Quiz 1 Peds

What interventions by the nurse help the child and family to overcome fear and prepare for hospitalization? Select all that apply.

*1: Allow the family and child to express their concerns.* *2: Orient the child and family to the hospital and its routines.* 3: Arrange short preparatory sessions for older children. 4: Have a common preparatory session for all families. *5: Use puppet shows or videos to explain hospital processes.*

What is a common experience of a sibling during a sister's or brother's illness or hospitalization?

*1: Anger* 2: Support 3: Detachment 4: Positive adaptation

The nurse recognizes that growth and development of children is subject to progressive maturation. How can the nurse describe growth during the first year of life?

*1: Growth is especially rapid during the first 6 months of the first year of life.* 2: Growth is especially rapid during the final 3 months of the first year of life. 3: Height slows during the first 6 months of life and increases during second 6 months. 4: Head circumference increases by approximately 2 cm during the first 6 months of life

The nurse is preparing a school-age child for hospitalization. What does the nurse include in the teaching? Select all that apply.

*1: Provides miniature hospital equipment for the child* *2: Describes the different aspects of hospital stay* *3: Answers any questions the child has about hospitalization* 4: Does not tell about any unpleasant procedure *5: Ensures that the child pays attention to the information*

A child is being hospitalized for an illness. What information about hospitalization and illness does the nurse provide to the parents? Select all that apply.

*1: The nature of the illness and treatment* *2: Home care required after discharge* *3: Child's physical reactions to illness* *4: Child's emotional response to hospitalization* 5: The possible developmental delays in the child

The parents of a young child tell the nurse that they cannot stay with their daughter during hospitalization. What can the nurse say to the parents that will help the child adjust to their absence?

1: "A child just needs her parents. Can't you find a way to be here?" 2: "It'll be fine. Just buy some new toys from the hospital gift store." 3: "Young children like new toys much better than they do older ones." *4: "At this age children often need the comfort and reassurance of familiar toys from home."*

Two parents bring their 4-month-old infant in for a well-baby visit. They are describing the child's growth and development to the nurse during the assessment interview. Which parent statement below indicates a potential delay in milestone development?

1: "Our child is drooling all the time now. Does that mean teething has started?" 2: "Our child is putting everything into his mouth. We are careful about leaving items in reach." *3: "Our child has not made attempts to speak words yet, but he does coo and laugh."* 4: "Our child seems to really enjoy people and when people talk to him."

The nurse is teaching a group of parents about nutrition, its significance in promoting growth and development, and avoiding obesity in childhood. What does the nurse include in the education plan? Select all that apply.

1: A child should limit protein intake to a minimum of 9 grams per day. *2: Average range of caloric intake is 1000 mg to 1800 calories per day.* *3: The fluid intake should be 100 ml per kilogram of body weight per day.* 4: Saturated fatty acid consumption should meet 30% of total caloric intake. *5: Daily calorie intake should not exceed 90 kcal per kilogram of body weight.*

What change does the nurse teach the parents to expect in their child after prolonged hospitalization?

1: Anger toward parents 2: Jealousy toward siblings *3: Regression in newly learned skills* 4: Repressed feeling of resentment

The nurse is interviewing the parent of a 3-year-old-child to determine growth and development. The parent tells the nurse, "My child can ride a tricycle well." Which skill set does the child demonstrate by performing this action?

1: Cognition skills 2: Fine motor skills *3: Gross motor skills* 4: Socialization skills

Which statement helps explain the growth and development of children?

1: Development proceeds at a predictable rate. 2: Rates of growth are consistent among children. *3: The sequence of developmental milestones is predictable.* 4: At times of rapid growth there is also acceleration of development.

What is the major stressor of hospitalization for children from middle infancy throughout the preschool years?

1: Fear of pain 2: Loss of control *3: Separation anxiety* 4: Fear of bodily injury

A pediatric nursing student is studying child health statistics. What should the nurse answer when asked about the definition of infant mortality rate?

1: It is the number of fetal deaths (over 500 g) per 1000 live births. *2: It is the number of deaths per 1000 live births during the first year of life.* 3: It is the number of deaths per 1000 live births occurring at birth or in the first 28 days of life. 4: It is the number of deaths per 1,000 live births occurring between 28 days and 11 months of life

What is normal language growth and development for a 5-year-old child?

1: Knows simple songs 2: Tells exaggerated stories 3: Uses complete sentences with 3 to 4 words *4: Describes drawings with a lot of detail*

A 4-year-old child is scheduled for cardiac surgery in a week. The child's parents call the hospital to ask how to prepare the child for the upcoming hospitalization and surgical procedure. The nurse's reply should be based on what knowledge?

1: Preparation at this age will only increase the child's stress. *2: Children who are prepared experience less fear and stress during hospitalization.* 3: Preparation needs to be at least 2 to 3 weeks before hospitalization to be effective. 4: Children who are prepared experience overwhelming fear by the time hospitalization occurs

What is the most common reaction of many parents to their child's hospitalization?

1: Relief 2: Anger *3: Fear* 4: Depression

The nurse is educating parents about growth and development of preschoolers. What instructions does the nurse give the parents to help them make preschoolers feel comfortable with their body image? Select all that apply.

1: Suggest that preschoolers observe others. *2: Instill positive principles regarding body image.* *3: Emphasize the importance of accepting other individuals.* 4: Restrict the children from communicating with the others. *5: Give the children encouraging feedback regarding their appearance.*

A mother tells the nurse that her daughter's favorite toy is a large empty box that contained a stove. She plays "house" in it with her toddler brother. The nurse, drawing on knowledge of growth and development, recognizes what information from this activity?

1: Suggestive of limited family resources 2: Suggestive of limited adult supervision 3: Unsafe play that should be discouraged *4: Creative play that should be encouraged*

Which statement is true about physical growth?

1: The average boy gains 2 to 8 inches in height during the growth spurt period. *2: Growth in height typically ceases 2 to 2½ years after menarche in girls.* 3: The growth spurt begins in girls usually between 10½ and 16 years of age. 4: The average girl gains 7 to 25 kg in weight during the fast growth spurt period

Nurses play an important role in current issues and trends in health care. Which is a current trend in pediatric nursing and health care today?

1: The patient is the unit of care for the health care provider. 2: Discharge planning begins when the physician writes the order. 3: The focus of pediatric health care is trending toward acute hospital care. *4: Health promotion resources enable children to achieve their full potential*