Exam 4 new fam SG prepu questions
What statement by the mother of a 20-month-old indicates a need for further teaching about nutrition?
"I give my daughter juice at breakfast and when she is thirsty during the day" (High juice intake is related to obesity and appetite suppression)
Which is a common adolescent statement to the nurse by a child who has a chronic condition?
"I miss my friends and going to the movies."
The nursing students are learning how to perform a health assessment on a pediatric patient. The nursing instructor identifies a need for further teaching when a student states -
"I should take blood pressure on a child beginning at age 2 years"
Which statement made by the mother of an infant who is born with severe intellectual disability indicates an appropriate understanding of her infant's long-term needs?
"I understand my child will grow up but needs to develop as much independence as possible."
A parent asks how a 22-month-old understands death and dying. What is the nurse's best response?
"The child doesn't understand the concept of death"
A 5-year-old girl is pretending to be a crocodile during a physical examination. Her mother just smiles and rolls her eyes at the nurse. What would be the best response for the nurse to give the child?
"What a wonderful imagination you have! I've never seen anyone who was so good at pretending to be a crocodile".
After teaching a group of parents about language development in toddlers, what stated by a member of the group indicates successful teaching?
- "When my 3-year-old asks 'why'? all the time, this is completely normal
The parents of a 6-year-old have just been told that their child will die shortly. The age at which the average child is capable of understanding death is?
- 9 years
When observing a group of toddlers playing in a childcare setting, it is noted that the toddlers are all playing with buckets and shovels but are not playing with each other. This type of play is referred to as: Parallel play. (The toddler's play moves from solitary play of the infant to parallel play, in which the toddler plays alongside other children but not with them.) A nurse observes a child engaged in parallel play in a nursery. What is an example of parallel play?
- A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks.
A 3-year-old is hospitalized unexpectedly and is frightened about the experience. What action could the nurse take to minimize the anxiety the child ix experiencing?
- Allow the child to handle the equipment before it is used on a child.
A nurse is caring for a 4-year-old child that will be undergoing a procedure to remove a mass from the abdomen. In order to help the child, remain calm for getting an IV catheter placed, what intervention might the nurse implement?
- Allow the child to play with a procedure doll.
A mother calls the clinic every couple of weeks concerned that her infant is not developing appropriately. What would be an appropriate nursing diagnosis for the nurse to assign to this client?
- Deficient knowledge related to infant growth and development
How will the nurse properly collect and care for the child's 24-hour urine specimen?
- Empty each void into a designated container that keeps the urine cool.
A terminally ill client and family are choosing experimental therapies as a last resort. The nurse recognizes anticipatory grieving in the actions and statements of the family. In which way can anticipatory grieving be beneficial?
- It can help a family progress in the grief process
The doctor orders a urinalysis on a 15-month-old toddler. The mother states that the child is not potty trained. What is the best way for the nurse to collect the specimen? -
- Place a urine collection bag on the child after cleaning off the perineum.
A 2-year-old toddler holds the breath until passing out when the toddler wants something the parent does not want the toddler to have. The nurse would base evaluation of whether these temper tantrums are a form of seizure on the basis of what?
- Seizures are not provoked; temper tantrums are.
The nurse knows that barriers to the adolescent's health and successful achievement of the tasks of adolescence exist. What is the major barrier to health for this population?
- Socioeconomic
The nurse is gathering data on a child being admitted. Which of the following would be considered collecting subjective data? select all the apply.
- The nurse interviews the child's caregiver, the nurse asks questions about the child's history, the nurse finds out the reason for the child's visit to the health care setting
A nurse is packing a bag with all of the equipment she will need to perform a complete physical assessment at a client's home. What will the nurse need?
- Thermometer, stethoscope, tongue depressor, ophthalmoscope
A parent is concerned because the toddler refuses to share. What is the nurses best response to the parent regarding this concern?
- This is normal toddler behavior; sharing is learned later.
The nurse is performing a physical examination of a sleeping newborn. Which body system would the nurse examine last?
- Throat
The best way for a parent to handle of temper tantrum by a toddler is to calmly express disapproval and then ignore it.
- True
The nurse administered a prescribed bolus gavage feeding. Which action would be incorrect in performing this procedure?
