Peds Exam 1 Coursepoint

The nurse is educating the parents of an 18-month-old child being prepared to receive cochlear implants. Which statement by the parents requires further teaching? After the implant surgery our child will have normal hearing. We have arranged for speech-language therapy after the implant is activated. Our child will have hearing tests to assess how the implant is working. The cochlear implant must heal and will be activated 2 to 3 weeks after surgery.

After the implant surgery our child will have normal hearing.

The nurse will expect that which hearing test will be performed before the newborn is discharged home?

auditory brainstem response

The nurse is assessing a 2-year-old boy during a well-child visit. The nurse correctly identifies the child's current stage of Erikson's growth and development as:

autonomy versus shame and doubt

When performing neurological reflexes on the infant, which primitive reflex will be present longest? Moro Babinski rooting step

babinski

A parent asks the nurse what symptoms to expect with normal teething in the infant. How should the nurse respond?

gumline will be tender

The nurse is educating the parents of a 4-year-old boy with strabismus. Teaching for the parents would include the:

importance of patching as prescribed.

A nurse is beginning to examine a 4-month-old infant. The nurse takes the infant from the parent's arms and places the infant in which manner?

in the crib facing the parent

The nurse is educating the mother of a 6-month-old boy about the symptoms for teething. Which symptom would the nurse identify? running a mild fever or vomiting choosing soft foods over hard foods increased biting and sucking frequent loose stools

increased biting and sucking

The nurse is preparing to assess the abdomen of a preschool-aged child. Which technique should the nurse use first?

inspection

The appearance of which hallmark clinical manifestation occurs in measles?

koplik spots

An infant is breastfed. When assessing the stools, which findings would be typical? Harder stools than those of bottle-fed infants Fewer stools than bottle-fed infants Less constipation than bottle-fed infants A strong odor

less constipation

A child is brought to the emergency department by his parents. The parents report that he stepped on a rusty nail about a week and a half ago. The child is complaining of cramping in his jaw and some difficulty swallowing. The nurse suspects tetanus. When assessing the child, the nurse would be alert to which muscle groups being affected next?

neck

The nurse assesses a 4-month-old child during a well-child visit (above). Which assessment finding should the nurse report to the primary health care provider? waking 3 times per night to feed not smiling or tracking faces not rolling over occasionally spitting up after breastfeeding

not smiling or tracking faces

The most important safety precaution for parents to teach preschoolers is: to chew bites of food three times. not to ride in a car with strangers. not to begin formal dance classes. not to watch their father mow the lawn.

not to ride in a car with strangers.

The nurse is assessing a child who presents with a history of fever, malaise, fatigue, and headache. The nurse notes a bulls-eye rash on the child's right leg. Which action will the nurse take?

notify hcp

During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group, the nurse understands that:

preoccupation with death and dying is common in the school-aged child.

The nurse is conducting a well-child assessment of a 4-year-old. Which assessment finding warrants further investigation? presence of 20 deciduous teeth presence of 10 deciduous teeth absence of dental caries presence of 19 deciduous teeth

presence of 10 deciduous teeth

A nurse is assessing a neonate with sepsis. The nurse understands that most commonly the cause involves:

bacteria

The parents of a 4-year-old boy tell the nurse, "We're really worried that our child doesn't have 20/20 vision. It seems that he doesn't always see clearly at a distance." What is the best response by the nurse?

"20/20 vision isn't usually achieved until the age of 6 or 7 years but I will let the physician know your concerns."

A parent calls the health care provider about the 7-year-old child's dental hygiene. The child has had three cavities. The parent does not know what to do and asks the nurse for guidance. How should the nurse respond?

"Are you able to supervise your child's brushing?"

The mother of an infant is confused after being told by her dentist not to let her baby go to bed with a bottle of milk. She does not agree with that suggestion. Which response should the nurse prioritize when addressing this situation with the mother?

"Bottles given at bedtime can cause erosion of the enamel on the teeth."

The nurse is auscultating the lungs of a lethargic, irritable 6-year-old boy and hears wheezing. The nurse will most likely include which teaching point if the child is suspected of having asthma? "I'm going to have the respiratory therapist get some of the mucus from your lungs." "I'm going to have this hospital worker take a picture of your lungs." "We're going to go take a look at your lungs to see if there are any sores on them." "I'm going to hold your hand while the phlebotomist gets blood from your arm."

