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An 8-month-old child is diagnosed with a second ear infection and the father is concerned the infections are being caused by something he is doing or by something in the child's development. Which question should the nurse prioritize to collect more information to answer this father's questions?

"Does the baby go to bed with a bottle of formula each night?

Which statement by a parent would best prepare the toddler for the parent's return if the parent must leave the hospital?

"I will be back after you eat your dinner and SpongeBob goes off."

The nurse is working with a group of caregivers of small children discussing various disorders seen in children. One of the caregivers makes the statement that her children always seem to have a common cold. After discussing this condition, the caregivers make the following statements. Which statement indicates the most accurate understanding of a complication related to the common cold?

"Next time he has a cold, I will watch closely to see if my 1-year-old pulls at his ears.

The nurse takes a call from a concerned mother whose infant received routine immunizations the day before and now has a temperature of 101oF (38.3oC), is fussy, and pulling at the injection site. The mother wants to know what she should do. Which is the best response from the nurse to this mother?

"This is a common reaction. Give your child acetaminophen, cuddle him, and apply a cool compress to the injection site

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with otitis media. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of otitis media

After the eardrum ruptures, the child's pain is relieved."

A frustrated mother with a 9 month old baby comes to the clinic because her son is refusing all solid food. When taking with this mother, the nurse discovers the mother has struggled with a weight problem all her life, which she attributes to being forced to eat even when she was full. Not wanting to treat her son the same way, each time her son pushes away food with his tongue she believes he doesn't want it. Which statement would be most appropriate for the nurse to say this mother?

"the baby needs to learn how to swallow, so catch the food and offer it again until the baby learns this"

The nurse is preparing a presentation for a health fair which will illustrate various ways to help introduce siblings to a new member of the family. Which suggestion should the nurse prioritize to help older siblings, especially toddlers, understand the change in the family dynamics

. Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.

A 14-year-old boy presents to the emergency department alone with facial lacerations and a fractured left arm. Assessment reveals blue hair, several body piercings, homemade tattoos, scars on arms that appear to be track marks, evasive answers when questioned about where he lives, and responses indicating that he has no parents when contact information is requested. In addition, to being treated for the fractures and lacerations, what additional care would be the highest priority for this child?

An HIV test and counseling would be done

A 3-year-old client has been hospitalized for 1 week with her mother roomingin; however, the mother has gone home to tend to other family responsibilities for a few days. After being inconsolable for the first 24 hours after the mother's departure, the nurse notes the child is now lying quietly in bed sucking her thumb. Which response should the nurse prioritize in this situation

Are you feeling sad? Your mom didn't want to leave, but she will be back after two more breakfasts."

The nurse is assessing a 6 month old infant at a well baby visit and is answering questions from the new mother. Which response should the nurse prioritize when addressing the mother's question concerning what the incant should be learning at this point in life?

Trust

A first-time father calls the pediatric nurse stating he is concerned that his 4- year-old daughter still wets the bed almost every night. Remembering his own experience of being punished for wetting the bed at 4 years old, he is not sure punishment is the best approach to address this. Which nursing instruction is the most appropriate?

Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration."

During a well-child visit, the caregiver expresses concern that the 3-year-old child often stutters when speaking. Which response should the nurse prioritize to best assist this family?

Children of this age may stutter while they search for just the right word."

In children with otitis media, a procedure known as a myringotomy may be performed. Which statement is most accurate regarding this procedure?

During this procedure, small tubes are inserted into the tympanic membrane.

The nurse is admitting a 10-year-old child the night before surgery, and the child is very concerned about what will happen. Which action should the nurse prioritize in caring for the child to minimize the possible trauma related to this hospitalization?

Encourage the child to ask questions and express fears

The nurse is assessing a 5-year-old boy in the presence of his parents and notes they are concerned he is learning bad habits by "playing with himself". They ask the nurse for the best punishment to address this issue. Which theorist should the nurse reference when answering their question to help the parents address this issue and ensure they are providing the child with the best attitude toward his body and sexuality?

Erik erikson

The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants

Grows and develops skills more rapidly than at any other time in their life

The nursing instructor is conducting a class on development of an infant. The instructor determines the class is successful when the students correctly illustrate which as the proximodistal development in an infant is

Kick and wave the arms, then learns to grasp the foot and pull it to mouth

The nurse is presenting an in-service on the types of playing that children may engage in. The nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play?

