is a latchkey child?

The child is unsupervised at home after school

Which statement is true about autism? Select all that apply. One, some, or all responses may be correct

- A developmental disorder of brain functioning is involved - The normal development of intelligence and behavior is affected - It refers to a broad group of varied developmental disabilities

Which amount of sleep in hours does a preschool-age child require every night?

11 to 12

At which age would the nurse expect to begin screening a child for lead poisoning?

12 months

Which is the Apgar score of a newborn in severe distress?

3

Which age group does the nurse anticipate will have the greatest problem with separation anxiety when planning care for hospitalized children?

6 to 30 months

Which intervention would the school nurse implement to help a homeless student improve his or her grades?

Allow computer access after school hours

Which stage is observed in a 2-year-old child according to Freud's theory?

Anal

Which motor response appears at 8 months of age?

Crude pincer grasp

Which could be the cause for a stiff, tense appearance of the sutures in a newborn?

Crying

Which medication increases a child's susceptibility to infection?

Dexamethasone

Which medication requires monitoring of skeletal growth if taken by a child receiving prolonged therapy?

Dexamethasone

During a well-baby clinic visit, the nurse finds that a 1-year-old infants says "ma" and "pa" only and uses gestures to communicate. Which nursing evaluation is appropriate related to this finding?

Exhibits normal language development

Which advise should the nurse provide to parents of a child who performs manual stimulation of his genitalia in public places?

Explain that genital stimulation is acceptable in private places

Which theory explains psychosexual development from infancy to adolescence?

Freud's theory

A middle-age adult contributes to future generations through parenthood, teaching, and community involvement. At which stage of Erikson's theory does this occur?

Generativity versus stagnation

A 13-year-old states, "I don't know if I want to go to college or start working after high school." Which stage of psychosocial development describes this child's uncertainty?

Identity versus role confusion

Which place in the home would be the safest to store medications to prevent the accidental poisoning of a child?

In a locked cupboard

Which factor can predispose an infant to severe acute respiratory tract infections?

Inability to produce sufficient immunoglobulin A

An 8-year-old girl boasts that she got a gold star every day las week for doing all her daily chores. Which is this child's developmental stage according to Erikson?

Industry vs. inferiority

Which intervention would the nurse perform when an adolescent client is admitted to the pediatric unit with a diagnosis of suspected meningococcal miningitis?

Initiate droplet precautions

Which developmental conflict has Erikson identified for children from age

Initiative versus guilt

Which nursing action promotes a newborn's psychosocial development?

Placing the newborn in the mother's arms during the first hour of life

Which type of play involves a child's pleasure with swinging?

Sense pleasure

Which factor affects infants' and children's ability to absorb, metabolize, and excrete mediations? Select all that apply. One, some, or all responses may be correct

- Age - Weight - Body size - Surface area - Organ maturity

Which sign or symptom of digitalis toxicity would the nurse include in the discharge instructions for an older child with a congenital heart defect who is prescribed digitalis? Select all that apply. One, some, or all responses may be correct

- Anorexia - Bradycardia - Dysrhythmias - Visual disturbances - Nausea and vomiting - Abdominal discomfort

Which risk factor would the nurse discuss with high school populations with regards to suicide prevention? Select all that apply. One, some, or all responses may be correct

- Bullying on social media - Access to a gun in the home - Recent death of a family member, pet, or family - Vague statements such as "I may not be around anymore" - Trying to give most prized possession to friends

Which symptom might a nurse observe in a child experiencing physical neglect?

- Dehydration - Malnutrition - Skin breakdown

According to Healthy People 2020 health indicators, which area would the nurse include to improve the overall health of elementary school children? Select all that apply. One, some, or all responses may be correct

- Oral health - Hearing checks - Vision screening - Injury prevention - Exercise and activity

Which adverse reaction would the nurse monitor for in a child prescribed prednisone for exacerbation of asthma? Select all that apply. One, some, or all responses may be correct

- Peptic ulcers - Bone thinning - Hyperglycemia - Masked infections - Electrolyte imbalances

Which stage of Freuds' theory of child development would the nurse include when providing teaching to parents? Select all that apply. One, some, or all responses may be correct

- Phallic stage - Latency stage

Which newborn sign or symptom is characteristic of Werdnig Hoffman disease? Select all that apply. One, some, or all responses may be correct

- Poor suck reflex - Absence of deep tendon reflexes - Increased respiratory rate with sternal retractions

Which item is assessed using the "resolve" portion of the APGAR screening tool?