"I'm going to have this hospital worker take a picture of your lungs."

A nurse is teaching a group of parents of preschoolers about safety. Which information would the nurse include? Select all that apply. "Do not refer to medicines as candy." "Do not allow your child to approach strange dogs." "Allow your child to ride in the front seat of the car." "Have your child hold hands with a grown-up in parking lots." "Role-model bicycle safety by wearing a helmet too."

"Do not refer to medicines as candy." "Do not allow your child to approach strange dogs." "Have your child hold hands with a grown-up in parking lots." "Role-model bicycle safety by wearing a helmet too."

The nurse is discussing healthy eating with the parents of a school-age client. Which statement by the parents indicates additional teaching is needed? "It is more important for our child to get sleep than eat breakfast." "We will freeze fruits before putting them in our child's lunchbox." "We will limit our child's snacks to after school and bedtime." "Since our child does not like broccoli, we will not put it on our child's plate."

"It is more important for our child to get sleep than eat breakfast."

The nurse manager is orienting a new nurse. Which statement by the new nurse would indicate that the nurse manager should intervene? "I will document the date and time the vaccine was given in the child's permanent record." "I do not need to document the vaccine manufacturer's name in the child's permanent record." "If a child receives a vaccine at another facility, we will need to document it in the child's permanent record." "If a child has a fever after a vaccine, I do not have to report it to the Vaccine Adverse Event Reporting System."

"I do not need to document the vaccine manufacturer's name in the child's permanent record."

The mother of a 4-year-old reports using time-outs as a means for disciplining the child. Which statement by the mother would require the nurse to provide additional teaching? "I put him in time-out when the problem occurs." "He is allowed out of time-out when he is calm." "The time-out doesn't just have to be in his room." "I usually have him in time-out for about 10 minutes."

"I usually have him in time-out for about 10 minutes."

The nurse is teaching a group of school-age children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching?

"I will grow an average of 2.5 in (6.5 cm) per year."

The nurse has finished teaching the mother of a 5-year-old male diagnosed with bacterial conjunctivitis how to manage her son's infection at home. Which statement by the mother would indicate a need for further education?

"I will use Visine drops in his infected eye to help reduce redness."

A school nurse has completed an educational program for parents of preschool children. Which statement by a participant indicates a need for further education? "My 5-year-old son still needs me to dress and undress him." "I need to work with my 4-year-old; she should be able to cut paper with scissors on her own." "My 3-year-old is doing fine, he can hop on one foot already." "I'm glad to know that it's okay that my 5-year-old is learning to skate."

"My 5-year-old son still needs me to dress and undress him."

The nurse is caring for an 18-month-old child who has had surgery. The medical record indicates the child weighs 23 pounds (10.45 kg). When monitoring his urinary output the nurse is aware that normal hourly output should be what value?

10 mL/hr

After the nurse provides education to new parents about appropriate sleeping habits for infants, which statement by a parent would indicate to the nurse that teaching needs to reoccur? "I will place my infant on the back to sleep every night." "I have a crib in my room so that I can breastfeed my baby." "My husband gave the baby a special bear that I will place in the crib." "By keeping the room at a neutral temperature, I do not have to use blankets."

"My husband gave the baby a special bear that I will place in the crib."

The nurse comes into an infant's room on the pediatric floor. The nurse wants to try to feed the infant for the first time since her surgery. How does the nurse know what state the infant is in by what the mother says, and that it's fine to try and feed the infant? "She has been a chatterbox and smiles just like her brother." "She is so quiet today; that is not like her." "She has been crying every time someone picks her up." "She is still sleeping; I guess she is worn out."

"She has been a chatterbox and smiles just like her brother."

A child having tympanostomy tubes placed asks, "How and when will the tubes be removed?" What is the nurse's best response?

"The tubes remain in place for 6 to 12 months until they come out by themselves."

Parents of a preschooler tell the nurse that their child often refuses to go to sleep at night. Which suggestion by the nurse would be helpful? Select all that apply. "Try using a night light in the child's room." "Set up some familiar bedtime rituals for your child." "Keep the door closed and the lights off so that your child can fall asleep faster." "Avoid having your child watch frightening shows on TV before bedtime." "Try reading a favorite story before bedtime."

