Peds Test 1: Review

b. rooting c. stepping d. sucking

Which reflexes are usually present at 3 months of age? Select all that apply. a. Tonic neck b. Rooting c. Stepping d. Sucking

D. Establish a reward system for positive behavior

A nurse in a special education program is planning care for a child who has autistic disorder. Which of the following interventions is appropriate to include in the plan of care? A. Allow for adjustment of rules to correlate with the child's behavior. B. Provide a flexible schedule to adjust to the child's interests. C. Allow for imaginative play with peers without supervision. D. Establish a reward system for positive behavior

a. posterior fontanel is closed

A nurse in a well-child clinic is assessing a 6-month-old infant. Which of the following assessments should the nurse expect to make? 2. A. Posterior fontanel is closed. B. Infant's birth weight is tripled. C. Upper and lower central incisors are present. D. Infant sits well without support.

A. Arrange a teacher to provide lesson plans

A nurse is caring for a 10-year-old child who will need to be hospitalized for an extended period of time. Which of the following actions should the nurse include in the nursing care plan to meet the client's psychosocial needs according to Erikson? A. Arrange for a teacher to provide lesson plans. B. Allow the client to select his own food off the menu. C. Encourage visits from the client's friends. D. Provide a daily session with a play therapist

A. Large building blocks

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse suggest in order to meet the developmental needs of the client? A. Large building blocks B. Hanging crib toys C. Modeling clay D. Crayons and a coloring book

c. the child's weight has doubled since birth

A 12-month-old child presents for a checkup. Which assessment finding should the nurse highlight for the PCP? a. The child has six teeth b. The child takes two naps per day c. The child's weight has doubled since birth d. The child's respiratory rate is 23

a. "When giving my child a bath, she can tell me if the water is too hot."

A 3-year-old child is admitted with burns on her face and torso. As the nurse provides education regarding safety, which statement from the parents indicates a need for further teaching? a. "When giving my child a bath, she can tell me if the water is too hot." b. "Can you suggest a store where I can buy gates to keep my child away from the stove?" c. "I prefer sunscreens made especially for children. I think they are gentler on her skin." d. "I always make sure to use and store my curling iron away from my child."

C. Provide home bedtime rituals

A Nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to help promote sleep? a. explain cause of fears b. turn off the room light c. provide home bedtime rituals d. encourage play exercises in the evening

c. recover tooth and rinse in clean water

A child just had a tooth knocked out during a baseball game. Which action should be taken first? a. Place tooth in milk b. Visit dentist c. Recover tooth and rinse in clean water d. Panic

b. theory of mind

A mother brings her 5-year-old child in for a checkup. She confides in the nurse that her child has started to lie to her. She is concerned because this is a new behavior, and she doesn't want it to become a habit. The nurse's best response is based on which concept? a. Concrete operations b. Theory of mind c. Kohlberg's stages of moral development d. Egocentrism

C. Give her acetaminophen, not aspirin

A nurse at the pediatric hotline receives a call from a mother who plans to administer aspirin (St. Joseph Children's) to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response? A. "You'll have to call your physician." B. "Give her no more than three baby aspirin every four hours." C. "Give her acetaminophen, not aspirin." D. "Follow directions on the aspirin bottle for her age and weight."

E. Trust vs. mistrust A. Autonomy vs. shame and doubt D. Initiative vs. guilt B. Industry vs. inferiority C. Identity vs. role confusion

A nurse has accepted a position on a pediatric unit and is learning more about psychosocial development. Place Erikson's stages of psychosocial development in order from birth through age 18 yrs. A. Autonomy vs. shame and doubt B. Industry vs. inferiority C. Identity vs. role confusion D. Initiative vs. guilt E. Trust vs. mistrust

C. Accidents

A nurse is providing health promotion teaching to the parents of a toddler. Which of the following is the leading cause of death among this age group? A. Congenital anomalies B. Heart disease C. Accidents D. Cancer

A. unable to raise head when in prone position

A nurse is assessing a 3 month old. Which of the following findings should be reported to the provider? A. Unable to raise head when in prone position B. Unable to sit without support C. Unable to pick up an object with his fingers D. Unable to bring an object to mouth

D. Negative behaviors characterized by the need for autonomy

A nurse is assessing the psychosocial development of a toddler. The nurse is aware that this stage is characterized by which of the following? A. Imaginary playmates B. Erikson's stage of initiative versus guilt C. Demonstrations of sexual curiosity D. Negative behaviors characterized by the need for autonomy

a. communicability period

A nurse is attending a continuing education course about communicable diseases. During which of the following stages is a disease contagious? A. Communicability period B. Convalescent period C. Incubation period D. Prodromal period

C. Increase in size of testes E. appearance of pubic hair A. Rapid growth of genitalia F. Growth of axillary hair D. Downy facial hair B. Deepening of voice

A nurse is caring for a 12-year-old male and reviewing sexual developmental stages. (Move the stages of male A. Rapid growth of genitalia B. Deepening of voice C. Increase in size of testes D. Downy facial hair E. appearance of pubic hair F. Growth of axillary hair

B. Whooping cough

A nurse is caring for a child diagnosed with pertussis. The nurse should respond with which of the following when asked by the parent what the common name for this disorder is? A. Chickenpox B. Whooping cough C. Mumps D. Fifth disease

a. congenital anomalies

A nurse is providing health promotion teaching to the parents of an infant. Which of the following is the leading cause of death among this age group? A. Congenital anomalies B. Respiratory distress C. Unintentional injuries D. Sudden infant death syndrome

B. toy hammer and pounding board

A nurse is caring for a hospitalized 2-year-old child who throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to help alleviate the child's stress? A. Set of building blocks B. Toy hammer and pounding board C. Picture book about hospitals D. Stuffed animal

C. Tell the parents about the reaction of the toddler while they were gone.

A nurse is caring for a toddler who is experiencing separation anxiety. Which of the following is an appropriate action for the nurse to take? A. Explain to the toddler that her parents will return in one hour. B. Assist the parents to sneak out of the toddler's room. C. Tell the parents about the reaction of the toddler while they were gone. D. Leave the toddler alone for five minutes to cry it out.

