Peds Chapter 20 STUDY GUIDE

Pataasin ang iyong marka sa homework at exams ngayon gamit ang Quizwiz!

What is the special category that encompasses children who have congenital abnormalities , malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) abnormalities?

-Children with special needs

What activity by the infant would cause a false evaluation of the tympanic temperature?

-Crying Vigorously.

What was founded by Lillian Wald?

-Henry Street Settlement.

What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?

-Inconsistency between the injury and the parent's explanation of it.

A disfiguring facial wound would have the most significant developmental impact on which child?

-A 14-year-old.

When measuring the head circumference of an infant , where should the nurse place the tape measure?

-Above the eyebrows and pinna, and around the occipital bone.

What should the nurse do to minimize an unpleasant -tasting drug?

-Administer the drug through a straw.

Following a lumbar puncture of a 2-year-old , what should the nurse do?

-Allow the child to play quietly at will.

What is the correct way to assess for the presence of Jaundice in an African American child?

-Apply pressure to the gums.

What should be done before initiating a garage feeding ?

-Aspirate the stomach contents.

When the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do?

-Be honest.

When is the best time to bathe an infant?

-Before a feeding.

The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?

-Child maltreatment.

The nurse welcomes the presence of the family in a pediatric unit because reduces the stressors of hospitalization . Which are common stressors for the hospitalized child (SELECT ALL THAT APPLY )?

- (1)Separation ,(2) fear of pain ,(3) loss of control.

What is the correct order for assessing the vital signs in an infant to ensure the accuracy of measurements?

- Respirations, pulse , temperature.

The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate?

-"Come to the conference room where we can have some privacy while you look at them.".

When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?

-"Ethan, I am going to give you some medicine that will sting, but only for a little while."

An 8-year-old child asks how a blood pressure is taken . What would be the most appropriate response by the nurse?

-"The armband will hug your arm and tell me how well your blood is going through your arm."

When the newly admitted 2- year-old who was potty trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?

-"The stress of hospitalization makes children regress a little."

The mother of a 3- year- old child expresses concern about her daughter's slowed growth rate. What would be the most informative response by the nurse?

-"Three year old's have typically finished a growth spurt, and you may notice a decreased rate in your daughters growth."

The nurse clarifies that the family-centered care approach terminates which policies (SELECT ALL THAT APPLY)?

-(1) Rigid visiting hours , (2) Exclusion of family during procedures , (3) Discouraging family to stay overnight , (4) Restricting parents from reading the chart

What is the maximum amount of time that a nurse should suction an artificial airway?

-5 seconds.

The nurse is aware that visual acuity evaluation in a child is best assessed after the age of ______ years?

-6.

When attempting to provide information to the parents of a child undergoing surgery , the nurse notes that the parents appear confused, and do not seem to remember what they are being told. What is the most probable cause of the parents' forgetfulness?

-Increased level of parents' anxiety.

Why does obtaining the respirations of an infant require a modified approach from that of an adult?

-Infants respiratory movements are abdominal.

When communicating with parents suspected of child abuse, what should the nurse be sure to do?

-Interact with them in a non-judgmental manner.

What was one of the major strides in pediatric care made by Dr.Abraham Jacobi?

-Milk stations in the city of New York.

When the nurse is inserting a feeding tube in an 8-month -old , what safety reminder device "SRD" should the nurse most likely use?

-Mummy.

What is one way to enhance the nutrition of the hospitalized toddler?

-Offer nutritious fluids frequently.

The parents ask about preparations of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission ?

-Only two or three days before admission.

Where is the typical IV insertion site in an infant younger than 9 months of age?

-Scalp vein.

What should be the focus of a practice where the pediatric nurse uses a developmental approach ?

-Strengths and abilities of the child.

The pediatric nurse , along with the primary caregiver(s) , has a special duty to ________ the child and the family?

-Teach.

When discussing growth and development with the parents of the child, the nurse explains that nutrition is the single most important influence on :?

-The growth of bone and muscle.

What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?

-The opioid is very effective as a pain control method.

What is the disadvantage of using a mist tent with a toddler?

-The wet bedding and clothing must be changed frequently.

Why must the pediatric nurse be cautious about medicating infants and young children?

-They are more susceptible to medication effects than adults are.

What is the purpose of a mist tent?

-To liquify respiratory secretions.

What is the preferred IM injection site for a 2-year-old?

-Vastus Lateralis.

After observing parental behavior that leads the nurse to suspect child abuse when should the nurse report the abuse?

-Whenever maltreatment of a child is suspected.

How should an infant be positioned after a feeding?

-on the right side.

When a safety reminder device "SRD" is used to protect a child , what is a responsibility of the nurse?

-remove it every 2 hours


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