IM5 Growth and Development/Assessment and Intervention Child Board Vitals Practice Questions

According to the American Academy of Pediatrics which of the following developmental health screening should be performed on a 20 month old child ? select all that apply a. weight for length b. BMI c. head circumference d. autism screening e. behavioral assessment

b. BMI c. head circumference d. autism screening e. behavioral assessment

A nurse is assessing a four year old child who presents with his parents for evaluation of a cough that kept the child up all night. select all the assessment findings that should lead the nurse to suspect respiratory distress in a four year old. select all that apply a. Hypertension b. Restlessness c. respiratory rate = 24 breaths per minute d. Use of accessory muscles e. Sweating in a cool environment

b. Restlessness d. Use of accessory muscles e. Sweating in a cool environment

A nurse is performing a developmental assessment on a 9 month old child which of the following outcomes would warrant further investigation by the health care provider? a. the child is only army crawling but is not walking b. the child does not copy shapes c. the child is not babbling d. the child is drooling from the mouth

c. the child is not babbling

A nurse on a pediatric unit is teaching a group of students about childhood diseases that are associated with pneumonia. which of the following diseases can result in pneumonia ? a. Erythema infectiosum (fifth disease) b. Rubeola (measles) c. Pertussis (whooping cough) d. Varicella (chickenpox) e. Mumps

b. Rubeola (measles) c. Pertussis (whooping cough) d. Varicella (chickenpox)

Symptoms of rubella generally include: a. Nasal congestion and a low grade fever followed by a rash b. a high fever and koplik spots in the mouth c. a rash mainly on the trunk of the body and low grade fever d. nausea and vomiting

b. a high fever and koplik spots in the mouth

A nurse in a pediatric clinic is assessing a young child who was exposed to roseola. the nurse understands that which of the following is a characteristic of roseola? A. rash accompanied by a low-grade fever B. fever sore throat and pustular rash C. symptoms of a cold followed by a rash D. high fever followed by rash after the fever has subsided

D. high fever followed by rash after the fever has subsided

Which of the following health interventions will promote successful achievement of erikson stage of development for three year old toddler? a. Allowing the child to choose when to take his antibiotics b. encouraging the child to assist in removing the dressing on his leg c. allowing a child to work on an art project that he can complete d. encouraging friends to visit the child in the hospital

b. encouraging the child to assist in removing the dressing on his leg

A nurse checks a blood pressure reading in a 2 year old child and measures 92/60 mmHg. considering the child's age the blood pressure result would be: a. low b. normal c. high d. critical

b. normal

And psychoanalytic theory which of the following refers to the concept or stage of growth and development that is primarily concerned with role identification ? a. latency stage b. oedipal complex c. oral stage d. general exploration

b. oedipal complex

A nurse is performing a developmental assessment on a 9-month-old child. Which of the following outcomes would warrant further investigation by the health care provider? a. the child is only army crawling but is not walking b. the child does not copy shapes c. the child is not babbling d. the child is drooling from the mouth

c. the child is not babbling

A 3 year old hospitalized child is on bed rest. in order to help meet the child's developmental needs the nurse should: a. place a stuffed toy in the bed with a child to play with b. offer the child a coloring book and crayons c. take the child out of the bed to play in the playroom with other children three times a day d. provide the child with remote control that wants to truck

b. offer the child a coloring book and crayons

Which of the following actions initiated by parents of an 8 month old indicate they need further teaching about preventing childhood accidents? a. placing a fire screen in front of the fire-place b. placing a car seat in front, front facing position c. Inspecting toys for loose parts d. placing toxic substances out of reach are in a locked cabinet

b. placing a car seat in front, front facing position

Which best describes why infants are started on solid foods at about five too six months of age ? a. solid foods help in controlling an infant's weight b. infants at this age are learning how to chew c. the fetal reserve of iron is depleted by the age d. the infants swallowing reflex has not developed to accommodate solid foods

c. the fetal reserve of iron is depleted by the age

A nurse is caring for a 2-month-old in a pediatric emergency department. the mother reports that the child has had vomiting and watery diarrhea in the last 24 hours. The nurse notes the child is as alergic with a sunken fontanelle and dry mouth. place the anticipated nursing interventions in order of priority. - Start an IV and begin giving fluids - obtain vital signs including weight - apply a urine bag to collect urine - draw blood for lab tests

1st: obtain vital signs including weight 2nd: Start an IV and begin giving fluids 3rd: apply a urine bag to collect urine 4th: draw blood for lab tests

Which of the following findings during an assessment of a child who is 30 months old requires further evaluation ? A. the child's current weight is 6x the weight at birth B. primary detention (20 teeth) it's complete C. chest circumference is greater than head circumference D. the child speaks in three word sentences