Distribution of finances and space

Which type of family is reflected when a court orders to place the children in a private home after deeming the parents unable to care for them?

Foster

According to Piaget, which developmental stage is characterized by logical thinking?

Middle childhood

Which stage of psychosocial development, according to Erikson's development theory, is observed in a 5-year-old child?

Initiative vs. guilt

Which developmental stage, according to Erikson, is completed when the client states, "I've lived a good life. I don't want to die, but I accept it as a part of life"?

Integrity

Which action would the nurse recommend to a child care center owner to minimize further transmission of bacterial conjunctivitis when it has affected several children?

Perform thorough handwashing before and after touching any child in the child care center

A 6-month-old infant with a birth weight of 7 lb is admitted to the pediatric unit with a diagnosis of failure to thrive. How many pounds would this infant typically weigh?

14

The nurse is teaching the mother of an infant about the prevention of sudden infant death syndrome (SIDS). Which statement by the mother indicates effective learning?

"I will position my baby on the back while sleeping."

The parent of a 2-year-old expresses concern that their child's growth rate has slowed. Which explanation would the nurse give to the parent about the growth of toddlers?

"This growth pattern is typical at this age."

Which playtime activity would best promote linguistic development in toddlers?

A children's television program

Which approach would the nurse us to minimize the possibility of aspiration when administering liquid medication to a crying infant?

Administering the medication with a needless syringe placed along the side of the infant's tongue

Which action would the nurse take when a 4-year-old admitted to outpatient surgery for removal of a cyst on the foot is crying because they child wants to leave underpants on beneath the hospital gown?

Allow the child to wear underpants

Which test is used to confirm the diagnosis of Down syndrome?

Chromosomal analysis

Which rationale explains the reason adolescent girls have overall lower height when compared with adolescent boys?

Closure of epiphyses because of estrogen secretion

According to Jean Piaget's cognitive development theory, which stage is observed in a 9-year-old child?

Concrete operational

Which type of family pattern favors negotiation, compromise, and growth?

Democratic

Which type of family pattern is reflected when a family members agree with individual opinions?

Democratic

Which approach would the nurse take when preparing a toddler for a procedure?

Demonstrate the procedure on a doll

Which action would the nurse recommend to a parent who is very concerned that the 3-year-old child does not finish meals?

Do not give snacks to the child before meals

Which action would the nurse perform if a Hispanic mother informs the nurse pf plans to wean her 10-month-old child by giving anise tea for 24 hours?

Document findings in the health record

Which family consists of a traditional family and an additional family?

Extended

Which intervention would the nurse suggest be included in the plan of care if a 9-lb neonate delivered by a mother with gestational diabetes becomes jittery and lethargic?

Feed the infant 10% glucose water

Which event is considered to be the hallmark of late puberty in young girls?

First menstrual period

Which teaching method would the nurse use to present preoperative teaching to an 8-year-old?

Focus on simple anatomic diagrams

Which period of Piaget's theory covers the prevalence of egocentrism in adolescents?

Formal operations

a 15-year-old student is in which stage of Piaget's theory of cognitive development?

Formal operations

When assessing a 7-year-old child, which activity would the nurse expect the child to perform?

Identifying missing numbers and pictures

Which attribute of temperament is related to the energy level of the child's reaction?

Intensity of reaction

According to Erikson, which stage does a young adult develop a sense of caring for others?

Intimacy versus isolation

Which stage of development, according to Erikson, applies to the young adult?

Intimacy versus isolation

Which type of family pattern does the nurse asses when a child states, "my dad moved out, and I live with my mom and grandmother"?

Matriarchal

Which method for calculating MOST pediatric dosages is correct?

