PEDS

a nurse is assessing a 6 month old which of the following assessment should the nurse make 1) posterior fontanel is closed 2) infant BW 3x 4) upp ernad low central incisors are present 5) infans sit well without supoort

1) fosterior fontanell should close by 8 weeks 2-6m should be doubled an tripled at a year 3-just beginning to get incisiors 4=can only sit with support by leaning forward

performin gdevelopmental 10mont which of the following fine motor skills should the nurse expect 1) grasp a rattle by handle 2) try buildng a two block tower use a crude pincer grasp 3) place object in container 4) walk with one hand held

1, 2 1-grasp handle by 10m 2- crude pincer grasp by 9 month 2-12 month 3-11 4-11month

ancipitaroy guidance to parents of toddler which should be included 1) ddevelip food hapits that prevent dental caries 2) meeting caloric needs= increase appetite 3) expression of fear of bedtime is normal 4) expect behaviors with neagtive and ritualism 5) annual screening for phenylketonuria are important

1, 3, 4 2-decreased app 5-newborn not toddler

a nurse conducting 5 year old which of the following should immunization should they adin 1) dtap 2) IPV 3) MR 4) pcv 5) HIb

1,2,3, 4-6 years old pcv, hib( first 15 months of life)

non pharm for preschool children 1) art therapy 2) blowinig bubbles 3) humor 4) guided imagery 4) movie

1,2,4

The nurse is screening a PRESCHOOLER for growth and development. What are important things to assess in a child at this stage? Select all that apply. 1) Parent/child relationship 2) Whether the child has stable daily routines 3) Ability to say "no" 4) Overall appearance and behavior 5) Ability to read

1,2,4.

anticpatory guidance for 13 what screening should be recommended 1) BMI 2) blood Lead level 3) 24 hour diet 4) weight 5) scoliosis

1,4,5

4year old child. which of the following toys should the nurse plan to provide for the child to engage in 1) bright color mobile 2) stethesscope 3) jigsaw 4) book of short stories

2 1-young infant 4-no cant read independently

A nurse is conducting a well baby 4 month old infant immmunization which should they offer 1) MMR 2) IPV 3) PCV 4) VARICELA 5) RV

2, 3, 5 other ones are 12 month

your pt is 3 year old male. psychosocial crisis he is currently experiencing atuomonty vs shape and doubt. Which of following emonstares that you successfully working through this staage 1) eats lunch but only if mom fed him 2) urinated in toilet without assistance 3) put his own shoes on 4) markers to draw pics 5) when 1st brought into playroom he explored all toys independently.

23

2 month old infant which of the following immunizations 1) HPV + hep A 2) MMR + Tdap 3_ HIb and IPV 4) VAR and LAIV

3 HIb and IPV 1-hpv 11 hep a - 12m 2- MMR and Tdap mmr- 12-15m age , tdap 11-12years 4- var <12 LAIV <2 years

The infant can bring objects to its mouth at will. At what age is the child likely to be? Six weeksThree monthsNine monthsSix months

3 months

30 month old toddler which requires furthur assessment 1) primary dentition complete 2) unable to hop on 1 foot 3) birth weight triple 4) able to state first and last name

3= birth weight should triple by 12 months . by 30 it should be quadroop;ed 1-expected 2-4 years 4-yes

A nurse is teaching parents of a 4-month-old about infant growth and development. Which of the following are true regarding a 4-month old? 1) recognizes a familiar face 2) vocalizes distinct from crying 3) no minimal head lag when pulled to prone 4) all of the above

4

Which of the following statements is NOT true regarding the social development of a 9 year old? 1) perfer of the same gender 2) peer pressure 3) conformity 4) transtion from friendship to relationships

4

school aged children . psychosocial development includes which of the following 1) tching ambulation skills 2) bowel and bladder 3) god nutrition 4) child to use paretnts as role models

4

12 month old infant about development during toddler years. 1) pronoun by 18 months 2) interest looking in pictures by 20 months 3) bladder control- 24 months 4) scribble spontaneously by 15 months

