Peds Powerpoint questions

The nurse is assessing gross and fine motor development in a 2 year old child. Which of the following developmental milestones would the nurse expect to observe in this child? Turns a door handle Stacks objects Pedals a tricycle Undresses self

Stacks objects A 2 year old child should be able to stack objects, copy circles and lines, turn pages, run, kick a ball, and jump with 2 feet. The other milestones are appropriate for a 3 year old child

The nurse is explaining Kohlberg's theory of moral development to the parent of a toddler. The nurse tells the parents that in a preconventional level of moral development, what factor motivates obedience? Avoidance of punishment Peer pressure Wanting to do what is right Parents' behavior

Avoidance of punishment Toddlers are in the preconventional level of moral development. They do not understand the concept of right and wrong. Their behavior is driven by the desire to avoid punishment and get rewards

Which of the following is not a type of growth chart available for infants from the Centers for Disease Control and Prevention (CDC)? Weight-for-age BMI-for-age Length-for-age Weight-for-length

BMI-for-age The CDC offers weight-for-age, length-for-age, head circumference-for-age, and weight-for-length clinical growth charts for infants. The BMI-for-age growth chart is used for children 2 years of age and older.

A nurse is working with occupation therapy to plan what developmentally appropriate toys should be given to her 10 month old patient. Which of the following toys would be most appropriate? Unbreakable mirror Mobile with highly contrasted pattern A toy bar for the infant to bat at Board books

Board Books Board books, toys that make noise or light up, soft dolls, teething toys, and large blocks are all appropriate toys for older infants. The other toys would be given to a younger infant, aged 6 months old or less

The mother of a 3-year-old child tells the clinic nurse that her child insists on having a bottle at naptime and bedtime. Which of the following interventions should the nurse suggest to the mother? Only allow the bottle if it contains juice. Only allow the bottle if it contains milk. Do not allow the child to have the bottle Only allow the bottle at night but not at naptimes.

Do not allow the child to have the bottle. A child should never be allowed to take a bottle to bed because of the increased risk of acute otitis media and dental caries. In addition, children should transition from a bottle to a cup at 15-months of age.

Is the following statement true or false? Children wake up from night terrors and seek comfort from their caregivers.

False Children do not wake during night terrors and they do not remember the episodes. In contrast, children do wake up from nightmares and seek the comfort of their caregiver. The caregiver should discuss the nightmare with the child, provide reassurance, and put them back to sleep.

Is the following statement true or false? Smoking outside prevents children from being exposed to environmental tobacco smoke.

False Just having someone smoke outside is not enough, as smoke particles can adhere to the smoker's clothing and be inhaled by the infant when he or she is held by the smoker.

Is the following statement true or false? A FLACC score of 8 indicates mild pain

False The FLACC scale is scored on a 0-10 scale, with 0 indicating no pain and 10 indicating the worst pain possible. A score of 8 would indicate severs pain and should be treated using developmentally appropriate pain control techniques

Which of the following is the number one way to prevent hand-foot-and-mouth disease? Cover your mouth when you sneeze Cover your mouth Hand washing, especially following diaper changes Immunizations

Hand washing, especially following diaper changes. Hand-foot-and-mouth disease is caused by the coxsackie virus and is transmitted via the fecal-oral route. The number one way to prevent the spread of the virus is to perform frequent hand washing, especially after changing diapers or using the restroom. There is no immunization for hand-foot-and-mouth disease.

When should caregivers administer antipyretics following immunizations? Prophylactically to prevent pain and fever If an infant has a fever of 100.2F or higher If an infant is extremely fussy If an infant has localized redness at the injection site

If an infant is extremely fussy Caregivers should give antipyretics only if the infant has a high fever or extreme fussiness. Antipyretics limit the immune response following immunizations and should not be given prophylactically.

Which of the following motor development milestones would you expect an infant to attain first? Opens and closes hands Uses a raking grasp Picks up objects with pincer grasp Feeds self with a spoon

Opens and closes hands An infant learns to open and close their hands at 2 months of age. They use a raking grasp at 6 months, a pincer grasp at 9 months, and feed themselves at 12 months

Which of the following people roles does not need to be included in the multidisciplinary team used to treat failure to thrive? Radiologist Social worker Therapist Caregiver

Radiologist A multidisciplinary team approach should be used to treat failure to thrive. Possible team members include speech therapists, physical therapists, occupational therapists, social workers, caregivers, developmental interventionalists, and nutritionists.

Which type of retraction is assessed directly above the infants' collar bones? Intercostal Substernal Subcostal Suprasternal

Suprasternal Suprasternal retractions can be assessed above the infants' collar bones. Intercostal retractions are assessed in between the ribs. Substernal retractions are assessed near the xiphoid process. Subcostal retractions are assessed immediately below the ribs.

A 4-year-old child tells the nurse, "I got sick because I broke my sister's toy." The nurse knows that this is an example of which of the following? Lying Animism expressing remorse Transductive reasoning

Transductive reasoning The preschool child has transductive reasoning, magical thinking, and a vivid imagination. Therefore, they connect seemingly related events that are not related at all. This child is connecting the act of breaking a toy with getting sick, even though the two are not correlated.

Is the following statement true or false? In Navajo culture, the core beliefs are centered around Mother Earth, balance, and harmony.

True American Indian culture focuses on living a balanced and healthy life. They believe you must have a relationship with Mother Earth, the tribal community, the surrounding environments, and one's self.