A. the child's current weight is 6x the weight at birth

A nurse is providing nutritional teaching to the guardians of a 2 year old toddler. which of the following statements should the nurse include ? a. your child should consume no more than 12 ounces of fruit each day b. a recommended serving size from each food group for your child is one tablespoon per year of age c. introduce healthy finger foods to your child such as carrots and celery sticks d. your child should consume at least five cups of low fat milk each day

b. a recommended serving size from each food group for your child is one tablespoon per year of age

When discussing a toddler which of the following indicates the parent has understood the nurses explanation of parallel play ? a. "My child's choice of game will determine the choice of the group." b. "The group will play without a common goal." c. "One child will take on a leadership role in the group." d. "My child may enjoy watching the others play."

b. "The group will play without a common goal."

The nurse is asked to provide education about safety and reduction of risk for parents of 6th grade children. which of the following should the nurse include when planning the presentation about this age group? a. Children who are cooking should only do so with parental assistance and should wear 2 oven mitts b. children who skate or rollerblade in this street should wear head protection c. When children are outdoors sunscreen should be applied every three to four hours d. children should ride in the back seat of the car and use our restraint system

a. Children who are cooking should only do so with parental assistance and should wear 2 oven mitts

A nurse is caring for a sense month old infant who is postoperative following repair of an intussusception Oh yeah and has a new prescription for clear liquid's PO for 24 hours. Which of the following liquids should the nurse provide for the infant ? a. Electrolyte solution b. formula c. orange juice d. water

a. Electrolyte solution

A nurse is counseling the month of a 12 month old child who is leaning the child from breastfeeding. which of the following statements by the mother indicates a need for further teaching ? a. I will discourage my child from drinking cow's milk because that will result in increased consumption of solids b. I should never put my child to sleep with a bottle for comfort c. I will begin weaning gradually and will still breastfeed at times d. I should substitute some feedings with cow's milk for breast milk

a. I will discourage my child from drinking cow's milk because that will result in increased consumption of solids

A nurse in a clinic is providing care for a 15 month old child who has the following vital signs: temperature 37.6 degrees C (99.7 degrees F), Heart rate 120/min, respirations 26/min, blood pressure 90/60 mm Hg. Which of the following action should the nurse take ? a. administer the TDAP vaccine b. administer inactivated polio vaccine (IPV) c. withhold immunizations until illness or fever subsides d. administer hepatitis A vaccine

a. administer the TDAP vaccine

A nurse is caring for a client who has skin graft now has developed Cellulitis. which of the following manifestations should the nurse expect ? select all that apply a. intense redness and itching b. inflammation of the skin c. honey colored drainage d. streak like rash e. sandpaper like skin texture

a. intense redness and itching b. inflammation of the skin d. streak like rash

A nurse is caring for a toddler who has pertussis. which of the following manifestations should the nurse expect ? select all that apply a. rhinorrhea b. mild fever c. coughing spasms d. swollen salivary glands e. red rash

a. rhinorrhea b. mild fever c. coughing spasms

A nurse is providing teaching about food allergies to a group of new parents. the nurse should include that infants who have an allergic reaction to which of the following foods typically outgrow the sensitivity ? select all that apply a. soy b. peanuts c. cows milk d. eggs e. fish

a. soy c. cows milk d. eggs

A nurse assesses a 3-month old infant who was just hospitalized for dehydration caused by vomiting. What clinical findings does the nurse anticipate? a. weight loss b. dilute urine c. flash skin d. bulging fontanelles

a. weight loss

For routine vaccination the minimum age for receiving the MMR vaccine is: A. Six months old B. 15 months old C. 4 years old D. 12 months old

D. 12 months old

A nurse in a pediatric clinic this performing an assessment of an 8 year old client. what is an example of psychosocial history that would be collected during the health assessment of a child? A. the number of hours a child sleeps at night B. adaptive equipment the child needs for activities C. a family history of diabetes D. a description of the home environment

D. a description of the home environment

A nurse is assigned to care for a 2 year old child newly admitted to the pediatric unit. which of the following interventions is appropriate to reduce the adverse effects of hospitalization of the child? select all that apply a. talk to the child about body changes that may occur b. provide more than one option when offering a toy to a child c. plan a quiet period of play before the child's unusual nap time d. post the schedule each day by the child's bed e. offer the child's preferred snack foods during the day

b. provide more than one option when offering a toy to a child c. plan a quiet period of play before the child's unusual nap time e. offer the child's preferred snack foods during the day

