NAD 210 FINAL
a mother brings 6 month old Eric to the clinic for a well-baby checkup. she comments "i want to go back to work, but I don't want Eric to suffer because I'll have less time with him." The nurse's most appropriate answer is
"Let's talk about the child care options that will be best for Eric"
Generally the earliest age at which puberty begins is
10 years in girls, 12 years in boys
a parasite that causes acute diarrhea is
Giardia lamblia
an infant's parents ask the nurse about preventing otitis media. what should the nurse recommend?
avoid tobacco smoke
calcium carbonate is given with meals to a child with chronic renal disease. the purpose of this is to
bind phosphorus
the leading cause of death during the toddler period is
injuries
A nurse is preparing to complete an admission assessment on a 2 year old child. the child sitting on the parent's lap. which technique should the nurse implement to complete the physical exam
perform the exam while the child is on the parents lap
which statement is the most appropriate advice to give parents of a 16 year old girl who is rebellious
"you need to collaborate with your daughter and set limits that are perceived as being reasonable"
Which statement by the nurse is most appropriate to a 15 year old whose friend has mentioned suicide
"your friend's threat needs to be taken seriously and immediate help for your friend is important"
the nurse should expect the anterior fontanel to close at age
12 to 18 months
the mean age of menarche in the United States is
12.5 years
The nurse is assessing a 6 month old healthy infant who weighed 7 pounds at birth. the nurse should expect the infant to now weigh approximately
15 pounds
By what age does the posterior fontanel usually close
6 to 8 weeks
at which age can most infants sit steadily unsupported
8 months
the nurse is doing a prehospitalization orientation for Kayla, age 7, who is scheduled for cardiac surgery. as part of the preparation, the nurse explains that Kayla will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. this explanation is
An appropriate part of the child's preparation
Olivia, age 5 years, tells the nurse that she "needs a band-aid" where she had an injection. the best nursing action is to
Apply a band-aid
The nurse is interviewing the mother of an infant. she reports "I had a difficult delivery, and my baby was born prematurely." This information should be recorded under which heading?
Birth History
A 2 year old child has been returned to the nursing unit after an inguinal hernia repair. which pain assessment tool should the nurse use to assess this child for the presence of pain?
FLACC tool
what is the causative agent of scarlet fever
Group A b-hemolytic streptococci
a young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. therapeutic management of this child will begin with
IV fluids
a 4 year old child tells the nurse that she does not want another blood sample drawn because "I need all my insides, and i don't want anyone taking them out." which is the nurse's best interpretation of this
Preschoolers have poorly defined body boundaries
a nurse is conducting an in-service on asthma. which statement is the most descriptive of bronchial asthma?
There is heightened airway reactivity
a clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. the nurse should include which associated risk of obesity in the teaching plan?
Type II diabetes
Which action is most likely to encourage parents to talk about their feelings related to their childs illness?
Use open-ended questions
a 14 year old boy is being admitted to the hospital for an appendectomy. which roommate should the nurse assign with this patient?
a 15 year old boy is admitted with a vaso-occlusive sickle cell crisis
An 8 year old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that, if she dies, she will go to hell. the nurse should interpret this as being
a belief common at this age
chronic otitis media with effusion is differentiated from acute otitis media because it is usually characterized by
a feeling of fullness in the ear
For what clinical manifestation should a nurse be alert when suspecting a diagnosis of esophageal atresia? a. A radiograph in the prenatal period indicates abnormal development. b. It is visually identified at the time of delivery. c. A nasogastric tube fails to pass at birth. d. The infant has a low birth weight.
a nasogastric tube fails to pass at birth
During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is: a. A normal finding. b. An abnormal finding; the child needs referral to an ophthalmologist. c. A sign of a possible visual defect; the child needs vision screening. d. A sign of small hemorrhages, which usually resolve spontaneously.
