peds exam 1

The parents of a preschooler express concern to the nurse about their son's new habit of masturbating. What is an appropriate response to this concern?

Address the situation and emphasize safety

The nurse is caring for a 7-year-old child is being treated for multiple fractures after being involved in an automobile accident. The nurse observes that the father frequently takes on the role of nurturer in the family. When planning care, which nursing intervention would most involve the father?

Bathing the child

The nurse is teaching a mother of a 1-year-old girl about weaning her from the bottle and breast. Which recommendation would be part of the nurse's plan?

Begin giving solid foods one at a time

1. The nurse is teaching a new mother about the drastic growth and developmental changes her infant will experience in the first year of life. Which statement describes a developmental milestone occurring in infancy?

By 6 months of age the infant's brain weight is half that of the adult brain; at age 12 months, the brain weighs 2.5 times what is did at birth

The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the primary goal of the CLS?

Decrease anxiety and fear during hospitalization and painful procedure

When providing anticipatory guidance to parents about their preschool son who was caught in a lie, what would the nurse emphasize?

You need to determine the reason for lying before punishing the child

The nurse is providing atraumatic care to children in a hospital setting. Which of the following should the nurse implement?

a. Allow the child and family to participate in care b. Avoid or reduce painful procedures c. Avoid or reduce physical distress

The nurse observing 2-year-olds in a day care center notes that they want to do things themselves and throws tantrums when they don't get their way. Which Erickson's developmental stage is the nurse observing?

a. Autonomy vs. Shame and Doubt

The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

Tell me about the circumstances when this occurs

When the nurse is obtaining a health history, the mother of the 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse's best response?

Tell me what concerns you

The nurse is teaching a father how to introduce his 7-yeare-old son to sports who has a slow-to-warm-up temperament. Which response by the nurse will be most appropriate?

Telling him to read stories to the child about famous athletes

The nurse is assessing a toddler for temperament and documents a "difficult" temperament. Which traits are often seen in this type of personality?

a. Irritability b. Overly active

The nurse is preparing to perform a dressing change on a 13-year-old client who is being treated for burns he received two weeks ago. The client prefers not to take pain medication before the dressing change because is causes drowsiness. What nursing interventions would provide atraumatic care?

a. The nurse encourages the client to wear headphones to listen to music during the dressing change b. The nurse asks the client if he would life the television on during the dressing change

1The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones?

o At 9 months the infant crawls with the abdomen off the floor o At 1 month the infant lifts and turns the head to the side in the prone position o At 12 months the infant walks independently o At 7 months the infant sits alone with some use of hands for support

The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?

Advising them to use praise, not scolding

The nurse is caring for an 18-month-old. What activity would the nurse expect to find the toddler engaging in?

Climbing stairs with assistance

A parent of a 17-month-old toddler is frustrated with the toddler's behavior. The parent tells the nurse the child is bad but doesn't know how to make the toddler behave better. Which of the following responses should the nurse make to this parent?

Consistently enforce well-defined limits, such as no climbing on the counters

The nurse is discussing the impact of smoking with the mother of a toddler. Which of the following statements by the mother indicates an adequate understanding of the impact of her smoking?

Even the clothing I wear when smoking can pose a danger to my son

A nurse is preparing to administer 1000 mL of IV fluid every 6 hours. The IV administration set delivers 10gtt/mL. What is the flow rate in gtt/min?

28 gtt/min

The nurse is caring for an infant at the clinic. At which age would the nurse expect to find the beginning of object permanence?

6 months

Which child should the nurse conduct an immediate comprehensive health history?

A child who is a new client in a pediatric office

The nurse is assisting low-income families to access health care. The nurse is aware that in today's society which of the following most accurately defines the diversity of a modern family?

A family is whatever the child and family say it is

The parents of a 3-month-old infant report that their infant sleeps supine but is often prone while awake. The nurse's response should be based on the knowledge that this is;

Acceptable, tummy time during wake periods encourage head control and turning over

A nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother?

Acknowledge her fear and help her develop a strategy for dealing with it

The nurse is assessing heart rate for children on the pediatric ward. Which of the following is a normal finding based on developmental age?