Milligrams per kilogram (mg/kg)

During an assessment of a child, the nurse concludes that the child has an easy temperament. Which observation in the child supports the nurse's conclusion?

Open to changes and adapts positively

Which protein source would the nurse avoid suggesting to an Orthodox Jewish family?

Pork

Which age group of children is likely to view illness as a punishment for misbehaving?

Preschool age

Which statement is true regarding the stages of family development?

Roles of parenting change during disengagement

Which reflex occurs when the nurse strokes a newborn's cheek?

Rooting

Which assessing an infant, the nurse strokes the infant's cheek and the infant turns toward the nurse while making sucking sounds. Which reflex did the nurse elicit?

Rooting reflex

Which medication is contraindicated in pediatric clients from infancy to adolescence?

Salicylates

During a home visit, a mother reports to the nurse that her late-adolescent child has been trying to avoid the family's routine religious practices such as attending church and reciting prayers. The mother also reports that her child keeps staying religion is "pointless". Which stage of development would the child belong to, according to Fowler's theory?

Stage 4

Which action by the parent of a preschool client indicates a need for a nurse intervention of regarding home safety?

Telling the child that medication is "candy for when you are sick"

Which religious preference does the nurse consider when providing care for a pediatric client who requires surgery and whose family are Jehovah's Witnesses?

The administration of blood and blood products is not allowed

The parents of a toddle with hypospadias ask the nurse when this defect happened. The nurse responds that it usually occurs during which period of fetal development?

The first 12 weeks

Which pediatric client would require a developmental screening versus developmental surveillance during a scheduled health maintenance visit?

a 9-month-old infant

Which statement made by a nursing student indicates effective learning about the maturation of systems in a school-age child?

" The heart grows slower in the school-age child than at any other period of life."

Which response would the nurse give to parents who are worried than their 8-year-old child is very thin and looks unattractive because of large teeth?

"The pattern of fat distribution changes in children of this age."

Which growth pattern would the nurse expect in a newborn? Select all that apply. One, some, or all responses may be correct.

- A birth length of 48 to 53 cm - A birth weight of 2700 to 4000 g - A weight loss of 5% to 10% within the first few days of life - A head circumferences of 33 to 35 cm

Which topic regarding healthy lifestyle choices would the nurse discuss with a group of Native American adolescents? Select all that apply. One, Some, or all responses may be correct.

- Diet - Exercise - Alcohol use - Limiting screen time - Stress management

Which action of school-age children riding bicycles increases their risk for injury? Select all that apply. One, some, or all responses may be correct

- Hitching a ride behind a car - Two people riding side by side - Riding bicycles near parked cars

Which side effect would the nurse review with an adolescent client who is prescribed estrogen therapy? Select all that apply. one, some, or all responses may be correct.

- Nausea - Insomnia - Headache - Weight gain - Nervousness - Breast tenderness

Which medication for postoperative nausea and vomiting (PONV) is contraindicated for use in the pediatric population? Select all that apply. One, some, or all may be correct

- Scopolamine patch - Rolapitant - Meclizine - Dronabinol - Trimethobenzamide

Which factor MOST likely contributes to nightmare in school-age children? Select all that apply. One, some, or all responses may be correct

- Stress - Overtiredness - Violence on television

Which type of injury results from risk-taking behavior in an adolescent? Select all that apply. One, some, or all responses may be correct.

- Suicide - Sports injuries - Substances abuse - Automobile accidents - Water-related accidents

Age-appropriate gross motor development in a 5-month-old infant is evidenced by which finding? Select all that apply. One, some, or all responses may be correct

- Turns over from the abdomen to the back - Assumes symmetric positioning with the arms extended - Puts the feet to the mouth when placed in a supine position

At which age would an infant have a strong grasp reflex?

1 month

A nurse providing care for a 7-year-old child who weighs 44 lb would suggest that child eat how many grams of fiber each day? Record your answer as a whole number.

10 0.5g/kg

Which assessment finding in a newborn indicates impaired vision?

Absence of corneal reflex

Which recommendation would the nurse provide to a new mother when using Erikson's development theory?

