EAQ Week 1
Which statement would the nurse provide regarding blood and body fluids precautions for a school-age client?
"Gloves should be worn for contact with nonintact skin and mucous membranes."
Which sign indicates inadequate sleep in school-age children? Select all that apply. One, some, or all responses may be correct
- Fatigue - Irritability - Inattention
Which nursing intervention can help an older adult successfully complete Erikson's major task at this stage?
Develop a sense of satisfaction when considering past achievements
On the fourth day after birth, an infant passes light brown stools that are firm and have an offensive odor. Which would the nurse infer regarding the infant from these findings?
Is exclusively formula-fed
Which action will the nurse take to reduce gastric irritation in a client with epilepsy who is prescribed valproic acid?
Provide food or milk with the medication
Which strategy would the nurse use when providing safe and atraumatic care for a 6-year-old during a venipuncture?
Retrain the child only as needed to perform the venipuncture safely
Which solid food does the nurse recommend that a parent introduce first to his or her infant?
Rice cereal
Which activity would the nurse expect a 3-year-old client to be able to perform?
Ride a tricycle
Which behavior may result if a child is not encouraged by a teacher or a parent when they are unable to master schoolwork and, as a result, receive low scores?
Sense of inferiority
While caring for a newborn in a neonatal intensive care unit, the nurse notices that the neonate is not moving his legs appropriately. Which condition would the nurse suspect to be the reason for this?
Spinal cord injury
Which is the average weight in pounds of a 5-year-old child?
41
Which treatment is frequently prescribed for lead poisoning?
Chelating agents
Which classification of cognitive impairment does an intelligence quotient (IQ) below 25 fall?
Profound
Which developmental task will the nurse consider when caring for toddlers?
Autonomy
Which family structure is composed of at least one step-parent and one step-sibling?
Blended family
Which neurologic righting reflex of infancy will the nurse expect to appear at 3 months and persist until 24 to 36 months of age?
Neck
Which behavior by the nurse indicates that correct precautions are being followed to prevent the transmission of acquired immune deficiency syndrome (AIDS) from a pediatric client?
Puts on a mask and protective eyewear before assisting with suctioning a tracheostomy
An adolescent has had type 1 diabetes for 5 years and stops adhering tot he therapeutic regimen. The nurse concludes that this is a reflection of which developmental behavior?
Struggles for identity
Which finding indicates an 8-year-old is a latchkey child?
The child is unsupervised at home after school
Which physiologic change occurs in pregnant women during the third trimester? Select all that apply. One, some, or all responses may be correct
- Fatigue - Urinary frequency - Braxton Hicks contractions
Which type of family is formed when both parents bring children from previous relationships into a joint living situation?
Blended
Which life event occurs during the senescence stage?
End of life
While assessing a newborn, the nurse finds a pink rash with papules on the thorax and abdomen. This assessment describes which condition?
Erythema toxicum
a 15-year-old student is in which stage of Piaget's theory of cognitive development?
Formal operations
According to Freud's theory, in which stage of development can a child identify with the parent of the same sex?
Phallic
Which enzyme is responsible for retaining milk in an infant's stomach for digestion?
Rennin
Which statement is true about autism? Select all that apply. One, some, or all responses may be correct
- A developmental disorder of brain functioning is involved - The normal development of intelligence and behavior is affected - It refers to a broad group of varied developmental disabilities
Which amount of sleep in hours does a preschool-age child require every night?
11 to 12
At which age would the nurse expect to begin screening a child for lead poisoning?
12 months
Which is the Apgar score of a newborn in severe distress?
3
Which age group does the nurse anticipate will have the greatest problem with separation anxiety when planning care for hospitalized children?
6 to 30 months
Which intervention would the school nurse implement to help a homeless student improve his or her grades?
Allow computer access after school hours
Which stage is observed in a 2-year-old child according to Freud's theory?
Anal
Which motor response appears at 8 months of age?
