Peds Chapter 15&16

At what age does an infant's birth weight triple? a. 9 months b. 1 year c. 18 months d. 2 years

1 year

What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit? a. Specific to general b. Proximodistal c. Cephalocaudal d. General to specific

Cephalocaudal

What does the nurse calculate the basal metabolic index (BMI) of an 8-year-old child who is 48 inches tall (1.2 meters) and weighs 100 pounds (45.4 kg) to be? a. 28.9 b. 32.4 c. 34.8 d. 37.6

32.4

The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at what age? a. 4 years old b. 6 years old c. 8 years old d. 10 years old

6 years old

What is the earliest age at which an infant is able to sit steadily alone? a. 4 months b. 5 months c. 8 months d. 15 months

8 months

The mother of a 7-year-old pediatric patient asks the nurse about her child's sleep requirement. What is the most accurate response by the nurse? a. "7 to 10 hours a night" b. "5 to 7 hours a night with one daytime nap" c. "11 to 13 hours a night" d. "4 to 6 hours a night with two daytime naps"

11 to 13 hours a night

What is the earliest age at which the infant should be able to walk independently? a. 8 to 10 months b. 12 to 15 months c. 15 to 18 months d. 18 to 21 months

12 to 15 months

An infant's birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months? a. 12 pounds b. 15 pounds c. 18 pounds d. 22 pounds

15 pounds

A mother asks the nurse how much food should be offered to her 2-year-old child. What is a good rule of thumb for serving size (in tablespoons) per year of age? a. 2 b. 3 c. 4 d. 5

2

When does the posterior fontanelle close? a. 2 to 3 months b. 3 to 6 months c. 6 to 9 months d. 9 to 12 months

2 to 3 months

The parent of a 3-month-old infant asks the nurse, "At what age do infants usually begin drinking from a cup?" What is the nurse's most accurate response? a. 5 months b. 9 months c. 1 year d. 2 years

5 months

The mother of a 7-month-old infant reports that the first lower central incisor has erupted. She asks the nurse, "How many teeth will he have by his first birthday?" The nurse explains that the infant will have how many teeth by 1 year of age? a. 2 b. 4 c. 6 d. 8

6

The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray. What can the nurse expect the child to eat? a. Dried beans mixed with rice b. Crisp vegetables c. Spaghetti and meatballs d. Wild berries, roots, and seeds

Dried beans mixed with rice

What is a unique organization of characteristics that determines an individual's pattern of behavior? a. Environment b. Heredity c. Personality d. Experience

Personality

What will the nurse advise a parent to do when introducing solid foods? a. Begin with one tablespoon of food. b. Mix foods together. c. Eliminate a refused food from the diet .d. Introduce each new food 4 to 7 days apart.

introduce each new food 4 to 7 days apart

What would the nurse further investigate when assessing patterns of growth in a child? a. Previous weight was in the 75th percentile, and present weight is in the 25th percentile. b. Height is in the 90th percentile, and weight is in the 75th percentile. c. Last weight was in the 5th percentile, and present weight is in the 10th percentile. d. Weight is in the 50th percentile, and sibling's weight at the same age was in the 75th percentile

Previous weight was in the 75th percentile and present weight is in the 25th percentile

A parent is concerned because her infant has a diaper rash. What is the best action the nurse would advise the parent to implement? a. Use commercial diaper wipes to clean the area. b. Apply a protective ointment on the area. c. Change the infant's diaper less frequently. d. Keep the diaper area covered all of the time

apply a protective ointment on the area

A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth weight was 8 pounds, 2 ounces. What will the nurse weighing the infant today expect her weight to be? a. At least 12 pounds b. At least 16 pounds c. At least 20 pounds d. At least 24 pounds

at least 16 pounds

What would the nurse expect a 4-month-old infant to be able to accomplish? a. Hold a cup. b. Stand with assistance. c. Lift head and shoulders. d. Sit with back straight

lift head and shoulders

What does the nurse recognize as an example of Piaget's concrete operational thinking? a. A 2-year-old child says, "It's nighttime" when his room is darkened .b. A 4-year-old child refers to the hospital as "my house." c. A 5-year-old child coloring a picture of a puppy says, "This is my puppy." d. A 7-year-old child says, "I am sick because I have germs in my chest."