D. Active psychiatric disorder

A nurse is collecting data from an adolescent client. Which of the following represents the greatest risk for suicide? a. availability of firearms b. family conflict c. homosexuality d. active psychiatric disorder

A. 3 years

A nurse is collecting data on a child who is descending stairs by placing both feet on each step while holding on to the railing. This is developmentally appropriate at which of the following ages? A. 3 years B. 4 years C. 5 years D. 6 years

b. 6 months

A nurse is collecting data on an infant at a well-child check-up. By which of the following ages is the birth weight typically doubled? A. 3 months B. 6 months C. 9 months D. 12 months

b. draws faces c. catches a ball

Which of the following skills would you expect from a 4-year-old? Select all that apply. a. Skips on alternating feet b. Draws faces c. Catches a ball d. Ties shoes

c. accidents

A nurse is providing health promotion teaching to an adolescent. Which of the following is the leading cause of death among this age group? A. Suicide. B. Homicide C. Accidents Ration D. Cancer

a. maintaining consistency

A nurse is teaching parents about discipline for the school-age child. Which concept is most important? a. Maintaining consistency b. Use of physical punishment c. Use of logical explanations when discussing rules d. Involving the child in designing consequences

c. Initiative vs. Guilt

A preschool age child copies circles, stacks 9-10 cubes, and dresses himself without assistance. Which of Erickson's psychosocial stages should the child be experiencing? a. Trust vs. mistrust b. Autonomy vs. shame and doubt c. Initiative vs. guilt d. Industry vs. inferiority

b. centration

A preschool-aged child tried peas with dinner and disliked them, and now he refuses to eat anything green. What is this an example of? a. Animism b. Centration c. Magical thinking d. Egocentrism

c. "My daughter and her classmates should all have the same physical abilities."

A school-age girl is at the PCP for a check-up. Which statement from the mother alerts the nurse to the need for more education? a. "My daughter will grow about 2 inches per year." b. "Positive reinforcement discipline is more useful than punishment." c. "My daughter and her classmates should all have the same physical abilities." d. "I can expect my daughter to start asking me questions about life, sexuality, and spirituality."

b. classification

A school-aged child is organizing all of the flowers she just picked into different groups. She is demonstrating: a. Identity b. Classification c. Reversibility d. Centration

c. "You're doing a great job!"

An educator is testing a 4-year-old child for kindergarten readiness. The child is doing well. Which statement is most useful for praising the child? a. "You're on fire!" b. "You're knocking them dead!" c. "You're doing a great job!" d. "You're doing better than any of the other kids!"

c. 3 years

At what age do children normally engage in parallel play? a. 12 months b. 18 months c. 3 years d. 5 years

a. sit while leaning forward c. bear full weight on feet

Which of the following skills would you expect from a 7-month-old? Select all that apply. a. Sit while leaning forward on arms b. Place objects into a container and remove c. Bear full weight on feet d. Use pincer grasp to pick up small items

b. "The doctor is going to make your tummy feel better."

The nurse is preparing a 3-year-old child for surgery. Which approach is best? a. "The doctor will be cutting into your tummy to remove your appendix." b. "The doctor is going to make your tummy feel better." c. "Don't worry - it won't hurt at all." d. "Here. Watch this video on the computer."

B. Ignore the temper tantrums

The parent of a toddler asks a nurse at a well-child clinic how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent? A. Restrain the child physically. B. Ignore the temper tantrums. C. Tell the child that temper tantrums are not acceptable. D. Distract the child by offering to play a game.

A. "This opens the ear canal, allowing medication to reach the inner ear region."

When administering ear drops to a toddler, the nurse pulls the auricle down and back. The mother asks, "Why are you pulling the ear that way?" Which of the following is an appropriate response by the nurse? a. "This opens the ear canal, allowing medication to reach the inner ear region." b. "When this technique is used, the toddler experiences less pain." c. "This is the safest and easiest way to administer this medication." d. "When this technique is used, the medication will not run out of the ear."

a. classification b. identity c. reciprocity

Which of the following concepts are part of Piaget's concrete operations? Select all that apply. a. Classification b. Identity c. Reliability d. Reciprocity

a. kick a ball c. climb steps with two feet on each step d. throw a ball

Which of the following skills would you expect from a 2-year-old? Select all that apply. a. Kick a ball b. Stand on one foot c. Climb steps with two feet on each step d. Throw a ball e. Jump forward or back

a. "Breast-fed infants are at a higher risk for ear infections."

Which remark from a new mother shows that she needs more teaching about breast feeding? a. "Breast-fed infants are at a higher risk for ear infections." b. "Breast feeding decreases the risk of constipation for my baby." c. "Breast milk contains antibodies not found in formula." d. "It may take a few weeks for me and my baby to get used to breast feeding."

b. the child should be able to ride a tricycle

Which statement regarding developmental milestones is true for a 3-year-old child? a. The child should be able to balance on one foot for two minutes. b. The child should be able to ride a tricycle. c. The child should be able to tie his or her own shoes. d. The child should be able to read.

b. Animism

While being examined by the nurse, a 5-year-old boy is talking to his teddy bear, asking it if the nurse's demonstration of a procedure hurts. Which form of cognitive development should the nurse recognize? a. Magical Thinking b. Animism c. Transductive reasoning d. Centration