Quiz 2 Davis Advantage
The mother of a toddler asks the nurse when she should begin potty training her son. What is the best response from the nurse? "Toilet training should be done between 2 and 3 years of age." "Children typically show signs of readiness to potty train between the ages of 2 and 3." "Choose a time that is convenient for you." "Try some time on the toilet and be persistent if the child shows resistance."
"Children typically show signs of readiness to potty train between the ages of 2 and 3."
The nurse is teaching parents about child abuse. What statement indicates that the parents need more education? "We will use a car seat each time we take the infant out." "I cannot get out of bed every time the infant cries during the night." "My mother is the best babysitter we have today." "I know we need to get a babysitter when we leave the house."
"I cannot get out of bed every time the infant cries during the night."
A nurse has completed a class on safety for parents of preschoolers. Which parent statement requires follow-up from the nurse? "I will check the temperature setting on our water heater when we return home." "I will ask my partner to check the smoke detectors and change the batteries." "I will be getting my sister's old crib so that the baby does not have to sleep with us anymore." "I will have my car seat checked at the motor vehicle agency to make sure it is installed correctly."
"I will be getting my sister's old crib so that the baby does not have to sleep with us anymore."
A 3-year-old who is hospitalized following surgery cries every time his mother leaves the room. The mother expresses concern, as this is not normal behavior at home. Which is the most appropriate response from the nurse? "This is normal behavior for toddlers who are hospitalized." "This is separation anxiety and typically disappears by 9 months. Possibly the child is showing signs of pain." "This crying will cause unnecessary stress during recovery, so you will need to stay with the child unless they are asleep." "Perhaps the child is getting spoiled from all of the attention you provided right after surgery."
"This is normal behavior for toddlers who are hospitalized."
The nurse is monitoring the newborn's respirations. What respiratory rate is most concerning for the nurse? 42 48 58 66
66 breaths per minute
The nurse asks the nursing student to provide an example of proximodistal development. Which would be an appropriate response by the student? A child is able to sit unsupported before being able to grasp objects with the fingers. An infant is able to hold the head up steadily before standing. A child learns to crawl before walking. A child is able to sit unsupported before pulling to stand.
A child is able to sit unsupported before being able to grasp objects with the fingers.
Which statement would the nurse identify as an example of emotional abuse of a child? An ill child is not allowed to be taken for care due to parents' religious objections. Parents choose not to provide a hearing aid for a school-aged child due to the stigma of wearing it. A child is alone at home after school for several hours every day. A child is left alone prior to school in the morning and is expected to take their own medications.
A child is alone at home after school for several hours every day.
Which anticipatory guideline does the nurse identify as appropriate for a preschool-aged child? A child this age will be learning to run. A child this age will be learning how to draw a circle with a pencil. A child this age will be learning dress themselves. A child this age will be learning to go up and down stairs independently.
A child this age will be learning dress themselves.
The nurse is discussing a safety plan for a family. Which is an important item to include in this plan? A meeting place outside the home in case of fire or other emergency A single door to exit in case of fire or emergency Teaching toddlers how to safely turn off the stove Making sure the child knows to turn off electronics after use
A meeting place outside the home in case of fire or other emergency
The nurse assesses developmental milestones of a 2-month-old infant. What is a normally expected developmental milestone? Doubled birth weight Able to blow bubbles Begins to drool Has coordinated eye movements
Able to blow bubbles
The nurse is performing a head-to-toe assessment on a newborn delivered vaginally 22 minutes ago. What finding is concerning, requiring immediate attention? White papules over the nose Bluish discolorations on buttocks Absent or weak suck reflex Symmetrical abduction and extension of arms and legs when startled
Absent or weak suck reflex
The nurse understands that school-age children must pay special attention to dental changes during this stage. At what age do adult teeth begin to erupt? Age 5 Age 6 Age 7 Age 8
Age 6
The nurse understands that childhood is divided into five stages. What is the age range considered to apply to school-age children? Ages 5-13 Ages 3-6 Ages 12-18 Ages 6-12
Ages 6-12
The nurse is preparing to perform a venipuncture procedure on a 20-month-old toddler. Given the child's cognitive development, how should the nurse approach this procedure? Perform the procedure as quickly as possible without explanation to minimize trauma Ask the child if it is alright to proceed Allow the child to see and feel the catheter Ask the parents to explain to the child that there is nothing to fear
Allow the child to see and feel the catheter
Which technique should the nurse use when assessing a preschooler in order to ensure child comfort and effective nursing care? Allow the child to select which finger to put the pulse oximeter on. Ask the child to sit on the examination bed. Begin with the most invasive procedure first to get it out of the way. Make sure the child is fully undressed before the examination begins.
