QUIZ 2 POTTS

A 6-month-old girl weighs 14.7 pounds during a scheduled check-up. Her birth weight was 8 pounds. What is the priority nursing intervention? a. Talking about solid food consumption b. Discouraging daily fruit juice intake c. Increasing the number of breastfeeds d. Discussing the child's feeding patterns

D

A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate? A) "Put the infant in an infant seat after eating." B) "Limit burping to once during a feeding." C) "Feed the same amount but space out the feedings." D) "Keep the baby sitting up for about 30 minutes afterward.

D

An adolescent who is depressed states, "Nothing ever seems to be right in my life." What would be the most appropriate response by the nurse? a. Things will be better when you go off to college. b. Try to look on the brighter side of things. c. Being a teenager is hard work. d. You are feeling sad right now. It's a hard time.

D

The adolescent continues to develop self-concept and self-esteem. What is most important to a teen's self-esteem? A) Strong authority figures B) Spirituality C) Morals and values D) Body image

D

The neonatal nurse assesses newborns for iron-deficiency anemia. Which newborn is at highest risk for this disorder? a. Post term newborn b. A term newborn w/ jaundice c. A newborn born to a diabetic mother d. A premature newborn

D

The nurse is determining the amount of IV fluids to administer in a 24-hour period to a child who weighs 40 kg. How many milliliters should the nurse administer? a. 1,000 ml b. 1, 500 ml c. 1,750 ml d. 1,900 ml

D

The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which safety intervention should the nurse address? A) Encourage parents to enroll toddlers in swimming classes to avoid the need for constant supervision around water. B) Advise parents to keep pot handles on stoves turned outward to avoid accidental burns. C) Encourage parents to smoke only in designated rooms in the house or outside the house. D) Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the backseat of the car.

D

Which activity would the nurse least likely include as exemplifying the preconceptual phase of Piaget's preoperational stage? A) Displays of animism B) Use of active imaginations C) Understanding of opposites D) Beginning questioning of parents' values

D

Which tool would be the least appropriate scale for the nurse to use when assessing a 4-year-old child's pain? a. FACES b. Oucher c. Poker Chip Tool d. Number

D

All primitive reflexes disappear over the first few months of life. T/F

False

Disappearance of the extrusion reflex is a sign that the infant is ready for solid food. T/F

True

The mother of a 7-year-old girl tells the school nurse that her child is deathly afraid of going to school. What would be the best intervention the nurse could suggest in this situation? a. Return the child to school and investigate the cause of the fear. b. Have the child stay home from school until any issues causing this fear are resolved. c. Investigate a new school for the child to attend that the child will not be afraid. d. Tell the child that privileges will be taken away if he does not return to school.

A

The nurse in a community clinic is caring for a 6-month-old boy and his mother. Which intervention is priority to promote adequate growth and development? a. Monitoring the child's height and weight b. Encouraging a more frequent feeding schedule c. Assessing the child's current feeding patterns d. Recommending higher-calorie foods

A

The nurse is admitting a 15-year-old to the hospital pediatric unit. What does the nurse recognize a priority for the adolescent? a. The adolescent's need for privacy should be respected. b. The adolescent's need for parental support should be discussed. c. The adolescent should be given the freedom to participate in unit activities as desired. d. The adolescent should be encouraged to call friends often.

A

The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson? a. Autonomy vs Shame and Doubt b. Industry vs Inferiority c. Initiative vs. Guilt d. Trust vs. Mistrust

A

The nurse is describing the maturation of various organ system during toddlerhood to the parents. What would the nurse correctly include in the description? a. Myelinization of the brain and spinal cord i complete at about 24 months. b. Alveoli reach adult numbers by 3 years of age. c. Urine output in a toddler typically averages approx. 30 ml/h. d. Toddlers typically have strong abdominal muscles by age 2.

