Peds Quizzing
A nurse is preparing to give a 3-year-old toddler an intramuscular injection, and the child starts to cry. What is the most therapeutic approach for the nurse to take?
"It's all right to cry as loud as you want, but don't move."
The parents of a newborn with phenylketonuria (PKU) need help and support in adhering to specific dietary restrictions. They ask the nurse, "How long will our child have to be on this diet?" How should the nurse respond?
"This is a lifelong problem, and it is recommended that dietary restrictions be continued for life
How can a nurse teach a preschooler about medical interventions most effectively?
By initiating therapeutic play
What common finding can the nurse identify in most children with symptomatic cardiac malformations?
Delayed physical growth
A nurse is caring for a preschooler who is being prepared for surgery. What does the nurse expect to have the most influence on the child's response to hospitalization?
Fear of bodily harm
A nurse is caring for a 1-month-old infant who has undergone surgery to repair a cleft lip. What should the nurse use to facilitate feeding during the immediate postoperative period?
Feeding syringe
The discharge of a newborn with a surgically repaired myelomeningocele is anticipated at about 2 weeks of age. What teaching should the nurse include when preparing the parents for the discharge?
Instructions on how to perform passive range-of-motion exercises of the infant's legs
The parents of a newborn discuss their infant's need for immunizations with the nurse. Which vaccine will not be administered until the child is at least 12 months of age?
MMR
What is the priority nursing action for an infant after the surgical repair of a cleft lip?
PREVENTING CRYING
A nurse is assessing an infant with talipes equinovarus (clubfoot) who has had a corrective boot cast applied. Which peripheral vascular assessment cannot be performed while the cast is in place?
PULSE
Which activities should the nurse expect to see exhibited by a healthy 6-month-old infant during an evaluation of the infant's growth and development? Select all that apply.
Playing peek-a-boo Turning completely over Reaching to be picked up Sitting for a short time without support
A nurse is explaining the myringotomy procedure to an infant's parents. The nurse mentions that the incision:
RELIEVE PRESSURE IMMEDIATEDLY
A nurse concludes that teaching is effective when the mother of a preschooler on a low-residue diet states that she will serve her child:
Scrambled eggs and toasted white bread
A nurse is planning to teach activities of daily living to a developmentally disabled 3-year-old child. What activity should the nurse plan to teach to the child first?
Self-feeding
A 5-month-old child undergoes heart surgery to repair the defects associated with tetralogy of Fallot. Prevention of what behavior is a priority for the nurse after the surgery?
Straining at stool
A toddler with lead poisoning is started on chelation therapy. Succimer (Chemet) is ordered. What information should the nurse give the parents concerning the administration of this medication?
The contents of the capsules may be sprinkled on food.
The parents of an infant with tetralogy of Fallot ask a nurse about the problems involved with this disorder. When answering, what must the nurse consider?
The disorder consists of right ventricular hypertrophy, ventricular septal defect, pulmonic stenosis, and overriding aorta
The parents of an infant who is to undergo insertion of a right ventriculoperitoneal shunt for hydrocephalus are taught about postoperative positioning that helps prevent pressure on the valve site. What statement indicates that they understand the teaching?
The flat left side-lying position is the safest position for our baby
A nurse is preparing for a teaching session with the parents of an infant with phenylketonuria (PKU). The parents are upset and want an explanation of why the child has this disease that they have never heard of. What should the nurse consider before responding?
This autosomal recessive disorder was inherited from parents who are carriers.
A nurse is obtaining the health history from the mother of a preschooler with Reye syndrome. The nurse should ask the mother if the child has recently had:
chickenpox
A nurse is assessing the developmental level of a healthy 5-month-old infant. What behavior does the nurse expect the child to exhibit?
grasp items
A 4½-year-old child is brought to the emergency department with a fractured tibia. Which type of fracture is most common in children of this age?
greenstick
A nurse is reviewing the immunization schedule of an 5-month-old infant. What immunizations does the nurse expect the infant to have already received?
rotavirus,Dtap,Flu