CH 30 (Atraumatic Care of Children & Families) and CH 31 (Health Supervision) PrepU- Developmental

A pregnant woman reports she is interested in breastfeeding to promote improved health for her child. Which statement by the nurse is most appropriate? a. "Passive immunity can be transmitted to your child providing him with some temporary immunity against illness." b. "Breastfeeding provides what is called active immunity." c. "Breastfeeding will improve your child's health." d. "Lifelong immunity is provided against some bacterial illnesses from breasting."

a. "Passive immunity can be transmitted to your child providing him with some temporary immunity against illness."

The nurse is discussing measles, mumps, and rubella vaccination with a mother who is concerned about using the combined vaccine for her 12-month-old. Which statement by the nurse will be most helpful to the mother in accepting the vaccine? a. "The vaccine is shown to be effective and safe and will reduce the number of injections your child will need." b. "This vaccine is recommended by the Centers for Disease Control and Prevention." c. "It is one of the most commonly used childhood vaccines." d. "This vaccine is approved by the American Academy of Pediatrics."

a. "The vaccine is shown to be effective and safe and will reduce the number of injections your child will need."

A family with two biological children has decided to adopt two more children. After the adoption of two children from China, the biological children should be assessed for which potential response to their "new" siblings? Select all that apply. a. Feeling superior to their adoptive siblings since they are the "real" children of the parents b. Unwilling to share their toys and books since they belonged to them first c. Feeling inferior to adopted children since they were just "born" and not "chosen" d. Bullying the adoptive siblings hoping the parents will "send them back to China" e. Isolating themselves from their "new" siblings since they are embarrassed they do not look like the rest of the family

a. Feeling superior to their adoptive siblings since they are the "real" children of the parents b. Feeling inferior to adopted children since they were just "born" and not "chosen"

A 15-year-old client with type 1 diabetes has been noncompliant with the dietary regimen. When educating the adolescent, what is the most important thing the nurse can do to allow the adolescent to be in control and involved in the decision-making process? a. Speak directly to the adolescent and consider the client's input in the decisions about care and education. b. Provide information and allow the adolescent to process and ask questions. c. Praise the adolescent often. d. Offer choices whenever possible.

a. Speak directly to the adolescent and consider the client's input in the decisions about care and education.

The nurse has just finished administering the DTaP vaccine to a 2-month-old and is educating the parent about immunization. Which statement is accurate? a. "You need to renew this immunization every 10 years." b. "Bring her back for the second dose when she is 4 months old." c. "There are no side effects from this vaccine." d. "The 'T' stands for tuberculosis."

b. "Bring her back for the second dose when she is 4 months old."

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

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

A family is anxious for information about the status of their ill infant. The parents do not understand the dominant language, but their 14-year-old child is competent in the language, both spoken and written. The health care provider is present, but an interpreter is unavailable. What should the nurse do? a. Have the child and health care provider discuss the information thoroughly and help the child share these data with the parents. b. Support the child while the child interprets for the parents and the health care provider at the bedside. c. Coordinate health care provider and interpreter schedules and arrange an information-sharing session for later in the day. d. Develop a written account of the infant's status with the health care provider that the child can read and explain to the parents.

c. Coordinate health care provider and interpreter schedules and arrange an information-sharing session for later in the day.

The nurse is discussing healthy eating habits with a school-age child and her parents. Which recommendation would the nurse make for the family? a. Carbohydrates at breakfast will give a child energy to start the day. b. When serving food the child doesn't like, insist he or she takes several bites. c. Light snacks should be offered so the child doesn't overeat at meals. d. A bedtime snack should be part of the child's bedtime ritual/pattern.

c. Light snacks should be offered so the child doesn't overeat at meals.

The nurse recognizes that which factors contribute to the increase in single-parent families? a. Decrease in communal family units b. Increased birth rates in the United States c. Rising divorce rates d. Increase in the number of gay and lesbian couples

c. Rising divorce rates

A nurse is teaching a 6-year-old child and parents about an outpatient surgical procedure the child will have the next day. The child is "shy" and does not maintain eye contact with the nurse. What is the best way for the nurse to approach the child? a. Give information to the parents and let them talk to the child later. b. Ask the parents to step out of the room and talk with the child privately. c. Talk to the parents first to give the child a chance to "warm up." d. Ask the child questions until he or she begins talking freely.

c. Talk to the parents first to give the child a chance to "warm up".