a normal finding
An appropriate method for administering oral medications that are bitter to an infant or small child would be to mix them with
a small amount of a sweet-tasting substance such as jam or ice cream
a mother tells the nurse that she doesn't want her infant immunized because of the discomfort associated with injections. the nurse should explain that
a topical anesthetic, eutectic mixture of local anesthetic, can be applied before injections are given
a mother the nurse that she doesn't want her infant immunized because of the discomfort associated with injections. the nurse should explain that
a topical anesthetic, eutectic mixture of local anesthetic, can be applied before injections are given
a nurse in the emergency department is assessing a 5 year old child with symptoms of pneumonia and a fever of 102 F which intervention can the nurse implement to promote a sense of control for the child
allow the child to hold the digital thermometer while taking the child's blood pressure
a nurse in the emergency department is assessing a 5 year old child with symptoms of pneumonia and a fever of 102. which intervention can the nurse implement to promote a sense of control for the child
allow the child to hold the digital thermometer while taking the child's blood pressure
a nurse is reviewing hormone changes that occur during adolescence. the hormone that is responsible for the growth of beard, mustache, and body hair in the male is
androgen
The nurse is having difficulty communicating with a hospitalized 6 year old child. what technique may be most helpful?
ask the child to draw a picture
Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. The most appropriate way to collect small amounts of urine for these tests is to: a. Apply a urine-collection bag to the perineal area. b. Tape a small medicine cup to the inside of the diaper. c. Aspirate urine from cotton balls inside the diaper with a syringe. d. Aspirate urine from a superabsorbent disposable diaper with a syringe.
aspirate urine from cotton balls inside a diaper with a syringe
a child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. this suggest
asthma
Emma, age 3 years, is being admitted for about 1 week of hospitalization. her parents tell the nurse that they are going to buy her "a lot of new toys because she will be in the hospital." The nurse's reply should be based on an understanding that
at this age children often need the comfort and reassurance of familiar toys from home
clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include
avoidance of eye contact
cardiopulmonary resuscitation is begun on a toddler. which pulse is usually palpated because it is the most central and accessible
carotid
Parent guidelines for relieving colic in an infant include
changing the infant's position frequently
which myth may interfere with the treatment of pain in infants and children
children and infants are more susceptible to respiratory depression from narcotics
a nurse is charting that a hospitalized child has labored breathing. Which describes labored breathing?
dyspnea
an appropriate nursing interventions to minimize separation anxiety in a hospitalized toddler is to
encourage parents to room in
Bismuth subsalicylate, clarithromycin, and metronidazole are prescribed for a child with a peptic ulcer to
eradicate helicobacteria pylori
an adolescent teen has bulimia. which assessment finding should the nurse expect
erosion of tooth enamel
which is an important nursing consideration when caring for an infant with failure to thrive?
establish a structured routine and follow it consistently
Which term best describes the emotional attitude that one's own ethnic group is superior to others
ethnocentrism
The father of 12 year old ryan tells the nurse that he is concerned about his son getting "fat." Ryan's body mass index for age is at the 60th percentile. the most appropriate nursing action is to
explain that this is typical of the growth pattern of boys at this age
Parents tell the nurse that their toddler daughter eats little at mealtimes, only sits at the table with the family briefly, and wants snacks "all the time." the nurse should recommend that the parents
give her planned, frequent, and nutritious snacks
An appropriate intervention to encourage food and fluid intake in a hospitalization child is to
give high-quality foods and snacks whenever child expresses hunger
In addition to injuries, the leading causes of death in adolescents ages 15 to 19 years are
homicide, suicide
the parents of a 12 month old child ask the nurse if the child can eat hot dogs. the nurse's reply should be based on knowing that
hot dogs must be cut into small, irregular pieces to prevent aspiration
The nurse is caring for an adolescent who had an external fixator placed afer suffering a fracture of the wrist during a bicycle accident. which statement by the adolescent would be expected about separation anxiety
i hope my friends don't forget about visiting me"
When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. the best explanation for this is
infection or inflammation close to the site
The nurse must assess 10 month old infant. the infant is sitting on the fathers lap and appears to be afraid of the nurse and of what may happen next. which initial action by the nurse would be most appropriate?
initiate a game of peek-a-boo
Which statement is most descriptive of pediatric family-centered care?
it recognizes that the family is the constant in a child's life
what is the best action for the nurse to take when a 5 year old child who requires another 2 days of intravenous antibiotics cries, screams, and resists having the IV started?