A

The nurse is preparing to administer insulin to a diabetic child. Which would be the recommended route for this administration? a. Subcutaneous b. Intradermal c. Intramuscular d. Oral

A

The school nurse is preparing a presentation for a group of teachers about teen suicide. When discussing the risk factors for this occurrence, which should be included? SATA a. Mental Health Changes b. History of Previous Suicide Attempts c. Greatly improved school performance d. Family disorganization f. Substance Abuse

A ,B, D, F

A 15-year-old girl is in the hospital for surgery and is confined to bed. The nurse can tell the client is nervous about being in the hospital. She tells the nurse that she feels "gross" and "on display" in her hospital gown. What should the nurse do to encourage a sense of autonomy and dignity related to the girl's body image? a. Allow the girl to wear her own clothes, despite hospital policy. b. Asist the girl with using the bedpan to urinate. c. Offer to assist the girl in washing her hair and let her pick the shampoo. d. Brush the girl's hair for her.

C

A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is a. At 6-months his weihgt should be approx. three times his birth weight. b. Each child gains weight at his or her own pace c. At 6 months his weight should be approx. twice his birth weight d. At 6 months a child should weigh about 10 lbs more than his or her birth weight.

C

Parents need further teaching about the use of car seats if they make which statement? a. Even if our toddler helps buckle the straps, we will double-check the fastenings. b. We won't start the car until everyone is properly restrained. c. We won't need to use the car seat on short trips to the store. d. We will anchor the car seat to the cars anchoring system.

C

The nurse has determined that an 8-year-old girl is at risk for being overweight. Which intervention would be a priority to developing the care plan? a. Determining the need for additional caloric intake. b. Asking the parents who they want to work with the child. c. Interviewing the parents about their eating habits. d. Discussing the influence of peers on the child's diet.

C

The nurse is administering pain medication for a child with continuous pain from internal injuries. Which method would be ordered to dispense the medication? a. Administer the medication PRN b. Administer the medication when pain has peaked. c. Administer the medication around the clock at timed intervals. d. Administer the medication when the child complains of pain.

C

The nurse is teaching the parents of a 4-year-old boy about the normal maturation of the child's organs during the preschool years and their effect on body functions. Which statement correctly describes these changes? SATA a. Myelination of the spinal cord allows for bowel and bladder control to be complete in most children by age 3. b. The respiratory structures are continuing to grow in size, and the number of alveoli continues to increase, reaching the adult number at about age 7. c. HR increases and BP decreases slightly during the preschool years. d. The bones continue to increase in length and the muscles continue to strengthen and mature; however, the musculoskeletal system is still not fully mature. e. The small intestine is continuing to grow in length, and stool passage usually occurs once or twice per day in the average preschooler. f. The urethra remains long in both boy and girls, making them more susceptible to urinary tract infections than adults.

A, B, D, E

The nurse is assessing a 6-month-old healthy infant who weighed 7 lbs at birth. The nurse should expect the infant to now weigh approximately how many pounds? a. 10 b. 15 c. 20 d. 25

B

The nurse is caring for children who are receiving IV therapy in the hospital setting for which children would a central venous device be indicated? a. Child who is receiving IV pushes b. A child who is receiving chemotherapy for leukemia. c. A child who is receiving fluids for dehydration. d. A child who is receiving a one-time dose of a medication.

B

The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child? a. The newborn's eyes wander and occasionally are crossed. b. The newborn does not respond to a loud noise. c. The newborn's eyes focus on near objects. d. The newborn becomes more alert with stroking when drowsy.

B

Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned? A) Plantar grasp B) Step C) Babinski D) Neck righting

B

In terms of language and cognitive development, a 4-year-old child would be expected to: a. Think in abstract terms. b. Follow simple commands. c. Understand conservation of matter. d. Use sentences of eight words e. Tell exaggerated stories. f. Comprehend another person's perspective

B, E

The nurse is teaching an 8-year-old child and his family how to manage cancer pain using nonpharmacologic methods. Which parent statement signifies successful child teaching? a. I will avoid using descriptive words like pinching, pulling, or heat. b. I will not use positive reinforcement until the technique is perfected. c. I will begin using the technique before he experiences pain. d. I will be honest and tell him that the procedure will hurt a lot.

C