Peds Growth Questions Test 4

3 y/o was admitted to the hospital with croup. His nurse just obtained vital signs. HR 90, RR 44, BP 100/52, T 98.8F. the parents ask the nurse is his vitals are appropriate for a child his age. The nurses best response to the parents is:

Your sons RR is elevated, but the other vitals are WNL

10. A 3-year-old female is hospitalized for an ASD repair. Her parents have decided to go home for a few hours to spend time with her siblings. The child asks when her mommy and daddy will be back. The nurse's best response is:

a. "Your mommy and daddy will be back after your nap."

A female nurse caring for a 5-year-old boy is trying encourage developmental Growth. what can the nurse do to reinforce the child's intellectual initiative when he asks the nurse about his upcoming surgery?

a. Answer the child's questions about his upcoming surgery in simple terms.

A 13-year-old boy is hospitalized for a femur fracture. He was hit by a car while he and his friends were racing bikes near a major intersection. The child's parents are concerned about his judgment. What should the nurse understand?

a. The child's behavior is typical of young teens.

The nurse is performing a physical assessment on a 6-month_ord baby. Which finding should the nurse understand is abnormal for this child?

a. The childs posterior fontanel is open

60. a 4 year-old has been hospitalized with FTT. The child has orders for daily weights' Strict input and output, and calorie count as a means of measuring her nutritional status. Which action by the nurse would be a concern?

a. The nurse weighs the child every morning before the child eats breakfast

A 9-year-old boy has been hospitalized following a bicycle injury. What should the nurse recommend to the child's parents to prevent future injury?

a. Their son should wear safety equipment while riding bicycles.

The school nurse is planning an educational program centered on abstinence for adolescents. Which of the following methods does the nurse recognize as the most effective way to present this program?

a. Use peer led programs that emphasize the consequences of unprotected sexual contact.

which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay

a. child is able to stand but is not yet taking steps independently."

the first-time mother brings in her 5-day-old baby for a well-child visit. The nurse weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was dis- charged 4 days ago. The nurse's best response to the mother is:

b. "An initial weight loss of a few ounces is common among newborns, especially for breastfeeding mothers."

11. A male infant is visiting the pediatrician for his 6-month well-child checkup. His mother tells the nurse she wants to advance the infant's diet. Which statement by the infant's mother leads the nurse to believe that she needs further education about the nutritional needs of a 6-month-old?

b. "I will start my son on fruits and gradually introduce vegetables'"

36. A 2-day-old qirl is being discharged from the hospital. Her mother asks the nurse when she will receive her first Hep B vaccine. Which is the nurses best response?

b. "She will receive her first dose of the hepatitis B vaccine prior to discharge today

An l8-year-old boy comes to the ER complaining of a rash and itching in the groin area. He is concerned that he has contracted a sexually transmitted disease and worries that his parents will find out. The nurse's best response is:

b. "We will not contact your parents regarding this visit."

17 The nurse is caring for a 12-month-old girl. The child's mother asks if the unit has Any toys that her daughter can play with. The nurse goes to the toy area in search of a toy for the child. Which toy is the best choice for this child?

b. A musical rattle.

38. a l6-year-old girl is having a discussion with her nurse about her recent diagnosis of Iupus. The nurse understands how to best answer the young womans questions About her prognosis because she understands what cognitively:

b. Adolescents are able to understand and imagine possibilities for the future

A 17 -year-old male is being seen in the ER. In order to obtain the adolescents health information, his nurse should

b. Gather information during a casual conversation.

30. A 9-year-old girl builds a clubhouse in her backyard. She hangs a sign outside her clubhouse that says "No boys allowed." The child's parents are concerned that she is excluding their neighbor's son, and they are upset. What should the school nurse tell the child's parents?

b. Her behavior is common among school-age children.

an 11 month old girl has a diagnosis of iron deficiency anemia. The childs mother tells the nurse that her daughter is currently taking iron and multi vitamin. Which statement made by the mother should be of concern to the nurse?

b. I give my daughter her iron and multivitamin in her morning 6oz bottle

Which of the following are stressors common to hospitalized toddlers? Select all that apply.

b. Interrupted routine. c. Sleep disturbances. e. Fear of being hurt.

27. The nurse caring for an -year-old boy is trying to encourage developmental growth. what activity can the nurse provide to the child to encourage his sense industry

b. Provide the child with the homework his teacher has sent in

A 5-year-old boy has always been one of the shortest children in class since pre- school. His mother tells the school nurse that her husband is 6' and she is 5'7". She is concerned about her son's height. Based on her knowledge of a child's physical growth during the school-age years, what should the nurse tell the child's mother?

b. She should expect him to grow about 2 inches every year from ages 6 to 9 years.