Allow the child to select which finger to put the pulse oximeter on.
Which statement would the nurse identify as an example of medical abuse of a child? An ill child is not allowed to be taken for care due to parents' religious objections. Parents choose not to provide a hearing aid for a school-aged child due to the stigma of wearing it. A child is alone at home after school for several hours every day. A child is left alone prior to school in the morning and is expected to take their own medications.
An ill child is not allowed to be taken for care due to parents' religious objections.
The nursery nurse is familiar with prophylactic medications for newborns. Which newborn medication has a special consideration of protecting from light? Aquamephyton Erythromycin Silver nitrate Recombivax HB
Aquamephyton
A new mother asks the nurse what the expected color the infant's stool should be. What is an important question for the nurse to ask the mother? Did the infant have a meconium stool yet? Are you breastfeeding or using formula? Why are you worried about the stool? Did you see loose stool when you changed the diaper?
Are you breastfeeding or using formula?
The nurse is orienting a new graduate to the unit when she notes the new graduate weighs a 3-year-old with clothing on. What is the best action for the nurse to take? Recognize the new graduate is respecting the child's privacy and record the weight. Ask the new graduate to reweigh the child wearing only underwear or a dry diaper. Quietly reweigh the child in private so as not to embarrass the new graduate. Ask the mother what the last known weight was to compare it with the current value.
Ask the new graduate to reweigh the child wearing only underwear or a dry diaper.
Which developmental theories apply to a preschooler? Select all that apply. Autonomy vs shame and doubt Operational Anal Preconventional Preoperational
Autonomy vs shame and doubt Anal Preconventional Preoperational
Teaching a child to toilet train is most likely to occur during which psychosocial developmental stage? Trust vs mistrust Autonomy vs shame/doubt Initiative vs guilt Industry vs inferiority
Autonomy vs shame/doubt
What nursing intervention is most appropriate when caring for an infant who has just arrived on the unit after a cleft palate repair? Suctioning with a bulb syringe often to keep sutures dry Encouraging use of a pacifier to improve sucking Avoid breastfeeding Teaching that additional surgeries are not needed unless there are complications
Avoid breastfeeding
The mother of a 2-year-old asks the nurse advice on what toys are appropriate for this age. Which toy selection by the mother would be concerning for the nurse? Building blocks Tricycle Play Doh Bead stringing toys
Bead stringing toys
The nurse is seeing a school-age child in the urgent care center. The child has a fever of 104°F. The dad is worried that this high fever indicates a very serious infection. What statement by the nurse is the best to calm the dad? Don't worry, its not a big deal We will need to refer you to a hospital right away Because children's immune systems are not as refined as adults, they can run high fevers for ailments such as the common cold We'll give her some medicine and you'll be on your way
Because children's immune systems are not as refined as adults, they can run high fevers for ailments such as the common cold
The nurse is preparing to perform a physical assessment on a 3-year-old toddler. What technique should the nurse use to gain cooperation from the child? Begin with the most invasive parts of the exam to get those done quickly Use a systematic approach from head to toe to avoid missing any areas Stop if the child protests or refuses to cooperate Begin with the least invasive parts of the exam then move to most intrusive
Begin with the least invasive parts of the exam then move to most intrusive
When assessing a toddler or preschooler, the nurse should keep in mind that children will respond to which of the following measures? Being allowed to touch equipment before the nurse uses it. Standing upright over the child to demonstrate authority. Asking the mother to step out of the room for privacy. Ignoring questions or comments that may be distracting.
