Peds Test #1

Age related issues for 5yo? A school nurse is teaching a group of parents about agerelated issues of 5-year-old children. What should the nurse include as a major concern of children of this age?

Anxiety about body integrity

6yo complete bed rest, what is appropriate toy? What is the most appropriate toy for the nurse to give a 6-year-old child on complete bed rest?

Coloring book and crayons

toddler getting IM injection, what is priority of care? During the course of treatment a toddler is to receive an intramuscular injection. What is the priority nursing intervention that should be included in the plan of care?

Involving the parents in comforting the toddler after the injection

The nurse is evaluating the developmental level of a 2-year-old. Which does the nurse expect to observe in this child?

Uses a cup to drink

6yo is very sick. What are appropriate play activities? select all that apply... 6yo child is in the acute phase of nephrotic syndrome. mom asks about play activities. What should she suggest. Select all that apply

Video Games Children's book

assess 4yo with abdominal pain The nurse is caring for a 4-year-old child. When experiencing pain, the nurse anticipates which about the child? Select all that apply.

Views pain as a punishment Blames someone else for the pain Believes pain will disappear magically

3yo thumbsucker, what is best response to parents? During a routine visit to the child health clinic, the parent of a 3-year-old girl reports, "My daughter is still sucking her thumb." What is the nurse's best response?

"She will stop when she is ready." Thumb sucking reaches its peak from 18 to 20 months and then subsides to times when comfort is most needed, such as at bedtime and when ill. Most children give it up by age 4. The nurse should reassure the mother by explaining that it is not unusual to thumb suck at age 3.

What is a nurse's most appropriate response when asked about spanking as a disciplinary technique?

"Spanking is strongly suggestive of negative role modeling."

2yo growth rate The mother of a 2-year-old girl expresses concern that her daughter's growth rate has slowed. What should the nurse explain to the mother about the growth of toddlers?

"This growth pattern is typical at this age.

insert IV catheter into 3yo, they start to cry. How to respond to them An IV catheter is to be inserted into a 3-year-old toddler's peripheral vein. As local topical anesthetic is applied, the toddler starts to cry and asks if it is going to hurt. How should the nurse respond?

"Yes, it may hurt, but not for very long."

A 10-year-old boy who is about to begin chemotherapy for acute myelogenous leukemia (AML) tells the nurse that he is old enough to refuse treatment. What is the nurse's most appropriate response?

"You seem frightened. Let's talk about it."

Neuro assessment on 7mo old. What reflexes visible? A nurse is performing a neurological assessment of a 7-month-old infant. What reflex should the nurse be able to elicit?

Babinski

Abusive family behaviors? A nurse is assessing the family dynamics of a suspected abusive family. What behavior is expected? Select all that apply.

Child cringes when approached Child has unexplained healed injuries Child lies still while surveying the environment

12 yo activity for bedridden child A 12-year-old child is to be bedridden at home for several weeks after orthopedic surgery. What activity should the nurse encourage the parents to plan?

Continuing schoolwork

play expected from 5yo - parallel A 5-year-old child is brought to the child health clinic for a routine visit, and the nurse observes the child interacting with other children. What type of play does the nurse expect of the child?

Cooperative Team play is typical of older, school-age children who play games with other children and learn to abide by the rules. 2 Parallel play is typical of the toddler age group; they have not yet learned to interact with other toddlers in a social situation. 3 Initiative play does not typify any age group; it is not a recognized term of social play.

15yo Chemo patient with Leukemia. What to expect that they are most concerned about? A nurse is caring for a 15-year-old adolescent who is receiving chemotherapy for leukemia. The nurse expects that adolescents with health problems are most concerned about:

Feeling different regarding changes in body image

2mo old is crying. what is best way to soothe? A nurse is trying to soothe a 2-month-old who is crying. What is the best way to soothe a young infant?

Hold and rock the infant in a quiet room

How should a nurse assess a 4-year-old child with abdominal pain?

