Peds exam 1

The mother of a 3yr old asks the clinic nurse about appropriate and safe toys for the child. The nurse should tell the mother that the most appropriate toy for a 3yr old is which? A - a wagon B - a gold set C - a farm set D - a jack set with marbles

A - a wagon

The maternity nurse is providing instructions to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse instructs the mother to take which measure? A - allow the newborn infant to signal a need B - anticipate all needs of the newborn infant C - attend to the newborn infant immediately when crying D - avoid the newborn infant during the first 10 minutes of crying

A - allow the newborn infant to signal a need

Which activity does the nurse recommend to help develop fine motor skills in the school-age child? A - drawing B - singing C - soccer D - swimming

A - drawing

A 4yr old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child's fears? A - encourage the child's parents to stay with the child B - encourage play with other children of the same age C - advise the family to visit only during the schedules visiting hours D - provide a private room, allowing the child to bring favorite toys from home

A - encourage the child's parents to stay with the child

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 - hand mobiles with black and which contract designs 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 - hand mobiles with black and which contract designs E - caress the infant while bathing or during diaper changes

The nurse notes that a 6yr old child does not recognize that objects exist when the objects are outside of the visual field. Based on this observation, which action should the nurse take? A - report the observation to the pediatrician B - move the objects in the child's direct field of vision C - teach the child how to visually scan the environment D - provide additional lighting for the child during play activities

A - report the observation to the pediatrician

A parent of a 3yr old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erikson's psychosocial development theory, which instructions should the nurse provide to the parent? SELEC ALL THAT APPLY 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 - provide a simple explanation of why the behavior is unacceptable E - punish the child every time the child says "no" to change the behavior

A - set limits on the child's behavior D - provide a simple explanation of why the behavior is unacceptable

The nurse is describing Piaget's cognitive developmental theory to pediatric nursing staff. The nurse should tell that staff that which child behavior is characteristic of the formal operations stage? 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 facts D - the child learns to think in terms of past, present, and future

A - the child has the ability to think abstractly

The mother a 3yr old is concerned because her child still is insisting on a bottle at nap time and at bedtime, which is the most appropriate suggestion to the mother? A - allow the bottle if it contains juice B - allow the bottle if it contains water C - do not allow the child to have the bottle D - allow the bottle during naps but not at bedtime

B - allow the bottle if it contains water

Which care safety device should be used for a child who is 8yrs old and 4ft tall? A - seat belt B - booster seat C - rear-facing convertible seat D - front-facing convertible seat

B - booster seat

Which behavior suggests appropriate psychosocial development in the adolescent? A - the adolescent seeks validation for socially acceptable behavior from older adults B - the adolescent is self-absorbed and self-centered and has sudden mood swings C - adolescents move from peers and enjoy spending time with family members D - conformity with the peer group increases in late adolescence

B - the adolescent is self-absorbed and self-centered and has sudden mood swings

The nurse is evaluating the developmental level of a 2yr old. which does the nurse expect to observe in this child? A - uses a fork to eat B - uses a cup to drink milk C - pours own milk into a cup D - uses a knife for cutting food

B - uses a cup to drink milk

A nurse wants to assess a chronically ill child's feelings regarding a lengthy hospitalization and treatments. What action by the nurse is best? A - ask direct questions of the child as to feelings B - watch the child play on several occasions C - discuss the situation with the parents D - refer the child to the child life specialist for assessment

B - watch the child play on several occasions

The mother of an 8yr old child tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. Using Erikson's psychosocial development theory, the nurse should make which response? A - "you need to be concerned" B - "you need to monitor the child's behavior closely" C - "at this age, the child is developing this own personality" D - "you need to provide more praise to the child to stop this behavior"

C - "at this age, the child is developing this own personality"

A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted? A - the child has no tears B - urine specific gravity is 1.035 C - capillary refill is less than 2 seconds D - urine output is less than 1 mL/kg/hr

C - capillary refill is less than 2 seconds

According to Piaget's theory, the period of cognitive development in which the child is able to distinguish between concepts related to fact and fantasy, such as human beings are incapable of flying like birds is the ___ period of cognitive development A - sensorimotor B - formal operations C - concrete operations D - preoperational

C - concrete

A 16yr old client is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively? A - encourage the client to rest and read B - encourage the parents to room in with the client C - allow the family to bring in the client's favorite computer games D - allow the client to interact with others in his or her same age group

D - allow the client to interact with others in his or her same age group

A pediatrician prescribed an intravenous solution of 5% dextrose and half-normal saline (0.45%) with 40mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs with priority assessment before administering this IV prescription? A - obtains a weight B - takes the temperature C - takes the blood pressure D - checks the amount of urine output

D - checks the amount of urine output

The nurse is preparing to care for a 5yr old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which is the most appropriate activity for this child? A - a radio B - a sports video C - large picture books D - crayons and a coloring book

D - crayons and a coloring book

A mother arrives at a clinic with her toddler and tells the nurse that she has a difficult time getting the child to go to bed at night. What measure is most appropriate for the nurse to suggest to the mother? A - allow the child to set bedtime limits B - allow the child to have temper tantrums C - avoid letting the child nap during the day D - inform the child of bedtime a few minutes before it is time for bed

D - inform the child of bedtime a few minutes before it is time for bed