Being allowed to touch equipment before the nurse uses it.
A mother is considering potty-training her twin boy and girl children. Which of the following statements should the nurse include in determining readiness? Select all that apply. Both children wear a diaper only at bedtime but stay dry during naps. Boys are able to stand while voiding. Girls should consistently wipe back to front after voiding. Both children should have regular bowel movements. Both children are able to pull pants up and down on their own.
Both children should have regular bowel movements. Both children are able to pull pants up and down on their own.
During a well-child visit, the nurse would ask about which developmental milestones in a 13-month-old toddler? Select all that apply. Can your child walk or take a few steps on their own? Does your child experience separation anxiety? Is your child able to dress themselves? Which words does your child say? Can your child throw a ball?
Can your child walk or take a few steps on their own? Does your child experience separation anxiety? Which words does your child say?
The nurse is caring for a newborn infant. When teaching the mother about physical development, the nurse explains that infants can control their head and neck before they can control their arms and legs. This type of development is referred to as:
Cephalocaudal
The nurse is teaching the parents of a 9-year-old about the appropriate levels of exercise for this age group. What should the nurse include in this teaching? Children this age should get at least 30 mins of physical activity per day Children this age should get at least 60 mins of physical activity per day Children this age should get at least 2 hours of physical activity per day It doesn't matter how much exercise the child gets, as long as they are eating healthy
Children this age should get at least 60 mins of physical activity per day
The nurse is explaining hyperbilirubinemia interventions to a mother who is having difficulty breastfeeding her infant. What intervention can the nurse try with the mother? Supplement the infant's feedings with glucose water. Consult a lactation specialist. Encourage the mother to use formula. Support the use of daily formula feedings and breast milk at night.
Consult a lactation specialist.
The nurse is starting phototherapy with an infant with hyperbilirubinemia. Which nursing intervention would be appropriate to include with the start of therapy? Discourage breastfeeding. Cover the infant's eyes with eye patches during therapy. Place the infant in a blanket under the light for warmth. Allow the parents to hold the infant to promote bonding throughout the day.
Cover the infant's eyes with eye patches during therapy.
The nurse is assessing pain with an infant. What is a common category with pain scales used with infants? Cry Blood pressure Pupil size Heart rate
Cry
A 2.5-year-old child does not search for an object when it is removed from the field of vision. The nurse correctly interprets this finding as: Normal cognitive development Delayed cognitive development Delayed psychosocial development Normal psychosocial development
Delayed cognitive development
A 4-year-old is exhibiting signs of anxiety due to an upcoming invasive procedure. Which is the appropriate action by the nurse to alleviate anxiety and improve compliance for this child? Explain the procedure in concrete terminology and allow the child to ask questions. Demonstrate the procedure on a doll and allow the child to manipulate the equipment. Reassure the child that there is no reason to be fearful. Explain to parents that this is normal and to ignore the behavior so that it does not become reinforced.
Demonstrate the procedure on a doll and allow the child to manipulate the equipment.
