peds EAQ
The nurse is talking with the parents of a toddler to obtain the dietary history. The nurse learns that the child consumes dairy products and has fish sticks on rare occasions but does not eat any other meat at all. Which type of vegetarian diet does the child's family follow?
Lacto-ovo vegetarian
When completing the health assessment for a 2-year-old child, the nurse should expect the child to:
engage in parallel play.
An appropriate intervention to provide comfort for the child with itching associated with chickenpox is to:
give an antipruritic medication such as Benadryl.
The parents of a 4-year-old girl are worried because she has an imaginary playmate. The nurse's best response is to tell the parents that:
having imaginary playmates is normal and useful at this age.
Which fine motor activity can be observed in a 4-month-old infant?
Playing with a rattle
While assessing an infant, the nurse notices a typical bald spot, a symmetric distortion of the skull, and torticollis. What should the nurse interpret from this assessment? The infant has:
Positional plagiocephaly.
The nurse is educating a parent about ways to prevent future problems with their 28-month-old child. What does the nurse teach the parent?
Provide continuous parental supervision during playtime. Discipline should be structured and concrete, not logical. Understand the uniqueness of the toddler's thought processes.
Which instructions should the nurse give to the parents of a preschooler to promote optimal growth and development?
ignore focusing on the dysfluency of speech. Anticipate a stable appetite. Provide up-to-date immunity
When preparing to administer Hepatitis B vaccine to a newborn, the nurse should:
initiate an immunization record. confirm the hepatitis B status of the newborn's mother. obtain a syringe with a 25-gauge, 5/8-inch needle. confirm that the newborn's mother has signed the informed consent.
According to Erikson, the primary psychosocial task of the preschool period is developing a sense of:
initiative.
When explaining the proper restraint of toddlers in motor vehicles to a group of parents, the nurse should include:
placing the car seat in the back seat of the car facing forward.
A 4-year-old boy has been having increasingly frequent angry outbursts in preschool. He is very aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8 to 10 weeks. His parent asks the nurse for advice. The most appropriate intervention is to:
refer the child for professional help.
Which strategy might be recommended for an infant with failure-to-thrive to increase caloric intake?
Being persistent through 10 to 15 minutes of food refusal
The nurse is assessing a 5-month-old infant. Which behavior does the nurse observe in the infant?
Picking up a toy and putting it into the mouth
Which statement is correct about young children who report sexual abuse?
They may exhibit various behavioral manifestations.
The nursing student who is posted in the pediatric unit asks the nurse, "Which behaviors would be expected in 8-month-old infants?" Which appropriate answers does the nurse state to the nursing student? The child:
"Can play peek-a-boo." "Exhibits stranger anxiety." "Can stand by holding furniture."
The nurse advises the parents of a 2-year-old child to vaccinate their child with the influenza vaccine (inactivated influenza vaccine [IIV]). The child's parents ask the nurse, "My child had the same vaccine last year. Why does my child need another one?" Which response should the nurse give to the child's parent?
"Different strains of influenza are used to manufacture the vaccine each year."
The parents of a 2-year-old child are worried and report to the nurse that their child always sleeps on the rocking chair and not the bed. They add that the child is afraid to sleep on the bed due to a fear of a monster under the bed. What does the nurse recommend to the parents?
"Encourage the child to sleep on the child's own bed by putting the child to bed when awake."
The nurse is preparing to administer an intramuscular immunization to a 5-year-old child. The child says to the approaching nurse, "Please don't do that. My blood can leak out from my body and I may die." Which is the best response of the nurse to the boy?
"I will apply a bandage; it will not allow blood to come out."
The nurse is assessing a 2-year-old child who was discharged from the hospital after a chronic illness. The child's parent tells the nurse that the child has forgotten all the rhymes that were learned before being hospitalized. Which response given by the nurse is appropriate?
"You should ignore it and encourage the child by praising the existing behavior."
The nurse is caring for a child with high fever, flushed cheeks, and a swollen red tongue. What are the probable complications the child may have during treatment?
Acute rheumatic fever
The primary health care provider (PHP) prescribed HepB (Recombivax HB) vaccine for a child. Which question should the nurse ask the child's parents to ensure it is safe to administer the vaccine? "Does your child have a history of:
Being hypersensitive to yeast?"
The parents of a 5-month-old girl complain to the nurse that they are exhausted because she still wakes up as often as every 1 to 2 hours during the night. When she awakens, they change her diaper, and her mother breastfeeds her back to sleep. What should the nurse suggest to help them deal with this problem?
Beginning to put her to bed while still awake.
