PEDS - Exam 1

A nurse is assessing a 15-month-old girl at the well-child clinic. The nurse determined that further education about toddler development is necessary when the mother says, "She.."

"has a temper tantrum every time I put hr on the potty chair"

A nursing instructor asks a nursing student to describe the formal operations stage of Piaget's cognitive development theory. The appropriate response by the nursing student is: a. "the child has the ability to think abstractly" b. "the child begins to understand the environment" c. "the child is able to classify, order, and sort the facts" d. "the child learns to think in terms of past, present, and future

a. "the child is able to think abstractly"

An IV catheter is to be inserted into a 3 year old toddler's peripheral vein. As local topical anesthetic is applied, the toddler starts to cry and asks if it is going to hurt. How should the nurse respond? a. "yes, it may hurt, but not for long" b. "maybe it will hurt, but remember big children don't cry" c. "yes, it may hurt, but if you hold still it won't hurt too much" d. "it will hurt a little, but I'm good at getting the needle into your arm"

a. "yes it may hurt but not for long"

Which gross motor milestones should the nurse assess in an 18-month-old child? Select all that apply. a. jumps in place with both feet b. takes a few steps on tiptoe c. throws ball overhand without falling d. pulls and pushes toys e. stands on one foot momentarily

a. jumps in place with both feet c. throws ball overhand without falling d. pulls and pushes toys

The nursing student is assigned care of a child with fragile X syndrome. Which of the following could the student possibly see in this child? Select all that apply. a. long palpebral fissures b. macroorchidism c. high arched palate d. hypertonia e. small head circumference

a. long palpebral fissures b. macroorchidism c. high arched palate

Which interventions are appropriate for the care of an infant? Select all that apply. a. provide swaddling b. talk in a loud voice c. provide the infant with a bottle of juice at nap time d. hang mobiles with black and white contrast changes e. caress the infant while bathing or during diaper changes f. allow the infant to cry for at least 10 minutes before responding

a. provide swaddling d. hang mobiles with black and white contrast changes e. caress the infant while bathing or during diaper changes

A mother of a 3 year old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erickson's psychosocial development theory, the nurse tells the mother to: a. set limits on the child's behavior b. ignore the child when this behavior occurs c. allow the behavior, because this is normal at this age period d. punish the child every time the child says "no" to change the behavior e. provide a simple explanation of why behavior is unacceptable

a. set limits on the child's behavior e. provide a simple explanation of why behavior is unacceptable

Which are characteristics of physical development of a 30-month-old child? Select all that apply. a. birth weight has doubled b. primary definitions is complete c. sphincter is achieved d. anterior fontanel is open e. length from birth is doubled f. left or right handedness is established

b. primary definition is complete c. sphincter control is acheived

A nurse is teaching a mother about the immunization schedule to her baby. Between which months of age should the measles vaccine be given? a. 2 and 5 months b. 6 and 8 months c. 12 and 15 months d. 9 and 11 months

c. 12 and 15 months

The physician ordered acetaminophen to be given every 6 hours to a child weighing 66 lbs. The maximum recommended dose for children is 10-15 mg/kg/dose. What is the maximum amount this child can safely receive in 24 hours? a. 4000mg/day b. 3000mg/day c. 1800mg/day d. 1200mg/day

c. 1800mg/day

The nurse is observing a preschool classroom of children between the ages of 3 to 4 years of age. When planning actions to ensure that each child meets normal developmental goals, which child will require the most immediate intervention? a. A 3-year-old boy who needs help dressing b. A 4-year-old girl who has an imaginary friend c. A 4-year-old girl who engages only in parallel play d. A 3-year-old boy who draws stick figures

c. A 4-year-old girl who engages only in parallel play

A lumbar puncture is needed on a school-age child. The most appropriate action to provide analgesia during this procedure is to apply ____ before the procedure. a. TAC 15 minutes b. transdermal fentanyl patch immediately c. EMLA 1 hours d. EMLA 30 minutes

c. EMLA 1 hour

A 16-year-old is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is appropriate to facilitate normal growth and development postoperatively? a. encourage the child to rest and sleep b. encourage play with other children of the same age c. allow the child to interact with others in his or her same age group d. allow the family to bring in the child's favorite computer games

c. allow the child to interact with others in his or her same age group

A nurse is caring for a 15-year-old adolescent who is receiving chemotherapy for leukemia. The nurse expects that adolescents with health problems are most concerned about: a. missing time at school b. limiting social activities c. feeling different regarding changes in body image d. being dependent while enjoying the sick role

c. feeling different regarding changes in body image

The nurse is talking with a 10-year-old boy who wears bilateral hearing aids. The left hearing aid is making an annoying whistling sound that the child cannot hear. Which is the most appropriate nursing action? a. ignore the sound b. ask him to reverse the hearing aids in his ears c. suggest he reinsert the hearing aid d. suggest he raise the volume of the hearing aid

c. suggest he reinsert the hearing aid

The nurse is doing a prehospitalization orientation or a 7-year-old child who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that she will not be able to talk because of the endotracheal tube but that she will be able to talk when it is removed. This explanation is: a. unnecessary b. the surgeon's responsibility c. too stressful for a young child d. an appropriate part of the child's preparation

d. an appropriate part of the child's preparation