A nurse is administering an intramuscular injection to a six month old. which of the following sites should she use ? a. dorsal gluteal muscle b. vastus lateralis c. deltoid d. rectus femoris

b. vastus lateralis

A nurse is providing home care for a toddler with multiple developmental disabilities who rarely goes outdoors because of photosensitivity. Which nutritional deficit is the client most likely to have? a. vitamin C deficiency b. vitamin D deficiency c. magnesium deficiency d. vitamin B deficiency

b. vitamin D deficiency

A nurse is assessing a 3 year old child's fine motor skills. which of the following activities should be included in the assessment ? a. monitoring the child's ability to climb a ladder on some playground equipment b. watching the child uses zipper c. asking a child to throw a ball d. assessing whether the child can walk backwards

b. watching the child uses zipper

Nurse in a providers office is teaching the parents of an adolescent client about the sleep habits of adolescents. which of the following information should the nurse provide ? a. Adolescents should average between 12 to 14 hours of sleep per night b. Adolescents experience difficulty getting enough sleep because they awakened so many times during the night c. Adolescents have circadian rhythms that cause sleepiness at a later time of the night d. Adolescents rest better because they enter rapid eye movement (REM) sleep immediately

c. Adolescents have circadian rhythms that cause sleepiness at a later time of the night

A nurse is an outpatient clinic is advising the parents of a 7-year old child about healthy sleep habits in their child. Which of the following should the nurse recommend ? a. The child should sleep for 7-8 hours each b. The parents should encourage the child to engage in physical tiring play before bedtime c. It is important to establish a regular bedtime d. the sleep needs of the child are the result of the high growth rate experienced in this age group

c. It is important to establish a regular bedtime

A nurse is assessing the development of a 2 month old infant. she places the baby on her back and turns the baby's head two one side. the infant responds by flexing the arm on the opposite side and extending the arm that is pointing in the same direction she is facing. which of the following best describes is reflex ? a. Moro reflex b. Babinski reflex c. Tonic neck reflects d. Stepping reflex

c. Tonic neck reflects

A father of a 13 month old toddler wants to buy a toy for his daughter. when he asks the nurse for recommendations which of the following should the nurse suggest to best promote development at this age ? a. a mobile to hang over her bed b. a stuffed toy c. a pull toy d. a chapter book

c. a pull toy

A nurse on a pediatric unit is providing an in service for staff on the developmental needs of children. which of the following children would be classified as being in the concrete operation stage as defined by Piaget? a. An 18 month old toddler b. a four year old preschooler c. an 8 year old third grade student d. a 15 year old high school student

c. an 8 year old third grade student

Which of the following should the nurse assess first on well child exam and six week old infant who is sleeping ? a. examination of ears with an otoscope b. assessment of moral reflex c. auscultation of lungs and heart sounds d. percussion and palpation of the abdomen

c. auscultation of lungs and heart sounds

The nurse is teaching a group of adolescents about sexual health. she teaches about a vaccine that is available to protect against sexually transmitted disease known as: a. trichomoniasis b. syphilis c. human papillomavirus d. gonorrhea

c. human papillomavirus

The nurse assesses a 6 month old for vaccination readiness. which finding would most likely indicate the need to delay administering the diphtheria, tetanus and acellular pertussis? a. a family history of sudden infant death syndrome (SIDS) b. the fever of 38.5 degrees Celsius following the four month vaccination c. in acute bilateral ear infection d. living with a family member who is immunosuppressed

c. in acute bilateral ear infection

A nurse is caring for a 10 year old client with rheumatic fever who is on bed rest. Which of the following would be inappropriate diversional activity for the nurse to encourage ? a. watching television with a roommate b. coloring in a picture books with sibling c. keeping up with schoolwork d. building a birdhouse

c. keeping up with schoolwork

Two toddlers are arguing over a toy in the playroom. which of the following is the most appropriate response by the nurse ? a. if you can't play together nicely, I'll have to put you back in your rooms b. give the toy to me. now neither of you will have it c. let me see if I can get a good toy for each of you d. one of you should play with it for awhile and then give it to the other

c. let me see if I can get a good toy for each of you

When assessing a child's cultural background a nurse knows that which of the following is true ? a. heritage is their primary determinant of shared group values b. culturally determined behaviors are limited to one generation c. physical characteristics are not determinant of a child's cultural background d. cultural background is irrelevant to healthcare

c. physical characteristics are not determinant of a child's cultural background

A nurse is assessing a 6 month old infant. which of the following developmental milestones is an expected finding in a normal exam ? a. plays peekaboo b. picks up serial between the thumb and forefinger c. rolls over in both directions d. pulls to stand

c. rolls over in both directions

A nurse is assisting a health care provider with a potentially painful procedure on a four year old child. which of the following statements from the nurse is most appropriate when addressing the clients pain? a. the doctor is going to sew this up then put a dressing on your wound b. hold still this is going to hurt some c. you have an owie right now but we are going to help it get better d. be a big boy and don't cry: it'll be alright

c. you have an owie right now but we are going to help it get better

At home visit the mother of a four month old boy tells the nurse that she is concerned that her child is not rolling over yet. which of the following is the most appropriate response by the nurse ? a. "That is slightly delayed. Let me do a complete assessment" b. "I'll make a note of your concern" c. "Has he met other milestones on time?" d. "That is expected. Many babies at his age cannot rollover" e. "You should include more tummy time if you want him to roll over"

d. "That is expected. Many babies at his age cannot rollover"