4 1-30 months 2-15 months 3- 30months

2 year old 1) scizzors 2) stick figures with craysons 3) tricyclce 4) building blocks

4 1-3yr 2-4yr 3=3yr

a 3 year old has a blood lead level of 3 . When discussing lead poisiting what is proper info 1) decrease vit c 2) folic acid supp 3) give pancreatic enzymes 4) make sure they are getting enough ca and iron

4 1-no 2-no 3-cystic fibrosis 4- yes .

he infant is sitting alone using her arms for support. At what age is this child at this stage of motor development? 3 months12 months4 months7 months

7 months -unsupported is 7-9 months

A nurse is caring for a toddler admitted to a pediatric unit. Which of the following statements should the nurse use when preparing to check the child's vital signs?

B. I am going to listen to your heart. Rationale: The nurse should inform the toddler of the procedure prior to taking vital signs. According to Erikson, this stage of psychosocial development for the toddler is autonomy versus shame and doubt. The toddler desires an increased amount of independence and will most likely respond by saying no if the nurse asks to listen to the heart.

doll is scared to be home alone. which characterist of preop thought is the child exhiiting

animism -egocentristm-cant see it from other point of view -centration- child focuses on one aspect magical- tehir thoughts can control

An 8 year old child is admitted to your unit with an impetigo infection requiring IV antibiotics. What type of precautions should they be placed on?

contact

The nurse is assessing a 5 month old baby for growth and development. What weight should this baby be?

doubled

Which age group would be appropriate for a child exhibiting the following characteristics?: skip on one foot, catch balls, tie their shoes, sing songs, repeat poems from memory, copy letters, and brush their teeth.

preschool 36-6 years

Ingested bleach is an injury by a corrosive liquid which is more extensive than a corrosive solid t or false

t

The nurse is assessing a 12 month old baby for growth and development. What weight should this baby be? Double the birth weight Quadrouple the birthweight Birth weight isn't a good measure of growth and developement Triple the birth weight

triple @ 12 months the birth weight is tripled @ 5 months it is doubled

You are the nurse rooming a 32-month-old for a well-child visit. Which of the following could be cause for concern?

unilateral bowleg

droplet precaution for 15 month old

wear mask

Td is recommended for ___ prophylaxis in children ages 7 and older. Recommended every _ years after age 18

wound prophylaxis 10 years

A nurse is providing teaching about puberty understanding

-girls stop growning about 2 years after menarche

screening 3 year old which of the following skills 1) tricycle 2) hop on one foot 3) jump roope 4) thro a bal over head

1 2-4 3-5 4-4

4 year old about fine motor development. which is an expected finding for age group 1) copies circles 2) cuts food using knife 3) begins cursive 4) prints first name and last name

1 2-7 3-8/9 4-5

age appropriate activities for 2 year old which of the following indicates understanding 1) stuffed animal iwth child when sleepovers 2) able to stand on one foot for 1 sec 3) soccer tream starats practicing 4) except my child to draw circle

1 transitional objects 2-21/2 3- along sde of instead of with other people 4-2/1

6 year old assessment. which requires furthur 1) presence of sparse pubic hair 2) decreased HCircum compared to full body 3) increased leg lenth related to height 4) presnese of loose central incisor

1 - 8 years in in girls 2-yes 3-yes 4- lower teeth at age 6

Poll Title: A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, and nurse observes the toddler sitting quietly in the corner of the crib, sucking a thumb. When the nurse approaches the crib, the toddler shyly turns away from the nurse. The nurse should know that these behaviors indicate: 1) an anxiety reaction to stress 2) regression 3) resentment toward mother 4) developing autonomy

1- hospitilization is stressful. seperation anxiety

5 month old infant what should be reported 1) head lags when pulled from lying to sitting 2) absense of startle and crawl 3) picking up rattle and dropping it 4) roll from back to side

1- no head lag

petrusis which of the following should the nurse find 1) runny nose 2) mild fever 3) cough 4) swollen salivary glands 5) red rash

123 4) mumps 5) measles-red rash

death for a child

1=similar to sleeping 2-believs his thoughts can control death 3-thinks death is punishment

seven year old -require furthur investigation1) spending time alone 2) complaining about school 3) competitive about board games