Which of the following findings are normal in a newborn? Select all that apply. Diamond-shaped anterior fontanel Fontanels are bulging Sunken fontanels are common at rest Slight pulsations in fontanels may be felt Molding of head may cause edema and bleeding
Diamond-shaped anterior fontanel Slight pulsations in fontanels may be felt
Which term does the nurse understand to describe the process of development in which simple to more complex progression of developmental milestones is achieved? Differentiation Cephalocaudal Proximodistal Interdependent
Differentiation
The nurse is teaching the parents of a child about ways to prevent dehydration. What should the nurse include in the teaching? Select all that apply. Larger, less frequent sips of fluid Broth or popsicles Soft/bland foods Electrolyte replacement beverages Small, frequent sips of fluid
Electrolyte replacement beverages Small, frequent sips of fluid Broth of popsicles
The nurse is teaching a 9-year-old child about oral hygiene. What should they include in the teaching? Select all that apply. Encourage yearly dental checkups Encourage brushing twice a day Encourage a visit to the dentist twice a year Encourage use of fluoride toothpaste Orthodontic treatments should start after puberty
Encourage brushing twice a day Encourage a visit to the dentist twice a year Encourage use of fluoride toothpaste Orthodontic treatments should start after puberty
The parents of a 4-year-old girl tell the nurse that she eats very little at meals but constantly wants to snack. What course of action should the nurse follow? Instruct the parents to encourage the child to clear her plate at meals. Encourage the parents to offer multiple nutritious snacks throughout the day. Encourage parents to limit snacking so that she is hungrier at mealtime. Instruct the parents to substitute whole milk for one of the snacks in order to maintain calcium intake.
Encourage the parents to offer multiple nutritious snacks throughout the day.
The nurse is caring for a 4-year-old who is prone to temper tantrums when asked to participate in basic care. What is the nurse's best response to this behavior? The nurse should leave the room and return once the child is calm. Tell the child this behavior is upsetting. Medicate the child prior to performing basic care. Establish a routine while in the hospital to complete basic care needs at the same time and in the same manner each day.
Establish a routine while in the hospital to complete basic care needs at the same time and in the same manner each day.
The nurse is assessing pain in a 7-year-old client who broke his arm skateboarding. What is the best pain scale to use for this client? FACES scale Analog scale CRIES scale Activity Tolerance scale
FACES
The nurse identifies that a child who consistently measures below the fifth percentile for height and weight charts is demonstrating signs of this diagnosis: Failure to thrive Failure to develop Developmental delay Organic growth deficiency
Failure to thrive
School-age children develop sharper motor and sensory abilities during this stage. They participate in group activities, they have more mature use of language, they read, and they play instruments and enjoy hobbies. What known developmental theories apply to this stage? Select all that apply. Freud's latency stage Erikson's initiative vs guilt Erikson's industry vs inferiority Freud's phallic stage Piaget's concrete operational stage
Freud's latency stage Erikson's industry vs inferiority Piaget's concrete operational stage
The nurse is assessing 10-year-old twins for their annual checkup. The female twin has grown by 6 cm and has gained 2.5 kg in a year. The male twin has only grown 3 cm and gained 2 kg. The mother is concerned that the male twin's growth is delayed. What is the best response by the nurse? Don't worry, you are tall, so I'm sure both kids will be at least as tall as you are Girls tend to have their growth spurts earlier than boys, sometimes as early as 9 years of age Let me check his head circumference and make sure his head grew Looks like the boy will be shorter than the girl as an adult
Girls tend to have their growth spurts earlier than boys, sometimes as early as 9 years of age
The nurse is preparing a 12-year-old girl for her annual check-up. She expects to see the following difference during the adolescent years: No significant change in weight No significant change in height Slow, uniform gain in height and weight Growth spurt lasting 2-5 years
Growth spurt lasting 2-5 years
A new mother is concerned about sudden infant death syndrome. What education would be appropriate for the nurse to provide to the mother regarding prevention of this syndrome? Buy a soft, giving mattress for comfort. Have the infant sleep supine. Keep the infant in the parent's bed. Prop the infant to a side-lying position for sleeping.
Have the infant sleep supine.