Which developmental changes are observed in a 5-month-old infant? .
Birth weight has doubled. tooth eruption
Which fine motor activity does the nurse observe in a 6-month-old infant? The infant:
Can hold a milk bottle.
What play activities should the nurse suggest to the parents to help improve gross motor skills for their children?
Easy passive exercise
The parent expresses to the nurse that the child refuses to go to sleep, repeatedly gets out of bed, and wakes up very late in the morning. Which nursing intervention is helpful to manage sleep disturbances in the child?
Enforce onsistent limits about the child's bedtime behavior.
The nurse is assessing a 15-month-old child. The child uses a cup well but rotates the spoon before it reaches the mouth. What does the nurse interpret from this observation? This is an appropriate development of:
Fine motor skills.
The nurse is caring for a toddler who is hospitalized. The nurse finds that the toddler is afraid of the new environment and gets cranky. What does the nurse tell the parents to do to make the toddler comfortable?
Give appropriate play objects to the child for comfort.
Which statement describes the growth and development in a 24-month-old child? The child can:
Go up and down stairs alone.
The nurse is educating a group of mothers about expressing breast milk for feeding the infant. Which statement made by the parents indicates the need for further teaching? "The expressed breast milk should be:"
Heated in a microwave before feeding my baby."
The nurse is assessing a 5-year-old child and finds the child to be physically fit. After further discussion with the parent, the nurse finds that the child talks, plays, and interacts with an imaginary playmate more than with other children. What advice does the nurse give to the parent?
Help the child to differentiate between make believe and reality. Develop positive interactions with the child through mutual play.
Parents of a newborn report to the nurse that their toddler does not allow them to provide care to the new baby. What does the nurse instruct the parents?
Include the toddler during care giving activities.
Which route should the nurse use to administer vaccines that contain adjuvants?
Intramuscular
The nurse working at a day care center finds that a child is obedient at home but bullies peers at the day care center. What does the nurse infer from the child's behavior? The child:
Is scared of the parents.
A parent of a toddler reports to the nurse that the child always says no at mealtimes. Which corrective actions does the nurse suggest to the parent?
Meals should be set at regularly scheduled times. Decrease the opportunities for a negative answer. Feed the child with the child's favorite plate and spoon.
The parent of a 26-month-old child reports to the nurse that the child spends most of the time talking to a doll and cares for it as if it is a small baby. The parent also reports that sometimes the child throws toys around with force. What does the nurse interpret about the child's behavior? The child has:
Normal behavior.
The nurse is teaching motor vehicle injury prevention measures to a group of parents. Which statement made by a parent indicates effective learning? The parent will:
Only use federally approved car restraints.
The nurse is teaching the parents of a 5-year-old child about the importance of providing sex education to children. What suggestion should the nurse include in the teaching?
Read age-appropriate sex education booklets along with the child.
A parent of a 5-year-old child reports that the child weighs 18 kg (41 lbs), is able to draw geometric shapes, and tries to tie his shoelaces. The parent also informs the nurse that the child tries to make sentences with two to three words, understands the concept of conservation, and can count objects irrespective of their arrangement. What does the nurse infer from this regarding the child's development? The child has:
Slow language development.
What appropriate growth and developmental changes can be observed in a toddler?
The toddler is able to take a few steps on tiptoes by the age of 30 months. The toddler can run fairly fast with a wide stance by the age of 24 months. The anterior fontanel closes at 18 months of age.
The nurse is caring for a child who has erythema and rashes on her face resulting in a "slapped face" appearance. The laboratory reports show that the child is infected with human parvovirus (HPV) B19 . What complication is the child likely to have?
Thrombocytopenia
The nurse is assessing a preschool age child who is stuttering when answering the nurse's questions. The nurse should offer alternate methods of responding to the stuttering when observing the parent:
completing the child's sentences.
A mother tells the nurse that her daughter's favorite toy is a large, empty box that contained a stove. She plays "house" in it with her toddler brother. Based on the nurse's knowledge of growth and development, the nurse recognizes that this is:
creative play that should be encouraged.
The nurse is educating a group of parents about stranger safety guidelines. Which statements by the parents indicate effective teaching?
should teach my child to never go anywhere with a stranger." "I should teach my child to say 'No' to gifts from strangers." "I should listen to my child's concerns regarding other people. I should pay attention if my child is uncomfortable with others."
A 4-year-old female child sometimes wakes her parents up at night screaming, thrashing, sweating, and apparently frightened -- yet she is not aware of her parents' presence when they check on her. She lies down and sleeps without any parental intervention. This is most likely described as:
sleep terror.