- Verify placement by auscultating for sounds in the stomach when air is inserted
A nurse is teaching parents of a 2-year-old child about discipline and limit setting. When describing the use of time out, the nurse would inform the parents that the maximum duration of time out should be how many minutes per each year of age?
1 minute
The nurse is assessing the heart rate of a health school-age child. The nurse expects that the child's heart rate will be in what ranges? -
60-100
The nurse is completing a psychosocial assessment on a child with a chronic condition. The child states that he is sad because his brother does not say "Hi" in school or offer to walk home together. As the nurse is developing a teaching plan for the family, which will be included?
A family discussion on stigma
Which nurse is most likely to care for patients who are trying to resolve identity versus role confusion?
A nurse who provides care in a large junior high school.
The parents of a 30-month-old girl have brought her into the emergency department because she had a seizure. During the health history, the nurse suspects the child had a breath-holding spell. Which parental report suggests breath-holding?
A tantrum preceded the event.
A nurse is assessing a 3-year-old child in the local health clinic. The child has a persistent cough on examination. Based on the age of the child, the nurse should note which muscle when assessing respiratory status?
Abdominal muscle
The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which safety intervention should the nurse address? -
Advise the parent to use a forward-facing car seat with harness straps and a clip, placed in the backseat of the car.
The nurse is providing anticipatory guidance to the parents of an 18-month old girl. Which guidance will be most helpful for toilet teaching?
Advise them to use praise, not scolding
When assessing for bowel sounds, which statement is true?
All four quadrants should be auscultated in a consistent pattern
A hospitalized 2-year-old is toilet training and excited to show the nurse the product created in the toilet. What stage does the nurse recognize this child is in according to Freud?
Anal stage
The nurse is caring for a client diagnosed with stage IV cancer. Due to the nature of the diagnosis and limited treatment options, which emotion from the parents does the nurse anticipate?
Anticipatory grief
The nurse is assessing the heart rate of a healthy 13 month old child. The nurse knows to auscultate which of the following sites to obtain an accurate assessment?
Apical pulse at the third or fourth intercostal space
A nursing student is learning how to insert and administer enteral feedings through a nasogastric tube. The student identifies the best way to check placement before each feedings as which of the following?
Aspirating stomach contents and checking pH (
When the nurse performs her head-to-toe assessment on a 2-year-old child, when would she examine the child's ears?
At the end of the exam in case the child gets upset
The nurse is assessing the temperature of a diaphoretic toddler who is crying and being uncooperative. What would be the best method to assess temperature in this child?
Axillary method
Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone?
Be able to turn over onto the back
Which assessment would you expect to introduce for the first time in the physical examination of a 3-year-old child
Blood-pressure recording
The nurse needs to provide instructions to a school-aged girl about how to obtain a clean catch midstream urine specimen. Which instructions are best?
Clean the labia from front to back, then void a small amount in the toilet before collecting in the cup
What action by a parent would be least likely to foster development of self-confidence in a school-aged child?
Comparing the child to a sibling regarding academic achievements
The nurse is watching a 4-year-old child play with another preschool child. The children are playing a game with rules. The nurse notes that the child is demonstrating what type of play?
Cooperative play.
The nurse is preparing to assess the respiratory rate of a crying 15-month-old boy. To get the most accurate assessment, what approach should the nurse take?
Count after the child stops crying and is comfo
Which type of play would the nurse use to prepare a preschooler for upcoming surgery to reduce the stress of the event?
Dramatic play.
The nurse is about to place a gastrostomy tube in an infant. After gathering the supplies, which is the first step in the procedure?
Explain the procedure to the parents
When caring for an adolescent with a disability, it is best for the nurse to promote which of the following?
Have the child socialize with peers with and without disabilities.
The nurse is teaching good sleep habits for toddlers to the mother of a 3-year-old boy. Which response indicates the mother understands sleep requirements for her son. -
He needs 12 hours of sleep per day including his nap"
The adolescent is an auto accident and sustained a cut above his forehead and needs stitches. Which development task would be a major concern for the adolescent at this stage?
Identity
According to Erikson, the adolescent develops their own sense of being independent people with their own thoughts and goals. This stage is referred to as?