"Try using a night light in the child's room." "Set up some familiar bedtime rituals for your child." "Avoid having your child watch frightening shows on TV before bedtime." "Try reading a favorite story before bedtime."

the need to perform a hearing screening on the child within the next few months. The child's mother reports she has not noticed any deficits and does not see the need for this being done. Which response by the nurse is indicated? "Since you do not see any issues we can wait to test at a later time." "Unfortunately hearing losses in infants are common and it is best to check hearing before your child is 6 months old to rule out problems." "Hearing deficits related to neurological problems are often not noticeable by parental observations." "Hearing loss related to sensory concerns are often not noticeable by parental observations."

"Unfortunately hearing losses in infants are common and it is best to check hearing before your child is 6 months old to rule out problems."

The nurse is teaching the parents of a 2-year-old child how to handle the child's temper tantrums. The nurse determines that the teaching was successful if the parents make which statement? "We will offer our child a treat to stop having the tantrum." "We will place our child in time-out for 5 minutes after the tantrum." "We will attempt to reason with our child to limit tantrums." "We will ignore our child while having the tantrum."

"We will ignore our child while having the tantrum."

A nurse is interviewing a parent regarding the 2-year-old child's recent illness. The nurse would like the parent to elaborate about any symptoms of the illness noticed. Which would be the mosteffective question for the nurse to ask the parent in this situation?

"What symptoms has your child exhibited?"

The father of a 2-year-old girl tells the nurse that he and his wife would like to begin toilet training their daughter soon. He asks when the right time is to begin this process. What should the nurse say in response? "When she starts tugging on a wet or dirty diaper, she is letting you know she's ready." "She's well past the age to begin toilet training; most children are ready by age 1, when they have developed the needed nervous system control." "The best time to start toilet training is as soon as the child begins walking." "It is best to wait a little longer, until she is 3; only then will she be socially developed enough to understand what you are asking her to do."

"When she starts tugging on a wet or dirty diaper, she is letting you know she's ready."

During the first visit to the pediatrician's practice the nurse is performing an admission interview and assessment of a 4-week-old infant. The mother states, "I am sure my baby girl knows my smell because she is much more settled in my arms rather than my mother's arms when she is upset." What is an appropriate response by the nurse? "Babies really can't tell the difference between people at that age." "Maybe she just knows your voice better than your mother's." "You may be right, since infants can sense their mother's smell as early as 7 days old." "I'm not sure a 4-week-old infant can tell their mother from another woman's smell."

"You may be right, since infants can sense their mother's smell as early as 7 days old."

A mother asks the nurse where the microwave is so that she can warm up breast milk to feed her baby. What is the best response by the nurse? "Make sure that you test the milk on your wrist before feeding." "You should warm the milk under warm water instead." "Breast milk can be given cold, so there is no need to heat it." "You should only give fresh breast milk to an infant."

"You should warm the milk under warm water instead."

A mother of a toddler asks the nurse, "How will I know that my daughter is ready for toilet training?" Which response by the nurse would be most appropriate? "Most children are ready for toilet training by the time they are 18 months old." "You'll probably notice that your daughter is uncomfortable in wet diapers." "Don't worry, your daughter will probably give you very definite signals." "Your daughter can understand holding urine and stool by about 1 year of age."

"You'll probably notice that your daughter is uncomfortable in wet diapers."

The student nurse is caring for a child who weighs 48 pounds and is 38 inches tall. Which is the child's body mass index (BMI)?

23 Explanation: The formula used to calculate the English version:(Weight in pounds X 703) ÷ (height in inches X height in inches). The correct calculation equals 23.

The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was 20 inches (50.8 cm) long, which measurements reflecting height/weight would the nurse expect to document for this visit?

24 pounds (10.8 kg) and 30 inches (75 cm)

A nurse realizes the importance of nutritional assessment during the health history. When doing so, the nurse must assess the quality as well as quantity of food eaten. The best way to assess food intake is to do a:

24-hour recall.

The rash in roseola is pruritic. Which measure would you teach the parent to provide comfort?

Apply cool compresses to the skin to stop local itching.

The 12-year-old child has developed a stye. Which may be included in the child's care?

Apply hot, moist compresses to the affected area.

The nurse is obtaining the health history for a 9-year-old child who has been brought to the ambulatory care clinic with reports of a backache. Which initial action by the nurse is most appropriate?

Ask the child when the pain started.

A nurse is explaining to a parent about avoiding the use of aspirin for pain relief for flu-like symptoms. Which rationale does the nurse provide?

