Real Life RN Nursing Care of Children 3.0 - Well Child
Nurse Denise discusses Kellen's immunization status, and Ms. Ralston appears upset. Which of the following responses by Denise is appropriate?
"You appear upset. Can we discuss your thoughts regarding immunizations?"
Nurse Denise plans to review appropriate food choices with Fay's parents. Which of the following foods are appropriate for Fay?
Finely mashed peas
Nurse Denise is discussing immunizations with Chloe and her father. Which of the following vaccinations should Denise anticipate administering to Chloe today? (SATA)
Hep A Meningococcal Tdap HPV
Nurse Denise performs a developmental screening of fine motor skills on Fay. Which of the following fine motor skills should Fay demonstrate?
Holds her bottle when feeding
Nurse Denise is reviewing home safety with Fay's parents. Which of the following images illustrates a potential safety hazard for an infant?
Image A: Balloons near a crib.
Nurse Denise is plotting Fay's height and weight on the growth chart. Identify two locations that correspond to Fay's height and weight at today's well-baby check. (SATA)
Image B: Height = 66 cm Image D: Weight = 18 lb
Nurse Denise is preparing to assess Kellen's gross motor development. Which of the following gross motor skills should Kellen accomplish? (SATA)
Kick a ball forward Walk up and down stairs with two feet on each step Use a wide stance when running
Nurse Denise is teaching Ms. Ralston about immunizations. Which of the following should Denise include about measles, mumps, rubella (MMR) and varicella vaccines? (SATA)
Mild illness is not a reason to delay vaccination with the MMR and varicella vaccines. MMR and varicella vaccines should be administered subcutaneously. The client who has an egg allergy can receive the MMR and varicella vaccines.
Nurse Practitioner Beth is educating Chloe about the use of ibuprofen (Advil) to minimize dysmenorrhea. Which of the following should Beth include in the teaching?
Notify the provider immediately if you experience dark tarry stools.
Nurse Denise prepares the vaccines for administration to Fay. Which of the following vaccines should Denise plan to administer first?
Rotavirus
Nurse Practitioner Beth is completing a physical exam of Chloe and considers additional topics to discuss. List three topics Beth should include in her discussion with Chloe. (Fill in the blank.)
1. School and level of interest 2. Relationship with peers 3. Sexuality 4. Psychological health 5. Development related to risk of injury 6. Recreational use of substances
Nurse Denise reviews the appropriate dosage of acetaminophen with Ms. Johnson. The recommended dose is 10 - 15 mg/kg. Fay weighs 18 lb. Which of the following is the dosage range that Denise should tell Fay's parents to give at home? (Round to the nearest tenth.)
2.6 - 3.8 mL
Nurse Denise is calculating Kellen's dose of ibuprofen (Advil). Available is liquid preparation that contains 100 mg/5 ml. The label indicates to administer 10mg/kg/dose. Kellen weighs 27.5 lb. How many mL should Denise tell Ms. Ralston to administer? (Round to the nearest tenth.)
6.3 mL
Nurse Denise auscultates Kellen's heart. Which of the following heart rates is within expected range for Kellen?
89/min
Nurse Denise assesses Kellen's language development. Which of the following audio clips represents typical language development for a 24-month-old child?
Audio 2: "I love you."
Nurse Denise calculates Chloe's body mass index (BMI). Select the area of the chart where Denise should plot Chloe's BMI.
BMI = 30
Nurse Denise prepares to discuss weight loss ideas with Chloe. Which of the following should Denise recommend Chloe integrate on a daily basis?
Be physically active for at least 60 min.
Nurse Denise is preparing to assess Kellen's fine motor development. Which of the following fine motor skills should Denise include in the assessment plan? (SATA)
Stack six or seven blocks Unscrew lids on a container Turn each page of a book