A mother requests that her child receive the varicella vaccine at her 9-month well-child checkup. The nurse tells the mother that:

b. The nurse cannot give the vaccine.

3. A 6-month-old male is at his well-child check-up. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurses best, response is:

c. "At 6 months his weight should be approximately twice his birth weight.,,

15. The nurse is instructing a new breastfeeding mother in the need to provide her premature infant with an adequate source of iron in her diet. Which one of the following statements reflects a need for further education of the new mother?

c. "I will need to add iron supplements to my baby's diet when she is 9 months old'"

55. The nurse caring for a 9-month-old is using the FLACC scale to rate her pain level. The child's parents ask the nurse what the FLACC scale is. Which is the nurse's best response?

c. "It estimates a child's level of pain utilizing behavioral and physical responses."

An 8-week-old male has just had surgery for pyloric stenosis. His nurse is assessing his level of pain. The child's mother asks the nurse what vital sign changes she should expect to see in a child who is experiencing pain. The nurse's best response is:

c. "We expect to see a child's heart rate and blood pressure increase."

A 12-month-old boy weighed 8lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child calculate his current weight as?

c. Approximately 24lb 6 oz.

A 4-year-old is visiting the pediatrician's office for his well-child check up. The nurse needs to take his blood pressure. Which action by the nurse is a developmentally appropriate method for eliciting the child's cooperation?

c. Ask the child if he feels a squeezing of his arm.

46. The parents of a 7-month-old girl are attending a class on child safety' Following the Class, what should the child's parents understand as one of the most common causes of injury and death for a 7-month-old child?

c. Aspiration.

A 2-day-old girl is being discharged home. The nurse is working on discharge teaching with her parents. They are asking the nurse about how to use the infant car seat and where it should be placed in their vehicle. Which of the following should the nurse do?

c. Contact the hospital's car-seat safety officer, and ask the officer to accompany the parents to the car for car-seat installation.

the mother has brought her 16 yo daughter to the ER because she is concerned her daughter is anorexic. During the childs initial physical assessment, the nurse notes the daughter has S/S of nutritional deficit. Which assessment item led the nurse to this initial conclusion?

c. Hair and nails are brittle and dry

39. the mother of a 13 year old girls tells the nurse that she is concerned because her daughter has gained 10 lb since she began puberty. The childs mother asks the nures for advice about what to do about her daughters weight gain. Which of the following should the nurse do?

c. Inform the childs mother that it is common for teen girls to gain weight during puberty

a 5yo boy is being screened for developmental delays using the Denver developmental screening test. The childs mother is explaining to the nurse her understanding of the screening test. The nurse realizes that the child mother needs further education about the test when she states which of the following?

c. It screens my sons intelligence level

the mother of a 15 year old boy is frustrarted b/c he spends much of his weekend tiem sleeping. She informs the nurse, "my son sleeps longer now than he did when he was in kindergarden". What is the nurses best response to the mothers frustration?

c. Teens require more sleep due to rapid physical growth that is occurring

The mother of a child 2 year 6 months has arranged a play date with the neighbor and her 3-year-old daughter. During the play date the two mothers should expect that the children will do which of the following?

c. The children will play alongside one another but not actively with one another.

A 7 -year old female is being admitted to the hospital for a diagnosis of acute lymphocytic leukemia. The nurse is trying to gather information from the child regarding her feelings about her diagnosis. Which nursing action is most appropriate to gain information about how the child is feeling?

c. The nurse should provide the child with some paper to draw a picture of how she is feeling.

a 13 yo boy is visiting the pediatricians office for his well child check up. The child tells the nurse that he is worried because his breasts are growing and they hurt. He tells the nurse he is afraid to take his shirt off in front of other boys in gym. What should the nurse tell him?

c. This is a normal condition with puberty and should resolve in a year or two

an 8 yo girl is at the pediatricians office for a well child check up. Her mother tells the nurse she has been having trouble getting her daughter to complete her chores. The childs mother asks the nurse for techniques for gaining the childs cooperation with chores. Which of the following should thenurse suggest the mother to do?

c. Use a reward system

A 2-year-old girl has just become a big sister. Her mother has been a stay-at-home mother. Based on the developmental level of a 2-year-old, which comment should the child's mother expect from her toddler about her new baby brother?

d. "Mommy, it is time to put him away so we can play'"

58. A 17-year-old male has had some recent behavioral changes. His mother calls the nurse at the pediatrician's office and tells her that her son has been coming home from school every day, closing his door, and refraining from interaction with his parents. The child's mother does not know what she should do about her son's unsociable behavior. The nurse's best response to the child's mother is:

d. "Your son's behavior is normal. You should listen to him without being judgmental."