Aspirin with the flu can lead to Reye syndrome.

The nurse is preparing to assess the respiratory rate of a crying 15-month-old boy. To get the most accurate assessment, what approach should the nurse take?

Count after the child stops crying and is comfortable.

The nurse is preparing to administer a diphtheria, tetanus and pertussis vaccine to a 3-year-old child. Which version of the formulation of the vaccine should be administered?

DTaP

The charge nurse observes a new graduate nurse assess the cremasteric reflex in an 8-month-old boy. The new graduate nurse strokes the lateral aspect of the thigh. Which action should the charge nurse take?

Demonstrate the appropriate technique.

A 5-year-old child has been admitted to the hospital and is going to have an IV started in the procedure room. Which instructions will be most helpful for the child and the parent?

Have the parent sing softly to the child during the procedure.

The nurse is conducting a well-child exam of a 4-year-old boy. Which statement would alert the nurse that the child is at risk for iron deficiency? "He loves milk and drinks it every time he is thirsty." "He eats a well-balanced diet." "He enjoys eggs and fortified cereal for breakfast." "He does not like spinach, but he does like chicken and beef."

He loves milk and drinks it every time he is thirsty." Excess milk drinking may lead to iron deficiency since the calcium in milk blocks iron absorption.

A nurse is taking a health history on a new family at the pediatric clinic. Which information is the priority information to gather for a complete history database?

Immunization record

A nursing instructor has presented a class on the stages of an infectious disease to a group of students and asks the students to place the stages in their proper sequence from beginning to end. Place the stages in their proper sequence.

Incubation Prodrome Illness Convalescence

The parent of a 3-month-old infant is concerned because the infant does not yet sit by oneself. Which statement best reflects average sitting ability?

Most infants do not sit steadily until 8 months; this infant is normal.

The nurse is conducting a physical examination of a healthy 6-year-old. Which action should the nurse do first? Observe the skin for its overall color and characteristics. Tap with the knee with a reflex hammer to check for deep tendon reflexes. Palpate the skin for texture and hydration status. Auscultate the heart, lungs, and the abdomen.

Observe the skin for its overall color and characteristics.

Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels (fontanelles), what should the nurse expect to find?

Place the tape measure around the head just above the eyebrows.

A mother and her 4-week-old infant have arrived for a health maintenance visit. Which activity will the nurse perform? Assess the child for an upper respiratory infection. Take a health history for a minor injury. Administer a varicella injection. Plot the child's head circumference on a growth chart.

Plot the child's head circumference on a growth chart.

The nurse is assessing the growth of a premature neonate. What would be the appropriate action by the nurse to complete this assessment?

Plot the neonate's weight, height, and length on a growth chart.

The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in?

Pretending to be mommies and daddies in the playhouse

A 6-year-old child is brought to the clinic by his parents. The parents state, "He had a sore throat for a couple of days and now his temperature is over 102°F (38.9°C). He has this rash on his face and chest that looks like sunburn but feels really rough." What would the nurse suspect?

Scarlet favor

Before administering an immunization to their child, the nurse asks parents to take which priority action? Reassure the child. Sign a consent form. Provide the child's immunization record. Assist in restraining the child.

Sign a consent form.

The nurse is caring for a 13-year-old girl. As part of a routine health assessment the nurse needs to address areas relating to sexuality and substance use. Which statement or question should the nurse say first to encourage communication?

Tell me about some of your current activities at school.

Which gross motor skill would the 4-year-old child have most recently attained?

The child can hop on one foot.

The nurse is performing a physical assessment for an 8-year-old child with an earache. Which sign or symptom indicates external otitis (acute otitis externa or swimmer's ear)?

The child cries out when the ear is grasped.

The nurse has taken a health history and performed a physical exam for a 12-year-old boy. Which finding is the most likely? The child's body fat has decreased since last year. The child has different diet preferences than his parents. The child has a leaner body mass than a girl at this age. The child described a somewhat reduced appetite.

The child has a leaner body mass than a girl at this age.

During the health history of a 2-month-old infant, the nurse identified a risk factor for developmental delay and is preparing to screen the child's development. Which risk might the nurse have found? The child had neonatal conjunctivitis. The parents are both in college. The child was born at 36 weeks. The child has small eyes and chin.

The child has small eyes and chin.

