EAQ weeks 2-4 Exam 1 REVIEW

To prevent an adverse outcome while providing care for a client experiencing diarrhea, which client data would the nurse closely monitor?

fluid and electrolyte balance

Which statements would the nurse include when teaching developmental milestones to the parents or a 3 month old infant? Select all that apply

Your child should be able to coo, babble, and chuckle, Your child should be able to pull at blankets or clothes Your child's head should come up to a 45 to 90 degree angle from the table

Which type of play is occurring when one 3 year old is playing with a puzzle alongside another 3 year old stacking blocks

Parallel play

Which behavior will the nurse notice in a 13 year old according to erikson

Such students want to know who am I Such students show a marked preoccupation with body appearance

Which assesment finding would the nurse expect for a 2 month old admitted to the peds unit with gastroenteritis and dehydration

Tachycardia

Which nursing assesment finding indicates dehydration in an infant

Decreased urine output

Which age group of hospitalized children have the most separation anxiety

6 to 30 months

In which stage of Erickson's theory does the child initiate self care activities

Autonomy versus sense of shame and doubt (toddler)

Which would the nurse anticipate when assessing a school age child according to erikson

Being engaged in tasks Wanting to participate in organized activities

Which assessment would the nurse use to evaluate the severity of dehydration in a hospitalized infant with dry mucous membranes, absence of tears when crying , and poor skin turgor?

Change in weight from prior measurement

Which behavior would the nurse expect from a toddler subjected to prolonged hospitalization with limited parental visits

Cheerful interactions with staff members

What would the nurse identify as the most important need of hospitalized toddlers?

Contact with their parent

Which instruction would the nurse give to the parent of a child who has had one episode of diarrhea according to evidence based practice ?

Continue child's feeding as usual, observe frequency of stools, bring child to clinic tmmrw if symptoms continue

Which behavior would the nurse expect when an 18 month old toddler is admitted to the peds unit and has never been separated from their parent prior to this

Crying relentlessly and consoled by no one but a parent

Which finding would the nurse recognize as indicative of moderate dehydration in a 4 month old infant?

Depressed anterior fontane

On the third day of a 2 year olds hospitalization the nurse notes that the child , who had been screaming and crying inconsolably, has begun to regress and is now lying quietly in the crib with a blanket. Which stage of separation anxiety has developed ?

Despair Rationale- child is depressed . Lonely and uninterested in surroundings

Which type of play would the nurse recognize as age appropriate for a 5 year old? Solitary play Parallel play Dress up play Team sport play Cooperative play

Dress up play Cooperative play

Which action would the nurse take for a 19 month old hospitalized for two weeks who becomes increasingly withdrawn and mute

Encouraging the parent to stay w the child as much as possible

Which developmental milestone would the nurse expect in a 9 month old infant? Select all that apply Enjoy push pull toys Sits steadily without support Feeds self with a baby spoon Responds to simple commands

Enjoy push pull toys Sits steadily without support Responds to simple commands Has a vocabulary of two words❌ is expected of a 12 month old child

Which parental behavior is interfering with a 9 year olds achievement of her or his developmental task based on Erickson's psychosocial stages of development

Gives excessive negative feedback about quality of school project

Which behavior would the nurse determine is developmentally appropriate in a healthy 5 month old infant

Grasping objects voluntarily

Which goal would the nurse identify for a toddler with dehydration caused by diarrhea

Improvement of fluid balance

The nurse is caring for a child with severe dehydration and it's associated acid base imbalance. Which compensatory mechanism within the body is activated to counteract the effects of the child's acid base imbalance ?

Increased respiratory rate

Which intervention will the nurse use for parents that report their two year old child would herself because she is lazy so they plan to make the child wear the soiled clothing to teach her a lesson?

Teach the parents the relationship of developmental milestones to discipline

According to Erickson's theory , in which stage would the nurse expect a preschooler to start to pretend

Initiative vs guilt (like to pretend to try out new roles)

Which assessment would the nurse make about the language development of a 22 month old child who used two or three word phrases , has a 20 word vocab , and often used the word me

It is Appropriate

Which explanation would the nurse provide when responding to a clients inquiry about intussusception of the bowel?

It is a telescoping of a proximal loop of bowel into a distal loop

Which conclusion would the nurse make when observing a group of toddlers sitting at a table coloring but no talking or sharing their crayons ?

It is a typical expression of the toddlers social development (parallel play)

Which nursing assessment would help to confirm the diagnosis of intussusception?

Observing characteristics of stools

A child watched an older sibling play with a ball but makes no effort to participate. Which social character is the child exhibiting

Onlooker play

Which is the priority nursing action to facilitate growth and development when providing care to a peds patient with a chronic illness

Planning activities to promote progression from one stage to the next

Which developmental milestone would the nurse emphasize while providing safety education to the parents of a 6 month old infant

Rolls over

The nurse understands which vaccine may cause intussusception in children?

Rotavirus

Milestones in order from youngest to oldest

Running Jumping Balancing on one foot Hopping Skipping

Place a child's growth and developmental milestones in order of their usual achievement

Sirs momentarily without support and rolls over -6 month Waves bye bye and sits alone-10months Walks alone and builds a tower of two blocks -15 months Climbs stairs and drinks from a cup -18 months Draws a vertical line on tiptoe - 30 mo

Which conclusion would the nurse have when a parent shares "my 2.5 year old child only used two word phrases when talking and I can only understand them maybe a quarter of the time"

This indicates a likely language delay (Should be able to understand 65%)

In which way would the nurse respond to a parent who is concerned about separation anxiety in their 15 month old?

This is an expected developmental reaction

Which nursing assessment would be indicated for an infant admitted with pyloric stenosis and 3 days of vomiting? Select all that apply

Tissue turgor Neurological status Amount of last void

Which is a developmental milestone expected to be accomplished between 12 and 15 months of age?

Walk erect ✅ Climb stairs ❌15-18 months Use a spoon ❌18 months Combine words❌2 years

Which physical assesment would the nurse expect in a 9 month old infant w severe dehydration ?

Weak, rapid pulse

Which clinical sign is the most important indication of an accurate degree of dehydration

Weight loss weight