EAQ Infants & Toddlers

When providing care to a 6-year-old child with leukemia, a nurse notes blood on the pillowcase and several bloody tissues. What blood component value on the child's laboratory results should the nurse verify?

Platelets

The nurse is caring for a group of patients who require various interventions. What patient care may be delegated to unlicensed assistive personnel (UAP)?

athing a child with an intravenous line and a patient-controlled analgesia (PCA) pump

A 30-month-old child who was transferred to a regional hospital has not seen the parents for 2 weeks. The child now responds to the staff with friendliness and affection. When the mother visits the child turns away from her and ignores her. What should the nurse explain to the mother?

"Your child misses you very much; give the child time to reach for you."

When explaining the occurrence of febrile seizures to a parents' class, what information should the nurse include?

They may occur in minor illnesses.

What instructions should the nurse give to an adolescent to prevent sexually transmitted infections?

"Remember to use condoms properly." "Make sure you are up-to-date with your vaccinations." "Have sexual contact only if you and your partner are monogamous."

A nurse is teaching the parents of a 5-year-old girl who is to continue chemotherapy at home. What statement indicates that the parents understand the discharge instructions?

"We'll let her eat at her own pace."

A registered nurse teaches a nursing student about the management of primary dysmenorrhea. Which statements made by the nursing student indicates effective learning?

"I should avoid using a hot pad or heating bath." "I should correct any myths the client has about menstruation." "I should avoid giving the client treatment options."

A nursing instructor asks a nursing student to outline the steps that a nurse should follow while examining a 4-year-old sick child. Which statement made by the student indicates inadequate learning?

"I should make judgments when a parent shares the details of a child's illness."

While talking with a 4-year-old child a nurse notes that the child is shy and stutters. What should the nurse recall about stuttering in a 4-year-old child?

This is characteristic behavior in preschoolers.

While a 3-month-old infant is at the well-baby clinic for a checkup, the parents express concern that their baby still has a soft spot on the top of the head. The nurse informs the parents that their infant's anterior fontanel will close around what age?

12 to 18 months of age

While performing the physical assessment of an infant, the nurse notices the infant has developed a color preference for red and yellow. What is most likely to be the age of the infant?

20 weeks

The nurse is performing physical assessments for children in a daycare center. Which children should require a head circumference in order to monitor growth patterns?

A 15-month-old toddler who has asthma, A 5-year-old who will attend kindergarten in the fall, An 8-year-old child who will begin playing soccer next week

A school nurse is teaching a group of parents about age-related issues in 5-year-old children. What should the nurse include as a major concern of children of this age?

Anxiety about body integrity

The parents of a 5-month-old infant tell a nurse at the well-baby clinic that they are concerned because their baby weighs only 14 lb (6.4 kg). After reviewing the infant's health history, the nurse assures them that their baby's weight is within the expected range for age. What information prompted this reply?

Birth weight

While assessing a school-aged child who has just had a short arm cast applied to a fractured right wrist, the nurse discovers that the fingers of the right hand are cool. What should the nurse do first?

Compare the temperature of the two hands.

A young child who has ingested liquid dishwater detergent is brought to the emergency department. Which does the nurse understand as appropriate treatment methods for this client?

Gastric emptying by emesis is recommended. milk

The mother of an infant who just underwent cleft lip repair tells the nurse, "He seems restless. May I hold him?" What information influences the nurse's response?

Holding may meet needs and reduce tension on the suture line.

Dysmenorrhea is suspected in a client with symptoms including backache, diarrhea, syncope, and headache. After reviewing the data, the primary healthcare provider decides not to prescribe diclofenac. Which of these statements made by the client support this decision?

I am allergic to aspirin." "I am allergic to penicillin." "I have a history of kidney stones."

A 10-year-old child with sickle cell anemia is admitted to the unit in vaso-occlusive crisis (VOC). After the child has been given the prescribed analgesic, which intervention is the priority to minimize the effects of the crisis?

Intravenous fluids

Which statement about levonorgestrel requires correction?

Levonorgestrel is taken in combination with methotrexate.

What foods should a nurse order for a 30-month-old toddler on a regular diet?

Macaroni and cheese and Cheerios

A nurse in the pediatric clinic is caring for a child with lead poisoning (plumbism). For which associated complications should the nurse assess the child?

Marked anemia Kidney damage Encephalopathy

A nurse who is caring for a 2-day-old neonate suspects that the infant has cystic fibrosis. What early sign of this disorder did the nurse identify?

Meconium ileus

A 4-day-old infant is admitted to the pediatric unit with a cleft lip and palate. Surgery to repair the lip is scheduled for later in the week. Which assessment finding requires notification of the surgeon and will probably result in cancellation of the surgery?

Oral candidiasis

The student nurse is learning about cognitive development in preschoolers. Which is characteristic of cognition in 4-year-olds?

Phase of intuitive thought

A mother tells her neighbor, a nurse, that her toddler has been found to have parasites (worms) and that the whole family will need to be treated. She asks the nurse what kind of worm it is. What is the most likely type of worm infestation?

Pinworm ( Enterobius)

A child sitting on a chair in a playroom starts to have a tonic-clonic seizure with a clenched jaw. What is the best initial action by the nurse?

Placing the child on the floor

Which of these statements about pregnancy in the adolescent population are true?

Pregnant adolescents often seek out less prenatal care. Adolescent mothers need competent day care for their infants. Infants of adolescent mothers are at increased risk for prematurity.

According to Freud, which aspect of one's life helps in the development of personality?

The need for sensual pleasure

An adolescent client presents to the clinic with complaints of absence of menses for two months. What should the nurse do next?

The nurse should ask the adolescent to take a pregnancy test.