The nurse in a community clinic is assessing a 2-month-old infant. The parent asks if the infant is developing normally. The nurse refers to which finding as suggestive of normal development in infants from birth to 2 months of age? The infant transfers objects from one hand to the other. The infant stays seated in the tripod position. The infant raises head and chest while on stomach. The infant laughs aloud and responds to name.

The infant raises head and chest while on stomach.

When testing the deep tendon reflexes of a child, a four-point grading scale is used. What would a 1+ result mean for a reflex tested?

The reflex is diminished.

When assessing symptoms such as rashes, pain, or lesions, what would be included in the location factor of the symptom?

localized or generalized

The mother of a 1-month-old infant voices concern about her baby's respirations. She states they are rapid and irregular. Which information should the nurse provide?

The respirations of a 1-month-old infant are normally irregular and periodically pause.

The nurse has just taken the blood pressure of a 13-year-old, and the percentile rank is 88%. Why would the nurse categorize the child as prehypertensive? The teenager's blood pressure was 122/83. The teenager was born at 33 weeks' gestation. The teen gets no regular exercise. The teenager eats a high-fat diet.

The teenager's blood pressure was 122/83. A blood pressure greater than 120/80 is categorized as prehypertensive regardless of the percentile

The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes repeatedly during the night. Which parent comment might reveal a cause for the night waking? They sing to her before she goes to sleep. They put her to bed when she falls asleep. If she is safe, they lie her down and leave. The child has a regular, scheduled bedtime.

They put her to bed when she falls asleep.

The community health nurse is providing a class to a group of adolescents training to become "safe babysitters." When discussing activities that are appropriate for 3-year-old children, which should be included? Select all that apply. Skipping Skating with roller skates Walking up stairs using alternate feet Running outside and tagging an item Somersaults on safe surface

Walking up stairs using alternate feet Running outside and tagging an item

The nurse is conducting a support group for parents of 9- and 10-year-olds. The parents express concern about the amount of time their children want to spend with friends outside the home. What should the nurse teach the parents that peer groups provide?

a sense of security as children gain independence

A newborn requires skin care that includes bathing. Besides hygiene, what is another reason for bathing the newborn? Bathing can prevent infection. Bathing is a great time to apply lotion. Bathing is a time for bonding with the parents. Bathing helps moisten the skin.

bonding time

A 6-month-old has fanning of the toes and dorsiflexion of the big toe seen on physical exam. Based on this finding the nurse should:

document as a normal finding.

A type of play seen in preschool children encourages children to act out troubling situations, such as one that might occur in the hospitalized child who must undergo an upsetting procedure. This type of play is referred to as:

dramatic play

The nurse is teaching the family of a 6-year-old boy with allergic conjunctivitis how to minimize his exposure to allergens. What action would the nurse anticipate as being most difficult for the family to implement?

encouraging the child to keep his hands away from his eyes

The nurse is assessing the oral cavity of a 6-month-old child. When palpating the location in which the first primary teeth erupt, which location is being assessed?

lower central gemlike

During the physical examination, the nurse notes a positive Kernig and Brudzinski sign. The nurse interprets these findings to suggest which condition?

meningeal irritation

A 15-year-old boy visits his primary care physician's office with fever, headache, and malaise, along with complaints of pain on chewing and pain in the jawline just in front of the ear lobe. The boy asks his mother to leave the exam room for a minute and then tells the nurse that he is also experiencing testicular pain and swelling. The nurse recognizes that this client most likely has which condition?

mumps

A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which infectious disease?

mumps

The vision impairment in which the child can see objects at close range but not at a distance is known as:

myopia

A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the parents to be alert for signs and symptoms of:

scarlet fever

Which milestone would the nurse expect an infant to accomplish by 8 months of age? Sitting without support Creeping on all fours Pulling self to a standing position Being able to sit from a standing position

sitting without support

The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes pustule?

small elevation of epidermis filled with a viscous fluid

The nurse is examining the genitals of a healthy newborn girl. The nurse should observe which normal finding?

swollen labia minora

The nurse is educating the parents of a 5-year-old girl with infectious conjunctivitis about the disorder. Which information is most important to provide to prevent the spread of the disorder?

washing hands frequently

The nurse is assessing an infant at the 6-month well-baby check-up. The nurse notes that at birth the baby weighed 8 lb (3600 g) and was 20 in (50.8 cm) in length. Which finding is consistent with the normal infant growth and development? weight of 14 lb (6400 g) and length of 24 in (61.0 cm) weight of 16 lb (7300 g) and length of 26 in (66.0 cm) weight of 18 lb (8200 g) and length of 28 in (71.1 cm) weight of 20 lb (9100 g) and length of 30 in (76.2 cm)

weight of 16 lb (7300 g) and length of 26 in (66.0 cm)

The nurse is teaching a group of novice nurses how to assess bowel sounds. Which statement will the nurse include in the education?