The nurse is assessing the newborn's head after the newborn is placed in the nursery. What is the best method to assess fontanels? Have the infant lying supine Wash the newborn's head Have the newborn in an upright position Measure the newborn's head circumference
Have the newborn in an upright position
The nurse is preparing to perform an annual assessment on an 11-year-old girl. What should the nurse prepare to assess? Select all that apply. Height Weight BP Head circumference Vision
Height Weight BP Vision
Which of the following activities is the most appropriate to demonstrate object permanence to an infant? Select all that apply. Hiding an object under a pillow for the infant to find Playing peekaboo Encouraging the infant to hold their own bottle Leaving a light on at night Allowing the child to look in the mirror at their own image
Hiding an object under a pillow for the infant to find Playing peekaboo
During a well-child check, the nurse discusses choking hazards with the parents of a 12-month-old child. The nurse knows the teaching has been effective with which parent statement? I will cut the food pieces small so my child can eat unsupervised Grapes are a great snack and they are bite sized I will avoid feeding my child hot dogs Nuts are healthy and a good snack
I will avoid feeding my child hot dogs
Children learn right from wrong during which stage of development? Initiative vs. guilt Industry vs. inferiority Identity vs. role diffusion Autonomy vs. shame/doubt
Initiative vs. guilt
The nurse is taking a patient history on a 7-year-old child from the mother. She tells the nurse that the child was diagnosed with an innocent heart murmur and she is concerned that the child will need heart surgery as an adult. What is the best response by the nurse? Select all that apply. Innocent murmurs are very common in school age children They will need to see a cardiologist immediately Up to 90% of children age 4-7 have innocent heart murmurs Your child will not be able to participate in sports You should be careful feeding your child red meat with this condition
Innocent murmurs are very common in school age children Up to 90% of children age 4-7 have innocent heart murmurs
When assessing a neonate, the nursery nurse suspects the infant may have hypoglycemia. What is an indication that the infant's blood glucose is less than 45 mg/dL? Irritability Adequate feeding Tachypnea Tachycardia
Irritability
The nurse is teaching new parents about cord care. What instruction will the nurse include related to the care of the cord? Keep the cord dry Keep the cord inside the diaper Remove the cord in 2 weeks Allow the cord to become yellow and fall off
Keep the cord dry
The mother of an active 3-year-old asks the nurse for some suggestions to prevent an accidental poisoning. Which would the nurse include? Select all that apply. Keep the number of poison control posted clearly and assure that all caregivers know where to locate it. Place all potentially hazardous chemicals into smaller containers so that the child only has access to smaller quantities. Place child-safe locks on all lower cabinets. Keep all medications on a high shelf in upper cabinets. Buy cleaning products with childproof tops.
Keep the number of poison control posted clearly and assure that all caregivers know where to locate it. Place child-safe locks on all lower cabinets. Keep all medications on a high shelf in upper cabinets. Buy cleaning products with childproof tops.
The nurse understands that school-age children need special consideration when hospitalized. What nursing interventions are appropriate for this age group? Select all that apply. Knock on the door prior to entering the room Provide appropriate gown/covering Offer diversion activity such as playing with board games Ask parents to step out for health hx and exam Show client equipment that will be used in treatment
Knock on the door prior to entering the room Provide appropriate gown/covering Offer diversion activity such as playing with board games Show client equipment that will be used in treatment
What are the main anatomical differences between children and adults that enhances children's risk of suffocation? Select all that apply. Larger head Larger tongue More elastic airway Shorter airway Greater portion of pharyngeal soft tissue
Larger tongue More elastic airway Shorter airway Greater portion of pharyngeal soft tissue
The nurse is completing an infant's skin assessment. The nurse observes a cheesy substance found in the armpits and groin. What does the nurse do with this finding? Leave the substance intact. Scrub the substance off. Alert the health-care provider. Continue to observe for further spread.
Leave the substance intact.