let the child decide which color arm board to use the IV
An important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome is to
make a follow-up home visit to parents as soon as possible after the infants death
a child with cystic fibrosis is receiving recombinant human deoxyribonuclease. this drug
may cause voice alterations
the pediatric nurse understands that nonpharmacologic strategies for pain management
may reduce pain perception
The most common cause of death in the adolescent age-group involves
motor vehicle
a nurse is caring for an adolescent experiences many "mood swings" throughout the day. the nurse interprets this behavior as
normal behavior
a 3 month old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands; however, she will not voluntarily grasp it. the nurse should interpret this as
normal development
the father of a hospitalized child tells the nurse, "he can't have meat. we are buddhist and vegetarians." The nurse's best intervention is to
order the child a meatless tray
an advantage of peritoneal dialysis is that
parents of older children can perform treatments
the nurse is explaining Tanner staging to an adolescent and her mother. which statement best describes Tanner staging
predictable stages of puberty that are based on primary and secondary sex characteristics
the nurse is preparing staff in-service education about atraumatic care for pediatric patients. which intervention should the nurse include
prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal
a 4 year old child tells that nurse that she does not want another blood sample drawn because "i need all my insides, and i don't want anyone taking them out." which is the nurse's best interpretation of this
preschoolers have poorly defined body boundaries
the nurse is completing a health history with a 16 year old male. he informs the nurse that he has started using smokeless tobacco would be most correct for the nurse to provide to this teen
proven to be carcinogenic
a histamine receptor antagonist such as cimetidine or ranitidine is ordered for an infant with gastroesophageal reflux. the purpose of this is to
reduce gastric acid production
a parent asks the nurse about how to respond to negativism in toddlers. the most appropriate recommendations is to
reduce the opportunities for a "no" answer
During a routine health assessment, the nurse notes that 8 month old infant has significant head lag. which is the nurses most appropriate action?
refer for further evaluation
the nurse just started assessing a young child who is febrile and appears very ill. there is hyperextension of the child head with pain on flexion. the most appropriate action is to
refer for immediate medical evaluation
an important nursing consideration in the care of a child with celiac disease is to
refer to a nutritionist for detailed instructions and education
A previously "potty-trained" 30 month old child has reverted to wearing diapers while hospitalized. the nurse should reassure the parents that this is normal
regression is seen during hospitalization
a father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. the nurse should explain that this is
ritualism, common at this age
which common childhood communicable disease may cause severe defects in the fetus when it occurs in its congenital form
rubella
what represents the major stressor of hospitalization for children from middle infancy throughout the preschool years
separation anxiety
The school nurse has been asked to begin teaching sex education in the 5th grade. the nurse should recognize that
sex can be presented as a normal part of growth and development
The appropriate placement of a tongue blade for assessment of the mouth and throat is the
side of the tongue
a 9 year old girl often comes to the school nurse complaining of stomach pains. her teacher says that she is completing her schoolwork satisfactorily, but lately she has been somewhat aggressive and stubborn in the classroom. the school nurse should recognize this as
signs of stress
which statement is true about smoking in adolescence
smoking is related to other high-risk behaviors
which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats
social isolation
when teaching injury prevention during the school age years, the nurse should include
teaching basic rules of water safety
which behavior suggests appropriate psychosocial development in the adolescent
the adolescent is self-absorbed and self-centered and has sudden mood swings
What is the single most important factor to consider when communicating with children?
the child developmental level
When introducing hospital equipment to a preschooler who seems afraid, the nurse approach should be on which principle?
the child may think the equipment is alive
when assessing pain in any child, the nurse should consider that
the child's behavior, physiologic, and verbal responses are valuable when assessing pain
which statement characterizes moral development in older school age children
they are able to judge an act by the intentions that prompted it rather than just by the consequences
the nurse recommends to parents that peanut are not a good snack food for toddlers. the nurse's rationale for this action is that
they can be easily aspirated
the parens of a 14 year old girls express concern about the number of hours their daughter spends with her friends. the nurse explains that peer relationships become more important during adolescent because
they provide adolescent with a feeling of belonging
a 10 year old girls needs to have another intravenous line started. she keeps telling the nurse, "Wait a minute" and "I'm not ready" the nurse should recognize that
this is normal behavior for a school age child
in terms of fine motor development, the infant of 7 months should be able to
transfer objects from one hand to the other
the weight loss anorexia nervosa is often triggered by
traumatic interpersonal conflict
in terms of cognitive development, the 5 year old child would be expected to
use magical thinking
Appropriate approach to performing an assessment on a toddler is to
use minimal physical contact initially
which statement about toilet training is correct
wanting to please the parents helps motivate the child to use the toilet
when is a child with chickenpox considered to be no longer contagious
when lesions are crusted
