ATI Pediatric questions ch 3-6

a nurse is conducting a well child visit w/ a child who is scheduled to receive the recommended immunizations for 11-12y/o. which of the following immunizations should the nurse administer -trivalent inactivated influenza -pneumococcal meningococcal tetanus and diphtheria toxoids and pertussis rotavirus

-trivalent inactivated influenza -meningococcal (PCV) Tetanus and diphtheria toxoids and pertussis (Tdap)

A nurse is conducting a well-child visit w/ 5y/o child. Which of the following immunizations should the nurse plan to administer to the child? -diptheria, tetanus, pertussis (DTaP) -inactivated poliovirus measles, mumps, rubella (MMR) pneumococcal haemophilus influenza type B

DTap inactivated poliovirus MMR

a nurse is providing teaching about dental care and teething to the caregiver of a 9m/o infant. what statement by the caregiver indicates an understanding of the teaching? -"I can give my baby a warm teething ring to relieve discomfort" -I should clean my baby's teeth with a cool, wet wash cloth -I can give Advil for up to 5 days while my baby is teething -I should place diluted juice in the bottle my baby drinks while falling asleep

I should clean my baby's teeth with a cool, wet wash cloth

a nurse is providing teaching about age-appropriate activities to the guardian of a 2y/o. which of the following statements by the guardian indicates an understanding of the teaching? -I will send my child's favorite stuffed animal when napping away from home will occur -my child should be able to stand on one foot for a second -the soccer team my child will be playing on starts practicing next week -I should expect my child to be able to draw circles

I will send my child's favorite stuffed animal when napping away from home will occur

a nurse is teaching a course about safety during the school age. Which of the following information should the nurse include in the course. -gating stairs at the top and bottom -wearing helmets when riding bicycles or skateboarding -riding safely in bed of pickup trucks -implementing firearm safety -wearing seat belts

wearing helmets when riding bicycles or skateboarding -implementing firearm safety wearing seat belts.

A nurse is performing a deli-mental screening on a 10 m/o infant. Which of the following fine motor skills should the nurse expect the infant to perform? -grasp a rattle by the handle -try building a two block tower -use a crude pincer grasp -place objects into a container -walks with one hand held

-Grasp a rattle by the handle -use a crude pincer grasp

a nurse is providing teaching to the guardian of a preschool age child about methods to promote sleep. Which of the following statements by the parent indicates an understanding of the teaching? -I will sleep in the bed with my child if she wakes up during the night -I will let my child stay up an additional 2hrs on weekend nights -will let my child. watch tv for 30 minutes just before bedtime each night -I will keep a dim lamp on in my child's room during the night

-I will keep a dim lamp on in my child's room during the night

A nurse is assessing a 12 month old infant during a well-child visit. Which of the following findings should the nurse report to the provider? -closed anterior fontanel -eruption of six teeth -birth weight doubled -birth length increased b 50%

-birth weigh doubled

a nurse is providing anticipatory guidance to the caregivers of a toddler. Which of the following should the nurse include? -develop food habits that will prevent dental caries -meeting caloric needs results in an increased appetite -expression of bedtime fears is common -expect behaviors associated with negativism and ritualism annual screenings for phenylketonuria are important

-develop food habits that will prevent dental caries -expression of bedtime fears is common -expect behaviors associated with negativism and ritualism

A nurse is conducting a well-baby visit with a 4m/o infant. Which of the following immunizations should the nurse plan to administer to the infant? -measles, mumps and rubella (MMR) -polio (IPV) Pneumococcal vaccine (PCV) -varicella -rotavirus vaccine (RV)

-polio -pneumococcal rotavirus

a nurse is performing a developmental screening on an 18m/o. which of the following skills should the toddler be able to perform? -build a tower with six blocks -throw a ball overhand -walk up and down stairs -stand on one foot for a few seconds -use a spoon w/o rotation

-throw a ball overhand -use a spoon without rotation

a nurse is performing a developmental screening on a 3 y/o child. Which of the following skills should the nurse expect the child to perform? -ride a tricycle -hop on one foot -jump rope -throw a ball overhead

ride a tricycle

a nurse is caring for a preschool age child who expresses the need to leave because their doll is scared to be at home alone. which of the following characteristics of preoperational thought is the child exhibiting? -egocentrism -centration -animism -magical thinking

animism

a nurse is preparing an education program for a group of caregivers of preschool age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? -saturated fats should equal 20% of total daily caloric intake -average calorie intake should be 1800 calories/day -daily intake of fruits and vegetables should total 2 servings -healthy diets include a total of 8g protein each day

average calorie intake should be 1800 calories/day

a nurse is discussing prebuescence and preadolescence with a group of guardians of school age children. Which of the following information should the nurse include in the discussion -initial physiologic changes appear during early childhood -changes in height and weight occur slowly during this period -growth differences between boys and girls become evident -sexual maturation becomes highly visible in boys

growth differences between boys and girls become evident

a nurse is assessing a 2 1/2 y/o toddler at a well-child visit. Which of the following findings should the nurse report to the provider? -height increased by 7.5cm in the past year -head circumference exceeds chest circumference -anterior and posterior fontanels are closed current weight equals four times the birth weight

head circumference exceeds chest circumference

a nurse is providing education about introducing new foods to the guardians of a 4 m/o infant. The nurse should recommend that the caregiver introduce which of the following foods first? -strained yellow vegetables -iron-fortified cereals -pereed fruits -whole milk

iron fortified cereals

a nurse is providing education about age appropriate activities for the caregivers of a 6y/o child. which of the following activities should the nurse should include in teaching? -jumping rope -playing card games -solving jigsaw puzzles joining competitive sports

jumping rope