Chapter 21-25 Quiz

Parents who have brought their 2½-year-old child to an immunization clinic state to the nurse, "We started her in a playgroup, but she won't play with anyone. What do you think could be wrong?" Which is the nurse's best response?

Tell me what she does do when she goes there."

Which is a unique complication of asthma in school-aged children that nurses need to be aware of?

They do not want their peers to know of their diagnosis.

Although there are numerous possible precipitating factors, what is the global reason that some teens practice "cutting"?

To focus on another form of pain other than their emotional pain

The developmental evaluation of a 5-year-old reveals the child knows his name and address, speaks 1,500 words, sleeps 13 hours at night, takes no naps regularly, knows the days of the week and the seasons, and uses objects around the house to represent other things (the couch is a bus). Which data does the nurse find concerning?

1,500-word vocabulary

One year ago, a now 5-year-old child weighed 36 lb and was 41 in. tall at a routine checkup. Which height and weight range should the nurse expect to see at this year's checkup?

41 lb, 43.5 to 44 in.

The nurse is going to teach a class about toddler safety at the public health clinic. What are some of the important points the nurse needs to make? (Select all that apply.)

Toddlers do not understand the need for safety rules. Toddlers will try to pull away from caregivers in order to explore. 5) Toddlers must be watched constantly.

In planning general play activities for hospitalized preschool girls, which type of toys should the nurse include?

Trucks

An adolescent patient is concerned about acne. Which instruction should the nurse provide?

Use a gentle cleanser on the face twice per day

A 4-month-old is brought in for a well-baby check. The child's weight was 10 lb 1 oz at the last visit 2 months ago and is now 8 lb 13 oz; vital signs are 100.0° F, P - 130, and R - 42, and mucous membranes are slightly dry. The mother reports the infant is receiving eight 3- to 4-oz bottles of formula per day and drinks eagerly. Which priority question does the nurse ask?

How are you mixing the formula

When play activities are planned for hospitalized school-aged children, which is a socialization concept the nurse must remember to include?

Importance of peer relationships

During a pediatric visit, parents ask the nurse about sudden infant death syndrome (SIDS). What is one changeable factor the nurse can instruct the parents to do to decrease their infant's risk?

Keep stuffed animals out of the crib.

A 2½ -year-old boy is admitted to a private room at the hospital. The parents express concern as to what toys they can bring from home so their child will be more comfortable. Which is a suggestion the nurse can make?

Large trucks/car

During a routine preschool checkup, the nurse instructs parents about accident prevention and safety. Which statement by a parent indicates a need for reinforcement of the teaching?

We'll fence the backyard so he can play out there alone.

Which statement by a parent indicates a need for further instruction by the nurse related to toilet training?

We'll start toilet training when he is about 18 months old."

A 2½-year-old girl is brought in for a routine pediatric checkup. Her caregiver reports that she does not speak much, prefers to be by herself, makes poor eye contact, and repeatedly rocks herself. Which is the nurse's best approach to this toddler?

Minimizing physical contact

During a well-baby checkup at age 10 months, a mother expresses concern to the nurse because her baby is not pulling up to standing yet and says that her older child stood at 9 months. Which is the nurse's best response?

Not all babies do things at the same time; there's a range on most milestones

An infant is 3 months old. His birth weight was 3.5 kg, and he is now 5.1 kg. If he continues to grow at the expected rate, he will be 6.9 kg at 6 months old. What are his caloric requirements today and what will they be in 3 months?

Now: 459 to 510 kcal, in 3 months: 483 to 621 kca

The mother of a 14-year-old girl has found copies of a magazine of nude women in her daughter's bedroom. She expresses concern that her daughter may be homosexual. Which is the nurse's best response?

"At this age, teenagers are commonly curious about both sexes.

A 5-year-old child who presented with fever and rash is ultimately diagnosed with measles by the health-care provider. The mother states, "I don't understand because he had one MMR shot when he was a baby, and he got his other one last week. What's going on?" Which is the nurse's best response?

"Has he been around anyone with cold symptoms in the last 3 weeks?"

The mother of an 8-year-old tells the nurse, "Some of the kids in her class are calling her names, but I suppose all kids go through that at some point. It doesn't seem to bother her much." Which is the nurse's best response?

"Have her give them no reaction because that's what they want.

After finding lice infestation on a school-aged child, the nurse instructs the parent about the treatment plan. Which statement by the parent indicates a need for further instruction by the nurse?

"He'll never let me wash his bunny."

A mother complains to the nurse that her 15-year-old son is argumentative, questions decisions, and will not mind her. Which is the nurse's best response?

"He's questioning authority and the norm as a way of developing his own thoughts and ideas."

At an annual checkup, an 11-year-old is found to be in the 110th percentile for weight. The nurse instructs the parent about obesity. Which statement by the parent indicates that instructions have been understood?

"I guess he needs to get outside and play more."

The nurse has just discussed dating violence with a 17-year-old patient. Which statement by the adolescent indicates a need for further instruction by the nurse?

"I'll make a social media page just for us, so he can't see what I'm posting on my real page."

Which statement by a new mother indicates a need for further instructions from the nurse about infant growth and development?

"I'm worried because I checked his temperature under his arm this morning, and it is 99.4.

A 16-year-old tells the office nurse that his tall, thin body makes him feel self-conscious. Which is the nurse's best response?

"What specifically are you self-conscious about?"