Identity vs role confusion
When planning how to respond to a 3-year-old child about telling stories ("tall tales"), the nurse would base the statement on the fact that -
Imagination in a 3-year-old is at its peak
A nurse is observing a 3-year-old preschooler engaged in play. What behavior would the nurse most likely expect to observe?
Imitative play.
The nurse is assessing Julie, a 3-month-old infant. Which development milestone would the nurse expect? -
Julie can hold her head erect and steady
all infants should have their head circumference measured at health-assessment visits. This measurement is made from
Just above the eyebrows through the prominent part of the occiput
The parent of a 3-month-old infant is concerned because the infant does not yet sit by oneself. Which statement best reflects average sitting ability?
Most infants do not sit steadily until 8 months; this infant is normal
Once temper tantrums have started, which intervention is appropriate?
Move objects out of the way or move the child to prevent injury
When observing a group of preschoolers at play in the clinic waiting room, which type of play would the nurse be least likely to note?
Parallel play
A parent with a 2-year-old invites a friend with a toddler over for a play date when they notice their children are not really interacting while playing. The children are playing side-by-side when one toddler gets up and grabs a toy car out of the hands of the other toddler, which results in both toddlers crying. To prevent this from happening again, which intervention should the parents make?
Parents should ensure that toys in front of each child are "similar" to prevent fighting over one toy.
If a urine specimen for analysis is ordered for an 8-month-old girl, which intervention would you use?
Place a urine collector on her just prior to feeding
Which intervention should the nurse use when collecting a urine specimen from an 8-month-old client?
Place a urine collector on the baby just prior to feeding
A novice nurse is instructed to collect a urine specimen from a 3-week-old. Which method of collection would an experienced nurse suggest first?
Placing cotton balls in the diaper and squeezing out urine
The nurse is assessing the growth of a premature infant. What would be the appropriate action by the nurse to complete this assessment?
Plot the infant's weight, height, and length on a growth chart
The nurse is preparing to give a 4-month-old an oral medication. Which technique demonstrates the nurse's accurate knowledge of the infant's developmental level?
Position the infant upright, offer the infant a bottle of formula, remove the bottle and squirt the medication on the side of the tongue toward the cheek, then offer the infant the bottle again.
While preforming a preoperative assessment on a 3-year-old client, a nurse should be aware of what type of cognitive thought process by the child?
Preoperational (the child will want to play with the equipment)
A nurse is administering ear drops to a 7-year-old girl. What should the nurse do?
Pull the pinna of the ear up and back to straighten the external ear canal.
The nurse is preparing to assess the pulse of an 18 month old child. Which pulse would be most difficult for the nurse to palpate?
Radial
Parents of a toddler described how they handled their child's temper tantrum in a shopping mall. What action of the parents indicates the need for additional teaching?
Reasoned with the child to stop behavior (The child having a temper tantrum is out of control, making reasoning impossible.)
Parents of a toddler described how they handled their child's temper tantrum in a shopping mall. What action of the parents indicates need for additional teaching?
Reasoned with the child to stop behavior.
Jeff, a 13-year-old and his mother are in the office for a annual visit and his mother jokes openly in front of you about the changes in her son's voice and the fact that now he has hair under his armpit. What is an appropriate response for the nurse when she is talking with the mother?
Remember, he is probably very self-conscious and may be embarrassed by your statements"
The nurse is caring for a child who has a gastrostomy tube in place. The nurse is about to give a feeding when it becomes evident that the tube is filled with dark brown fluid. The nurse's best action would be to:
Report to the primary care provider that a complication may be occurring.
The nurse is beginning the physical exam, obtaining the child's vital signs. Which of the following would the nurse assess first?
Respirations
The best way for an infant's parent to help the child complete the developmental task of the first year is to
Respond to the infant consistently
Which of the following findings would you interpret as least significant when assessing a child's lungs?
Rhonchi
A mother has brought her child into the clinic for a routine health assessment. She asks at what age routine screening for back symmetry will begin. The nurse bases her knowledge that screening for in the back begins at what age?
School age
The nurse is preparing a presentation for a local parent-teacher organization about the growth and development of school-age children. Which of the following would the nurse include?