Crude pincer grasp
Which could be the cause for a stiff, tense appearance of the sutures in a newborn?
Crying
Which medication increases a child's susceptibility to infection?
Dexamethasone
Which medication requires monitoring of skeletal growth if taken by a child receiving prolonged therapy?
Dexamethasone
During a well-baby clinic visit, the nurse finds that a 1-year-old infants says "ma" and "pa" only and uses gestures to communicate. Which nursing evaluation is appropriate related to this finding?
Exhibits normal language development
Which advise should the nurse provide to parents of a child who performs manual stimulation of his genitalia in public places?
Explain that genital stimulation is acceptable in private places
Which theory explains psychosexual development from infancy to adolescence?
Freud's theory
A middle-age adult contributes to future generations through parenthood, teaching, and community involvement. At which stage of Erikson's theory does this occur?
Generativity versus stagnation
A 13-year-old states, "I don't know if I want to go to college or start working after high school." Which stage of psychosocial development describes this child's uncertainty?
Identity versus role confusion
Which place in the home would be the safest to store medications to prevent the accidental poisoning of a child?
In a locked cupboard
Which factor can predispose an infant to severe acute respiratory tract infections?
Inability to produce sufficient immunoglobulin A
An 8-year-old girl boasts that she got a gold star every day las week for doing all her daily chores. Which is this child's developmental stage according to Erikson?
Industry vs. inferiority
Which intervention would the nurse perform when an adolescent client is admitted to the pediatric unit with a diagnosis of suspected meningococcal miningitis?
Initiate droplet precautions
Which developmental conflict has Erikson identified for children from age
Initiative versus guilt
Which nursing action promotes a newborn's psychosocial development?
Placing the newborn in the mother's arms during the first hour of life
Which type of play involves a child's pleasure with swinging?
Sense pleasure
Which factor affects infants' and children's ability to absorb, metabolize, and excrete mediations? Select all that apply. One, some, or all responses may be correct
- Age - Weight - Body size - Surface area - Organ maturity
Which sign or symptom of digitalis toxicity would the nurse include in the discharge instructions for an older child with a congenital heart defect who is prescribed digitalis? Select all that apply. One, some, or all responses may be correct
- Anorexia - Bradycardia - Dysrhythmias - Visual disturbances - Nausea and vomiting - Abdominal discomfort
Which risk factor would the nurse discuss with high school populations with regards to suicide prevention? Select all that apply. One, some, or all responses may be correct
- Bullying on social media - Access to a gun in the home - Recent death of a family member, pet, or family - Vague statements such as "I may not be around anymore" - Trying to give most prized possession to friends
Which symptom might a nurse observe in a child experiencing physical neglect?
- Dehydration - Malnutrition - Skin breakdown
According to Healthy People 2020 health indicators, which area would the nurse include to improve the overall health of elementary school children? Select all that apply. One, some, or all responses may be correct
- Oral health - Hearing checks - Vision screening - Injury prevention - Exercise and activity
Which adverse reaction would the nurse monitor for in a child prescribed prednisone for exacerbation of asthma? Select all that apply. One, some, or all responses may be correct
- Peptic ulcers - Bone thinning - Hyperglycemia - Masked infections - Electrolyte imbalances
Which stage of Freuds' theory of child development would the nurse include when providing teaching to parents? Select all that apply. One, some, or all responses may be correct
- Phallic stage - Latency stage
Which newborn sign or symptom is characteristic of Werdnig Hoffman disease? Select all that apply. One, some, or all responses may be correct
- Poor suck reflex - Absence of deep tendon reflexes - Increased respiratory rate with sternal retractions
Which item is assessed using the "resolve" portion of the APGAR screening tool?
Distribution of finances and space
Which type of family is reflected when a court orders to place the children in a private home after deeming the parents unable to care for them?
Foster
According to Piaget, which developmental stage is characterized by logical thinking?