At a "Parenting Teens" workshop for parents, the nurse is discussing statistics about high-risk behaviors. What are some of the truths about these topics related to adolescents?

) Nearly half of high school students have tried marijuana. he majority of high school students report they have tried cigarettes.

The mother of a 2-year-old tells the nurse her child has become a very picky eater. What is one suggestion the nurse can give the mother to increase the toddler's intake?

Add pureed carrots to spaghetti sauce.

While admitting a 10-year-old girl to the pediatric unit, the nurse notes bruising on the child's upper arm. The mother seems horrified and says she does not understand where it came from. Which is the nurse's priority action?

Assessing for other injuries

Which is one way the nurse may instruct parents to challenge their infant to develop fine motor skills?

At about 8 months, offer food snacks such as dry cereal to stimulate pincer grasp.

The parent of a school-aged child asks the nurse, "What should I be feeding him?" Which is the nurse's best response?

Offer and encourage nutritious food choices."

The nurses in a pediatric office are developing classes for caregivers related to the unique needs of children at each developmental stage. What are some points they need to include in the class about preschoolers? (Select all that apply.)

Preschoolers need to learn to share. Preschoolers start to develop hand-eye coordination.

What are some types of screening a school nurse can perform with school-aged children?

Scoliosis, vision, hearing

While attending a Little League game, the nurse observes a 9-year-old boy miss catching a fly ball and getting hit on the head. The child is wearing a baseball cap. He looks surprised by the hit, rubs his head, and says, "Yeah, I guess so," when his coach asks if he is okay. Two innings later, while sitting in the dugout, the little boy collapses. Which is the nurse's priority action?

Calling for emergency transport

A mother calls the office and asks the nurse about colic. What are some points of information the nurse can offer to the mother? (Select all that apply.

Colic stops in most infants by 6 months. Colic occurs in as many as 30% of infants. Never give fruit juice to an infant.

A 4-month old is admitted to the hospital. Which level of communication should the nurse expect this child to be starting at this age?

Consonant sounds

A 4-year-old comes to the clinic for a routine checkup. Findings are height, 41 in.; weight, 38 lb; pulse, 106 beats per minute; respirations, 18 breaths per minute; blood pressure, 87/58 mm Hg; stands erect; has 16 deciduous teeth; and eats three meals per day with one small daily snack. Which finding should the nurse address?

Dentition

A 14-year-old girl confides to the office nurse that she is sexually active. Which is the nurse's priority action?

Determining what the girl means by the statement

he nurse is doing a nutrition survey on a 22-month-old toddler. The parent reports the child eats two meals a day, consisting of cereal, milk, and juice for breakfast and small amounts of meat and vegetables for dinner. She snacks on Cheerios, fish crackers, and applesauce. The child likes to carry a cup of milk with her, and it is refilled numerous times throughout the day. Her weight is as expected for her age, and she shows appropriate hydration. Her parent is concerned because the child seems more tired than she had been. Which medical intervention can the nurse expect for this child?

Diet changes

The nurse is writing a care plan for a preschool child who has been admitted with encopresis. Which is an appropriate nursing intervention to include?

Diet to include sufficient fiber and oral fluids

At a routine checkup, the nurse performs an emotional screening on a 16-year-old and determines the following: He likes going out with friends but does not want to spend time with his family; he believes he can do anything he tries; he is easily embarrassed, both by his family and his friends; he wants to get contacts because he does not like the way he looks with glasses; and he enjoys dressing differently than expected. Which should the nurse be concerned about?

Dislikes spending time with family

What are some ways the nurse can ensure infant safety in the hospital setting? (Select all that appl

Double-checking dosage and concentration of medications with another nurse Keeping crib rails up when not with the infant Washing hands prior to patient contact

A mother brings her 8-year-old girl into the pediatric office for an annual checkup. The girl has developed breast buds. Which is a concern the nurse will discuss with the mother?

Eating disorders

The nurse notes unusual bruising on a toddler, and the parent states that the child fell off a bed. Which child abuse/neglect facts should the nurse consider? (Select all that apply.)

Education can go a long way toward preventing abuse/neglect. Children with a congenital anomaly are more likely to be abused/neglected. 4) Parents who were themselves abused/neglected are more likely to abuse/neglect.

The mother of 3½-year-old child tells the hospital nurse, "She's always making up stories, which I know are not true, but then she says she's not lying. I don't know what to do." Which is the nurse's best response?

Fantasy stories and magical thinking are very common at her age

Parents express concern that their preschooler's eating habits are changing and ask, "What should we be doing?" What are some important points the nurse needs to include in instructions to the parents? (Select all that apply.)

Have daily family dinners. Offer fruits and vegetables at all meals. Provide nutritious snacks

What is one method the nurse can teach parents to decrease the spread of germs in the household of a preschooler?

Have the child use a tissue for sneezing or blowing his or her nose.

What are some key points for the nurse to include when developing a handout for parents titled "Sleep and Your School-Aged Child"? (Select all that apply.)

Your child needs 10 to 12 hours of sleep per night. Sleep is important for good academic performance. Your child may need to unwind a little before bed.

A mother brings her 2-year old in for a routine checkup. She states to the nurse, "He's always saying 'NO' to me. I guess that's normal, but I really can't stand his temper tantrums. What can I do?" Which is the nurse's best response?

t's hard, but it is best to ignore tantrums. Just keep him safe."

which is a common infectious disease of toddlers?

pinworms