Observe the position and behavior while the child is moving

What is the nurse's primary responsibility when there is the suspicion that a child is abused?

Protect the child from future abuse

4yo developmental level What nursing intervention best meets the developmental needs of hospitalized preschool-age children?

Provide materials for simulating activities

4mo behavior A 4-month-old infant is admitted to the pediatric unit. How does the primary nurse expect the infant to behave when approached?

Reach out to the nurse for the attention that is being offered

2 1/2 yo sibling death A 2½-year-old girl whose older sibling recently died has started hitting her mother and refusing to go to bed at night. The nurse explains to the mother that her daughter probably is:

Reacting appropriately to the family's grieving Changes in the daily routines in the home and grief expressed by family members lead to anxiety in toddlers.

A parent of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erikson's psychosocial development theory, which instructions should the nurse provide to the parent? Select all that apply.

Set limits on the child's behavior. Provide a simple explanation of why the behavior is unacceptable.

A nurse is teaching a class about behavioral expectations of infants and children to a group of parents. The nurse includes those behaviors expected of 8-monthold infants. Select all that apply.

Stranger anxiety Playing peek-a-boo Standing by holding on to furniture

What is therapeutic approach to administering meds via injection to 2yo? A nurse must administer a medication by injection to a 2-year-old whose parent is not present. What is the most therapeutic approach for the nurse to use?

Warn the child about the injection just before administering it, say it is OK to cry, and then comfort the child

A father expresses concern that his 2-year-old daughter has become a "finicky eater" and is eating less. How should the nurse respond?

"Your daughter's behavior is expected in response to her slower growth."

Have a 6mo with failure to thrive. Birth weight was 7lb. What should they weigh? A 6-month-old infant is admitted to the pediatric unit with a diagnosis of failure to thrive. The birth weight was 7 pounds. Based on growth and development charts, how many pounds does the nurse conclude that the infant should weigh?

14 The average infant doubles birth weight at 6 months.

Language development for 22mo. How many words and phrases? A nurse assesses that a 22-month-old child uses 2- or 3-word phrases (telegraphic speech), has a vocabulary of about 20 words, and often uses the word "me." The nurse concludes the child's language development is:

Appropriate Brief messages, with only essential words included (telegraphic speech), a vocabulary of 20 words, and frequent use of the word "me" are the expected assessments of a child 18 months to 2 years of age.

Interpret the behavior of 3yo girl? Several 3-year-old girls in the day care center are having a tea party with their dolls. The center's nurse concludes that this behavior is:

Appropriate make-believe play

19mo in hospital 2 weeks. Appropriate nurse action related to behavior? A 19-month-old boy who has been in the hospital for 2 weeks becomes increasingly withdrawn and mute. What is the most appropriate nursing action?

Encourage the parents to stay with him as much as possible

A nurse is evaluating whether a 5-year-old child is displaying appropriate behaviors for this age. What developmentalfindings does the nurse expect? Select all that apply.

Enjoys imitative play Makes up rules for a new game

Developmental findings related to behavior for 5yo. A nurse is evaluating whether a 5-year-old child is displaying appropriate behaviors for this age. What developmentalfindings does the nurse expect? Select all that apply.

Enjoys imitative play Makes up rules for a new game

A nurse in the child health clinic is assessing a 9- month-old infant. What developmental findings does the nurse expect? Select all that apply.

Enjoys push-pull toys Sits steadily without support Responds to simple commands

Common trait observed in toddlers - med and cleaning supplies? A nurse is teaching a class to parents about keeping medications and household cleaning supplies out of the reach of toddlers. The nurse explains that this is necessary because toddlers:

Have a high level of oral activity

4yo going to surgery, what to do with family when child is taken back? A 4-year-old child is being prepared for a myringotomy in the ambulatory care unit. What should the nurse do when the child is called to go to the operating room?

Have the parents accompany the child to the operating suite

3mo what toys? select all that apply The mother of a 3-month-old infant asks the nurse in the well-baby clinic what toys to give her child. What is the nurse's response? Select all that apply.

