The Nursing Care of Children: Health Promotion

The parents of a 12-year-old girl ask why their daughter, who is not sexually active, should receive the HPV vaccination. What is the correct response by the nurse? A. The vaccine is most effective against cervical cancer if given before becoming sexually active B. Parents are never sure when their children become sexually active C. HPV is most common in teens and women in their late 20's D. If your daughter is sexually assualted, she may be exposed to HPV

A

The parents of a preschooler ask the nurse how to handle their child's temper tantrums. Which technique should the nurse include in the teaching plan? Select all that apply A. Putting the child in time-out B. Ignoring the child C. Putting the child to bed D. Spanking the child E. Trying to reason with a child

A B

A parent brings a 5-year-old child to a weekend vaccination clinic to prepare for the school year. The nurse notes that the child has not had any vaccinations since 4 months of age. What is the best way for the nurse to determine how to catch up the child's vaccinations? A. Contact the child's PCP during office hours B. Review nationally published immunization guidelines C. Read each vaccines' manufacturer's insert D. Ask a local pharmacist on duty

B

After having a blood sample drawn, a 5-year-old child insists that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will come out. Does the nurse interpret this behavior as indicating a fear of which of the following? 1) Injury. 2) Compromised body integrity. 3) Pain. 4) Loss of control.

B

A nurse is assessing the growth and development of a 10-year-old. What is the expected behavior of this child? A. Enjoys physical demonstrations of affection B. Is selfish and insensitive to the welfare of others C. Is uncooperative in play and school D. HAs a strong sense of justice and fair play

D

The nurse is teaching the parents of an 8-month-old about what the child should eat. The nurse should include which information points in the teaching plan? A. Vegetables should be introduced before fruits when the infant is 6 months old B. Solid foods should not be introduced until the infant is 10 months old C. Iron-fortified cereals should not be introduced until the infant is 8 months old D. Formula can be changed to whole milk when the infant is 12 months old

D

The nurse teaches the parents of a 4-year-old dx with iron deficiency anemia about the side effects of taking an iron supplement. The nurse knows that more teaching is required when the parent states that a side effect of taking iron might be? A. Teeth staining B. Black stools C. Metallic taste D. Dark urine

D

When observing the parent instilling prescribed ear drops twice a day for a 2 year old., the nurse decides that the teaching about the position of the pinna for installation of the drops is effective when the parent pulls the toddlers pinna in which direction? A. Up and forward B. Up and backward C. Down and forward D. Down and backward

D

Which infant most needs a developmental referral for a gross motor delay? A. The 2-month-old who does not roll over B. The 4-month-old who does not sit without support C. The 6-month-old who does not crawl D. The 9-month-old who does not stand holding on

D

After teaching a group of parents of preschoolers attending a well-child clinic about oral hygeine and teeth brushing, the nurse determines the teaching has been successful when the parents state that the child can begin brushing their teeth without help at what age? A. 3 years B. 5 years C. 7 years D. 9 years

C

An adolescent tells the nurse that she wants to wear tampons during her period. What should the nurse do first? A. Assess her usual menstrual flow patterns B. Determine whether she is sexually active C. Provide information about preventing toxic shock syndrome D. Refer her to a specialist in adolescent gynecology

C

The nurse assesses an 8-month-old's language development. Which finding would the nurse consider to be typical language development? A. Saying Dada and Mama to specific parents B. Saying three other words besides Mama and Dada C. Saying dada and mama nonspecifically D. Saying mama and dada while pointing to the parent

C

The nurse conducts a wellness screening on a 9-year-old client. Which finding most suggests that the client has typical social development? A. Thinks independently B. Is able to organize and plan C. Has a best friend D. Enjoys active play

C

The nurse discusses the eating habit of school-aged children with their parents, explaining what factor most influences these habits? A. Food preferences of their peers B. Smell and appearance of the food offered C. Examples provided by parents at mealtimes D. Parental encouragement to eat nutritious foods

C

The nurse notes that an infant stares at an object placed in his hand and takes it to his mouth, coos, and gurgles when talked to, and sustains his own weight if held in a standing position. The nurse correctly interprets these findings as a characteristic of what age? A. 2 months B. 4 months C. 7 months D. 9 months

C

The parents of a 3 week old healthy infant asks the nurse hwy their child is intermittentently cross-eyed. What is the nurse's best response? A. An eye patch may be necessary for correcting your child's vision B. Your child will likely need an ophthalmology consult C. It is normal to have a cross-eye period in the newborn stage D. Surgery may be necessary to correct your child's vision

C

An 8-month-old infant is seen in the well-child clinic for a routine checkup. The nurse should expect the infant to be able to do which tasks? Select all that apply A. Saying mama and dada with specific meaning B. Feeding self with a spoon C. Playing peek-a-boo D. Walking independently E. Stacking two blocks F. Transferring an object from hand to hand

C F

Which amount of daily milk intake should the nurse include in the plan of care for a 15-month-old? A. 1/2 to 1 cup B. 2-3 cups C. 3-4 cups D. 4-5 cups

B

A parent asks the nurse how to care for a child with chickenpox. What should the nurse include in the plan of care? Select all that apply A. Use OTC aspirin for fever B. Encourage oatmeal baths C. Keep fingernails short D. Avoid overheating E. Do not return to school until all lesions have crusted over

B C D E

A parent brings a 4-month-old into the clinic for a regular well visit and expresses concern that her child is not developing appropriately. Which finding in the infant would lead the nurse to determine the infant needs further developmental screenings? A. Has no interest in peek-a-boo games B. Does not turn front to back C. Does not babble D. Does not without support

C

A parent brings in an 18-month-old to the clinic because the child "eats ashes, crayons, and paper." Which information about the client should the nurse assess first? A. Evidence of eruption of large teeth B. Amount of attention from the parent C. Any changes in the home environment D. Intake of a soft, low-roughage diet

C