Playing in an organized group with each other

The nurse is administering otic medication to a 22-month-old with a diagnosis of otitis media. Which nursing action ensures that the medication is distributed appropriately?

Pull the pinna down and back

A mother calls the pediatrician's office upset because her 2-year-old son has begun acting out now that the new baby is home. He wants to have a bottle like the newborn and has begun to have accidents in his pants. Which statement by the nurse would best address this problem

Set aside time to spend one-on-one with your older child and make him understand that he is still loved and very special."

Although he agreed and was shown how to do it and was provided cleaning materials, he had not even started when the deadline arrived. What aspect of child development should the nurse prioritize to explain to the parents how best to handle similar situations

The boy has not yet developed a sense of time

The nurse is collecting data for a child diagnosed with acute glomerulonephritis. What would the nurse likely find in this child's history?

The child recently had an ear infection.

The mother has presented to the pediatric clinic with her 1-year-old infant for the next round of immunizations. The nurse would question administering the immunizations if which situation is noted on assessment

The infant is being treated for a case of eczema

A first-time mother calls the pediatrician's office to ask the nurse about her baby's tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby's dentition

Tooth eruption is often genetically based, with some families having babies with early tooth eruption, while others have late tooth eruption.

The caregiver of a child with a history of ear infections calls the nurse and reports that her son has just told her his urine "looks funny." He also has a headache, and his mother reports that his eyes are puffy. Although he had a fever 2 days ago, his temperature is now down to 100 ℉ (37.8 ℃). The nurse encourages the mother to have the child seen by the care provider because the nurse suspects the child may have:

acute glomerulonephritis.

The nurse is conducting an assessment on a 1-year-old healthy child and commends the parents for maintaining routine visits. When questioned by the parents as to the recommended schedule for future visits, which schedule should the nurse recommend

at 15 months and at least annually thereafter

The nurse is assessing a young client at well visit and notes a normal progression in growth and development. Which assessment finding would lead the nurse to determine this client is in the stage Sigmund Freud referred to as the latency stage?

beginning to develop a sense of moral responsibility

The nursing student is preparing a presentation that will illustrate the various stages of growth and development starting with a newborn. Which example should the student point out will best illustrate cephalocaudal growth pattern?

controlling the head and neck before being able to control the arms and legs

The nursing instructor is leading a discussion on the theories of growth and development as described by Piaget. The instructor determines the session is successful when the students correctly choose which action as an example of the sensorimotor phase?

developing an understanding of cause and effect

The nurse is assessing a 3-year-old at a routine well-child visit. Which assessment should the nurse prioritize in the vision check?

eye coordination

The nurse is caring for a young client who was admitted to the hospital. The nurse concludes this child is in Erikson's developmental stage pf industry based on which action by the child?

is seeking interaction and competition with others on the unit

The nursing instructor is preparing a class discussion covering the theories of Erikson and the growth and development of infants and children. Which example would best illustrate the phase referred to as a initiative by Erikson?

knowing the rules, enjoys being good, being independent, and receiving approval.

A nursing instructor is leading a class discussion exploring the various aspects of Erikson's theories of the developmental tasks of toddles. The instructor determines the session is successful when the students correctly choose which task as a priority for toddlers?

learning to act on one's own

The school nurse is aware that providing proper care involves cooperation from the adolescent. Which technique will the nurse prioritize to develop open communication with the adolescents?

show interest in the adolescent and develop a rapport before asking questions

The mother of an 8 year old is concerned her child is developing too slowly when compared to a cousin. Which activities, based on Piaget's theories, would the nurse predict this child should be active in?

the child can classify and organize information about their environment

The pediatric nurse is discussing the daily activities of a 4 year old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity:

tries to sweep up spilled cereal but cries when cant do well

A nurse at a pediatric clinic is assessing a young client at a well-child visit. After the assessment, the nurse determines the child is in Erikson's autonomy stage based on which finding?

will perform tasks by themselves, even when it takes a long time

The nurse is preparing an in service training session on Erikson theories for the pediatric nurses. Which task should the nurse prioritize as an example for the school aged child?

will work on picture until it is finished


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