Pediatrics Dev't and Health Promotion Ch. 3-5 Prep U & Ati 3-7
The father of a 4½-year-old boy has contacted the nurse because he is concerned that his son is frequently touching his genitals. The nurse explains that this is normal during the preschool years. Which statement by the father would indicate a need for further teaching? "I should teach him certain rules about this activity." "This is probably a good time to talk about safety and who can touch him." "I have heard that both boys and girls often touch themselves at this age." "I will need to find an appropriate punishment for him if this continues."
"I will need to find an appropriate punishment for him if this continues."
A teen mom asks the discharge nurse if it is okay to sleep in bed with her baby. She says her mom always did it with her siblings and it seemed okay. How should the nurse respond? "Sure, you can do whatever you want, it is your baby." "Bed sharing is okay, just make sure the infant is between two people." "The baby can sleep in your room in an infant crib, but not in an adult bed." "Sure you can, but make sure you use a soft mattress for support."
"The baby can sleep in your room in an infant crib, but not in an adult bed."
A pediatric nurse is providing care to several children. The nurse is reviewing the assessment findings for each of the children. Which finding requires the nurse to intervene? 24-month-old toddler who engages in parallel play 14-month-old toddler who walks with a parent's assistance 3-year-old preschool-aged child who goes up stairs on hands and knees 9-month-old infant who can pull self up to a standing position
3-year-old preschool-aged child who goes up stairs on hands and knees
What is the correct amount of wet diapers a mature infant should produce each day? An infant should have 3 to 5 wet diapers/day. An infant should have 1 to 2 wet diapers/day. An infant should have 6 to 8 wet diapers/day. An infant should have 9 to 10 wet diapers/day.
An infant should have 6 to 8 wet diapers/day.
The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson? Industry versus inferiority Autonomy versus shame and doubt Initiative versus guilt Trust versus mistrust
Autonomy versus shame and doubt
A nurse is performing a dev't screening on a 10 month old. Which of the following fine motor skills should the nurse expect the infant to perform (Select) all that apply grasp a rattle by the handle try building a a 2 block tower use a crude pincer grasp Place objects into a container walks with one hand held
Crude pincer grasp by 9 months
A nurse is providing anticipatory guidance to the caregivers of a toddler. Which of the following should the nurse include? (Select all that apply) a. Develop food habits that will prevent dental caries b. meeting caloric needs results in an increased appetite c. expression of bedtime fears is common d. expect behaviors associated with negativism and ritualism e. annual screenings for phenylketonuria are important.
Develop food habits that will prevent dental caries c. expression of bedtime fears is common . expect behaviors associated with negativism and ritualism
The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants? Takes in new information at a rapid rate and asks "why" and "how". Has an increased attention span and can be interested in an activity for a long length of time. Insists they can "do it" and the next moment they revert to being dependent. Grows and develops skills more rapidly than at any other time in their life.
Grows and develops skills more rapidly than at any other time in their life.
A nurse is conducting a well-baby visit with a 4 month old infant. Which of the following immunizations should the nurse plan to administer to the infant? (Select all that apply) MMR Polio (IPV) Pneumococcal vaccine Varicella Rotavirus vaccine
IPV PCV RV
Parents of a toddler describe how they handled their child's temper tantrum in a shopping mall. What action of the parents indicates need for additional teaching? Reasoned with the child to stop the behavior Made sure the child was rested and not hungry before going to the mall Tried to refocus the child's attention as tantrum behavioral cues appeared Remained relatively calm even though embarrassed
Reasoned with the child to stop the behavior
The child care facility for preschool-aged children has had several outbreaks of gastrointestinal illness. What will the nurse recommend to the teachers to prevent future outbreaks? Supervise and assist the children with handwashing. Disinfect all tables and chairs with bleach before meal times. Post signs with written instructions about handwashing. Have parents provide food from home instead of facility-prepared.
Supervise and assist the children with handwashing.
In discussing their 2-year-old's behavior with the nurse, which of the parents' statements suggests the child may be ready for toilet teaching? The child hides behind her bedroom door when defecating. The child frequently repeats words parents just said. The child often removes her shoes and socks. The toddler walks with a wide, swaying gait.
