Peds Lippincott Exam 1

A child who is of preschool age is diagnosed as having severe autism. The most effective therapy involves which intervention?

one-on-one play therapy

A first-time mother is concerned that her 6-month-old infant is not gaining enough weight. What should the nurse tell the mother?

"Birth weight doubles by 6 months of age."

The parent of a 6-month-old reports starting 2% milk. What should the nurse ask the parent first?

"Can you tell me more about the reason you switched your baby to 2% milk?"

A parent is concerned about spoiling a 2-month-old child by picking up the child each time the child cries. Which suggestion should the nurse offer?

"Continue to pick up the crying baby because young infants need cuddling and holding to meet their needs."

A 10-month-old child with recurrent otitis media is brought to the clinic for evaluation. What is most important for the nurse to ask the family about the baby's symptoms?

"Do you give the baby a bottle to take to bed?"

The mother of a toilet-trained toddler who was admitted to the hospital for severe gastroenteritis and subsequent dehydration and is now at home asks the nurse why the child still wets the bed. What would be the nurse's best response?

"Hospitalization is a traumatic experience for children. Regression is common, and it takes time for them to return to their former behavior."

On observing a parent propping a bottle for a 2-month-old child in the waiting room, the nurse explains the dangers to the parent. Which statement indicates that the parent has understood the nurse's teaching?

"I can see how it might cause choking and cause tooth decay."

After teaching a community class to new parents, the nurse evaluates client understanding of strategies to prevent sudden infant death syndrome (SIDS). Which statements indicates appropriate understanding?

"I will place my baby in a supine position for sleep during the first year."

When explaining to parents how to reduce the risk of sudden infant death syndrome (SIDS) the nurse should teach about which measures? Select all that apply.

Maintain a smoke-free environment. Breastfeed the baby. Place the baby on his back to sleep.

A mother brings a 15-month-old child to the well-baby clinic. She states the child has been taking approximately 18 to 20 oz (540 to 600 mL) of whole milk per day from a bottle with meals and at bedtime. The nurse should suggest that she begin weaning the child from the bottle to avoid risking:

Dental caries

An 18-month-old child is admitted to the pediatric unit. Which of the following can the nurse do to reduce the stress on the client during this hospitalization?

Encourage the client's caregivers to be with the client as much as possible

A 4-year-old child is admitted to the hospital for surgery. The nurse applies interventions to address what major stressor for a child of this age?

Separation from family

A nurse is assessing an 8-month-old infant during a wellness checkup. Which action is a normal developmental task for an infant this age?

Sitting without support

The nurse is caring for an infant who exhibits the above characteristics. When planning care, which would be the best long term client goal?

The client will reach his/her optimal level of functioning.

The nurse is evaluating an infant for auditory ability. What is the expected response in an infant with normal hearing?

blinking and stopping body movements when sound is introduced

A 3-month-old infant is admitted to the hospital to rule out nonaccidental trauma. X-ray findings indicate a fractured right humerus, fractured ribs, and a fractured left scapula. In this situation, a nurse is responsible for:

ensuring that the suspected child abuse is reported to local authorities.

The nurse assesses an 8-month-old's language development. Which finding would the nurse consider to be typical language development?

saying "dada" and "mama" nonspecifically.

Which infant most needs a developmental referral for a gross motor delay?

the 9-month-old who does not stand holding on

A parent brings an 8-month-old to the pediatrician's office. When the nurse approaches to measure the child's vital signs, the child clings to the parent tightly and starts to cry. The parent says, "The baby used to smile at everyone. I don't know why the baby is acting this way." The nurse begins teaching the parent about growth and development by stating:

"Your baby's behavior indicates stranger anxiety, which is common at his age."

Which nursing interventions are important when caring for a hospitalized toddler? Select all that apply.

Instruct parent that regression commonly occurs. Encourage use of a security object from home. Allow client autonomy by offering select choices. Maintain the toddler's routine when able.