PEDS Exam 1 Bank

The pediatric nurse is planning quiet activities for a hospitalized 18-month-old. What would be an appropriate activity for a child of this age group?

C) Stacking blocks

What activity would the nurse expect to find in an 18-month-old?

Climbing stairs with assistance

The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?

Discouraging the addition of fruit juice to the diet

The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?

Discussing the type of sippy cup to use

The nurse is educating a first-time mother who has a 1-week-old boy. Which is the most accurate anticipatory guidance?

Explaining that the stomach holds less than 1 ounce

The nurse in a community clinic is caring for a 6-month-old boy and his mother. Which intervention is priority to promote adequate growth?

Monitoring the child's weight and height

The nurse is designing a nursing care plan for a toddler with lymphoma, who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan?

Monitoring the toddler for developmental delays

The nurse is describing the maturation of various organ systems during toddlerhood to the parents. What would the nurse correctly include in this description?

Myelination of the brain and spinal cord is complete at about 24 months.

The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3-week-old baby. Which recommended guideline might be included in the teaching plan?

Place the baby on his or her back when sleeping.

The nurse is examining a 10-month-old boy who was born 10 weeks early. Which finding is cause for concern?

The child's head circumference is 49.53 cm

A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply.

The mother carefully washes her breasts prior to feeding the infant. The mother feeds the infant every hour. The mother supplements feedings with water.

The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the infant at risk for respiratory compromise? Select all that apply.

The nasal passages are narrower The larynx is more funnel shaped There are significantly fewer alveoli

The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?

The need for separation and control

The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child?

The newborn does not respond to a loud noise.

The nurse is assessing the developmental milestones of an infant. The infant was born 8 weeks ago and was 4 weeks premature. The nurse anticipates that the infant will be meeting milestones for what age of child? Record your answer in weeks.

4

At which age would the nurse expect to find the beginning of object permanence?

6 months

The nurse is assessing a 2-year-old boy who has missed some developmental milestones. Which finding will point to the cause of motor skill delays?

The child is homeless and has no toys.

The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

The child is unable to push a toy lawnmower.

The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones? Select all that apply.

At 1 month, the infant lifts and turns the head to the side in the prone position. At 7 months, the infant sits alone with some use of hands for support. At 9 months, the infant crawls with the abdomen off the floor. At 12 months, the infant walks independently.

When instructing the parents of a toddler about appropriate nutrition, what would the nurse recommend?

Approximately 16 to 24 ounces of milk per day

The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? Select all that apply.

Around 2 months, the infant exhibits a first real smile. Around 3 months, the infant smiles widely and gurgles when interacting with the caregiver. Around 3 months, the infant will mimic the parent's facial movements, such as sticking out the tongue. Separation anxiety may also start in the last few months of infancy.

The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish-speaking mother. The boy does not say mama or dada yet. What is the priority intervention?

Asking the mother if the child uses Spanish words

The nurse is teaching a new mother the proper techniques for breastfeeding her newborn. Which is a recommended guideline that should be implemented?

Bring the baby's wide-open mouth to the breast to form a seal around all of the nipple and areola.

The nurse is teaching the parents of a 2-year-old girl how to deal with common toddler situations. Which is the best advice?

Have the child help clean up a bowel accident.

The nurse is assessing a 3-year-old boy's development during a well-child visit. Which response by the child indicates the need for further assessment?

He laughs when his brother cries getting vaccinated

During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his parents. Which statement from the parents reflects a recommended guideline for promoting healthy sleep in this age group?

"We keep a strict bedtime ritual for our son, which includes a bath and a bedtime story"

The nurse is teaching good sleep habits for toddlers to the mother of a 3-year-old boy. Which response indicates the mother understands sleep requirements for her son?

"He needs 12 hours of sleep per day including his nap."

The nurse is caring for a toddler who is in Piaget's sensorimotor stage of cognitive development. Which task would the nurse expect the toddler to be able to perform?

Knowing which are his or her toys

The nurse is teaching the parents of an overweight 18-month-old girl about diet. Which intervention will be most effective for promoting proportionate growth?

Remove high-calorie, low-nutrient foods from the diet.

