chapter 25 pediatrics
the nurse is observing 4 year old twins during their well child appointments. which observation by the nurse would indicate the children are demonstrating cooperative play?
they are building a house for their dolls with blocks in the room
the parents of a toddler are concerned their child is not developing correctly and are questioning the nurse concerning the child's lack of effort to join other children in a group activity. which response should the nurse prioritize in answering the parents?
this is normal for this age group. it's referred to as a solitary independent play
a nurse is preparing a presentation for a health fair discussing various aspects of preschoolers. which example should the nurse use to best illustrate dramatice play?
acting out a troubling or stressful situation
the nurse is caring for a 5 yearld old who has been hospitalized after an episode of asthma. as the nurse prepares to teach the child how to use the nebulizer, which action should the nurse prioritize?
allow the child to touch and play with the nebulizer for a few minutes before the treatment
the nurse is assessing a 3 year old at a well child visit and the child appears to be progressing well. which activity will the nurse ask the child to attempt appropriately assess the find motor skill
button clothes
the nurse is assessing a 4 yearld old on a routine well child visit. when assessing the GROSS motor-skills of the preschooler, which activity will the nurse predicts the child to be able to successful accomplish.
hop on one foot
the pediatric nurse is meeting with a group of preschooler's family. the nurse determines the sexual developmental session is successful after overhearing which comment by one of the participants.
i fell better knowin that her curiousity is normal
the nursing instructor is illustrating the various types of play. the instructor determines the class is successful when the students correctly choose which example as best representing onlooker play?
observing without participating
the nurse is presenting an in-service on the types of playing that children may engage in. the nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play?
playin in an organized group with each other
the nurse has brought a group of preschoolers to the playroom to play. which activity would the nurse predict the children to become involved in?
pretending to be mommues and daddies in the playhouse
the nurse is monitoring children playin in the unit's playroom. the nurse notes that some children are involved in associative play by which actions
pushing toy cars around on a large rug with roads
the nurse is preparing a safety presentation for a health fair for families. which instruction should the nurse PRIORITIZE when illustrating care safety and the family?
set a good example. wear your own seat belt every time you drive
when collecting data on a preschool-aged child during a well-child visit, the nurse discovers the child has gained 12 lbs and grow 2.5 inches in the last year. the nurse interprests these findin g to indication which solution?
weight is above an expected range and height is within an expetd range
the father of a 4 year old is concerned his child is not telling the truth and is blaming others for things that have happened. which response should the nurse prioritize after the father shares that the child is blaming someone names "andrew" for a broken tool, and they have no idea who this is.
your son may have a friend named angrew, but it could be an imaginary friend as well
a first time father calls the pediatric nurse stating he is concerned that his 4 year old daughter still wets the bed almost every night. remembering his own experience of being punished for wetting the bed at 4 years old, he is not sure punishment is the best approach to address this issue. Which nursing instruction is the MOST appropriate?
bedwetting is not uncommon in young children. try to calmly change the bed without showing your frustration
while the nurse i taking a blood pressure on a 4 year old, the child states that the blood-pressure cuff is too tight and angrily says, "the hurt, you big poo-poo head." what is the most appropriate response by the nurse?
calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that it isn't nice to call you names.
the mother of a 4-year-old is concerned her child is not eating well. in addressing the concerns of this mother, which foods should the nurse point out are high in protein?
cheese and crackers, while grain granola with yogurt, turkey sandwhich, (milk, meat, grain)
during a well child visit, the caregiver expresses concern that the 3-year-old child often stutters when speaking. Which response should the nurse prioritize to BEST assist this family?
children of this age may stutter while they search for just the right word
the nurse is assessing a 3-year-old at a routine well-child visit. Which assessment should the nurse PRIORITIZE in the vision check?
eye coordination
the parent of a 4-year-old is expressing concern that thisl child is not talking as much or as well as she used to at that age. which question should the nurse prioritize when assessing this preschooler for this concern?
has your child had their hearing tested?
the nurse is presenting nutritional information at a community health fair. which suggestion should the nurse prioritize when illustrating proper nutrition
snackes throughout tthe day help the child meet nutrional requirements
the nurse is caring for several clients on the pediatric unit. when interacting with the preschool-age child, which action does the nurse predict will occur.
takes in new info at a rapid rate and asks why and how
the parents of a 5-year-old boy are concerned about how a recent motorcycle accident to his father will affect the child. although the father has fully recovered, the child is very concerned if the father is away longer than expected; the child is not as talkative but appears withdrawn and quiet. The nurse should point out the child's behavior is likely related to which factor?
the boy believes he caused the accident by telling his father he "hoped he crashed" when the boy couldn't go along.
the nurse is meeting with a group of young parents to discuss nutrition and their preschooler. which response should the nurse prioritize when asked if using desserts as a reward for good behavior is an appropriate idea?
the child can use food to manipulate other's behavior
the pediatric nurse is discussing the daily activities of a year with the caregiver to assess growth and development status. the nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?
tries to sweep up spilled cereal but cries when can't do well