Middle childhood
Which stage of psychosocial development, according to Erikson's development theory, is observed in a 5-year-old child?
Initiative vs. guilt
Which developmental stage, according to Erikson, is completed when the client states, "I've lived a good life. I don't want to die, but I accept it as a part of life"?
Integrity
Which action would the nurse recommend to a child care center owner to minimize further transmission of bacterial conjunctivitis when it has affected several children?
Perform thorough handwashing before and after touching any child in the child care center
The nurse is teaching the mother of an infant about the prevention of sudden infant death syndrome (SIDS). Which statement by the mother indicates effective learning?
"I will position my baby on the back while sleeping."
The parent of a 2-year-old expresses concern that their child's growth rate has slowed. Which explanation would the nurse give to the parent about the growth of toddlers?
"This growth pattern is typical at this age."
Which playtime activity would best promote linguistic development in toddlers?
A children's television program
Which approach would the nurse us to minimize the possibility of aspiration when administering liquid medication to a crying infant?
Administering the medication with a needless syringe placed along the side of the infant's tongue
Which action would the nurse take when a 4-year-old admitted to outpatient surgery for removal of a cyst on the foot is crying because they child wants to leave underpants on beneath the hospital gown?
Allow the child to wear underpants
Which test is used to confirm the diagnosis of Down syndrome?
Chromosomal analysis
Which rationale explains the reason adolescent girls have overall lower height when compared with adolescent boys?
Closure of epiphyses because of estrogen secretion
According to Jean Piaget's cognitive development theory, which stage is observed in a 9-year-old child?
Concrete operational
Which type of family pattern favors negotiation, compromise, and growth?
Democratic
Which type of family pattern is reflected when a family members agree with individual opinions?
Democratic
Which approach would the nurse take when preparing a toddler for a procedure?
Demonstrate the procedure on a doll
Which action would the nurse recommend to a parent who is very concerned that the 3-year-old child does not finish meals?
Do not give snacks to the child before meals
Which action would the nurse perform if a Hispanic mother informs the nurse pf plans to wean her 10-month-old child by giving anise tea for 24 hours?
Document findings in the health record
Which family consists of a traditional family and an additional family?
Extended
Which intervention would the nurse suggest be included in the plan of care if a 9-lb neonate delivered by a mother with gestational diabetes becomes jittery and lethargic?
Feed the infant 10% glucose water
Which event is considered to be the hallmark of late puberty in young girls?
First menstrual period
Which teaching method would the nurse use to present preoperative teaching to an 8-year-old?
Focus on simple anatomic diagrams
When assessing a 7-year-old child, which activity would the nurse expect the child to perform?
Identifying missing numbers and pictures
Which attribute of temperament is related to the energy level of the child's reaction?
Intensity of reaction
According to Erikson, which stage does a young adult develop a sense of caring for others?
Intimacy versus isolation
Which stage of development, according to Erikson, applies to the young adult?
Intimacy versus isolation
Which type of family pattern does the nurse asses when a child states, "my dad moved out, and I live with my mom and grandmother"?
Matriarchal
Which method for calculating MOST pediatric dosages is correct?
Milligrams per kilogram (mg/kg)
During an assessment of a child, the nurse concludes that the child has an easy temperament. Which observation in the child supports the nurse's conclusion?
Open to changes and adapts positively
Which protein source would the nurse avoid suggesting to an Orthodox Jewish family?
Pork
Which age group of children is likely to view illness as a punishment for misbehaving?
Preschool age
Which statement is true regarding the stages of family development?
Roles of parenting change during disengagement
Which reflex occurs when the nurse strokes a newborn's cheek?
Rooting
Which assessing an infant, the nurse strokes the infant's cheek and the infant turns toward the nurse while making sucking sounds. Which reflex did the nurse elicit?
Rooting reflex
During a home visit, a mother reports to the nurse that her late-adolescent child has been trying to avoid the family's routine religious practices such as attending church and reciting prayers. The mother also reports that her child keeps staying religion is "pointless". Which stage of development would the child belong to, according to Fowler's theory?