2

a nurse is teaching a group of parents about complications from communicable disease which of the following can lead to pneumonia 1) rubella(german measles) 2) rubeola(measles 3) pertussis 4) varicella 5) mumps

2,3,4, 1-german measles (deafness, heart defects) 5-mumps-orchitis encephalitis meningitedes s

a nurse is performing developmental screening for 18 m old . Which of the following skills should toddler be able to perfrom 1) tower with 6 blocks 2) throow a ball overhand 3) walk up and down stairs 4) draw circles 5) use spoon without rotation

2,5 1-2 years of age 2- yes should be able to throw a ball 3- 2 years 4- 21/2 5- yes

6 month old infant reflex 1) stepping 2) babinki 3) extrusion 4) moro

2- babinski - stroking bottom of foot causing toes to fan out should be present by age 1 1-disspears by 4 weeks 3- 4 months absent 4- 3-4 months dissapears

a nurse is assessing a 12 month old infant during a visit. which of the following should they report 1) closed anterior 2) bWeight 2x c) birth length ^50% d) eruption of six teeeth

2- by 12 month should have trippled 1-should have closed 3 +4 correct

9 month old which would consider developmental delay 1) hands and knees 2) cant vocalize voewl sounds 3) prude pincer grasp 4) holding onto things for support

2- should be able to by 7 months and be able to say one word at 10

A nurse is assing 21/2 year old which of the following should nurse report 1) heigh ^ 7.5cm 3 inchest in last year 2) head bigger than chest 3) anterior posterior closed 4) weight =4x birth

2-should be equal chest contining to increase

A nurse is gathering data on a 10-month-old infant. Which of the following findings should be reported to the provider? 1) unable to imitate animal sounds 2) doesnt sit steadily with supoort 3) cannot turn pages 4) not play peek a boo

B A. The infant is unable to imitate animal sounds. Rationale: A 10-month-old infant is not expected to be able to imitate animal sounds. This vocalization skill is not expected until 12 months of age. It would be expected for a 10-month-old infant to verbalize dada, mama, and to comprehend the meaning of bye-bye. There is no need for concern regarding this finding. B. The infant does not sit steadily without support. Rationale: This finding should be evaluated by the provider. Being able to sit steadily without support is a gross motor finding usually noted by 8 months of age. A 10-month-old infant should be able to change from a prone to sitting position, stand while holding onto furniture, and lift one foot while standing. The delay may or may not indicate a significant problem, but it should be evaluated by the provider. C. The infant cannot turn the pages in a book. Rationale: This is a fine motor skill expected at 12 months of age. It would be expected for a 10-month-old infant to look at and follow pictures in a book. There would be no need for the provider to evaluate the child based on this finding. D. The infant will not play peek-a-boo. Rationale: It would not be expected for an infant to participate in this activity until 11 months of age. This finding should not be of concern.

presschool ed about nutrition what info should they include 1) sat fat =20% 2) average calorie 1,800 3) daily intake of fruit and veges 2 servings 4) healthy diet include 8g of protein

B 1-10% 3-5 servings 4- 13-19 g of protein

A nurse in a pediatric clinic is talking with the mother of a preschool age child. The mother tells the nurse that her son is a picky eater. Which of the following is an appropriate response by the nurse? 1) have child remain at the table to increase food 2) add extra fruit juice for vitamin 3) quantitiy is more important than qualitity 4) food consumption may not be sif decreased

D- varies and most preschool age children consume an adequate quality of food 1- avoid 2- avoid 3- quality

The parents of a 3-year-old child are having him evaluated because of poor growth and development. After testing, the physician diagnoses the child with growth hormone deficiency. Which statement from the nurse is most appropriate when teaching this family?

He will need to take growth hormone injections until he is mostly caught up in growth, but it will take time.

You are the nurse teaching a safety class for parents of young children. Which statement made by a parent indicates the need for additional teaching?