a 7 year old child says i am sick because i have germs in my chest

The nurse observes that a 2-year-old toddler is able to use a spoon steadily at mealtime. What does self-feeding help to develop in the toddler? a. Good nutrition b. A sense of independence c. Adequate height and weight d. Healthy teeth

a sense of independence

A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family? a. Nuclear b. Blended c. Alternate d. Extended

blended

What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old child? a. Completing a 50-piece jigsaw puzzle b. Looking at a comic book c. Playing a game of "I Spy" with the nurse d. Coloring a picture in a coloring book

completing a 50 piece jigsaw puzzle

When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not answer immediately. How does the nurse interpret this response? a. Indecision b. Considering the answer in silence c. Shyness with strangers d. Fear of medical personnel

considering the answer in silence

The mother of a 7-month-old infant states, "The baby is eating food now. Should I give him regular milk, too?" What is the nurse's best response? a. "You should give the baby low-fat milk." b. "Try the milk. See if he has any digestive problems." c. "Continue breast milk or iron-fortified formula until 1 year of age." d. "At this age, infants can tolerate lactose-free or soy-based milk."

continue breast milk or iron-fortified formula until 1 year of age

When a small group of preschool-age children were playing house, each child was pretending to be a particular family member. What type of play does the nurse recognize these children are participating in? a. Parallel b. Cooperative c. Symbolic d. Fantasy

cooperative

The nurse is assessing development in a 9-month-old infant. What would the nurse expect to observe? a. Speaking in 2-word sentences b. Grasping objects with palmar grasp c. Creeping along the floor d. Beginning to use a spoon rather sloppily

creeping along the floor

At a well-baby visit, parents of a 6-month-old infant ask when to take the infant for the first dental visit. What is the nurse's best response? a. "If the teeth are brushed regularly, the child should see a dentist by 3 years of age." b. "The first dental visit should be arranged after the first tooth erupts." c. "The child should have a dental examination when all deciduous teeth have erupted." d. "A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry."

dental visit by 1 year of age is recommended by the america academy of Pediatric Dentistry

The nurse caring for a 4-year-old postoperative patient instructs him to blow bubbles. What nursing intervention is the nurse most likely implementing by using this form of therapeutic play? a. Providing pain relief b. Encouraging deep breathing c. Decreasing risk of infection d. Maintaining body temperature

encouraging deep breathing

A new mother is voicing concern she is breastfeeding her newborn too frequently. How often does the nurse instruct this mother she should expect her newborn to feed? a. Every 2 to 3 hours b. Every 4 to 6 hours c. Every 6 to 8 hours d. Every 8 to 10 hours

every 2 to 3 hours

The nurse is preparing to outline principles of discipline for parents of an infant. What information should the nurse include? (Select all that apply.) a. Firmly say "No." b. Distract the child to another activity. c. Bribe the child with a sweet treat. d. Remain consistent. e. Ignore the child until behavior improves.

firmly say no distract the child to another activity remain consistent

A mother is concerned because her 10-month-old infant is lethargic. What is the best action the nurse can advise this mother to implement? a. Keep the infant's room well lit. b. Rub the infant's soles vigorously. c. Offer the infant a pacifier. d. Handle the infant slowly and gently

handle the infant slowly and gently

What is an abnormal finding in an evaluation of growth and development for a 6-month-old infant? a. Weight gain of 4 to 7 ounces per week b. Length increase of 1 inch in 2 months c. Head lag present d. Can sit alone for a few seconds

head lag present

What statement made by a parent indicates correct understanding of infant feeding? a. "I've been mixing rice cereal and formula in the baby's bottle." b. "I switched the baby to low-fat milk at 9 months." c. "The baby really likes little pieces of chocolate." d. "I give the baby new foods before he takes his bottle."

i give the baby new foods before he takes his bottle

Which statement indicates the mother of an 8-month-old infant understands infant sleep patterns? a. "I put the baby in my bed until she falls asleep, then I put her in her crib. "b. "I let the baby skip an afternoon nap so that she will fall asleep earlier." c. "I put the pacifier in the crib so that she can find it when she wakes up." d. "I rock the baby back to sleep if she wakes up at night."

i put the pacifier in the crib so that she can find it when she wakes up

The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant. What statement by the mother leads the nurse to determine that learning has taken place? a. "I will give my infant rice cereal first." b. "I will give my infant yellow vegetables first." c. "I will give my infant egg yolks first." d. "I will give my infant fruits first."