Stage 4
Which action by the parent of a preschool client indicates a need for a nurse intervention of regarding home safety?
Telling the child that medication is "candy for when you are sick"
Which religious preference does the nurse consider when providing care for a pediatric client who requires surgery and whose family are Jehovah's Witnesses?
The administration of blood and blood products is not allowed
The parents of a toddle with hypospadias ask the nurse when this defect happened. The nurse responds that it usually occurs during which period of fetal development?
The first 12 weeks
Which pediatric client would require a developmental screening versus developmental surveillance during a scheduled health maintenance visit?
a 9-month-old infant
Which statement made by a nursing student indicates effective learning about the maturation of systems in a school-age child?
" The heart grows slower in the school-age child than at any other period of life."
Which response would the nurse give to parents who are worried than their 8-year-old child is very thin and looks unattractive because of large teeth?
"The pattern of fat distribution changes in children of this age."
Which growth pattern would the nurse expect in a newborn? Select all that apply. One, some, or all responses may be correct.
- A birth length of 48 to 53 cm - A birth weight of 2700 to 4000 g - A weight loss of 5% to 10% within the first few days of life - A head circumferences of 33 to 35 cm
Which topic regarding healthy lifestyle choices would the nurse discuss with a group of Native American adolescents? Select all that apply. One, Some, or all responses may be correct.
- Diet - Exercise - Alcohol use - Limiting screen time - Stress management
Which action of school-age children riding bicycles increases their risk for injury? Select all that apply. One, some, or all responses may be correct
- Hitching a ride behind a car - Two people riding side by side - Riding bicycles near parked cars
Which side effect would the nurse review with an adolescent client who is prescribed estrogen therapy? Select all that apply. one, some, or all responses may be correct.
- Nausea - Insomnia - Headache - Weight gain - Nervousness - Breast tenderness
Which medication for postoperative nausea and vomiting (PONV) is contraindicated for use in the pediatric population? Select all that apply. One, some, or all may be correct
- Scopolamine patch - Rolapitant - Meclizine - Dronabinol - Trimethobenzamide
Which factor MOST likely contributes to nightmare in school-age children? Select all that apply. One, some, or all responses may be correct
- Stress - Overtiredness - Violence on television
Which type of injury results from risk-taking behavior in an adolescent? Select all that apply. One, some, or all responses may be correct.
- Suicide - Sports injuries - Substances abuse - Automobile accidents - Water-related accidents
Age-appropriate gross motor development in a 5-month-old infant is evidenced by which finding? Select all that apply. One, some, or all responses may be correct
- Turns over from the abdomen to the back - Assumes symmetric positioning with the arms extended - Puts the feet to the mouth when placed in a supine position
At which age would an infant have a strong grasp reflex?
1 month
A nurse providing care for a 7-year-old child who weighs 44 lb would suggest that child eat how many grams of fiber each day? Record your answer as a whole number.
10 0.5g/kg
Which assessment finding in a newborn indicates impaired vision?
Absence of corneal reflex
Which recommendation would the nurse provide to a new mother when using Erikson's development theory?
Allow the newborn infant to signal needs
Which action would the nurse take when a 12-year-old client requests that a parent stay during a bone marrow aspiration?
Allow the parent to stay
Which stage of Freud's psychosexual development will the nurse observe in a 3-year-old child
Anal stage
Which intervention is appropriate when addressing the growth and development of a hospitalized 16-year-old client?
Ask the parent to have friends visit the client
In which type of play do children play together, share toys, and communicate with each other
Associative play
Which stage of psychosocial development best describes the behavior of a preschooler who insists on having breakfast alone, even though the child is unable to eat properly?
Autonomy vs. shame and doubt
Which fine motor activity can be observed in a 3-month-old infant?