"You should auscultate all four quadrants for a full minute each."

The mother of a newborn reports she does not think her baby likes his formula since he spits up after only taking a small amount. Which response by the nurse is most appropriate?

"Your baby's stomach is small and can only hold about 0.5 to 1 oz at birth."

A school-aged child is recovering from varicella. The parent calls the school nurse and states, "my child is feeling much better" and asks when the child can return to school. What information does the nurse provide the parent?

"Your child may return to school when all of the lesions have crusted over."

The parents of a 2 year old are concerned because the toddler only says a few words. What strategies should the nurse suggest to the parents? Select all that apply. Read books aloud to the toddler. Name aloud the objects being played with. Always answer questions using correct grammar. Have the toddler watch educational television. Use pronouns when speaking. Use baby talk when speaking.

- Read books aloud to the toddler. - Name aloud the objects being played with. - Always answer questions using correct grammar.

Which is the best way for parents to aid a toddler in achieving the developmental task? Urge the toddler to dress oneself completely alone Give the toddler small household chores to do Help the toddler learn to count Allow the toddler to make simple decisions

Allow the toddler to make simple decisions

A 9-month-old has been brought to the clinic for a well-child visit. The mother reports her son was born 6 weeks prematurely. During the data collection, the child's mother reports her son seems to be a few months "behind" what she recalls from her older children. What is the best response by the nurse?

"Delays are normal when a child is premature."

The parents of an 8-month-old boy voice concern to the nurse that their child is not developing motor skills as he should. What question would be appropriate for the nurse to ask in determining if their fears are warranted? "Does he move a toy back and forth from one hand to the other when you give it to him?" "Does he place toys into a box or container and take them out?" "Is he able to drink with a cup by himself?" "Is he able to hold a pencil and scribble on paper?"

"Does he move a toy back and forth from one hand to the other when you give it to him?"

The parents of a 4-month-old diagnosed with sepsis tell the nurse that the physician explained sepsis to them but they don't really understand it. The parents state, "Could you please explain it to us?" What is the best response by the nurse?

"The infection your child has causes the release of toxins into the system, which can lead to impaired function in the lungs, liver, and kidneys."

The parent of a child having tympanoplasty tubes placed asks, "Will my child lose hearing while the tubes are in place?" What is the nurse's best answer?

"The tubes are inserted into a section of eardrum in which the hearing is not affected."

The nurse is caring for several pediatric clients on the surgical unit. Which client(s) would the nurse consider a candidate for using patient-controlled analgesia (PCA)? Select all that apply. A 4-year-old child who is age appropriate with growth and development A 10-year old child with a learning disorder and difficulty with communication An 8-year-old child who is currently in the care of a foster family A 12-year-old child with an inborn error of metabolism resulting in developmental delays A 7-year-old child under the custody of the grandparent as medical guardianship

An 8-year-old child who is currently in the care of a foster family A 7-year-old child under the custody of the grandparent as medical guardianship

The nurse is caring for children on a postoperative unit. Which nursing action promotes the mostefficient pain control?

Anticipate when pain will occur and plan interventions to prevent it.

The nurse is completing an infant history on a 5-month-old and documents the following symptoms. Which will the nurse attribute to teething? Select all that apply. Drooling and biting Increased sucking on hands Irritability and awakening from sleep Refusing to eat Fever and diarrhea

Drooling and biting Increased sucking on hands Irritability and awakening from sleep Refusing to eat

When auscultating bowel sounds, which of the following frequencies would the nurse identify as normal?

Five to 10 per minute

The nurse is providing postsurgical care for a 4-year-old boy following hernia repair. Before surgery, the nurse taught the child to use the poker chip tool to rate his pain. When assessing the child's postsurgical pain, the boy refuses to touch the chips and clings to his mother. How should the nurse respond?

Give the mother the FACES pain rating scale to use with her son.