Secondary sex characteristics are often embarrassing for both sexes
Which milestone would the nurse expect an infant to accomplish by 8 months of age?
Sitting without support
To obtain an accurate heart rate in an infant, what would be most important for the nurse to do?
Take the apical pulse
An adolescent is scheduled to have the present gastrostomy button. What advantage of the button over the tube will the nurse emphasize?
The button will be smaller and less visible when not in use
The nurse is assessing a 4-month-old infant during a scheduled visit. Which findings might suggest a developmental problem?
The child does not vocally respond to voices
The nurse is developing a nursing care plan for a hospitalized 6-year-old. Which behavior would warrant nursing intervention?
The child does not want to play games with other children on the hospital ward.
The nurse is admitting a 15-year-old to the pediatric unit. What does the nurse recognize as a priority for this child?
The child's need to privacy should be respected
In observing an infant who is 6 months of age, which fine motor skill would the infant have most recently attained? -
The infant can hold a bottle (By the age of 24 weeks, the infant holds a bottle fairly well.)
The nurse in a community clinic is assessing a 4-week-old infant. The mother asks if the infant is developing normally. The nurse refers which finding as suggestive of normal development in infants from birth to 4 weeks of age?
The infant raises head and chest while on stomach
The nurse is assessing development of a 4-year-month-old boy during a well-child visit. Which observation needs further investigation?
The infant responds to his mother when he see her but not at other times when she is near
The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?
The need for separation and control
A hospice nurse has been preparing parents for the death of their child. How does the nurse recognize that the parents are dealing with anticipatory grief?
The parents have prepared a scrapbook of pictures of their child
A nurse is assessing the fontanels of a crying newborn and notes that the posterior fontanel pulsates and briefly bulges. What do these findings indicate?
These are normal findings
According to Erikson, normal adolescent behavior includes trying on new roles and possibly even rebelling. What is the purpose of this behavior in adolescents?
To establish a sense of identity (According to Erikson, the development task for adolescents is identity versus role confusion.
What is the most important reason for administering a medication at the correct time?
To maintain the desired blood level of the medication
The nursing student identifies which technique as the correct one to use when giving oral medications to an infant?
Use a dropper and slowly inject the liquid into the side of the infant's mouth.
Parents of a 2-year-old girl are having a conversation with the nurse about tantrums. Which technique would the nurse most likely suggest?
Use short "time-outs" and remain calm
How will the nurse measure urine output in the hospitalized toddler who is partially potty trained?
Weigh the wet pull-up or diaper and subtract the weight of a dry diaper
A group of caregivers of toddlers are discussing the form of discipline in which the child is placed in a "time-out" chair. Which statement made by these caregivers is appropriate related to this form of discipline?
When my son starts getting frustrated and aggressive, I remind him that if he throws a fit he will have to go to time out"
A nurse is interacting in conversation with the parents of an 8-year-old child with intellectual disability who wants to join a scout club at school. The parents explain that they are uncertain if this would be a good experience for their child. Which would be the best response by the nurse?
Your child has the same socialization needs as other children who don't have an intellectual disability."
A seasoned pediatric nurse realizes that a hospitalized child's need for identity is strongest in which of the following groups?
adolescents
During their school-aged years, children understand concepts best if they can see the concept illustrated. This type of thinking is termed
concrete thought
While awaiting an appointment at the doctor's office for his 20-month-old daughter, a young father is astonished to see his daughter assume a proper stance and swing a toy golf club in the play area of the waiting room. A nurse also observes the behavior, and the father recalls that this daughter saw him practicing his golf swing in their back yard a few days ago. The nurse explains that this is an instance of which of the following? -
deferred imitation
A 10 year-old-girl is excited when she receives the "most improved player" award on her soft ball team. Although she was not the strongest player on the team, she always tried to perform at the best level and never gave up on practicing her skills. What stage of psychosocial development according to Erik Erikson is this child demonstrating?
industry vs inferiority
A parent must administer a medication in syrup form to a 2-month-old infant. The nurse suggests:
placing the syrup in a medicine syringe.
A nurse is talking to and making facial expressions at a 9-month old baby girl during a routine office visit. What is the most advanced milestone of language development that the nurse should expect to see in this child? -
the infant says "da-da" when looking at her father
