PEDS QUIZ 1

The nurse is assessing a 12 year old female in the pediatric clinic during a routine well-child visit. Which interventions should the nurse perform at this visit? - Scoliosis check - Assessment of emotional status - Review of nutrition and activity appropriate for age - Review of puberty and menstruation - Review of recommended Immunizations: Tdap, HPV, Meningococcal, Annual influenza vaccine

- Review of nutrition and activity appropriate for age - Review of puberty and menstruation - Review of recommended Immunizations: Tdap, HPV, Meningococcal, Annual influenza vaccine

The nurse is caring for a hospitalized 2-year-old child who was admitted for a tonsillectomy. Which of the following statements would be appropriate to educate the patient prior to the procedure? - Provide a video of the procedure and explain in clear terms - Use simple terms to explain the procedure - Use picture books and puppets to explain the procedure - Describe the procedure as it is about to be performed - Engage in conversation about the procedure and encourage the toddler to share their thoughts

- Use simple terms to explain the procedure - Use picture books and puppets to explain the procedure

The nurse is providing anticipatory guidance to a parent regarding nutrition and choking hazards for toddlers. Which of the following snacks would be appropriate to give a toddler? - Yogurt - Cooked carrots - Cheerios cereal - Whole grapes - Hot dogs - Popcorn - Bananas

- Yogurt - Cooked carrots - Cheerios cereal - Bananas

The nurse is teaching a class to high school students about puberty. Which of the following is the first sign of puberty in males? - Facial hair growth - Testicular enlargement - Axillary hair growth - Change in voice

Testicular enlargement

The nurse is providing anticipatory guidance in the pediatric clinic for the parent of an 8 month old infant. Which of the highlighted statements by the parent would indicate the need for further education? The parent describes some of the things they are doing at home to promote safety and prevent injury. " I have set up a gate at the stairs". "I got rid of all my houseplants". "I am still placing my child in a rear-facing car seat". "I use a hot steam vaporizer when my child has a cold".

- "I use a hot steam vaporizer when my child has a cold".

A 5 year old patient is admitted with a broken left arm. Their arm is immobilized. What nursing intervention is age appropriate for this child regarding their hospitalization? - Allow the child to help with bathing, feeding and changing bandages - Explain procedures in very simple terms without diagrams - Discourage school friends from visiting the patient due to embarrassing the child because of their immobilized arm - Assess the 5 year old for questions about their appearance and how they feel about the injury's effect on their future. - Provide age appropriate activities such as coloring, doing a puzzle, video games

- Allow the child to help with bathing, feeding and changing bandages - Provide age appropriate activities such as coloring, doing a puzzle, video games

The nurse is assessing a 2 1/2 year old child in the pediatric clinic. The nurse discusses the physical examination of the child and reviews anticipatory guidance for the toddler stage. Which highlighted statements require further education by the nurse? The parent gives 3 small meals and 3 snacks each day consisting of well cooked vegetables, yogurt, cut up meat/poultry, soft cheese cut into small bits, oatmeal, minced fruits, rice, mashed potatoes and cooked sweet potatoes. The parent states that they are starting toilet training but it is not going well. The child is fussing when placed on toilet and is waking up from naps with wet diapers. The parent states that the child has frequent temper tantrums and is not sure how to manage those. The parent is also expressing frustration at the child's behavior, stating that "my child is always saying NO when I tell them to do something".

- Child is fussing when placed on toilet and is waking up from naps with wet diapers - Frequent temper tantrums and is not sure how to manage those - "My child is always saying NO when I tell them to do something"

A nurse in a provider's office is caring for a 9-month-old-infant. The nurse is providing teaching to the guardians of the infant. Select the 3 instructions the nurse should include in the teaching. - Cleanse diaper area with soap and water - Change diaper when wet - Apply zinc oxide with each diaper change - Apply talcum powder to creases - Administer 16 oz Pedialyte after diarrhea - Use nasal aspirator after feedings

- Cleanse diaper area with soap and water - Change diaper when wet - Apply zinc oxide with each diaper change

The nurse is assessing a 4 month old infant during a well visit in the pediatric clinic. While reviewing anticipatory guidance with the parent, which statements would indicate the need for further education regarding appropriate care and injury prevention for this infant? - I always place my baby on their back to sleep - I add a little honey to their breast milk - I offer my baby whole milk between feedings - I will have the child immunized at this visit with Rotavirus, DTaP, Hib, Pneumococcal conjugate (PCV), & Inactivated polio (IPV) - Sometimes I bring the baby into my bed to sleep with me

- I add a little honey to their breast milk - I offer my baby whole milk between feedings - Sometimes I bring the baby into my bed to sleep with me