Pediatrics Midterm Review Questions
Engage the mother in therapeutic hugging.
The nurse is preparing a 4-year-old girl for a lumbar puncture. The child is extremely fearful and crying. The nurse needs to quickly gain the child's cooperation so the procedure can move forward as ordered. Which approach by the nurse should be used?
Stress equal to that of the affected child
The nurse is talking with parents of a hospitalized child who has three siblings at home being cared for by the grandparents. The main idea the nurse wants the parents to understand is that siblings may experience:
Supporting the parent in his or her presense and caregiving.
THe Nurse crin g for a 6-month-old infant can best reduce the stress response of hosptalization by:
if approved by the physician, allow the parents to bring food from home for the child Encourage the child to eat several small meals instead of fewer larger meals. Ask the dietitian to visit the child to help determine foods the child prefers. Assist the child to choose from the facility menu foods they like.
The nurse is caring for a 9-year-old child on an inpatient pediatric unit that is admitted for an extended stay. The child continually refuses meals. What can the ruse do to help increase the child's intake? SATA
Scheduling respite care of the child with a child care provider.
The nurse is providing home care for an 8-year-old girl who is dependent on a ventilator, and for her family. What is a part of case management for the child and family?
Helping the child modify his physical activity requirements.
The school nurse is caring for an 8 year old boy with asthma. What is most likely to be part of the child's individualized Health Plan?
"Please bring the child to the clinic to be seen. You seem concerned."
The telephone triage nurse answers the call from a stay-at-home father of an faint; the father is unable to describe clearly the signs and symptoms the child displays but keeps saying, "She doesn't act like herself," and "Things with her are just not right." The best response by the nurse is:
About his ability to control his own behavior
A 15 yo boy asks numerous questions about recovery from anesthesia and typical behaviors of someone awakening from sedation. The nurse interprets the concern of this teen to be:
Blow a pinwheel and bubbles with the child.
A 6-year-old needs to cough and deep breathe following surgery. To accomplish this, the nurse will:
Invite the adolescent to meet with other teens for lunch in a common space Challenge the adolescent to a video game in the recreation area
An adolescent would benefit from being out of his hospital room. What can the nurse do to promote this? SATA
Perineal and indwelling catheter care
The 10 yo girl hospitalized for bladder surgery will be most stressed when nurses provide what care?
Body integrity
The nurse who wishes to be as supportive as possible to the hospitalized preschooler makes great effort to avoid threatening the 4-year-old's:
Remove one restraint at a time on a regular basis to check for skin irritation.
The toddler needs elbow restraints to keep his hands away from a facial wound. What will the nurse do to best ensure their safe use?
Rehabilitation unit
A child with. New prosthetic limb needs extensive care to learn how to use the prosthesis. Which unit or facility is best equipped to provide this care?
"Let's see who can blow these cotton balls off the table first."
The nurse is caring for a preschooler who requires post surgical breathing exercises. Which approach will best elicit the child's cooperation?
"We told him to use his manners and behave like a big, brave boy."
A mother in the outpatient setting is explaining how she plans to prepare her 5-year-old for hospital admission. What remark indicates the parent requires additional teaching?
The toddler is quiet, looks sad, and is disinterested in playing.
A nurse is caring for an 18-month-old girl undergoing traction therapy in a rehabilitation unit. The understands that the girl is in the second phase of separation anxiety when she observes what behavior?
Regression
Parents are concerned because their 18-month-old will wait only when they feed him. They report he was independent with feeding at home but is unwilling in the hospital. The nurse considers this behavior.
Scheduling intravenous and respiratory therapy services needed by the child
The nurse is providing care for a 4-year-old girl with a chronic respiratory illness. What would be a case management activity?
"I will remind her that she will need an IV if she does not drink."
The nurse is providing teaching for the parents of an 8-year-old girl who has undergone surgery. The nurse emphasizes the importance of maintaining adequate hydration. Which response by the mother would indicate a need for further teaching?
Discussing care and treatment with the parent and child together.
The nurse is caring for a technology-dependent school-age child in his home. Which action best builds a trusting relationship?
Ask the girl and/or her family about any preferences in hair care or for usual procedures used.
The nurse is providing hair care for an African American 10-year-old girl hospitalized with a painful disorder. What should the nurse do first?
Place the infant in a room close to the nurses' station.
The nurse is preparing a post surgical care plan for an infant girl located on a general hospital unit that only occasional admits children. To ensure the infant's safety, what should the nurse include in the plan?
Keeping up with his schoolwork
What will the nurse view as best maintaining normalcy in the life of a 10-year-old boy who is experiencing a lengthy hospitalization?
Stacking blocks Pulling a toy train Putting together a large-piece puzzle
Development should continue during hospitalization. What play activities will the nurse choose for toddlers to accomplish this? SATA