The child hides behind her bedroom door when defecating.
What action shows an example of Erik Erikson's developmental task for the infant? The infant smiles as people walk past the crib. The infant cries and the caregiver picks the child up. The infant cries when they have a wet diaper. The infant plays the game peek-a-boo.
The infant cries and the caregiver picks the child up.
A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform? (select all that apply) a. Build a tower with six blocks b. Throw a ball overhand c. Walk up and down stairs d. Stand on one foot for a few seconds e. Use a spoon without rotation
Throw a ball overhand e. Use a spoon without rotation
A nurse is developing a teaching plan for parents of preschoolers about how to address the issue of strangers and safety. Which would the nurse expect to include in the teaching? Select all that apply. Teach your children to say "no" to anyone whose touching makes them feel uncomfortable. Wait until children are old enough to tell them how to call for help in an emergency. Urge children never to talk to or accept a ride from a stranger. Encourage children to tell you or another trusted adult if someone asks them to keep a secret about anything uncomfortable. Urge your children to report others who are bullying.
Urge children never to talk to or accept a ride from a stranger. Encourage children to tell you or another trusted adult if someone asks them to keep a secret about anything uncomfortable. Urge your children to report others who are bullying. Teach your children to say "no" to anyone whose touching makes them feel uncomfortable.
A nurse Is preparing an education program for a group of caregivers of preschool age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? a.. saturated fats should equal 20% of total daily caloric intake b. Avg. calorie intake should be 1800 calories per day c. Daily intake of fruits and vegetables should total 2 servings d. Healthy diets include a total of 8 g protein
b. Avg. calorie intake should be 1800 calories per day
A nurse is caring for an adolescent whose guardian expresses concerns about the child sleeping such long hours. Which of the following conditions should the nurse inform the guardian as requiring additional sleep during adolescence? a.sleep terrors b. Rapid growth c. Elevated zinc levels d. Slowed metabolism
b. Rapid growth
A nurse is assessing a 12- month old infant during a well- child visit. Which of the following findings should the nurse report to the provider? Closed anterior fontanel Eruption of 6 teeth birth weight doubled Birth length increased
birth weight doubled
A nurse is teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? a. Pubic hair growth b. vocal changes c. testicular enlargement d. facial hair growth.
c. testicular enlargement
A nurse is providing teaching to the guardian of a preschool-age child about methods to promote sleep. WHich of the following statements by the parent indicates an understanding of the teaching? a. I will sleep in the bed with my child if she wakes up during the night b. I will let my child stay up an additional 2 hours on weekend nights c. I will let my child watch tv for 30 min just before bedtime each night d. I will Keep a dim lamp on in my child's room during the night
d. I will Keep a dim lamp on in my child's room during the night
A nurse is assessing a 2.5 year old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? a. Height is increased by 7.5 cm (3in) in past year b. head circumference exceeds chest circumference c. Anterior and posterior fontanels are closed d. current weight equals four times the birthweight
head circumference exceeds chest circumference
A nurse is providing education about introducing new foods to the guardians of a 4-month- old infant. The nurse should recommend that the caregiver introduce which of the following foods first? a. strained yellow vegatables b. iron-fortified cereals c. pureed fruits d. whole milk
iron=fortified cereals for iron content
A nurse is performing a developmental screening on a 3 year old child. which of the following skills should the nurse expect the child to perform? a. Ride a tricycle b. Hop on one foot c. Jump rope d. Throw a ball overhead
ride a tricycle
The nurse conducting a 6-month well-baby check-up assesses for the presence/absence of the asymmetric tonic neck reflex. At this age the reflex: should have disappeared. is a protective reflex and retained for life. should be pronounced and easy to elicit. is expected to appear within 1 month.
should have disappeared.
