PEDs Exam I Content Review : optional

A first-time mother is concerned that her 6-month-old infant is not gaining enough weight. What should the nurse tell the mother?

"Birth weight doubles by 6 months of age.

A 10-month-old child with recurrent otitis media is brought to the clinic for evaluation. What is most important for the nurse to ask the family about the baby's symptoms?

"Do you give the baby a bottle to take to bed?

The mother of a toilet-trained toddler who was admitted to the hospital for severe gastroenteritis and subsequent dehydration and is now at home asks the nurse why the child still wets the bed. What would be the nurse's best response?

"Hospitalization is a traumatic experience for children. Regression is common, and it takes time for them to return to their former behavior."

On observing a parent propping a bottle for a 2-month-old child in the waiting room, the nurse explains the dangers to the parent. Which statement indicates that the parent has understood the nurse's teaching?

"I can see how it might cause choking and cause tooth decay.

After teaching a community class to new parents, the nurse evaluates client understanding of strategies to prevent sudden infant death syndrome (SIDS). Which statements indicates appropriate understanding?

"I will place my baby in a supine position for sleep during the first year."

A new mother asks the maternity nurse about sudden infant death syndrome (SIDS). The nurse tells the mother that SIDS most likely to occur at what age?

1 week to 1 year, peaking at 2 to 4 months

A parent brings an 8-month-old to the pediatrician's office. When the nurse approaches to measure the child's vital signs, the child clings to the parent tightly and starts to cry. The parent says, "The baby used to smile at everyone. I don't know why the baby is acting this way." The nurse begins teaching the parent about growth and development by stating:

"Your baby's behavior indicates stranger anxiety, which is common at his age."

A nurse should begin screening for lead poisoning when a child reaches which age?

12 months

A 7-year-old has had an appendectomy on November 12. He has had pain for the last 24 hours. There is a prescription to administer acetaminophen with codeine every 3 to 4 hours as needed. The nurse is beginning the shift, and the child is requesting pain medication. The nurse reviews the chart below for pain history. Based on the information in the medical record, what should the nurse do next?

Administer the acetaminophen with codeine.

When explaining to parents how to reduce the risk of sudden infant death syndrome (SIDS) the nurse should teach about which measures? Select all that apply.

Breastfeed the baby. Place the baby on his back to sleep. Maintain a smoke-free environment.

A nurse caring for an 8-month-old infant diagnosed with respiratory syncytial virus is unable to read a medication dosage written in the infant's medical record. What is the only ethical and responsible solution for the nurse?

Call the physician and ask for a verbal order to clarify the dosage.

The parent of a 6-month-old reports starting 2% milk. What should the nurse ask the parent first?

Can you tell me more about the reason you switched your baby to 2% milk?"

A parent is concerned about spoiling a 2-month-old child by picking up the child each time the child cries. Which suggestion should the nurse offer?

Continue to pick up the crying baby because young infants need cuddling and holding to meet their needs

An 18-month-old child is admitted to the pediatric unit. Which of the following can the nurse do to reduce the stress on the client during this hospitalization?

Encourage the client's caregivers to be with the client as much as possible

Which nursing interventions are important when caring for a hospitalized toddler? Select all that apply.

Instruct parent that regression commonly occurs. Encourage use of a security object from home. Allow client autonomy by offering select choices. Maintain the toddler's routine when able.

A mother is discontinuing breast-feeding after 3-1/2 months. The mother is seeking education on what to feed her baby now that she is no longer breast-feeding. What should the nurse teach the mother to feed her baby?

Iron-fortified formula only

A mother asks the nurse how to handle her 4-year-old child, who recently started wetting the pants after being completely toilet-trained. The child just started attending nursery school 2 days per week. Which statement by the mother indicates understanding of the situation?

My child is most likely regressing back to a behavior that increases his sense of security.

The nurse is caring for an infant who exhibits the above characteristics. When planning care, which would be the best long term client goal?

The client will reach his/her optimal level of functioning.

A nurse has received report on her clients and notices that they're of varying ages. To prepare for the shift, the nurse reviews Erik Erikson's five stages of psychosocial development. Place the stages in chronological order from infancy to adolescence. Use all options.

Trust versus mistrust Autonomy versus shame and doubt Initiative versus guilt Industry versus inferiority Identity versus role confusion

The nurse is evaluating an infant for auditory ability. What is the expected response in an infant with normal hearing?

blinking and stopping body movements when sound is introduced

A mother brings a 15-month-old child to the well-baby clinic. She states the child has been taking approximately 18 to 20 oz (540 to 600 mL) of whole milk per day from a bottle with meals and at bedtime. The nurse should suggest that she begin weaning the child from the bottle to avoid risking:

dental caries

A 3-month-old infant is admitted to the hospital to rule out nonaccidental trauma. X-ray findings indicate a fractured right humerus, fractured ribs, and a fractured left scapula. In this situation, a nurse is responsible for:

ensuring that the suspected child abuse is reported to local authorities.

The client sustained an open fracture of the femur from an automobile accident. The nurse should assess the client for which type of shock?

hypovolemic

A child who is of preschool age is diagnosed as having severe autism. The most effective therapy involves which intervention?

one-on-one play therapy

The nurse assesses an 8-month-old's language development. Which finding would the nurse consider to be typical language development?

saying "dada" and "mama" nonspecifically

A 4-year-old child is admitted to the hospital for surgery. The nurse applies interventions to address what major stressor for a child of this age?

separation from family

A nurse is assessing an 8-month-old infant during a wellness checkup. Which action is a normal developmental task for an infant this age?

sitting without support

Which infant most needs a developmental referral for a gross motor delay?

the 9-month-old who does not stand holding on

A nurse is teaching parents about the developmental milestones of an infant. Place the following developmental activities for an infant in order of occurrence by age from earliest to latest. All options must be used.

turning self from prone to supine turning self from supine to prone sitting alone crawling on hands and knees effectively using pincer grasp

A typically developing preschool child is experiencing pain after an appendectomy. Which data collection tool is the most appropriate for the nurse use to assess the pain?

FACES Pain Rating Scale