Peds Ch15 prepU

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The nurse is examining a 6-month-old girl who was born 8 weeks early. Which finding is cause for concern?

Head size has increased 5 in (12 cm) since birth.

The local and national media are beginning to promote immunizations for the upcoming influenza season. The mother of a premature infant of 7 months chronological age and 5 months corrected age asks about immunizing her child. The nurse responds:

Infants receive influenza vaccine at 6 months of age. Chronological age is used for premature infants

The nurse working in the child clinic observes infant Max. He is 8 months old. What type of activity should the nurse be observing?

Max is on the floor picking up blocks from a bucket.

How does weight change from birth to 12 months?

birth weight triples by one year

head circumference correlates with what

child's length

All infants should have their head circumference measured at health assessment visits. Where should the nurse place the tape measure to obtain this measurement

just above the eyebrows through the prominent part of the occiput

A mother phones the clinic stating that her infant feels hot, is vomiting, and now is having some loose stools. Which question will best assist the nurse in determining the child's hydration status?

"Is your baby's fontanel (fontanelle) depressed

Flu vaccine is recommended for ages __________ and up

6 months

Which information obtained by the nurse from the parents at the initial health supervision visit would alert the nurse to conduct the newborn metabolic screening during this visit?

The screening was completed when the newborn was 24 hours old, Newborn metabolic screenings should occur when the child is older than 48 hours. The other options indicate the screening was completed appropriately and should not be repeated

A mother of a 10-month-old states to the nurse, "I brush my child's teeth every day with flavored kids' toothpaste." Which is the most appropriate response by the nurse?

Toothpaste isn't necessary, it is the scrubbing that is required

The nurse is preparing to administer a diphtheria, tetanus and pertussis vaccine to a 3-year-old child. Which version of the formulation of the vaccine should be administered?

DTaP is used for children under the age of 7

The 2-month-old infant needs a capillary blood specimen obtained. In addition to having the father hold the infant, what can the nurse do to comfort the child? Select all that apply

provide pacifier and small dose of sucrose before procedure

The nurse is watching a group of infants playing in an infant room at day care. When analyzing the developmental characteristics exhibited, which infant would the nurse identify as being approximately 3 months of age?

infant laying prone with a colorful toy in front

What is the consistency of breastfed baby's stool

The breastfed infant has stools that appear yellow and seedy. Consistency of stool is more important than frequency

A staff nurse is talking about Piaget's theory with a nursing student. Infants are in the sensorimotor stage of cognitive development during which object permanence is mastered. An example of an infant displaying this ability is:

looking for a toy in her crib at the last place she saw it


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