A preschool-aged child saw that it started to rain after eating pasta and now believes that it will rain the next time they eat pasta as well. What belief is the child exhibiting? Magical thinking Imaginary play Egocentrism Delayed gratification
Magical thinking
The nursing student is helping the nurse provide care for a 4-year-old child. The student asks which behavior characterizes the preoperational stage in Piaget's cognitive developmental theory. How should the nurse respond? Object permanence Magical thinking Inductive reasoning Abstract thought
Magical thinking
The nurse is teaching parents about normal cognitive development using Piaget's theory. Which actions should the nurse explain as characteristics of toddlers, ages 2 to 7 years? Select all that apply. Egocentrism Independence Magical thinking Concrete thought Conservation
Magical thinking Concrete thought Conservation Egocentrism
The nurse applies developmental theories with nursing care of an infant. Which developmental theorist describes how an infant develops a sense of self through symbiosis and separation, or individualism? Piaget Vygotsky Erikson Mahler
Mahler
The nurse assesses developmental milestones of an 11-month-infant. What is a normally expected developmental milestone? Distinguishes colors Has taste preferences May take first steps Begins to understand differences between inanimate and animate objects
May take first steps
The nurse is teaching the parents of a newborn about differentiation. Which response by the parent shows that they have understood the teaching? My baby will learn to crawl before it can walk When my baby sits, it will be sitting on its own My baby will flip from his back to his belly first My child will jump on one leg before learning to coordinate jumping with two legs
My baby will learn to crawl before it can walk
The 4-year-old sibling asks the nurse if she caused her brother to be sick because she "wanted him to go away." The nurse should recognize this as what? Normal thinking for this age A sign of potential abuse in the home Concerning signs of emotional distress due to so much sibling anger Highly developed language and thoughts for this age
Normal thinking for this age
The mother of a 10-year-old female client tells the nurse that she is concerned about her daughter's 3 kg weigh gain in the last year despite the child being in the 50th percentile for weight. What is the best response by the nurse? She is overweight and you need to cut out her snacks Commercial weight loss programs can help with that Your child is underweight and she needs to eat more Normal weight gain for this age group is 3kg/year
Normal weight gain for this age group is 3kg/year
When assessing a 9-month-old, the nurse asks the mother if the child likes to play peek-a-boo. The nurse is determining if the child has achieved which milestone?
Object permanence
The nurse is demonstrating proper teeth-brushing techniques to a group of mothers of 2-year-olds. What principle should be included in the presentation? Parents should complete these tasks for their toddler. Parents should be taught to encourage the child to participate under parental supervision. Parents should allow the toddler to choose a time to brush their teeth in order to encourage control. Parents should use only water to brush the child's teeth until the age of 3 in order to prevent the swallowing of toothpaste.
Parents should be taught to encourage the child to participate under parental supervision.
The nurse is discussing immunity with parents. Which statement supports the parent's decision to breastfeed the infant? The infant's immune system is fully developed by birth. Passive immunity is provided by breast milk. The breastfed infant has exposure to proteins and can develop allergies. The five immunoglobulins are found in breast milk.
Passive immunity is provided by breast milk.
The nurse assesses developmental milestones of a 7-month-old infant. What is a normally expected developmental milestone? Triples birth weight Develops a security object Increases height 1 inch per month Plays pat a cake
Plays pat a cake
A nurse caring for newborns knows that this population is at risk for hyperbilirubinemia. What causes a newborn to be at a higher risk for developing hyperbilirubinemia? Select all that apply. Prematurity Mother has diabetes History of sickle cell disease Feeding shortly after delivery Birth trauma
Prematurity Mother has diabetes Birth trauma
The nurse is bathing an infant born at 35 weeks. What is the gestational term for this infant?
Preterm
A nurse is caring for a toddler on an inpatient unit. Which developmental milestones should be expected at this stage by the nurse? Select all that apply. Gross motor development milestones include learning to ride a bike. Psychosocial development milestones include deciding where elimination will occur. Fine motor development milestones include learning to use a fine pincer grasp. Fine motor development milestones include drawing a circle. Cognitive development milestones include understanding the concept of object permanence.
Psychosocial development milestones include deciding where elimination will occur. Fine motor development milestones include drawing a circle.
