Peds 2
A nurse is assessing a 5-day-old infant and documents a positive Babinski sign. Which finding did the nurse observe?
Dorsiflexion of the great toe with fanning of other toes
What is the most important way to increase immunization awareness?
Education of parents and families
A nurse is teaching a class to new parents on how to prevent the spread of infection in their children. What is the best suggestion the nurse could offer to these parents?
Encourage frequent hand hygiene
The nurse is administering immunizations to children in a neighborhood clinic. What is the most frequent route of administration?
IM
What information should be included in an 8-year-old's pediatric history?
Immunizations
The nurse is caring for a child who has a depressed immune system due to chemotherapy treatments. The child is due for scheduled immunizations according to CDC recommendations. The nurse must ensure that the child does not receive which type of immunization?
Live Vaccine
When obtaining the history of a child diagnosed with West Nile virus, the nurse would expect to find exposure to what cause of this illness?
Mosquito bite
The nurse is assessing a child. The child's nail beds are blue in color. What term would the nurse use to document this finding?
Peripheral cyanosis
What information should be included in the teaching plan for a child with varicella?
Remind the child not to scratch the lesions.
An HIV positive woman has asked about breastfeeding her son. What response by the nurse is appropriate?
"Breastfeeding will increase your child's risk of contracting HIV."
A nurse is conducting a physical examination of an uncooperative preschooler. In order to encourage deep breathing during lung auscultation what could the nurse say?
"Do you think you can blow out my light bulb on this pet?"
A nurse is conducting an in-service program for a group of nurses on the health of women and their families, incorporating information from Healthy People 2020. The nurse determines that additional discussion and clarification is needed when the group makes which statement?
"Immunizations may be the cause of some illnesses being seen currently."
An adolescent client has just been diagnosed with systemic lupus erythematosus (SLE). Following client education about the disease, which statement by the client demonstrates understanding of SLE?
"SLE is an autoimmune disorder that I will always have, with times of flare- ups and times of minimal to no symptoms."
The mother of a 15-month-old child is questioning the nurse about the need for the hepatitis B vaccination. Which comment provides the most compelling reason for the vaccine?
"This protects your child from infection that can cause liver disease."
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."
The mother of a an 8-year-old boy with mumps tells the nurse that she does not understand how her son could have gotten mumps since he was immunized according to her physician's recommendations. What is the best response by the nurse?
"While immunizations are highly effective they aren't 100% effective at preventing infectious diseases."
The nurse is caring for a child whose family recently immigrated from a developing country. While completing the admission history, the parents report all the child's immunizations are up to date. Which nursing action is most appropriate?
Ask parents which immunizations have been given.
The nurse is performing a physical examination for a 7-year-old girl who was bitten by a tick. What would alert the nurse to the possibility of early localized Lyme disease?
Bulls-eye rash
A nursing instructor is teaching students about normal childhood infectious diseases. Which disease does the teacher tell students is transferred by the varicella-zoster virus?
Chickenpox
The pediatric nurse knows that there are a number of anatomic and physiologic differences between children and adults. Which statement about the immune systems of infants and young children is true?
Children have an immature immune response.
The nurse is inspecting the fingernails of an 18-month-old girl. What finding indicates chronic hypoxemia?
Clubbing of the nails
The 4-year-old due for the DTaP, IVP, MMR, and varicella vaccines has a runny nose, slight cough, and temperature of 99° F (37.2° C). What should be the response of the nurse?
Do the well-child exam and give the immunizations due.
Assessing skin in children is important as it is a good indicator of their overall condition. What describes cyanosis of the skin?
Skin that is bluish
When a child enters the acute care setting or clinic following a burn injury, for which immunization is it important to check for the last booster?
Tetanus
The nurse is administering a chicken pox vaccination to a 12-month-old girl. Which concern is unique to varicella?
The disease can reactivate years later and cause shingles.
When is the best time for the nurse to count a 9-month-old's respirations?
When he is quiet in his mother's lap