An infant's rate is 120 bpm

The nurse in a community clinic is discussing nutrition for a 6-month-old boy with his mother. Which of the following foods are appropriate for the child?

Applesauce and bananas

The nurse is instructing the parents of a toddler about appropriate nutrition. What should the nurse recommend?

Approximately 16-24 ounces of milk per day

A 5-year-old child with autism lives with her mother, two brothers, and grandmother. The child was recently hospitalized with a respiratory infection and has special needs because of her autism. What would be the best approach for the nurse to take when first assessing this child?

Ask the child's mother what approach would work best

The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

Ask the family about their cultural background

The nurse is caring for a 2-year-old girl who is wheezing and has difficulty breathing. Which interview question would provide the most useful information related to the symptoms of the child?

Asking the parents if they smoke in the home

1. A parent of four children being interviewed by the nurse states; whatever my husband says goes and the kids need to follow our rules without complaining about them. What type of parenting style does this attitude represent?

Authoritarian

The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which recommendation will be most helpful to the parents?

Describing proper behavior when she misbehaves

The nurse is teaching the student nurse how to communicate effectively with children. Which method would the nurse recommend?

Direct questions and explanations to the child

The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?

Discouraging the addition of fruit juice to the diet

The parents of a 2-day-old girl are concerned because her feet and hands are slightly blue. How should the nurse respond?

Her circulatory system will take a few days to adjust

The nurse is collecting information from the parents of a 3-year0old child about her sleeping patterns. What question by the nurse will be most appropriate?

How many hours does your child sleep at night?

Which of the following statements made by the parent of a preschooler indicates that the parent understands the need her child has for injury prevention?

I programmed the number to the poison control center into my cell phone

A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate?

Keep the baby sitting up for about 30 minutes afterward

The nurse is conducting a well-child assessment for a 5-year-old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has suffered from depression and substance abuse issues. The nurse understands that the child is at increased risk for which developmental problem?

Lack of social and emotional readiness for school

The nurse is providing anticipatory guidance to a mother of a 5-month-old boy about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred?

The cereal should be a fairly thin consistency at first

The nurse is performing a physical examination on a sleeping newborn. Which of the following body systems should the nurse examine last?

Palpate the throat

The nurse is observing a group of preschoolers playing in the clinic waiting room. Which type of play would the nurse be least likely to note

Parallel play

The nurse is teaching the parents of a 6-month-old boy about proper child dental care. Which of the following actions will the nurse indicate as the most likely to cause dental caries?

Putting the child to bed with a bottle of milk or juice

The parents of a 9-month-old who weighs 10kg (22lb) are borrowing a federally approved car seat from a clinic. The nurse should explain that the safest way to put the car seat is:

Rear facing in the back seat

A 1-month-old infant's mother voices concern about her baby's respirations to the nurse. She states they are rapid and irregular. What response is most appropriate by the nurse?

The respirations of a 1-month-old infant are normally irregular and periodically pause

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?

The toddler-s anterior fontanel is not fully closed

The nurse is watching toddlers at play. Which normal behavior would the nurse observe?

Toddlers engage in parallel play

1. Order: Ketorolac 20mg IV q6h PRN pain; Available: Ketorolac 30mg/mL

i. 0.7 mL

The nurse is assessing the psychosocial development of a preschooler. What are normal activity characteristics of the preschooler?

o Initiates activities with others o Engages in parallel play with peers o Acts out roles of other people o Plans activities and makes up games

The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to school. What question would be most appropriate for the nurse to ask?

What are your new classmates like?

Order: Tobramycin 35mg IV q8h for a child who weighs 22lbs. The recommended dosage range is 3 to 3.5 mg/kg q8h.

What is the recommended minimum single dosage for this child? i. 30 mg

1. The parents of an overweight 2-year-old boy admit to the nurse that their child is a bit chubby but argue that he is a picky eater who will eat only junk food. Which is the best response by the nurse to facilitate a healthier diet?

Give him more healthy choices with less junk food available