31. The school nurse is preparing a discussion on nutrition with the fourth-grade class. Based on the childrens developmental level, what information should she include in her presentation?

d. A review of nutritious foods with basic scientific information about how they affect the body organs and systems.

The parents of a 2-year-old boy are concerned about his behavior. Since the childs admission to the hospital 2 days ago he has been crying much more than usual and ls inconsolable much of the time. The nurse's best response to the child's parents is:

d. The child is in the protest stage of separation anxiety which is normal for children during hospitalization.

According to developmental theories, which important event does the nurse understand is essential to the development of the toddler?

d. The child participates in being potty-trained.

An ER nurse is assessing a l2-month-old female. Which statement accurately describes the best method for assessing this child?

d. The nurse should assess the child while she is in her mother's lap'

An 11-year-old male is being evaluated in the ER for an inguinal hernia. Which statement accurately describes how the nurse should approach him for his physical assessment?

d. The nurse should explain to the child what the nurse will be doing in basic understandable terms.

A 5-year-old girl has been brought to the ER for suspected child abuse. What approach should the nurse use to gather information from the child?

d. The nurse should tell the child that the abuse is not her fault and that she is a good person.

An 8 day old female was admitted to the hospital with vomiting and dehydration. The nurse has just obtained vital signs. The childs heart rate is 185, RR 44, BP 85/52 and temp 99F. The parents ask the nurse if her vital signs are WNL. What is the nurses bset response to the parents?

d. Your daughters HR is elevated, but the other vitals are WNL

In order to prevent separation anxiety in a hospitalized toddler, which of the following should the nurse do?

Establish a routine that is similar to that of the child's home

A 3-year-old boy has been hospitalized because he fell down the stairs. His mother is Crying and states, "This is all my fault." Which is the nurse's best response to the child's mother?

Falls are one of the most common injuries for toddlers'"

34. A 3-year-old girl is attending her grandfather's funeral. her parents have told her that her grandfather is in heaven with God. The child is taken up to the open casket with her parents. which statement by the child describes a 3-year-old child's understanding of spirituality?

Grandpa is in heaven. Is this heaven?"

A 2-year-old boy has been admitted to the hospital for anemia. His mother asks the nurse what foods to include in his diet to improve his nutritional status. Which of the following should the nurse recommend?

Increase the child's intake of meats, eggs, and green vegetables

The mother of 11-year-old fraternal twins tells the nurse at their well-child checkup that she is concerned because her daughter has gained more weight and height than her twin brother. The mother is concerned there is something wrong with her son. The nurses best response is:

It is normal for girls to grow a little taller and gain more weight than boys at this age

A 16-year-old male is hospitalized for Cystic fibrosis. He will be an inpatient for 2 weeks while he receives IV antibiotics. As the nurse caring for this patient, what action can you take that will most enhance his psychosocial development?

2. Encourage the teen's friends to visit him in the hospital.

1. A 3-year-old female is hospitalized for a femur fracture. fu her nurse, what nursing action would help foster the child's sense of autonomy?

Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe.

An 8-year-old is NPo while he awaits surgery for central line placement later in the afternoon. The nurse is trying to engage the child in some form of activity to distract him from thinking about his upcoming surgery. Which is the best distraction for a child of this age in this situation?

Encourage the child to play a board game

45. A 16-year-old boy has a diagnosis of new onset diabetes. The child is meeting with the nurse educator regarding changes that will need to be made in his diet' What would most influence a teenager's food choices?

Peers and their dietary choices

The nurse is caring for a 4-year-old female in the ER is about to start a peripheral IV. The nurse's best method for explaining the procedure. To the child is to:

Show the child the replacement equipment, and demonstrate the procedure on a doll.

The nurse is caring for a 6-month-old in the ER. The physician orders the nurse to give the child a dose of Rocephin IM. The 1.5-mL dose arrives from the pharmacy. The nurse should do which of the following?

Split the dose into two injections

The nurse is-caring for a 7-year-old female on the school-age unit. Her mother is concerned that she may have some developmental delays. Which of the following statements would indicate to the nurse that the child is not developmentally on track for her age:

The child has an imaginary friend named Kelly

A 5-year-old is at the pediatrician's office for his well-child checkup. The nurse will be administering three immunizations to the child. Then nurse should expect which reaction from the child when she gives his immunization

The child will likely cry and tell the nurse that it hurts

7. How can the nurse best facilitate the trust relationship between infant and parent while the infant is hospitalized?

The nurse should encourage the parents to hold their child as much as possible