Brings objects from the hand to the mouth
Which device will the nurse use to administer medications to infants?
Calibrated dropper
Which action would the nurse take to identify the correct child when approaching a group of school-age clients to administer medication to Client A?
Check the client's identification band
Which condition causes failure to thrive in infants due to an increased metabolism?
Congenital heart disease
Which physical symptom may be assessed in a child diagnosed with autism?
Constipation
The nurse assessing a newborn finds that the eyes are closed with no eye movement and the breathing is regular with no body movement. Which physical state is the newborn demonstrating?
Deep sleep
The nurse would teach the parents of a newborn that which sign indicates overfeeding?
Diarrhea
Which behavior quality involves demonstrating the feelings and behaviors characterized by self-consciousness?
Egocentricity
Which type of restraints would the nurse select for the 18-month-old child scheduled for a cleft palate repair?
Elbow
On assessment, a newborn has a fluid-filled sac due to herniation of the brain and meninges through a defect in the skull. Which condition does the nurse suspect?
Encephalocele
Which action is appropriate to help promote an 11-year-old client's compliance with taking daily medications for a chronic illness, as an alternative to the parent's report of daily nagging?
Establishing a contract with the client that includes rewards
Which stage of family development involves decision making, conflict resolution, and communication?
Establishment
After interacting with a preschooler, the nurse concludes that the child is acting age-appropriate, according to Fowler's spiritual development theory. Which behavior of the child supports the nurse's conclusion?
Imitates the adults as they pray
Which stage of Kohlberg's orientation theory of moral development is a child in when he or she insists on being on time for family dinner?
Instrumental relativist
Which formulation is safest for infants?
Liquid forms
Which parental situation is an integral part of a nuclear family?
Married parents with children
Which nursing action is appropriate when assessing a pediatric client's arm circumference?
Measuring vertically along the posterior aspect of the upper arm
A nurse completing an initial assessment of a newborn finds tiny white papules on the newborns' cheeks, chin, and nose. The nurse documents this finding as which condition?
Milia
Which spiritual development stage is observed in early childhood, as per Fowler?
Mythical-literal
Which action would the nurse perform to prepare for the admission of a 2-year-old with febrile seizures?
Pad the side rails of the bed
Which nursing action is MOST accurate when assessing the chest circumference of a newborn during the initial physical assessment?
Placing the measuring tape around the rib cage at the nipple line
A parent states to the nurse "I will not allow my child to go near the plants in our house." Which infant risk may be prevented by this actions?
Poisoning
Which is the best action by the school health nurse when a 5-year-old child loses a tooth during recess?
Provide support and reassurance during the dental trauma
Which is a developmental theory characteristic?
Provides a dynamic, rather than a static, view of the family
Which type of hospital care setting uses the partnership model?
Rehabilitative
Which stage of Lawrence Kohlberg's orientation theory of moral development is associated with a person following a law even if it is discriminatory to a racial group?
Social contract
Which type of family involves unmarried couple living together and sharing roles?
Social contract
Which orientation of stage of Kohlberg's theory of moral development is a part of conventional reasoning?
Society- maintaining
What type of toy is MOST appropriate for a 5-month-old infant?
Soft stuffed animals
Which of Duvall's developmental stages of the family is characterized by parents adjusting to their children's peers and school influences?
Stage IV
Which premedication assessment is a standard of care for any child or adult prescribed digoxin?
Take the apical pulse for 1 full minute
When the nurse is evaluating the dietary plan of a 6-month0old infant, which action by the infant's mother needs correction?
The mother gives low-fat milk to the infant in bottle
A child experiences an avulsed tooth and holds it in the socket by biting on it. After examination, a dentist concludes that the tooth cannot be reimplanted. Which is a possible reason for this conclusion?
The tooth was inserted with the lip side facing back
Which report from a child taking quinidine for an irregular heartbeat would prompt the nurse to notify the health care provider?
