PEDI Exam #2

The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her? • A. Fluids in addition to breast milk are not needed. B. Water should be given if the infant seems to nurse longer than usual. C. Clear juices are better than water to promote adequate fluid intake. D. Water once or twice a day will make up for losses resulting from environmental temperature.

A. Fluids in addition to breast milk are not needed.

Which nursing intervention fosters the hospitalized infant's development of trust? A. Follow the parent's directions while providing care when parents are away B. Ask parents to name objects in the infant's surroundings C. Encourage different caregivers to interact with the infant D. Instruct caregivers to talk to the infant while providing care

A. Follow the parent's directions while providing care when parents are away

What nursing intervention is most appropriate in promoting normalization in a school-age child with a chronic illness? A. Give the child as much control as possible. B. Ask the child's peer to make the child feel normal. C. Convince the child that nothing is wrong with him or her. D. Explain to parents that family rules for the child do not need to be the same as for healthy siblings.

A. Give the child as much control as possible.

Which recommendation would the nurse make to the parent of a 6-month-old regarding safe sleep practices? A. Place the infant in a supine position for sleep B. Avoid positioning the head on alternating sides C. A prone position is more beneficial for sleeping D. If the infant is restless, place it on one side to sleep

A. Place the infant in a supine position for sleep

6-month-old client brought to clinic by parent for well child visit. Vital signs, measurements, and initial history and physical exam completed. Highlight the 3 assessments that the nurse would perform to assess readiness for introduction of solid foods. A.Head control B.Pincer grasp C.Extrusion reflex D. Tonic neck reflex E.Drinks from a straw F.Swallow coordination

A.Head control C.Extrusion reflex F.Swallow coordination

An infant, age 5 months, is brought to the clinic by his parents for a well-baby checkup. What is the best advice that the nurse should include at this time about injury prevention? A. "Keep buttons, beads, and other small objects out of his reach." B. "Do not permit him to chew paint from window ledges because he might absorb too much lead." C. "When he learns to roll over, you must supervise him whenever he is on a surface from which he might fall." D. "Lock the crib sides sec

A. "Keep buttons, beads, and other small objects out of his reach."

The nurse is providing anticipatory guidance to the parents of a 1-month-old infant on preventing a suffocation injury. Which should the nurse include in the teaching? (Select all that apply.) A. Do not place pillows in the infant's crib. B. Crib slats should be 4 inches or less apart. C. Keep all plastic bags stored out of the infant's reach. D. Plastic over the mattress is acceptable if it is covered with a sheet. E. A pacifier should not be tied on a string around the infant's neck.

A. Do not place pillows in the infant's crib. C. Keep all plastic bags stored out of the infant's reach. E. A pacifier should not be tied on a string around the infant's neck.

Which parental statement indicates understanding of recommendations when caring for a 7-month-old infant? Select all that apply. One, some, or all responses may be correct. A.I should call my child by name B.I should not change my child's diet C.I should start oral hygiene with my child D.I should not leave my child with an unfamiliar relative E.I should encourage my child to pronounce specific sounds

A.I should call my child by name C.I should start oral hygiene with my child D.I should not leave my child with an unfamiliar relative

What is the best age to introduce solid food into an infant's diet? A. 2 to 3 months B. 4 to 6 months C. When birth weight has tripled D. When tooth eruption has started

B. 4 to 6 months

Which strategy would the nurse use to soothe a 2-month-old infant who is crying? A. Offering the infant a bottle of diluted juice B. Holding and rocking the infant in a quiet room. C. Changing the diaper before returning the infant to the crib D. Wrapping a blanket around the infant and placing them in a supine position.

B. Holding and rocking the infant in a quiet room.

The nurse is making a home visit 48 hrs after the death of an infant from sudden infant death syndrome (SIDS). What intervention is an appropriate objective for this visit? • A. Give contraceptive information. B. Provide information on the grief process. C. Reassure parents that SIDS is not likely to occur again. D. Thoroughly investigate the home situation to verify SIDS as the cause of death.

B. Provide information on the grief process.

Which characteristic best describes the fine motor skills of an infant at age 5 months? A. Neat pincer grasp B. Strong grasp reflex C. Builds a tower of two cubes D. Able to grasp object voluntarily

D. Able to grasp object voluntarily

Which statement explains the importance of play in toddlers? Select all that apply. One, some, or all responses may be correct. A. Toddlers have imaginations and fantasies B. Toddlers prefer to play beside other children C. Toddlers like to pretend and play different roles D. Toddlers prefer to stay close to parents while playing E. Toddlers should watch television to expand their vocabulary

B. Toddlers prefer to play beside other children D. Toddlers prefer to stay close to parents while playing

What are the similarities between a preschooler and a toddler? Select all that apply. One, some, or all responses may be correct. A.Both preschoolers and toddlers take daytime naps B.Both preschools and toddlers have nighttime wakening C.Both preschoolers and toddlers have similar dietary requirements D.Both preschoolers and toddlers are eager to independently perform self-care E.Both preschoolers and toddlers have an acceptable heart rate of between 80 and 110 beats per minute.

B.Both preschools and toddlers have nighttime wakening C.Both preschoolers and toddlers have similar dietary requirements D.Both preschoolers and toddlers are eager to independently perform self-care

Which recommendation would the nurse provide the parent of a 3-year-old who is concerned that their child is afraid to sleep alone because of monsters under the bed? A. Tell the child that monsters don't exist. B. Allow the child to sleep with the parent temporarily C. Look under the bed and say "I don't see monsters." D. Leave a small light on at night and say, "Monsters aren't allowed in the house."

D. Leave a small light on at night and say, "Monsters aren't allowed in the house."

Which parental statement would the nurse recognize as indicating the need for further education about cognitive changes in preschoolers? A.Preschoolers are most fearful about physical harm B.Preschoolers re closely linked to concrete experiences C.Preschoolers are able to classify objects on the basis of color D.Preschoolers are less likely to believe that inanimate objects have lifelike qualities

D.Preschoolers are less likely to believe that inanimate objects have lifelike qualities

Which intervention would the nurse provide to meet the developmental needs of hospitalized preschool-aged children? A.Helping them learn to read B.Playing simple games with them C.Encouraging visits from family members D.Providing materials for stimulation activities

D.Providing materials for stimulation activities

Which assessment would the nurse make when observing an infant use their thumb and index finger to hold an object? A.The infant is exhibiting the Moro reflex B.The infant is exhibiting the tonic neck reflex C.The infant is exhibiting the parachute reflex D.The infant is exhibiting the crude pincer grasp reflex

D.The infant is exhibiting the crude pincer grasp reflex