Peds Quiz 4 (test 2)
An infant weighted 7 lbs, 11 oz. at birth. What should the nurse expect this infant to weigh at 12 months of age?
23 lbs
A child should be able to pull off her shoes by which age?
24 months
Most children are ready to begin the process of toilet training by which age?
27 months
The nurse understands that primary dentition is usually completed by age:
3 years
The pediatric nurse understands that the rooting reflex disappears at which age?
3-4 months
Most children are able to feed themselves using a spoon by age
4 years
An infant seat should recline at an angle of:
45 degrees
The nurse should teach a parent to introduce solid foods to an infant at what age?
6 months
Symptoms of a food intolerance can include:
A food intolerance (which does not involve the immune system) can cause diarrhea, bloating, and gas. In an allergic reaction, the immune system reacts to a protein in the food and causes symptoms ranging from runny nose, itchy eyes, diarrhea, and rash to wheezing, swelling of the lips, tongue, or mouth, and tightness in the throat. As a rule of thumb, it's a good idea to introduce one new food no more frequently than every three days to five days if the infant seems interested.
Which seat is best for a 35 pound 4 year old?
A forward-facing car seat with harness straps
For an 8-month-old infant, which toy promotes cognitive development?
Jack-in-the-box
A nurse admits a three-month-old infant to the pediatric floor for observation, with a medical diagnosis of Brief Resolved Unexplained Event (BRUE) (formerly Apparent Life-Threatening Event [ALTE]). A brief examination reveals that the child is alert, has an even and unlabored respiratory rate and effort, warm and pink skin, an instant capillary refill, oxygen saturation of 99%, and the pulse rate is regular at 124.
Activity Exercise Pattern
A child with nystagmus should demonstrate
Jerky eye movements during the 6 Cardinal Positions of Gaze test.
A child client has an eye-patch over her eye. This is likely due to
Amblyopia
Where should a harness chest clip be positioned?
At the level of his armpits
The pediatric nurse is conducting an examination of a 7-month-old baby. During the examination, the nurse should be able to elicit which reflex?
Babinski
A characteristic sign of necrotizing enterocolitis (NEC) in the newborn is:
Bloody diarrhea
The pediatric nurse is performing a developmental screen on a 15-month-old child. This child should typically be able to
Build a 3-block tower.
The nurse is providing anticipatory guidance to the parents of a young child on how to handle a suspected poisoning. If their child ingests poison, what should the parents do first?
Call the nationwide poison control center at 1-800-222-1222
The nurse is teaching parents of an infant about introduction of solid food to their baby. What is the first food they can add to the diet?
Cereal
A common cause of food allergy in young children is:
Cow's milk
According to the CDC schedule, which immunizations are expected for a child at 6 months of age?
DTap Rotavirus Hep B Hib IPV PCV
Where is the safest place for a 55 pound 6 year old to sit in the car?
in a booster seat in the back seat
After 6 months of age, which of the following mineral stores becomes depleted in infants?
Iron
Which of the following developmental markers should the nurse expect to see in caring for an infant who is 4 months old?
Laughs aloud; begins to use consonant sounds; tries to hold weight on both legs when held upright
Where should a 25 pound 9 month old ride in the car?
in a rear-facing car seat in the middle of the back seat
A 2-week-old premature infant is experiencing periods of apnea, temperature instability, vomiting, and diarrhea. What is the best explanation for these clinical manifestations?
Necrotizing enterocolitis
Where should most children ride in the car?
in the back seat until they are 13 years old
An infant weighed 2.9 kg (6.4 lbs) at birth. Now, at her 6-month well-child checkup, she weighs 5.8 kg (12.75 lbs). How should you describe her weight gain?
Normal for age
Currently, the greatest source of lead poisoning in children is from:
Paint
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to:
Remove him from the source of stimulation by taking him to a quiet, safe place to calm down.
An infant, 6 weeks old, is brought to the Washington County Health Department clinic for a well-baby visit. To assess the fontanels, how should the public health nurse position the infant?
Seated upright
The nurse is assessing a six-month-old child. Which developmental skills are normal and should be expected?
Sits alone.
The nurse is teaching the parents about dental care for their toddler. Which of the following information is appropriate for the nurse to include?
Teeth should be brushed with a soft bristle nylon brush or washcloth
A day care nurse is observing a 2-year old child and suspects that the child may have strabismus. Which observation made by the nurse might indicate this condition?
The child consistently tilts the head to see.
At 30 months of age, the toddler should be expected to
Walk on tiptoes.
A 4-year-old is seen in the clinic for a sore throat. In the child's mind, the most likely causative agent is that the child
Yelled at his brother.
When using a forward facing convertible seat, the harness straps should be located
at or slightly above the child's shoulders using the top set of harness slots
When using an infant seat, the 5-point harness straps should be located
at or slightly below the infant's shoulders
A first-time mother asks you about the reasons for breastfeeding. You should state that:
breast milk contains antibodies that can protect against infections.
When are most children ready for regular seat belts?
it depends on the child's height and how the seat belts fit
The best position for an infant to sleep is:
on the back
Harness straps should fit..
snug and tight without any slack
