Peds Exam 2 Semester 4

A parent of a 2 year old child is concerned because her child's back seems curved. Which is the best response?

This is normal for this age

A 4 year old boy will not stop throwing sand at his sister. Which of the following punishments is most effective for this child?

Time out for 4 minutes

A toddler's mother is concerned because her toddler takes her blanket everywhere. which advice would be most appropriate for her regarding this?

Understand that this is probably a normal event

An 8-year-old eats lunch daily in the school cafeteria. Which is the best way to feel assured that he will eat a balanced lunch daily?

Use visual aids to demonstrate appropriate food selections

A toddler seems unable to remain dry despite toilet training. Which patient teaching should be included in his plan of care?

He is probably not yet physically ready for toilet training

A nurse is assessing a 2 1/2 year old toddler at a well child visit. Which of the following findings needs to be reported?

Head circumference exceeds chest circumference

A nurse is teaching a course about safety during school age years. Which of the following information should be included? SATA

Wearing helmets when riding bikes or skateboards Implementing firearm safety Wearing seatbelts

A nurse is providing teaching about dental care and teething to the parents of a 9 month old infant. Which of the following statements by the parents indicates understanding of the teaching?

I should clean my baby's teeth with a cool, wet wash cloth

The nurse provides patient education to Jason's father who had asked if it is normal for his 2 year old son to spread his feet wide apart when he walks. Which of his statements suggest that he receive accurate teaching?

"A wide-spaced gait is a common characteristic of toddlers."

Beginning verbal communication is one of the most important tasks that infants need to achieve. The nurse teaches Bryan's mother that by 12 months of age he should display which characteristics?

"Children this age can usually say around two words, plus 'ma-ma' and 'da-da' "

Toddlers learn a great deal about oral communication in the course of their development. The nurse expects Jason, a 2 year old, to have mastered which statement?

"Daddy come"

A nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching?

"Girls usually stop growing 2 years after menarche"

Raul is depressed because his girlfriend broke up with him. Which of his statements could be interpreted a stalking?

"I e-mail her every night to tell her what a huge mistake she's made."

Teaching safety is an important area to consider for school age children. Which advice would be best?

"Keep your backpack filled to capacity to avoid falling on frequent trips back to your locker."

Raul is prescribed both a topical cream and oral tetracycline to treat his acne. What statements would let you know he needs additional health information?

"My girlfriend wants to borrow my tetracycline; I don't mind sharing it."

The nurse evaluates some of the anticipatory guidance that provided to Rauyl with the goal of fostering his sense of identity. The nurse identifies which statemtn as suggesting he is successfully working toward this goal? SATA

- "I'm debating whether I'd like to be a pilot or a race car driver" - "I ask my parent sat least once a week to let me do more things." - "I handle money at my part time job and it's sometimes tempting to take some of it" - "I'm getting used to being so much taller than my younger sister."

A nurse is providing anticipatory guidance to a parent of a 13 year old adolescent. Which of the following screenings should the nurse recommend for the adolescent? SATA

- BMI - Weight - Scoliosis

A nurse is providing an anticipatory guidance to the parents of a toddler. Which of the following should the nurse include? SATA

-Develop food habits that will prevent dental caries -Expression of bedtime fears are common -Expect behaviors associated with negativism and ritualism

A nurse is performing a developmental screening on a 10 month old infant. Which of the following find motor skills should the nurse expect the infant to perform? SATA

-Grasp rattle by the handle -Use a crude pincer grasp

A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform? SATA

-Throw a ball overhand -Use a spoon without rotation

Cathy, who is 3 years old, constantly asks questions. When teaching her father about communication skills in children of this age, the nurse should state that a child of CAthy's age typically asks how many questions in a day?

300-400

Bryan is 2 months old, and the nurse is collaborating with the occupational therapist in his care. When planning care, the nurse identified that Bryan should sit securely at what age?

8 months

Shelly tells the nurse she collected "a ton of candy on Halloween." Because of how common this phenomenon is, in consultation with a dental hygienist, you would teach children that what type of candy is less likely to cause dental caries?

A chocolate bar

A nurse is providing teaching to the parent of a preschool age child about methods to promote sleep. Which statement shows understanding of the teaching?

I will keep a dim lamp on in my child's room during the night

A nurse working with adolescents understand which to be the most widely used drug among adolescents?

Alcohol

Which patient education should the nurse provide a mother of a preschooler with broken fluency?

Allow the preschooler to have time to talk

A nurse is caring for a preschool age child who says she needs to leave the hospital because her doll is scared to be home alone. Which of the following characteristics is preoperational thought is the child exhibiting?

Animism

The parents of an adolescent boy are concerned about the amount of sleep he seems to require. What advice would you give them?

As long as he seems otherwise well, this sounds like a typical teenager.

the nurse reviews infant safety with Bryan's mother. It is most important to teach his mother about preventing which common injuries among infants?

Aspiration and falls

A nurse is preparing an educational program for a group of parents of preschool age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching

Average calorie in take should be 1800 calories per day.

