Hard Mode Peds
A nurse is assessing a school-age child who reports horseback riding 3 times per week and has injuries reportedly related to a fall from a horse. Which of the following findings should the nurse investigate further as an indication of child maltreatment?
Thin Frail Extremities
A nurse is assessing an 18-month-old toddler during a well-child examination. Which of the following findings should the nurse report to the provider?
Unable to remove shoes
A nurse is creating a plan of care for an 18-month-old toddler who has cerebral palsy. Which of the following interventions should the nurse include? A. Use a mobile walker for the toddler B. Discourage activities involving repetitive joint movement ✔ C. Use manual jaw control when feeding the toddler D. Discourage the use of wrist splints
Use manual jaw control
A nurse is providing education for a group of parents about toddler language development during a well-child visit. Which of the following findings should the parent expect in an 18-month-old toddler?
Vocab 10 words
A nurse is caring for an infant who has biliary atresia. Which of the following manifestations should the nurse expect? (Select all that apply.)
Yellow Sclerae, ABD distention, Dark Urine
A nurse is providing teaching to an adolescent client who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?
Attend School
A nurse on a pediatric unit is reviewing the health record of a child who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization? A. Age 10 years ✔ B. Frequent hospitalizations x C. Parent bonding with child D. Calm, quiet demeanor
Frequent hospitalizations
A nurse is preparing to assess a 3-month-old infant during a well-child visit. Which of the following observations should the nurse expect?
Infant looks at his hands
A nurse is providing discharge teaching for the parent of a newborn who is prescribed a Pavlik harness for developmental dysplasia of the hip. Which of the following responses indicates an understanding of the teaching?
Lightly massage baby under straps 1 time a day
A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take?
Maintain a cardiorespiratory monitor
A nurse is creating a plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to include?
O2 saturation monitoring
A nurse is planning care for a 4-year-old child who has nephrotic syndrome. Which of the following actions should the nurse take?
Provide thorough skin care
A nurse is caring for an adolescent client who has a prescription for opioids. Which of the following findings should the nurse recognize as an adverse effect of opioids?
Pruritis
A nurse is reviewing recommended immunizations with the guardian of a 2-month-old infant. Which of the following statements should the nurse make?
Start pneumococcal
A nurse is assessing a child who is receiving IV chemotherapy. Assessment findings include extravasation of the tissues surrounding the IV insertion site.
Stop infusion, elevate site, call doc, remove line
A nurse is conducting a health assessment for a 24-month-old toddler at the local health department. The nurse should expect which of the following findings? (Select all that apply.) A. 8 deciduous teeth B. Ability to build a tower of 6 blocks C. Vocabulary of 10-20 words D. Slightly bowed or curved leg appearance E. Head circumference greater than chest circumference
6 blocks, bow curved legs
A nurse is preparing to feed an infant who has a cleft lip and palate. Which of the following actions should the nurse plan to take?
Burp 2-3 times
A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include? A. Machine-wash clothing in cold water ✔ B. Dry clothing in a hot dryer for at least 20 min x C. Soak combs and brushes for 5 min in boiling water D. Seal nonwashable items in a bag for 7 days
Dryer 20 mins