Chap 30: Basic Pediatric Nursing Care
What observation in an emergency department should lead a nurse to suspect child abuse in a child with a a fractured arm?
Inconsistency between the injury and the parents' explanation of it
When attempting to provide information to the parents of a child undergoing surgery, the nurse notes that the parents appear confused and do not seem to remember what they are being told. What is the most probable cause of the parents forgetfulness?
Increased level of parents' anxiety
The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate?
" Come to the conference room where we can have privacy while you look at them"
When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?
" Ethan, I am going to give you some medicine that will sting, but only for a little while"
A 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?
" The armband will hug your arm and tell me how well your blood is going through your arm"
When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
" The stress of hospitalization makes children regress a little.''
The mother of a 3-year-old expresses concern about her daughter's slowed growth rate. What would be the most informative response by the nurse?
" Three-year-olds have typically finished a growth spurt, and you may notice a decreased rate in your daughter's growth.''
A disfiguring facial wound would have the most significant developmental impact on which child?
14-year old
What is the maximum amount of time that a nurse should suction an artificial airway?
5 seconds
The nurse clarifies that the family-centered care approach terminates which policies
A. Rigid visiting hours B. Exclusion of family during procedures C. Discouraging family to stay overnight D. Restricting parents from reading the chart
The nurse welcomes the presence of the family in a pediatric unit because it reduces the stressors of hospitalization. Which are common stressors for the hospitalized child?
A. Separation B. Fear of pain C. Loss of control
When measuring the head circumference of a n infant, where should the nurse place the tape measure?
Above the eyebrows and pinnas, and around the occipital lobe
What should the nurse do to minimize an unpleasant-tasting drug?
Administer the drug through a straw
Following a lumbar puncture of a 2-year-old, what should the nurse do?
Allow the child to play quietly at will
What is the correct way to assess for the presence of jaundice in an African American child?
Apply pressure to the gums
What should be done before initiating a gavage feeding?
Aspirate stomach contents
When the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do?
Be honest
What is the best time to bathe an infant?
Before a feeding
The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?
Child maltreatment
What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies?
Children with special needs
What activity by an infant would cause a false elevation of the tympanic temperature?
Crying vigorously
What was found by Lillian Wald?
Henry Street Settlement
Why does obtaining the respirations of an infant require a modified approach from that of an adult?
Infants' respiratory movements are abdominal
When communicating with parents suspected of child abuse, what should the nurse be sure to do?
Interact with them in a nonjudgmental manner
What was one of the major strides in pediatric care made by Dr. Abraham Jacobi?
Milk stations in the city of New York
When the nurse is inserting a feeding tube in 8-month-old, what safety reminder device (SRD) should the nurse most likely use?
Mummy
What is one way to enhance the nutrition of the hospitalized toddler?
Offer nutritious fluids frequently
How should an infant be positioned after a feeding?
On the right side
The parents ask about preparation of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission?
Only two or three days before
When a safety reminder device (SRD) is used to protect a child, what is a responsibility of the nurse?
Remove it every 2 hours
What is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements?
Respirations, pulse, temperature
Where is the typical IV insertion site in an infant younger than 9 months of age?
Scalp vein
What should be the focus of a practice where the pediatric nurse uses a developmental approach?
Strengths and abilities of the child
When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on:
The growth of bones and muscle
What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?
The opioid is very effective as a pain control method
What is a disadvantage of using a mist tent with a toddler?
The wet bedding and clothing must be changed frequently
Why must the pediatric nurse be cautious about medicating infants and young children?
They are more susceptible to medication effects that adults
What is the purpose of a mist tent?
To liquefy respiratory secretions
What is the preferred IM injection site for a 2-year- old?
Vastus lateralis
After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse?
Whenever maltreatment of a child is suspected
The nurse is aware that visual acuity evaluation in a child is best assessed after the age of ___________ years
six
The pediatric nurse, along with the primary caregiver(s), has a special duty to __________ the child and the family
teach