Cathy's father, a police detective, says that he and his wife wsh to take measures to prevent Cathy from being kidnapped. What action should the nurse recommend to this family?

Be certain Cathy understands not to leave daycare with anyone but her parents.

A nurse is assessing a 12 month old infant during a well child visit. Which of the following findings should the nurse report to the provider?

Birth weight doubled

Cathy keeps her entire family awake at night because she is so afraid of the dark. The nurse teaches Cathy's parent to take which action to help overcome this fear?

Buy a night-light for CAthy's room and inspect the room to be certain it appears safe

Jason's grandmother often visits the family.When she does, she brings a number of medication with her. The nurse teaches the family to follow which precautions about unintentional poisoning?

Buy the grandmother a medicine case that locks and place it on a high shelf when she visits

A 12 year old recently began smoking cigarettes. What patient teaching should the nurse provide at a health maintenance visit?

Cigarette smoking is associated with long term respiratory and cardiovascular effects

Shelly belonged to a series of clubs when she was 9 years old. When you talk to her school nurse, what would you expect to hear the nurse cite as a typical characteristic of a 9 year old's club? A. Clubs have formal rules and regulations B. Clubs are designed to help shy children get outside of their comfort zone. C. Clubs invariably exclude one or more children D. Clubs always include both boys and girls

Clubs invariably exclude on or more children

A 10 year old becomes very upset and expresses sympathy for his friend whose dog has just died. This kind of reactino is an indication that he has achieved which step in cognitive thought?

Decentering

The nurse is drafting an educational handout for parents of preschoolers that addresses the topic of sex education. What guideline should be included in this educational material?

Describe some of the differences between boys and girls in clear and accurate terms

When planning care for an infant who has unique needs, the nurse best promotes the parents' psychosocial well-being by which means?

Emphasizing what the infant can do more than what he or she cannot do

Jason replies to every request by his mother with "No!" His mother admits that she is exasperated and embarrassed by this, and she states that she is desperate to change this behavior. How can the nurse best meet the mother's expressed learning needs?

Encourage her to reduce the number of questions she asks Jason

A previously toilet trained 4 year old child has many episodes of urinary incontinence while in the hospital for a fractured femur. Which of the following actions should the nurse implement?

Explain that children will usually quickly regain control over a previously mastered skill once back at home again.

A nurse is discussing prepubescence and preadolescence with a group of parents of school age children. Which of the following information should the nurse include?

Growth difference between boys and girls becomes evident

A nurse is providing teaching about age appropriate activities to the parents of a 2 year old. Which statements by the parent indicates an understanding of the teaching?

I will send my child's favorite stuffed animal when she will be napping away from home

A nurse is providing education about introducing new foods to the parents of a 4 month old infant. The nurse should recommend that the parents introduce which of the following foods first?

Iron fortified cereals

The nurse realizes Raul is concerned about developing body odor and that he has consulted some websites that address this problem. The nurse recognizes a valid and reliable website would cite which aspect is true of body odor in adolescents?

It is caused by an increase in activity of apocrine glands

According to Erikson, a sense of industry or accomplishment is the developmental task of the school age period. When planning care, what would be the best activity to introduce to Shelly to help her achieve this?

Locate small projects she could complete in 1 day and feel rewarded

The school age period is the time when many young people begin smoking. To design interventions that are effective an patient centered, the nurse should begin by acknowledging which of the following?

Many people view smoking as being an "adult" activity

An infant's mother asks you "When shoul dI expect my daughter to begin to walk?" Which response is appropriate?

Most children walk around 12 months

When encouraging an adolescent who is hospitalized and physically challenged or chronically ill to develop and maintain a sense of identity , which is the best nursing action?

Providing opportunity for the individual decision making

A nurse is caring for an adolescent whose mother expresses concerns about her child's sleeping such long hours. Which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescence?

Rapid growth

At the conclusion of a long conversation, Raul admits he has experimented with cocaine. Which assessment finding would most strongly warrant a referral to addiction services?

Raul lacks nasal hair

A nurse is performing a developmental screening on a 3 year old child. Which of the following skills should the nurse expect the child to perform?

Ride a tricycle

Cathy's family is expecting a new baby. When Cathy is visiting the birthing center, the nurse should promote which behavior as a means of fostering family bonding during this time of transition?

Take action to help Cathy spend as much time with her mother and the infant as possible

A nurse is teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation?

Testicular enlargement

The nurse is discussing object permanence with Bryan's mother. Which action by her infant best illustrates that he understands object permanence?

The child looks for the mother after she walks away

Jason's mother would p'refer to use a time out for punishment. What should the nurse teach Jason's mother or his daycare setting caregivers about the use of this technique?

The child should sit still for as many minutes as his age.

You learn that a friend's 4 month old son rolled off a changing table. Which of the following would you conclude from this?

The parents lack knowledge of infant development

you discover that an infant's mother is propping a bottle at bedtime to help her fall asleep. Which patient teaching would the nurse provide this mother?

This can promote tooth decay

A nurse is providing education about age appropriate activities for the parents of a 6 year old. Which of the following activities should the nurse include in the teaching?

jumping rope