A 4-year-old boy has been hospitalized for a viral illness. He asks the nurse if he is being punished for throwing a temper tantrum. What is the nurse's best response? Reassure the child that illness is not a punishment for behavior Refer the child for an evaluation by a social worker to see if the parents are punishing the child Ask the parents how they deal with temper tantrums in the home Ask the child if he has a lot of temper tantrums at home
Reassure the child that illness is not a punishment for behavior
The nurse is discharging an infant after circumcision. What is an important teaching guide for a caregiver to care for the circumcised infant at home? Take the gauze off the penis when you get home. Report bleeding after 3 days to the pediatrician. Administer sugar for pain control. Notify the pediatrician when the infant voids
Report bleeding after 3 days to the pediatrician.
The nurse is working with an infant as the infant takes the first breath. What infant systems undergo the most transitions to extrauterine life? Select all that apply. Respiratory system Metabolic system Hepatic system Thermoregulatory system Circulatory system
Respiratory and circulatory system
When assessing risky behavior during a visit with a 14-year-old, what should the nurse be alerted to? Select the best answer. Forgetting to study for a test Going to a party with friends Joining a swimming league Riding in a car without a seatbelt
Riding in a car without a seatbelt
The nurse assesses developmental milestones of a 4-month-old infant. What is a normally expected developmental milestone? Rolls from abdomen to back Begins to lift the head when lying on the abdomen Transfers objects from one hand to the other Has taste preferences
Rolls from abdomen to back
The nurse is assessing a newborn reflex by brushing the side of the cheek near the corner of the mouth. What reflex is being assessed? Moro Startle Rooting Sucking
Rooting
Place the following stages of Piaget's developmental theory in the correct order. Concrete operational Sensorimotor Preoperational Formal operational
Sensorimotor Preoperational Concrete operational Formal operational
The mother of twin boys states that they are constantly fighting with each other in her presence since turning 3 years old. She asks the nurse the possible reason for it. The nurse's response should be based upon an understanding of which aspect of normal development? Sibling rivalry is often used to gain attention from parents. It is unusual for twins to compete with each other, so there may be an underlying issue. The twins are reacting negatively to the mother's presence. The mother should allow the twins to work out the issues on their own regardless of how they are acting.
Sibling rivalry is often used to gain attention from parents.
A mother asks the nurse at a wellness clinic why her infant is drooling. What assessment finding would indicate to the nurse that the infant is teething? Prolonged fussiness Sucking on the hands Presence of Epstein pearls Generalized rash
Sucking on the hands
During history taking, the nurse should determine that a 5-year-old child's language development is progressing normally if the client does what? Select all that apply. Tells stories Uses future tense Speaks in 3 or 4 word sentences Counts and sorts to 10 States full name and address and can recite poems during group activities
Tells stories Uses future tense States full name and address and can recite poems during group activities
During a well-child visit, you are providing anticipatory guidance to the parents of a toddler. Which of the following statements is accurate? Temper tantrums can be a sign of illness or stress in a child. Separation anxiety in toddler years is indicative of a developmental delay. Toddler-aged children should not transition to skim milk before their 3rd birthday. Children are able to begin seeing the world through other's viewpoints.
Temper tantrums can be a sign of illness or stress in a child.
The nurse found an asymmetrical response with the Moro reflex. What does this abnormal response indicate? Diminished stepping Weak finger grasp Slow response with sleeping Temporary injury to the brachial plexus
Temporary injury to the brachial plexus
Upon assessment of a hospitalized 15-month-old, the nurse notices he does not pull to a standing position. The mother states that he will stand if she holds him upright. How should the nurse interpret this finding? The child has not yet met the appropriate developmental milestone for age. The child is meeting appropriate developmental milestones. It is not anticipated that the child will pull up to a standing position until the end of 1 year. Regression is normal in a hospitalized child, so the nurse would not expect him to stand at this time.
The child has not yet met the appropriate developmental milestone for age.
The mother of a 14-month-old is concerned that her child does not talk as much as other children in the same day care. What should the nurse understand about normal speech development for this age? The child should be able to speak in sentences with two to three words by this age. The child should be able to use the words, "I" and "me" in a sentence by this age. Language is so individual, so speech delays are not diagnosed until school years. The child should be able to speak approximately five words by this age.
