PEDS Test 1 review questions

A father tells the nurse that his child is "filling up the house with collections" such as seashells, bottle caps, baseball cards, and pennies. The nurse should recognize that the child is developing: object permanence. preoperational thinking. concrete operational thinking. ability to use abstract symbols.

concrete operational thinking

The best method to explain a procedure to a hospitalized preschool-age child is to:

demonstrate the procedure on a doll

During adolescence, psychosocial development focuses on

establishing an identity

The leading cause of death among African-American boys ages 15 to 19 years is: suicide. human immunodeficiency virus (HIV) infection. firearm homicide. occupational injuries.

firearm homicide

What comment should the parent of a 2-year-old expect from the toddler about a new baby brother?

"it's time to put him away so we can play now"

The principles of growth and development include

-Each child grows and develops according to a general orderly pattern that tends to resemble that of others of the same age, sex, and nationality -Development proceeds in a cephalocaudal and proximodistal manner -Growth and development are interrelated and interdependent

Thomas is a 6 month old who weighed 6 lb at birth. Based on your knowledge of pediatric growth, you know his weight today should be at least

12 pounds

Failure to smile would be a concern at what age?

3 months

You are preparing to measure the length of 12-month-old William. His length was 20 inches at birth. Based on normal growth parameters, you would expect his length to be approximately

30 inches

A child has an avulsed (knocked-out) tooth. The parents are reluctant to try to reimplant the tooth. Where should the tooth be placed for transport to the dentist? A. In cold milk B. In cold water C. In warm salt water D. In a dry, clean jar

A. in cold milk

During the first 4 days of hospitalization, Erich, age 18 months, cried inconsolably when his parents left him, and he refused the staff's attention. Now the nurse observes that Erich appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as which of the following? A. He has successfully adjusted to the hospital environment. B. He has transferred his trust to the nursing staff. C. He may be experiencing detachment, which is the third stage of separation anxiety. D. Because he is "at home" in the hospital now, seeing his mother frequently will only start the cycle again.

C

Latasha is a breastfed infant being seen in the clinic for her 6-month checkup. Her mother tells the nurse that Latasha recently began to suck her thumb. Which of the following is the best nursing intervention? A. Recommend that the mother substitute a pacifier for Latasha's thumb. B. Assess Latasha for other signs of sensory deprivation. C. Reassure the mother that thumbsucking is normal at this age. D. Suggest that the mother breastfeed Latasha more often to satisfy sucking needs.

C

When performing a physical assessment on a girl, age 10, the nurse keeps in mind that the first sign of sexual maturity in girls is

breast bud development

According to developmental theories, which important event is essential to the development of a toddler?

child participates in being potty trained

Four-year-old Juan is being admitted today for a tonsillectomy. You know that Juan is in which developmental stage according to Erikson?

Initiative vs. Guilt

When performing an assessment of a 4-month-old, what is a normal finding related to fontanels?

Open anterior and closed posterior fontanel.

native american, african american, smoke exposure and prematurity are all risk factors for?

SIDS

The neonatal period begins at birth and lasts for 4 weeks. During this time, the infant adapts to the extrauterine environment. What mechanisms are immature in the neonate?

Temperature-regulating mechanism

The period of greatest growth is from

birth to one year

A mother of a 3 1/2-year-old cannot stay in the hospital with her child today. The nurse suggests the mother do what?

leave one of her possessions behind for the child.

Four-year-old Rebecca is hospitalized for treatment of a brain tumor. She tells you she got sick because she was a bad girl. What is the underlying rationale for this statement?

magical thinking

The phrase infant mortality rates refers to the:

number of infant deaths in any given year.

what type of play would the nurse expect to see when assessing a toddler?

parallel

A 13-year-old tells the nurse he is worried because his breasts are growing. They hurt, and he is embarrassed to take his shirt off during gym class. What should the nurse tell him?

that it's a normal condition of puberty and will resolve by itself in a year or two

What reaction would a nurse expect when giving a preschooler immunizations?

the child cries and tells the nurse that it hurts

A 3-year-old is hospitalized for ASD repair. The parents have decided to go home for a few hours to spend time with her siblings. The child asks when her mommy and daddy will be back. The nurse's best response is:

they will be back after your nap

A child, age 5, is brought to the pediatrician's office for a routine visit. When inspecting the child's mouth, the nurse expects to find how many teeth?

up to 20