Pediatrics test 1

A nurse is explaining child development to expectant parents. How should the nurse explain the proximal-distal aspect of development?

Infants can move their arms before they can grasp objects.

The nurse is preparing an 8-year-old child for a procedure. Which statement is true of assent

Feedback from the child is part of the agreement or assent.

All of these represent ways to communicate with an infant, except for?

Providing simple conversations to promote autonomy

The LPN/LVN is reviewing actions for socializing a toddler at meal times who is 18 months of age. Which suggestion would the LPN/LVN review?

The toddler should be included in conversation.

A mother expresses to the nurse that her toddler protests every new person. What statement should the nurse offer?

"This is known as stranger anxiety."

Which question allows the nurse to assess a preschool-aged child for delayed peer relationships?

"Does your child play with the other children in the playroom?"

The parents of a 6 year child with brain cancer are debating whether or not to proceed with a high-risk surgery for their child. What is the best therapeutic response by the nurse?

"How can I help you with this decision?"

The nurse is providing care to a toddler-aged client whose laboratory data indicate anemia. Which question should the nurse include in the health history of this patient

"How much milk does your child drink each day?"

Which parental statement regarding the sleep needs of a toddler indicates the need for additional education from the nurse?

"I should expect my child to sleep 14 hours each night in addition to an afternoon nap."

Which statement by the parent about the nutritional needs of a preschooler tells the nurse that further education is needed?

"It is recommended that preschoolers drink whole milk."

A nurse is providing nutrition education for a toddler-aged child. What statement by the parent requires further education?

"We let our toddler drink as much milk as he wants."

Which statement regarding infant physical growth patterns should the nurse share with the parents of an infant?

"Your baby should triple his birth weight by 12 months of age."

A nurse is discussing object permanence with parents. Which activity should the nurse recommend to the parents to understand and challenge the toddler's object permanence?

Playing hide-and-seek

A nurse is educating parents on the increased risks that the toddler encounters due to the toddler's exploration and curiosity. What risk is increased in the toddler stage of development?

Poisoning

Which complication related to family relationships can be expected in the preschooler?

Sibling rivalry

The nurse is assessing a 2-month-old infant. The infant's growth rate is plotted below the 5th percentile on a national growth chart for the second consecutive month. Which observation would indicate the infant is most likely to have non-organic failure to thrive (FTT)?

The family lives below the poverty line.

A home-care nurse is conducting a home visit for a family with a toddler-aged patient. Which finding requires further education related to safety?

A bucket of water in the kitchen

According to Erikson, the toddler's psychosocial social development can best be supported by?

Activities that provide the child a sense of individuality and control.

A nurse is teaching parents on foods to introduce first to their infant's diet. Which food should the nurse offer?

iron-fortified cereal

A parent shares that his preschool-age child experiences nocturnal enuresis and asks the nurse about things that may help the problem. Which intervention would be appropriate for the nurse to suggest initially?

Decrease evening fluid intake.

The parent of a 6-month-old infant tells the nurse, "This child is so much bigger than my last child." Which principle would guide the nurse in responding to the parent?

Each child exhibits unique growth and development.

Which of the following is an appropriate nursing intervention when caring for a preschooler with encopresis

Encourage high-fiber foods.

Which type of play should the nurse encourage when providing age-appropriate care to a preschool-aged child?

Associative

A nurse is teaching parents about the growing independence of toddlerhood. Which term would the nurse use to describe this behavior?

Autonomy

Which intervention might the nurse encourage for a breastfeeding mother whose infant is experiencing colic?

Avoid milk products.

A nurse is obtaining vital signs for a newborn infant. The nurse understands which of the following vital signs are normal for a newborn infant? (Select all that apply.)

Blood pressure 75/45 mm Hg Axillary temperature 37°C Heart rate 120 bpm Respiratory rate 40 breaths/minute

What heart rate would the LPN expect to see in a 4 year old?

65-110 bpm

Which parental statement about newborn and infant stooling patterns indicates the need for further education?

"A breastfed baby will stool only once per day."

At which age should the nurse suggest introducing rice cereal to the infant's diet?

6 mo

A nurse is educating parents on the risk for iron-deficiency anemia related to poor nutritional intake. What intervention should the nurse offer?

Increase iron-rich foods.

Which parental statement regarding the sleep needs of a younger infant is accurate?

"My baby requires 22 to 23 hours of sleep each day."

Which of these data causes the nurse to provide the parents of an infant with education regarding colic?

Abdominal pain accompanied by crying 3 days per week

The LPN is preparing to examine a preschooler. Which of the following actions would the nurse take to prepare the child?

Allow the child to roleplay using miniature equipment

Which are examples of a preschool-aged child using magical thinking? (Select all that apply.)

Believing that if she wishes hard enough for a pony one will appear in her yard Blaming herself for her mother's back injury because she stepped on a crack in the sidewalk Believing that she caught varicella because she told a lie to her mother

A nurse notices that a newborn is having an increased work of breathing (WOB) due to nasal mucus. What action should the nurse take FIRST?

Bulb suction the nasal passages

The LPN should practice which of the following to assist in the minimization of stranger anxiety in the hospital? (Select all that apply.)

Call on the assistance of Child Life specialists to assist with building trust and engagement. Establish a rapport with the parents before approaching the child.

Which action should the nurse implement in order to apply the principles of family-centered care in the hospital environment?

Encouraging parents to continue bedtime routines, such as reading a story

A nurse is providing education on discipline and using time-outs as a mechanism of choice. What interventions should the nurse offer regarding time-outs? (Select all that apply.)

Keep the time-outs brief. Keep time-outs consistent. All caregivers should be in agreement with time-outs. Implement a time-out immediately after the misbehavior.

Which of the following data collected during the health history process causes the nurse to assess for autism?

Lacking interest in games such as hide-and-seek

Possible causes of enuresis in preschoolers include all of the following except _____.

Large bladder

A mother expresses to the nurse that her toddler has a fear of the dark. What is the BEST intervention that the nurse should offer?

Offer a night-light.

Which pediatric anatomical factor increases the risk for respiratory failure when care is provided to a child?

Poorly developed intercostal chest muscles

Which action should the nurse include when providing education regarding methods to enhance health promotion during a scheduled health maintenance visit for a 4-year-old child?

Recognizing that food jags are common

Which data obtained during an infant's health history interview causes the nurse to provide specific information about SIDS?

Smoking in the home

A nurse is teaching new parents about thermoregulation. What should the nurse include in the teaching to encourage the importance of maintaining core body temperature for the newborn? (Select all that apply.)

Soft hat, Swaddling or wrapping Dry blankets

The LPN is reviewing actions for socializing a toddler at meal times who is 18 months of age. Which suggestion would the LPN review?

The toddler should be included in conversation.

Which statement regarding using bottles made by the parent indicates a need for further teaching?

We put him to bed with milk to help him fall asleep.

A nurse is providing health teaching on teething care to parents of an infant. Which statement made by the parents indicates a need for further teaching?

We will use fluoridated toothpaste

A parent asks for signs that a toddler is ready for toilet training. Which answer by the LPN/LVN would be most appropriate?

When the toddler is able to stay dry for 2-hour periods

Which of the following will the nurse document in the medical record as an infant anthropometric measurement?

head circumference