The nurse is caring for a child who has conductive hearing loss. What is true regarding this type of hearing loss?

It is caused by chronic otitis media or another infection.

A child returns to the clinic after an episode of external otitis (acute otitis externa or swimmer's ear) that has resolved. What would the nurse emphasize as the priority for preventing future episodes?

Keeping ear canals dry

A group of students are reviewing the various causes of bacterial conjunctivitis in children. The students demonstrate understanding of this condition when they identify what as the most common cause?

Staphylococcus aureus

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 toddler walks with a wide, swaying gait. The child often removes her shoes and socks.

The child hides behind her bedroom door when defecating.

The nurse is caring for a 2-year-old child who has been hospitalized after being injured in an automobile accident. During the assessment the child is quiet and watchful of all the nurse's actions. When considering the level of pain being experienced by the child what inference can be made?

The child's nonverbal behaviors may indicate the presence of discomfort.

A parent of a newborn asks the nurse if there is any way to prevent acute otitis media. What would the nurse state to the parent?

The frequency of otitis media is reduced in breastfed infants.

What is a true statement regarding measles? It is transmitted by the fecal-oral route. It is not contagious. The incubation period is 10 to 12 days. Peak outbreaks are in the summer.

The incubation period is 10 to 12 days.

The nurse is completing an assessment on a 2-year-old child. The nurse notes the presence of a raised reddish purple spot on the back of the child's neck. Which statement about this finding is correct?

These lesions will normally fade as the child ages.

Parents and their nearly 3-year-old child have returned to the clinic for a follow-up appointment. Which of the findings may signal a speech delay?

Uses two-word sentences or phrases Explanation: A child nearly 3 years of age should speak in three- to four-word sentences. The other findings indicate normal expressive language for the age.

The nurse is assessing a 6-year-old child. The nurse instructs the child, "Let me see all of your pretty white teeth." Which cranial nerve is the nurse assessing?

VII

The nurse is caring for a variety of pediatric clients in the community health clinic. Which client is the nurse most concerned with being at risk for iron-deficiency anemia? a 2-month-old infant who breastfeeds a 7-month-old with supplemental breast feeding a 7-year-old active in competitive sports and activities a 16-year-old, pregnant for the first time and lives with her parents

a 16-year-old, pregnant for the first time and lives with her parents

A mother of a 9-month-old 18-pound (8.2 kg) infant asks the nurse about choosing the best car seat. What should the nurse recommend?

a rear-facing 5-point harness restraint

A 7-year-old boy tells the nurse that his head sometimes hurts after he eats ice cream. The nurse recognizes that this type of pain is:

acute referred pain

The nurse is teaching a group of parents about eyes and eye concerns. The nurse tells these caregivers about a condition that occurs when unequal curvatures in the cornea bend the light rays in different directions and this causes images to be blurred. The condition the nurse is referring to is:

astigmatism

The nurse is providing education to the woman about foods commonly associated with allergies in infants and young children. What items should be included in this list? Select all that apply. cow's milk peanut butter egg substitutes soy products strawberries

cows milk peanut butter strawberries

The nurse is providing immediate postoperative care for a 3-month-old who had a cataract removed. Which intervention would be the priority?

ensuring the protective eye patch is securely in place

A group of nursing students are reviewing the functions of white blood cells. The students demonstrate an understanding of the information when they identify which white blood cell as responsible for combating allergic disorders?

eosinophils

A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the extremities. The parent informs the nurse that the rash started a day before on the exterior surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The health care provider diagnoses the child with erythema infectiosum. The nurse tells the parent that this is also known as:

fifths disease

The parents of a 2-year-old girl are concerned with her behavior. For which behavior would the nurse share their concern? refuses to share toys with her sister frequently babbles to herself when playing likes to change toys frequently plays by herself even when other children are present

frequently babbles to herself when playing

When doing a health assessment on a child, the nurse should include a physical assessment. What should the nurse assess first when performing the physical assessment?

respirations

The nurse is educating the mother of a newborn about feeding practices. The nurse correctly advises the mother that: the best feeding schedule offers food every 4 to 6 hours. most newborns need to eat about 4 times per day. the newborn's stomach can hold between 0.5 oz and 1 oz. demand scheduled feeding is associated with increased difficulty getting the baby to sleep through the night.

the newborn's stomach can hold between 0.5 oz and 1 oz.