The child should be able to speak approximately five words by this age.
The nurse is assessing a 6-year-old child. According to Piaget, what should the nurse expect to observe in the child at this stage? Select all that apply. The child's thinking is influenced by fantasy. The child understands the concept of time. The child is able to think abstractly. The child is able to think about things that are not in the present. The child's language skills are fully developed.
The child's thinking is influenced by fantasy. The child is able to think about things that are not in the present.
The nurse measures the infant's head circumference at 35 centimeters and a chest circumference at 33 centimeters. How would the nurse interpret these measurements? The infant has microcephaly. The infant has caput succedaneum. The infant has macrocephaly. The infant has normal measurements.
The infant has normal measurements.
The nurse at a pediatrician's office is preparing to take the blood pressure of a 10-year-old client. What action by the nurse shows that they understand the concept of autonomy? The nurse promises a lollipop after the visit The nurse skips the BP measurement The nurse allows the client to play with the BP cuff The nurse asks what arm they would like to have their BP taken
The nurse asks what arm they would like to have their BP taken
The nurse is suctioning an infant after delivery. Which statement reflects the correct procedure for clearing the infant's airway? The nurse should routinely use a bulb syringe immediately after delivery to clear the infant's oral secretions. The nurse will use a bulb syringe in the corner of the mouth and then suction the nose. The nurse will use a bulb syringe in the center of the mouth and then suction the nose. The nurse will use a bulb syringe in the nose and then suction the mouth.
The nurse will use a bulb syringe in the corner of the mouth and then suction the nose.
Billy is in the emergency department for a chronic history of vomiting and diarrhea of unknown origin. The nurse plots the child's measurements and realizes that Billy is below the 5th percentile for both weight and height for age. Which statement is most accurate? As long as the child is meeting normal developmental milestones, waiting until illness resolves will allow the child time to increase weight gain. The Department of Human Resources should be notified because this is a sign of abuse. Immunological conditions typically cause a significant decrease in weight and height; Billy's condition should resolve spontaneously. This finding is consistent with a diagnosis of failure to thrive.
This finding is consistent with a diagnosis of failure to thrive.
The nurse asks for the mother's assistance in getting a toddler to take her medication. Which statement by the mother requires the nurse to intervene? Do you want red or blue juice after your medicine? This is like eating grape candy If you take all the medicine, you can have a sticker Do you want mommy or the nurse to put the medicine in your mouth?
This is like eating grape candy
Understanding that basic needs will be met, such as being picked up by a parent when crying, is a task in what psychosocial development stage? Trust vs. mistrust Autonomy vs. shame/doubt Initiative vs. guilt Industry vs. inferiority
Trust vs. mistrust
On which topic should the nurse provide parental teaching in order to impact the leading cause of injury deaths in preschoolers and toddlers? Firearm and gun safety Use of lifejackets and floatation devices Second hand smoke Proper use of a bicycle helmet
Use of lifejackets and floatation devices
The nurse understands that the gestational age of a fetus has an impact on survival rate. What term is used to describe the survival rate of a fetus?
Viability
The labor and delivery nurse transfers a baby to the newborn nursery. After the nurse receives report, they should begin their assessment of the newborn. What prophylactic medications should the nurse prepare to give? Select all that apply. Vitamin K Erythromycin eye ointment Hepatitis B vaccine Surfactant RhoGAM
Vitamin K Erythromycin eye ointment Hepatitis B vaccine
Place the developmental tasks in order of development according to age. Climb on furniture Walk alone Catch a bounced ball Go up and down stairs without assistance
Walk alone Climb on furniture Go up and down stairs without assistance Catch a bounced ball
The nurse is preparing to assess an 8-year-old boy as part of his well-child checkup. What would the nurse expect to find? Select all that apply. Weight gain of 3kg Height increase of 2cm Height increase of 5cm Weight gain of 8kg No change in weight from the previous year
Weight gain of 3kg Height increase of 5cm