Tinnitus
A nurse advise parents to assist their child with stretching exercises. The child has impaired physical mobility due to neuromuscular impairment. Which rationale explains the need to perform stretching exercises?
To prevent contractures
Which behavior would the nurse expect to observe when evaluating the development of a healthy 2-year-old child?
Uses a cup to drink
Which immunoglobulin (Ig) is transferred from a mother to a fetus?
IgG
Which newborn pulse may indicate an abnormality in the function of the cardiovascular system?
90 beats/min
The absence of both cerebral hemispheres is which congenital neural tube defect?
Anencephaly
How many daily ounces of juice would the nurse recommend to the parent of a 2-year-old child?
4
Which goal is appropriate for school-age children when participating in organized athletics?
A lifelong enjoyment of fitness
When would the Babinski reflex disappear?
After 12 months
Which is the cause of athetoid cerebral palsy in infants?
Birth asphyxia
Which disorder is the MOST common congenital chromosomal abnormality?
Down syndrome
The mother of an infant with Down Syndrome asks the nurse what causes the condition. The nurse recalls which genetic factor results in Down syndrome?
Extra chromosomal material
Which action would the nurse employ when administering a medication intramuscularly to a hospitalized school-age child?
Insert the needle quickly, using a dartlike motion
Which newborn skin assessment finding needs further investigation?
Sclerema
Which statement by a child would lead to the conclusion that the family pattern is patriarchal?
"My father makes all decisions regarding my education."
Which intervention would the nurse take if a client is experiencing a seizure? Select all that apply. One, some, or all responses may be correct?
- Do not restrain the client - Loosen any tight clothing that the client is wearing - Calm and reassure the client when the seizure is over - Make sure that there is padding around the client's head - Turn the client's head to the side when the client starts to relax
Which action is a strategy for preventing asthma exacerbations? Select all that apply. One, some, or all responses may be correct.
- Provide rest breaks - Eliminate pet dander - Refrain from smoking - Keep inhalers available - Avoid cold temperatures
Which characteristic is observed in a preschooler? Select all that apply. One, some, or all responses may be correct.
- Weight gain of about 5 lb per year - Increase in height of 6.2 to 7. cm per year - Participation in associative play with others
According to Jean Piaget, in which phase does a child develop the sense of object permanence?
Sensorimotor
While sitting on the counter, a child touches a pan on the stove and burns his or her hands. The child learns that it is not safe to touch objects on the stove. Which stage of Piaget's cognitive development would the child's behavior demonstrate?
Sensorimotor
A Vietnamese family whose child was admitted with pneumonia tells the nurse they practice holistic medicine. Which practitioner would the nurse expect the parents to consult?
Shaman
Which gross motor skill can be observed in a 7-month-old infant?
Sits alone without support
How many hours of sleep would a nurse recommend for an 11-year-old child?
9
Which suggestion is appropriate for the parent of a 3-year-old client who is concerned that the child still insists on taking a bottle of milk at naptime and at bedtime?
Allow the bottle only if it contains water
Which action is appropriate when a Chinese American parent continuously turns away from the nurse while discussing the child's required dietary modifications?
Continue with the instructions, verifying client understanding
Which professional will the nurse confer with to meet the religious and cultural needs of a hospitalized child from a Jewish family?
Dietician
While preparing discharge information for a 15-year-old client who will require daily intravenous antibiotics and physical therapy exercises, which resource would the nurse suggest to meet the client's needs if both parents work for financial reasons?
Home health care
The nurse is using the Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) screening tool to evaluate a family's ability to function. Which finding indicates the need for home care services?
One parent exerts control over others
A 6-month-old infant with a birth weight of 7 lb is admitted to the pediatric unit with a diagnosis of failure to thrive. How many pounds would this infant typically weigh?
14
Which period of Piaget's theory covers the prevalence of egocentrism in adolescents?
Formal operations
Which medication is contraindicated in pediatric clients from infancy to adolescence?
Salicylates