The nurse is appearing to give a newborn an injection of vitamin K in the nursery. the infant's father is watching and asks, "what is this for ?" Which response from the nurse is most accurate? a. "Your baby is more susceptible to infection right now. this will help to protect him." b. "This shot helps her baby to excrete more bilirubin which will reduce the risk of jaundice." c. "We have to ensure that his blood glucose levels are stable before we can send him to your room." d. "This injection prevents bleeding as newborns have a higher risk."

d. "This injection prevents bleeding as newborns have a higher risk."

A nurse is counseling a parent whose preschool child began wetting the bed again after a recent hospitalization. Which of the following is the most appropriate response by the nurse? a. "Involving the child in changing wet lines will end the behavior." b. "Your child is acting out because of the hospitalization." c. "We can restrict playroom privileges until the bedwetting stops." d. "This is a normal regression behavior due to stress as a result of the hospitalization"

d. "This is a normal regression behavior due to stress as a result of the hospitalization"

The mother of a 12 month old child tells the nurse that the child never received the hepatitis B vaccine but she would like to consider this option now. which response from the nurse is accurate ? a. "This usually starts at birth; it is too late to start it now." b. "You must first check his antigen level before giving the vaccine." c. "He can have the vaccine, but he must wait until he's at least 24 months." d. "We can start the series whenever you are ready."

d. "We can start the series whenever you are ready."

The health care provider recommends ibuprofen suspension for a child with a fever by mouth twice daily. how many milligrams would be present in 12.5 milliliters of this suspension? a. 100 b. 150 c. 200 d. 250

d. 250

A nurse is caring for a child with developmental dysphasia of the hip. which of the following is a primary intervention for this child ? a. Flexion of the hip b. Extension of the hip c. Adduction of the hip d. Abduction of the hip

d. Abduction of the hip

The nurse is performing a developmental assessment on a toddler. which of the following strategies should the nurse implement as a part of this assessment ? a. Use a diagram to explain where body parts are b. List three items and ask the child to recall them later c. Stroke the outer aspect of the child's face and see how he responds d. Allow the child to sit on his parent's lap during the assessment

d. Allow the child to sit on his parent's lap during the assessment

Which of the following is the most appropriate intervention by a nurse who is caring for a 2 year old client in the pediatric unit who experiences separation anxiety when the clients parents return home ? a. Avoid phone and video calls when the parents have returned home b. Allow the child to calm down alone in their room when upset c. Distract the child with music and video activities when visibly upset d. Encourage the parents to leave the child's favorite toy and books with them

d. Encourage the parents to leave the child's favorite toy and books with them

A mother brings her 12-month-old baby to the clinic for immunizations. which of the following vaccines can be administered at the 12-month visit ? Select all that apply a. Diphtheria b. Tetanus c. Diphtheria, tetanus and cellular pertussis (DTaP) d. Hemophilus influenza type b conjugate vaccine (Hib) e. Measles, mumps ,rubella (Hib) f. Pneumococcal conjugate vaccine (PCV) g. Hepatitis A h. Varicella vaccine i. Inactivated poliovirus vaccine (IPV) j. Hepatitis B k. Rotavirus

d. Hemophilus influenza type b conjugate vaccine (Hib) e. Measles, mumps ,rubella (Hib) f. Pneumococcal conjugate vaccine (PCV) g. Hepatitis A h. Varicella vaccine i. Inactivated poliovirus vaccine (IPV) j. Hepatitis B

A nurse is preparing to administer the hepatitis B vaccine to an adolescent. which of the following questions should the nurse asked the adolescent prior to administering the vaccine? a. do you have an allergy to eggs ? b. have you ever had encephalopathy following immunizations ? c. are you currently taking any corticosteroid medication ? d. have you ever had an anaphylactic reaction to yeast ?

d. have you ever had an anaphylactic reaction to yeast ?

The nurse is assessing a 3 year old child's developmental progress. which of the following indicates a developmental delay ? a. the child is unable to write his name b. the child is unable to tie his shoes c. the child cannot copy a triangle d. the child is unable to use a spoon to feed himself

d. the child is unable to use a spoon to feed himself