Metallic mirror Colorful mobile

The nurse educator is preparing to conduct a teaching session for the nursing staff regarding the theories of growth and development and plans to discuss Kohlberg's theory of moral development. What information should the nurse include in the session? Select all that apply.

Moral development progresses in relationship to cognitive development. A person's ability to make moral judgments develops over a period of time. The theory provides a framework for understanding how individuals determine a moral code to guide their behavior. In stage 2 (instrumental-relativist orientation), the child conforms to rules to obtain rewards or have favors returned.

The clinic nurse is preparing to discuss the concepts of Kohlberg's theory of moral development with a parent. What motivates good and bad actions for the child at the preconventional level?

Punishment and reward

Self care skill for 4yo A nurse is planning to foster independence in a group of 4-year-old children. What self-care skill does the nurse expect 4-year-old children to be capable of performing?

Putting on a shirt and buttoning it

A 16-year-old adolescent, her 1-month-old infant, and the infant's grandmother come to the emergency department saying that the infant accidentally fell down the stairs. What should the nurse consider when obtaining legal consent for the infant's treatment?

Responsibility rests with the mother who should sign the consent

Which would be the highest expected growth and development occurrences at 9 months of age for an infant who has had appropriate growth assessed at each well-child visit? Select all that apply.

Should be able to say "mama" and "dada" Will pull up and stand for several seconds holding on to furniture Will be able to pick up small pieces of food when placed in a high chair

Infant weight at birth compared to weight at 1year. What can you conclude? What is standard gain? An infant who weighed 7.5 pounds at birth now weighs 15 pounds at 1 year. The nurse concludes that this infant's weight gain:

Signifies an inadequate weight gain An infant's weight gain at the end of the first year should be 3 times the birth weight.

A nurse teaches a mother about appropriate play for an 8-month-old infant. Which of the mother's suggestions indicate that the teaching was understood? Select all that apply.

Textured book Stuffed animal Hanging mobile

6wk old and grasping rattle. What to teach about this behavior? A 6-week-old infant grasps a rattle placed in the hand. The mother is impressed with this skill. What should the nurse teach the mother about this behavior?

This is the palmar grasp reflex and is expected at this age Disappears at 4 months

What are possible causes for stutter for 4yo? When talking with a 4-year-old child, a nurse identifies that the child is shy and stutters. What does stuttering in a 4-year-old child indicate?

Typical preschooler speech Stuttering occurs because the child's advancing mental ability and level of comprehension exceed the vocabulary acquisitions in the preschool years.

5yo no longer outgoing and passive in classroom. What is possible reason?A 5-year-old child newly arrived from Latin America attends a nursery school where everyone speaks English. The child's mother tells the nurse that her child is no longer outgoing and is very passive in the classroom. What is the probable reason for the child's behavior?

Undergoing culture shock

What are age appropriate language skills for 4yo? A nurse is assessing a 4-year-old child. What age-appropriate language skills does the nurse expect the child to have achieved? Select all that apply.

Uses 6- and 8-word sentences Has a vocabulary of 150 to 200 words

15mo toddler development A nurse is assessing a 15-month-old girl at the wellchild clinic. The nurse determines that further education about toddler development is necessary when the mother says, "She:

has a temper tantrum every time I put her on the potty chair."

therapeutic response for 7yo getting IV insertion A 7-year-old boy who is about to have an IV inserted cries out that he is afraid of IVs. What is the nurse's most therapeutic response?

"Tell me what frightens you."

A nurse is caring for a 4-year-old child in the pediatric unit. What does the nurse expect concerning the behavior of a preschooler during hospitalization?

Crying when the parents leave and return, but not during their absence

toddler physically abused, what behaviors? A toddler who was physically abused is admitted to the pediatric unit. What behavior does the nurse expect when approaching the child?

Is wary of physical contact initiated by anyone

Behavior of 5mo Which behavior does the nurse expect when observing a 5-month-old infant?

Picking up a toy and putting it into the mouth Oral stage