Important to use a booster by age of five

A 14 year old girl comes into your clinic for a visit. Her mom says she has not been eating, has lost 5 pounds and stays in her room for most of the evening. When asked about friends at school she shrugs and turns away. List risk factors for suicide

Recent or serious loss Death, break-up, divorce, job or home loss Psych Disorder Depression, anxiety, PTSD Prior attempt Struggle with sexual orientation Family history of suicide

e nurse is assessing a 30 month old child. Which of the following findings would cause the nurse to become alarmed? Cannot lace their own shoesDoesn't copy circlesIsn't toilet trainedAnterior fontenelle not closed

anterior fontalle is closed

You are assessing a child's gross motor development. You understand that gross motor development in children proceeds in what way? From cephalic to caudal progressionFrom peripheral muscles to more proximal musclesThroughout the body at the same timeFrom caudal to cephalic progression

cephalic to -caudal

Which of the following contagious diseases does NOT require a child to be placed on Droplet precautions when being admitted to the hospital? 1) pertussis 2) mumps 3) conjuctivitis 4) scarlet fever

conjuctivitis

A child is lagging behind in psychosocial development. What can the nurse encourage the parent to do to enhance their child's development? Encourage more sleep Encourage more physical activities Encourage a healthier diet Encourage more social interaction with peers

encourage more social interactions

A nurse in the newborn nursery is caring for a baby who was born 3 days ago. The infant weight 6 lbs., 12 oz. at birth. After the daily weight, the nurse notes that the infant now weighs 5 lbs., 8 oz. Which action of the nurse is most appropriate? Encourage the mother to breastfeed the infant and then weigh him again Check the infant's glucose level Continue to monitor the infant's normal weight loss after birth Notify the physician about the baby's condition

encourage mother

The parents of a healthy 5-month-old infant ask the nurse how to best stimulate language development. Which is the most appropriate response?

encourage parents to talk

preschoool aged child. what is normal fear for this age?

fear of thunder

dental care to 9month old ..indicated good teaching

i can clean baby teath with cold wet wash cloth

understanding for MMR

i can give my child atecamino[hen for discomfort

A patient has suffered a bruise on her elbow from being assisted in bed for repositioning. Which best describes how the nurse can prevent this injury from becoming a point of skin breakdown? Wrap the arm in rolled gauzeApply a bandage with adhesive over the siteEncourage the patient to increase fluid intakeWrap the area in a net gauze and keep it covered

increase fluid

the nurse should rec which food to introduce to 4m old

iron fortified

Based on Erikson's Theory of Psycho social Development, how best can parents facilitate development of social skills in their 2 month old?

meet the physical needs cuddle adn comfort

college immunization

meningoccal polysaccharide

12 Month old infant about nutrition. which indicates furthur teaching

my infant drinks at least 2 quarts of milk each day -24-30oz

methos to promote sleep indicates understanding

night light

4 year old deciding whether to get regional or general anesthesia. which is a disadvantage?

not be compliant

peek a boo is an example of

object perm

a nurse is teacing about commmunicable disease which is the best way to prevent

obtaining immunization

toddler type of play

parallel

child sleeping long hours as an adolescent. 1) slow metab 2) elevated zinc 3) rapid growth

rapid growth 3

hich age group would be appropriate for a child exhibiting the following characteristics?: tie knots, begin growing permanent teeth and losing temporary ones, is more independant, and can begin to understand concepts like the future.

school age 6-12

: You are the nurse is caring for a 10-year-old boy on bed rest. Which of the following diversional activities is developmentally appropriate and meets the health needs of a child on strict bed rest?

sorting and organizizng

A parent brings a 5-year-old to the nurse for a kindergarten physical and tells the nurse that the child stutters a lot when excited about something. What should the nurse explain to the parent?

stuttering is common

male clients are at increased risk for hospital stress compared to female cients t or false

t

Puberty in boys first manifestation of sex maturation 1) pubic hair 2) vocal 3) testicular enlarge 4) facial hair growth

testicular enlargement

Building block towers that are 7-8 high, begin toilet training, abd lpay with other children. which age group

toddler ( 12-36)

Infant's Erikson Stage

trust vs mistrust