CH 27 PEDS STUDY GUIDE

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The Nurse is providing teaching about child safety to the parents of a four-year-old girl which statement by the parents indicates a need for further teaching?

"We need to tell her that her vitamins are candy"

The nurse is conducting a well-child examination of a four-year-old boy and is assessing the child's height by how much should the nurse expect the child's height to have increased since last year's examination

2.5 to 3 in (6.35 to 7.62 cm)

The mother of a 4 year old girl reports her daughter has episodes of wedding her pants the nurse questions the mother about the frequency the nurse determines these episode occur about once every 1 to 2 weeks which response by the nurse is indicated?

At this age it is helpful to remind children to go to the bathroom.

A nurse is caring for a 4 year old girl. The parents indicate that their daughter often reports that objects and the house are her friends. They are concerned because the girl says that the grandfather clock in the hallway smiles and sings to her which response by the nurse is best?

Attributing lifelike qualities to inanimate objects is quite normal at this age.

The father of a preschool boy reports concerns about the short stature of his son. The nurse reviews the child's history and notes the child is 4 years old and is presently 41 in (104 cm) tall and has grown 2.5 in (6.35 cm) the past year. Which response by the nurse is most appropriate?

Both your son's height and rate of growth are within normal limits for his age.

The mother of a three-year-old child reports her son is afraid of the dark. She asked the nurse to help which advice is best for the nurse to offer?

Encourage the parents to allow a small night light.

The mother of a 4-year-old boy reports her son has voice curiosity about her breasts. She asks the nurse what she should do. Which information is best for the nurse to give the parent?

Encouraged the parent to determine what the child's specific questions are and answer them briefly.

Is conducting a well-child assessment of a four-year-old which assessment finding warrants further investigation?

Presence of 10 deciduous teeth

The nurse is caring for a 4 year old child who is hospitalized and in traction the child talks about an invisible friend to the nurse which action by the nurse is indicated?

Recognize this behavior is normal for the child development age and do nothing.

The nurse is providing teaching to the mother of a four-year-old girl about bike safety which statement indicates a need for further teaching?

She can ride on the street if I ride with her.

The nurse is providing teaching about proper dental care for the parents of a five-year-old girl which response indicates a need for further teaching?

She needs to floss your teeth before brushing.

The parents of a 4 year old girl tell the nurse that their daughter is having frequent nightmares. Which statement indicates that the girl is having night terrors instead of nightmares?

She screams and thrashes when we try to touch her.

A health screening of a 5-yea-old boy as required for kindergarten. The boy is fearful about going to a new school. The mother asked for the Nurse's advice which response by the nurse is best?

Talk to your son's new teacher and schedule a tour with him.

The nurse is conducting a health screening for a 3 year old boy as required by his preschool which statement by the parents warrants further discussion and intervention?

The school is quite structured and advocates corporal punishment.

Is providing a routine Wellness Examination for a 5 year old boy which response by the parents indicates a need for an additional referral or follow up.

We often have to translate his speech to others


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