Allow the newborn infant to signal needs

Which action would the nurse take when a 12-year-old client requests that a parent stay during a bone marrow aspiration?

Allow the parent to stay

Which stage of Freud's psychosexual development will the nurse observe in a 3-year-old child

Anal stage

Which intervention is appropriate when addressing the growth and development of a hospitalized 16-year-old client?

Ask the parent to have friends visit the client

In which type of play do children play together, share toys, and communicate with each other

Associative play

Which stage of psychosocial development best describes the behavior of a preschooler who insists on having breakfast alone, even though the child is unable to eat properly?

Autonomy vs. shame and doubt

Which fine motor activity can be observed in a 3-month-old infant?

Brings objects from the hand to the mouth

Which device will the nurse use to administer medications to infants?

Calibrated dropper

Which action would the nurse take to identify the correct child when approaching a group of school-age clients to administer medication to Client A?

Check the client's identification band

Which condition causes failure to thrive in infants due to an increased metabolism?

Congenital heart disease

Which physical symptom may be assessed in a child diagnosed with autism?

Constipation

The nurse assessing a newborn finds that the eyes are closed with no eye movement and the breathing is regular with no body movement. Which physical state is the newborn demonstrating?

Deep sleep

The nurse would teach the parents of a newborn that which sign indicates overfeeding?

Diarrhea

Which behavior quality involves demonstrating the feelings and behaviors characterized by self-consciousness?

Egocentricity

Which type of restraints would the nurse select for the 18-month-old child scheduled for a cleft palate repair?

Elbow

On assessment, a newborn has a fluid-filled sac due to herniation of the brain and meninges through a defect in the skull. Which condition does the nurse suspect?

Encephalocele

Which action is appropriate to help promote an 11-year-old client's compliance with taking daily medications for a chronic illness, as an alternative to the parent's report of daily nagging?

Establishing a contract with the client that includes rewards

Which stage of family development involves decision making, conflict resolution, and communication?

Establishment

After interacting with a preschooler, the nurse concludes that the child is acting age-appropriate, according to Fowler's spiritual development theory. Which behavior of the child supports the nurse's conclusion?

Imitates the adults as they pray

Which stage of Kohlberg's orientation theory of moral development is a child in when he or she insists on being on time for family dinner?

Instrumental relativist

Which formulation is safest for infants?

Liquid forms

Which parental situation is an integral part of a nuclear family?

Married parents with children

Which nursing action is appropriate when assessing a pediatric client's arm circumference?

Measuring vertically along the posterior aspect of the upper arm

A nurse completing an initial assessment of a newborn finds tiny white papules on the newborns' cheeks, chin, and nose. The nurse documents this finding as which condition?

Milia

Which spiritual development stage is observed in early childhood, as per Fowler?

Mythical-literal

Which action would the nurse perform to prepare for the admission of a 2-year-old with febrile seizures?

Pad the side rails of the bed

Which nursing action is MOST accurate when assessing the chest circumference of a newborn during the initial physical assessment?

Placing the measuring tape around the rib cage at the nipple line

A parent states to the nurse "I will not allow my child to go near the plants in our house." Which infant risk may be prevented by this actions?

Poisoning

Which is the best action by the school health nurse when a 5-year-old child loses a tooth during recess?

Provide support and reassurance during the dental trauma

Which is a developmental theory characteristic?

Provides a dynamic, rather than a static, view of the family

Which type of hospital care setting uses the partnership model?

Rehabilitative

Which stage of Lawrence Kohlberg's orientation theory of moral development is associated with a person following a law even if it is discriminatory to a racial group?

Social contract

Which type of family involves unmarried couple living together and sharing roles?

Social contract

Which orientation of stage of Kohlberg's theory of moral development is a part of conventional reasoning?

Society- maintaining

What type of toy is MOST appropriate for a 5-month-old infant?

Soft stuffed animals

Which of Duvall's developmental stages of the family is characterized by parents adjusting to their children's peers and school influences?

Stage IV

Which premedication assessment is a standard of care for any child or adult prescribed digoxin?