i will give my infant rice cereal first

The nurse discusses child-proofing the home for safety with the mother of a 9-month-old infant. Which statement made by the mother would indicate an unsafe behavior? a. "I put covers on all of the electrical outlets." b. "In the car, she rides in a front-facing car seat." c. "There are locks on all of the cabinets in the house." d. "I have a gate at the top and bottom

in the car, she rides in a front-facing car seat

The nurse is talking with a parent about tooth eruption. What teeth will the nurse explain are the first deciduous teeth to erupt? a. Lower central incisors b. Upper central incisors c. Lower lateral incisors d. Upper lateral incisors

lower central incisors

What toy is developmentally appropriate for the nurse to suggest to entertain a 5-year-old child?a. Jack-in-the-boxb. Book of nursery rhymesc. Model airport with toy planesd. Model car construction kit

model airport with toy planes

A mother tells the nurse, "My 11-month-old son is not as active as my other children were at this age. He is the youngest of four and the older children love to dote on him." Which factor is influencing this child's language development? a. Heredity b. Sex c. Mother's health during pregnancy d. Ordinal position

ordinal position

How might the nurse demonstrate the parachute reflex with an infant? a. Lifting the infant high in the air above her head b. Holding the infant in a football hold, cradling the head c. Seating the infant in a stroller in an upright position d. Placing the infant downward into the crib

placing the infant downward into the crib

What is the most appropriate activity to recommend to parents to promote sensorimotor stimulation for a 1-year-old infant? a. Ride a tricycle .b. Spend time in an infant swing .c. Play with push-pull toys. d. Read large picture books.

play with push-pull toys

The nurse is assessing a 1-year-old infant in the pediatric office. What finding should the nurse report to the physician immediately? a. Respiratory rate of 60 breaths/minute b. Pulse rate of 100 beats/minute c. Minimal verbalization d. Fussy behavior

respiratory rate of 60 breaths/minute

A mother calls the pediatrician's office because her infant is "colicky." What is the most helpful measure the nurse can suggest to the mother? a. Sing songs to the infant in a soft voice. b. Place the infant in a well-lit room. c. Walk around and massage the infant's back. d. Rock the fussy infant slowly and gently.

rock the fussy infant slowly and gently

A mother tells her 4-year-old child that balls should be played with outside and not inside the house. Why is the child likely to obey the rule? a. The child does not want to be punished. b. The child wants to please her mother. c. The child respects authority figures. d. The child believes that following the rules is right.

the child does not want to be punished

Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to their child. What is the correct response? a. "The infant has limited ability to produce red blood cells." b. "The infant has ineffective digestive enzymes. "c. "The infant has exhausted maternal iron stores." d. "The infant has need of the iron to support dentition."

the infant has exhausted maternal iron stores

The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. What does this behavior indicate the infant has developed? a. The pincer grasp b. A grasp reflex c. Prehension ability d. The parachute reflex

the pincer grasp

What should the nurse avoid when demonstrating a bath procedure to parents of Vietnamese origin? a. Talking directly to the mother b. Exposing the child's genitals c. Touching the child's head d. Using cool water

touching the child's head

An educational program is being presented to pediatric nurses on the relationship of play to childhood development. What information should be included in this presentation? (Select all that apply.) a. Art play should be used sparingly. b. Use of computer/video games is detrimental .c. Understanding of child-parent relationships can be gained by observing play. d. Play encourages self-expression. e. Play provides a sense of accomplishment.

understanding of child-parent relationships can be gained by observing play play encourages self-expression play provides a sense of accomplishment

What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain? a. Give him an ice cube to suck on .b. Have him wash his mouth out with peroxide and water. c. Wrap the tooth in a clean tissue. d. Wash off the tooth and place it in a container of milk.

wash off the tooth and place it in a container of milk

An assessment of a child's nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. How would this child's nutritional status be described? a. Overnourished b. Undernourished c. Well nourished d. Borderline

well nourished

The mother of an infant born prematurely tells the nurse, "The baby is irritable. She cries during diaper changes and feedings. Can you make some suggestions about what I should do to soothe her?" What is the most appropriate recommendation to help this parent? a. Play the radio or TV while you feed the infant. b. Put the infant in a room with sunlight. c. Wrap the infant snugly when you hold them. d. Change the infant's position quickly.

wrap the infant snugly when you hold them