Peds Exam 1 material

1 Feedback: At the age of 5 months, the infant should have no head lag when pulled to a sitting position; therefore, the nurse should report this finding to the provider.

A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? 1. Head lags when pulled from a lying to a sitting position 2. Absence of startle and crawl reflexes 3. Inability to pick up a rattle after dropping it 4. Rolls from back to side

3 Feedback: The birth weight should triple by 12 months of age. By 30 months of age, the birth weight should be quadrupled.

A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse? 1. Primary dentition is complete 2. Unable to hop on one foot 3. Birth weight is tripled 4. Able to state first and last name

a, d, e

A nurse is performing a family assessment. Which of the following should the nurse include? (Select all that apply) A. Medical Hx B. Parent's education level C. Child Physical growth D. Support Systems E. Stressors

2 Feedback: Children who experience multiple and frequent hospitalizations are at an increased risk for stress-related reactions to hospitalization.

A nurse on a pediatric unit is reviewing the health record of a client 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? 1. Age 10 2. Frequent hospitalization 3. Parent bonding with child 4. Calm, quiet demeanor

3 Feedback: The coating action of liquids permits larger areas of contact with tissues and results in more extensive injury.

A nurse in the emergency department is caring for a 12-year-old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion? 1. "The absence of oral burns excludes the possibility of esophageal burns. 2. ""Treatment focuses on neutralization of the chemical. 3. ""Injury by a corrosive liquid is more extensive than by a corrosive solid. 4. ""Immediate administration of activated charcoal is warranted."

1 Feedback: A heart rate of 175/min is above the expected reference range for a 12-month-old infant; therefore, the nurse should report this finding to the provider.

A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit. The infant is in the 90th percentile of height. Which of the following findings should the nurse report to the provider? 1. Heart rate 175/min 2. Respiratory rate 26/min 3. Blood pressure 88/40 mm Hg 4. Temperature 37.6° C (99.7° F)

1 Feedback: The development of sexual characteristics prior to the age of 9 years in boys, and 8 years in girls, is an indication of precocious puberty and requires further evaluation.

A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires further assessment by the nurse? 1. Presence of sparse, fine pubic hair 2. Decreased head circumference compared to full height 3. Increased leg length related to height 4. Presence of a loose, central incisor

1 Feedback: The development of sexual characteristics prior to the age of years in boys, and 8 years in girls, is an indication of precocious puberty and requires further evaluation.

A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires further assessment by the nurse? 1. Presence of sparse, fine pubic hair 2. Decreased head circumference compared to full height 3. Increased leg length related to height 4. Presence of a loose, central incisor

3 Feedback: Complaining every day about going to school is an unexpected finding for a 7-year-old child. The child is in Erikson's psychosocial development stage of industry vs. inferiority. Children in this stage want to learn and master new concepts. If the child complains daily about going to school, it warrants further evaluation

A nurse is assessing a 7-year-old child's psychosocial development. Which of the following findings should the nurse recognize as requiring further evaluation? 1. The child prefers playmates of the same sex. 2. The child is competitive when playing board games. 3. The child complains daily about going to school. 4. The child enjoys spending time alone.

A Feedback: The parent controls the adolescent's behaviors and attitudes through unquestioned rules and expectations.

A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, "My son knows he better do what I say." Which of the following parent styles is the parent exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive

1 Feedback: PICC lines are the preferred venous access device for short to moderate term IV therapy. They can remain in place for long periods with proper care.

A nurse is caring for a child who has bacterial endocarditis. The child is scheduled to receive moderate term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the 1. "The PICC line will last several weeks with proper care 2. .""The public health nurse will rotate the insertion site every 3 days. 3. ""You will need to make certain the arm board is in place at all times 4. .""Your child will go to the operating room to have the line placed."

2 Feedback: The noises in a facility can be frightening to a child who is experiencing a sensory loss. It is important to explain these noises to allay the child's fears.

A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? 1. Assign an assistive personnel to feed the child. 2. Explain sounds the child is hearing. 3. Have the child use a cane when ambulating. 4. Rotate nurses caring for the child.

a, b, c

A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? SATA A. Wheezing B. Clubbing of the fingers and toes C .Barrel shaped chest D. Thin watery mucus E. Rapid growth spurts

4 Feedback: The nurse can implement relaxation strategies by sitting with the child in a well-supported position such as against the chest, and then rocking or swaying back and forth in long, wide movements.

A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take? 1. Ask the child to hold his breath and then blow it out slowly. 2. Ask the child to describe a pleasurable event. 3. Bounce the child gently while holding him upright. 4. Rock the child in long rhythmic movements.

b

A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include? A. Provide a low calorie, low protein diet B. Administer pancreatic enzymes with meals and snacks C. Implementing a fluid restriction during times of infection D. Restrict physical activity

a

A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indications of cystic fibrosis? A. Sweat chloride content 85 mEq/L B. Increased serum levels of fat soluble vitamins C. 72 hr analysis sample indicating hard, packed stools D. Chest x-ray negative for atelectasis

4 Feedback: The nurse should teach the parent that at the age of 15 months, the toddler should be able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make strokes imitatively.

A nurse is teaching a parent of a 12-month old child about development during the toddler years. Which of the following statements should the nurse include?" 1. Your child should be referring to himself using the appropriate pronoun by 18 months of age. 2. ""A toddler's interest in looking at pictures occurs at 20 months of age. 3. ""A toddler should have daytime control of his bowel and bladder by 24 months of age. 4. ""Your child should be able to scribble spontaneously using a crayon at the age of 15 months."

1 Feedback: Locking up medications and other potential poisons prevents access. Toddlers have improved gross and fine motor skills that allow for further exploration of the environment and possible access to hazardous substances.

A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching? 1. "I lock my medications in the medicine cabinet." 2. "I keep my child's crib mattress at the highest level." 3. "I turn pot handles to the side of my stove while cooking." 4. "I will give my child syrup of ipecac if she swallows something poisonous."

d

A nurse manager is on a pediatric floor is preparing an education program on working with families for a group of new hired nurses. Which of the following should the nursing include when discussing developmental theory? A. Describes that stress is inevitable B. Emphasizes that change with one member affects the entire family C. Provides guidance to assist families adapting to street D. Defines consistencies in how families change