The nurse is performing a cognitive assessment of a 2-year-old. Which behavior would alert the nurse to a developmental delay in this area?

The child does not point to named body parts.

A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate?

"Keep the baby sitting up for about 30 minutes afterward."

The nurse is counseling the mother of a newborn who is concerned about her baby's constant crying. What teaching would be appropriate for this mother?

Reducing stimulation may decrease the length of crying.

Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?

Step Reflex

The nurse is choosing foods for a toddler's diet that are high in vitamin A. What foods could be added to the menu? Select all that apply.

Sweet potatoes Spinach Carrots

The parents of a 1-year-old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. Which is the best advice the nurse can provide?

Tell the parents to limit the child's eating to meal and snack times.

The nurse is caring for a 4-week-old girl and her mother. Which is the most appropriate subject for anticipatory guidance?

Telling how and when to introduce rice cereal

The nurse is providing guidance after observing a mother interact with her negative 2-year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?

Telling the child firmly that we don't scream in the office

The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem?

The child does not vocally respond to voices.

The neonatal nurse assesses newborns for iron deficiency anemia. Which newborn is at highest risk for this disorder?

A premature newborn

The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. What might alert the nurse to a potential problem with the child's sensory development?

The toddler does not respond to commands whispered in his ear.

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?

The toddler's anterior fontanel is not fully closed.

The nurse emphasizes that a toddler younger than the age of 18 months should never be spanked primarily for which reason?

There is an increased risk for physical injury in this age group.

The nurse is watching toddlers at play. Which normal behavior would the nurse observe?

Toddlers engage in parallel play.

The parents of a 2-year-old girl are frustrated by the frequent confrontations they have with their child. Which is the best anticipatory guidance the nurse can offer to prevent confrontations?

"You need to adhere to various routines."

The nurse is providing anticipatory guidance to a mother of a 5-month-old boy about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred?

"The cereal should be a fairly thin consistency at first."

The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern?

"This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."

A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?

"This is a primitive reflex known as the palmar grasp."

A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?

"This is normal behavior for infants unless the stool passed is hard and dry."

The parent of a 6-month-old infant asks the nurse for advice about his son's thumb sucking. What would be the nurse's best response to this parent?

"Thumb sucking is a healthy self-comforting activity."

After teaching a group of parents about language development in toddlers, what if stated by a member of the group indicates successful teaching?

"When my 3-year-old asks 'why?' all the time, this is completely normal."

The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which safety intervention should the nurse address?

Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the back seat of the car.

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

Advising how to create a toddler-safe home

The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?

Advising them to use praise, not scolding

The nurse is assessing the infants in the nursery for the six stages of consciousness. The nurse becomes concerned when assessing which infants? Select all that apply.

An infant rapidly moves from deep sleep to crying. An infant moves from active alert state to drowsiness. An infant frequently skips the quiet alert state during the six stages of consciousness.

The nurse is teaching a new mother about the drastic growth and developmental changes her infant will experience in the first year of life. Which statement describes a developmental milestone occurring in infancy

By 6 months of age, the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth

A 6-month-old girl weighs 14.7 lb during a scheduled check-up. Her birth weight was 8 lb. What is the priority nursing intervention?

Discussing the child's feeding patterns

The nurse is providing discharge teaching regarding formula preparation for a new mother. Which guideline would the nurse include in the teaching plan?

Do not add cereal to the formula in the bottle or sweeten the formula with honey.

The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. What is a recommended intervention for this age group?

Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior.

The nurse is teaching the parents of a 2-year-old todadblirebr.com/etetsht ods of dealing with their child's "negativism." Based on Erikson's theory of development, what would be an appropriate intervention for this child?

Encourage the child to pick out his own clothes

The nurse is helping parents prepare a healthy meal plan for their toddler. Which guidelines for promoting nutrition should be followed when planning meals? Select all that apply.

Extending breastfeeding into toddlerhood is believed to be beneficial to the child. Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization. The toddler requires an average intake of 700 mg of calcium per day.

The nurse is performing a health assessment of a 3-month-old African-American boy. For what condition should this infant be monitored based on his race?

Iron deficiency