A nurse is conducting a well child visit with a child who is scheduled to recieve the recommended immunizations for 11-12 year olds. Which of the following immunizations should the nurse administer. (select all that apply) a. trivalent inactivated influenza (TIV) b. Pneumococcal (PCV) c. Meningococcal (MCV4) d. Tetanus and diphtheria toxoids and pertussis e. Rotavirus
trivalent inactivated influenza (TIV) Meningococcal (MCV4) Tetanus and diphtheria toxoids and pertussis
A nurse is providing education about age appropriate activities for the caregivers of a 6 year old child. Which of the following activities should the nurse include in teaching? a. jumping rope b. playing card games c. solving jigsaw puzzles d. Joining competiive sports
a.jumping rope
A nurse is caring for a preschool age child who expresses the need to leave because their doll is scared to be at home alone. which of the following characteristics of preoperational thought is the child exhibiting? a. egocentrism b. centration c. Animism d. Magical thinking
animism
A nurse is discussing prepubescence and preadolescence with a group of guardians of school-age children. Which of the following information should the nurse include in the discussion? a. initial physiologic changes appear during early childhood b. Changes in height and weight occur slowly during this period c. growth differences between boys and girls become evident d. Sexual maturation becomes highly visible in boys
c. growth differences between boys and girls become evident
A nurse is providing teaching about dental care and teething to the caregiver of a 9-month old infant. Which of the following statements by the caregiver indicates an understanding of the teaching? a. I can give my baby a warm teething ring to relieve discomfort b.I should clean my babys teeth with a cool, wet wash cloth c. I can give Advil for up to 5 days while my baby is teething d. I should placed diluted juice in the bottle my baby drinks while falling asleep
clean babys teeth with a cool, wet wash cloth
A nurse is providing teaching about expected changes during puberty to a group of guardians of early adolescent girls. Which of the following statements by one of the guardians indicates an understanding of teaching? a. girls usually stop growing about 2 years after menarche b. girls are expectedd to gain about 65 lbs during puberty c. girls experience menstruation prior to breast dev't. d. Girls typically grow more than 10 in during puberty
a.girls usually stop growing about 2 years after menarche
During a well-child checkup, the mother of a 5-year-old girl reports her daughter seems much smaller than her 2 older children did at this same age. A review of the medical record reveals that the child is 44 inches tall and weighs 42 pounds. What information should be included in the response by the nurse? "Your daughter is within the acceptable range for her height but she is significantly smaller in weight for her age." "Your daughter is within normal limits for her weight but she is slightly shorter in stature than other children her age." "The weight of your daughter at this time is with normal limits for her age but she is moderately taller than other children her age." "Your daughter is slightly taller than other children her age but her weight is normal."
"Your daughter is slightly taller than other children her age but her weight is normal."
A nurse is providing teaching about appropriate activities to the guardian of a 2 year old. Which of the following statements by the guardian indicates an understanding of the teaching.? a. I will send my child's favorite stuffed animal when napping away from home will occur b. My child should be able to stand on one foot for a second c. The soccer team my child will be playing on starts practicing next week d. I should expect my child to be able to draw circles
a. I will send my child's favorite stuffed animal when napping away from home will occur
A nurse is providing anticipatory guidance to the caregiver of a 13 year old adolescent. Which of the following screenings should the nurse recommend for the adolescent? (select all that apply) a. body mass index b. blood lead level c. 24-hr dietary recall d. weight e. scholiosis
a. body mass index d. weight e. scholiosis
A nurse is conducting a well child visit with a 5 year old child which of the following immunizations should the nurse plan to administer to the child? (Select all that apply) a. diphtheria, tetanus, pertussis b. Inactivated poliovirus c. Measles, mumps, rubella d. pneumococcal e. Haemophilus influenza type B
a. diphtheria, tetanus, pertussis b. Inactivated poliovirus c. Measles, mumps, rubella
A nurse is teaching a course about safety during the school-age. Which of the following information should the nurse include in the course? (select all that apply) a. gating the stairs at the top and bottom b. wearing helmets when riding bicycles or skateboarding c.riding safely in bed of pickup trucks d. implementing firearm safety e. wearing seat belts
b. wearing helmets when riding bicycles or skateboarding d. implementing firearm safety e. wearing seat belts