Take the apical pulse for 1 full minute

When the nurse is evaluating the dietary plan of a 6-month0old infant, which action by the infant's mother needs correction?

The mother gives low-fat milk to the infant in bottle

A child experiences an avulsed tooth and holds it in the socket by biting on it. After examination, a dentist concludes that the tooth cannot be reimplanted. Which is a possible reason for this conclusion?

The tooth was inserted with the lip side facing back

Which report from a child taking quinidine for an irregular heartbeat would prompt the nurse to notify the health care provider?

Tinnitus

A nurse advise parents to assist their child with stretching exercises. The child has impaired physical mobility due to neuromuscular impairment. Which rationale explains the need to perform stretching exercises?

To prevent contractures

Which behavior would the nurse expect to observe when evaluating the development of a healthy 2-year-old child?

Uses a cup to drink

Which immunoglobulin (Ig) is transferred from a mother to a fetus?

IgG

Which newborn pulse may indicate an abnormality in the function of the cardiovascular system?

90 beats/min

The absence of both cerebral hemispheres is which congenital neural tube defect?

Anencephaly

How many daily ounces of juice would the nurse recommend to the parent of a 2-year-old child?

4

Which goal is appropriate for school-age children when participating in organized athletics?

A lifelong enjoyment of fitness

When would the Babinski reflex disappear?

After 12 months

Which is the cause of athetoid cerebral palsy in infants?

Birth asphyxia

Which disorder is the MOST common congenital chromosomal abnormality?

Down syndrome

The mother of an infant with Down Syndrome asks the nurse what causes the condition. The nurse recalls which genetic factor results in Down syndrome?

Extra chromosomal material

Which action would the nurse employ when administering a medication intramuscularly to a hospitalized school-age child?

Insert the needle quickly, using a dartlike motion

Which newborn skin assessment finding needs further investigation?

Sclerema

Which statement by a child would lead to the conclusion that the family pattern is patriarchal?

"My father makes all decisions regarding my education."

Which intervention would the nurse take if a client is experiencing a seizure? Select all that apply. One, some, or all responses may be correct?

- Do not restrain the client - Loosen any tight clothing that the client is wearing - Calm and reassure the client when the seizure is over - Make sure that there is padding around the client's head - Turn the client's head to the side when the client starts to relax

Which action is a strategy for preventing asthma exacerbations? Select all that apply. One, some, or all responses may be correct.

- Provide rest breaks - Eliminate pet dander - Refrain from smoking - Keep inhalers available - Avoid cold temperatures

Which characteristic is observed in a preschooler? Select all that apply. One, some, or all responses may be correct.

- Weight gain of about 5 lb per year - Increase in height of 6.2 to 7. cm per year - Participation in associative play with others

According to Jean Piaget, in which phase does a child develop the sense of object permanence?

Sensorimotor

While sitting on the counter, a child touches a pan on the stove and burns his or her hands. The child learns that it is not safe to touch objects on the stove. Which stage of Piaget's cognitive development would the child's behavior demonstrate?

Sensorimotor

A Vietnamese family whose child was admitted with pneumonia tells the nurse they practice holistic medicine. Which practitioner would the nurse expect the parents to consult?

Shaman

Which gross motor skill can be observed in a 7-month-old infant?

Sits alone without support

How many hours of sleep would a nurse recommend for an 11-year-old child?

9

Which suggestion is appropriate for the parent of a 3-year-old client who is concerned that the child still insists on taking a bottle of milk at naptime and at bedtime?

Allow the bottle only if it contains water

Which action is appropriate when a Chinese American parent continuously turns away from the nurse while discussing the child's required dietary modifications?

Continue with the instructions, verifying client understanding

Which professional will the nurse confer with to meet the religious and cultural needs of a hospitalized child from a Jewish family?

Dietician

While preparing discharge information for a 15-year-old client who will require daily intravenous antibiotics and physical therapy exercises, which resource would the nurse suggest to meet the client's needs if both parents work for financial reasons?

Home health care

The nurse is using the Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) screening tool to evaluate a family's ability to function. Which finding indicates the need for home care services?

One parent exerts control over others