PEDS CHAPTER 17- Care of the Preschooler
The nurse has completed an education program on normal communication abilities in the preschool child. Which statement by a participant indicates a need for further education?
"im concerned that my 5-year-old can only count to 20"
During a well-child check-up, the mother of a 5-year-old girl reports her daughter seems much smaller than her 2 older children did at this same age. A review of the medical record reveals that the child is 44 inches tall and weighs 42 pounds. What information should be included in the response by the nurse?
"your daughter is slightly taller than other children her age but her weight is normal"
What would be most effective in helping promote initiative and nutritional health for a preschooler?
allowing the child to spread soft cheese on crackers
When assessing a child and his parents during a well-child visit, the nurse determines that the child is experiencing night terrors. Which of the following would the nurse be most likely to suggest to assist the parents in dealing with this issue?
allowing the episode to take its course
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 providing health-promotion teaching to a group of parents of preschoolers at a local daycare. What information would the nurse include in this education session? Select all that apply.
encourage children to select their own clothing to wear each day, parents will need to supervise tooth-brushing and be responsible for flossing, treat any toileting accidents in a matter-of-fact manner and assist the child in getting dry clothing
The nurse is assessing a 5-year-old child. Which assessment finding would be documented as abnormal?
inability to state address
Which would be a nutritional goal for a preschool client?
introduce new food gradually and include variety
A parent brings the 4-year-old child for a check-up. Which finding would concern the nurse?
resting pulse rate of 120
The nurse is assessing a 4-year-old child. Which assessment finding would the nurse identify as being of the highest concern?
stands on 1 foot for about 3 seconds
The home health nurse, who is visiting the home of a 4-year-old, prepares a nursing care plan with the nursing diagnosis of "at risk for injury RT the parents insufficient knowledge of safety practices for preschooler." Which nursing interventions should the nurse include in the plan of care? Select all that apply.
teach the parents to use a forward-facing car seat with harness and top tether, teach the parents that the preschooler should use an approved bicycle helmet when riding a bicycle at any time
The parent of a 5-year-old child calls the doctors office to seek advice about proper nutrition for her child. Which statement by the mother indicates that further teaching is needed?
"since she doesn't like vegetables, we no longer serve them to her"
During an admission assessment the nurse is discussing the developmental level of the child with the parents. Which comments by the parents demonstrate a good understanding of developmental expectations of the preschool-aged child? Select all that apply.
"we think it is important to have play dates with out friends preschool children", "our child attends a wonderful preschool 3x per week", "we have been taking about enrolling in a morning preschool program since this is our only 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 in preparation for getting an IV catheter placed, what intervention might the nurse implement?
allow the child to play with the procedure doll
The parents of a preschool-aged child are investigating child care centers to enroll the child. What would the nurse review with the parents prior to them making a decision? Select all that apply.
ask about the child-staff ratio, find out if parents can visit any time, find out how long the center has been in operation, ask about the centers licenses and compliance with regulations
The parent of a 4-year-old child has expressed concern that the child is wetting her bed several times each week. What should the nurse teach the parent?
bed wetting is not an expected behavior at this age
The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as abnormal?
falls when bending over to touch toes
A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the extremities. The parent informs the nurse that the rash started a day before on the exterior surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The HCP diagnoses the child with erythema infectiosum. The nurse tells the parent that this is also known as:
fifth disease
A father and his 4-year-old son are waiting in an exam room when the nurse enters and greets them. Which activity that the nurse observes the boy doing would best demonstrate the primary developmental task of the preschool-age child, according to Erikson?
opening drawers in the room, pulling out supplies, and examining them
The nurse is teaching the preschooler's parents injury prevention. Which method would the nurse advise for the parents as the best way to enforce injury prevention?
repetition and reinforcement