Child
A school-aged child has developed a school phobia. The nurse is talking to the child's parents regarding ways to help with the child's phobia. Which statement by the parents is accurate?
"We will discuss some solutions with them together with a counselor." #childhealth #growth&develop.
The nurse observes a parent swaddling their infant with an unrepaired omphalocele. Which of the following statements would be appropriate?
"May I help you? We must be careful with the baby's intestines since we do not want the swaddle to push them back inside." #childhealth #GI/nutrition
The nurse in the clinic reviewed a child's medical record and noted several admissions for an asthma attack in the past year. When performing a teaching session on the prevention of an asthma attack, which of the following statements by the parents requires additional teaching?
"Our child rakes leaves outdoors to earn extra money." #childhealth #resp
A nurse at the family clinic is educating the mother of a 13-year-old regarding how to avoid acute asthma attacks. Which statement, if made by the mother, indicates effective teaching?
"Swimming would be a good exercise for my daughter." Acceptable forms of exercise include low-intensity activities such as swimming, walking, and hiking. #childhealth #resp
A parent in a pediatric clinic asks the nurse when the soft spots on their baby's head will harden. The most appropriate response by the nurse would be:
"These soft spots are called fontanels. Typically, the one towards the front of the head closes between 12 and 18 months, and the one on the back of the head closes by two months old." #childhealth #growth&develop.
The clinic nurse assesses a 12-month-old infant and notes that the anterior fontanel remains slightly open. The infant's parent asks about the finding. What is the most appropriate response by the nurse?
"This is a normal finding on a child of this age." Recognize that the anterior fontanel may close anywhere between 12 to 18 months of age. #childhealth #growth&develop.
The mother of a 2-year-old boy states to the nurse during their check-up: "I just don't get it. He just sits there and plays on his own while all his other cousins play with each other. Is there anything wrong with him?" Which response by the nurse is most appropriate?
"Your child is a toddler. It's normal for his age to just play all by himself while other children play too." It is usual for toddlers to play by themselves and not interact with each other. This is called "parallel play." #childhealth #growth&develop.
A four-year-old client is recovering from abdominal surgery on the pediatric unit. As the nurse caring for the client, which of the following activities would you prioritize for the client?
Blowing bubbles While caring for a four-year-old client recovering from abdominal surgery on the pediatric unit, identify blowing bubbles as the activity you, as the nurse, would prioritize for the client, as this can serve as an alternative to incentive spirometry. #childhealth #GI/nutrition
The nurse is providing cardiopulmonary resuscitation (CPR) to an infant. Which pulse does the nurse plan to assess?
Brachial #childhealth #cardiac
The nurse is working with a child who has a learning disability. The child is ten years old and has trouble reading and interpreting words, letters, and symbols. What is the most likely diagnosis?
Dyslexia #childhealth #neuro
The nurse is assessing a client with Wilms tumor. Which of the following would be an expected finding?
Hypertension Wilm's tumor = Nephroblastoma #childhealth #hematological/onc
The nurse is caring for a four-year-old child. While developing a plan of care, the nurse recognizes the child is in which stage of Erikson's stages of psychosocial development?
Initiative vs. Guilt preschool children, 3-5 years old Children assert control and power over their environment. Success leads to initiative when they feel a sense of purpose, but children who try to exert too much power and experience disapproval may feel a sense of guilt. #childhealth #growth&develop.
The nurse is assessing a 4-year-old client who was sent to the emergency department from urgent care. Assessment reveals tripod positioning, blue lips, mottled skin, inspiratory stridor, and excessive drooling. Vital signs are: Temp: 39 C HR: 188 RR: 46 O2: 82 % What is the priority action for the nurse to take at this time?
Keep the child calm and call for emergency airway equipment Any child presenting with excessive drooling, distress, and stridor is highly suspicious of having epiglottitis. In addition, this client is already showing signs of circulatory compromise, including circumoral cyanosis and mottling. The priority nursing action in this emergency is keeping the child calm and calling for emergency airway equipment. The child is at risk of losing the airway, and the airway is always the priority. #childhealth #resp
The nurse in the nursery is caring for a 24-hour-old infant. The nurse suspects the infant of having pyloric stenosis. Which of the following manifestations would support this finding?
Projectile vomiting #childhealth #GI/nutrition
The nurse is interviewing the parents of a child diagnosed with rheumatic fever. Which previous infection is linked to the development of this condition?
Streptococcal infection An untreated streptococcal infection, specifically Group A streptococcus, may lead to rheumatic fever, a severe condition with cardiac implications. #childhealth #infectiousdisease
Which of the following is an expected outcome for a pediatric client who is transitioning from being a toddler to a pre-school child?
The child will develop new coping strategies to adapt to a maturational crisis. #childhealth #growth&develop.
The pediatric nurse is taking vital signs on a one-year-old patient. Which of the following vital signs are abnormal?
The finding of a blood pressure that is 126/90 mmHg is high for a one-year-old infant. The normal blood pressure of an infant this age is about 90/56 mmHg. 1 year old ranges: -20 to 40 breaths per minute. -axillary temperature anywhere from 97.0 to 99.0 degrees Fahrenheit. -90 to 130 beats per minute. #childhealth #growth&develop.
The nurse is caring for a pediatric client with a nasogastric tube (NGT) connected to intermittent suction. The nurse should monitor the client for the potential of developing
hyponatremia. When an NGT is connected to suction, electrolyte alterations may occur, including hyponatremia and hypokalemia. metabolic alkalosis can occur #childhealth #GI/nutrition
The nurse is caring for a newborn with a myelomeningocele. To protect the sac, the nurse should
cover the sac with moist, saline dressing. When caring for a newborn with a myelomeningocele prior to surgical intervention, recognize the need to apply a sterile, moist, nonadherent dressing to the sac. #childhealth #neuro
The nurse, in the emergency department, is caring for a child who swallowed a small toy. The child has trouble breathing but is conscious and not making any sounds. The nurse should immediately
perform abdominal thrusts. In a conscious child that is having trouble breathing but not making noise after swallowing an object, perform immediate abdominal thrusts to help expel the object. #childhealth #resp
The nurse is reviewing Hirschprung's disease with a group of nursing students. It would be appropriate for the nurse to identify the primary treatment as
surgical repair such as a colectomy. #childhealth #GI/nutrition