NAD 210 FINAL

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a mother brings 6 month old Eric to the clinic for a well-baby checkup. she comments "i want to go back to work, but I don't want Eric to suffer because I'll have less time with him." The nurse's most appropriate answer is

"Let's talk about the child care options that will be best for Eric"

Generally the earliest age at which puberty begins is

10 years in girls, 12 years in boys

a parasite that causes acute diarrhea is

Giardia lamblia

an infant's parents ask the nurse about preventing otitis media. what should the nurse recommend?

avoid tobacco smoke

calcium carbonate is given with meals to a child with chronic renal disease. the purpose of this is to

bind phosphorus

the leading cause of death during the toddler period is

injuries

A nurse is preparing to complete an admission assessment on a 2 year old child. the child sitting on the parent's lap. which technique should the nurse implement to complete the physical exam

perform the exam while the child is on the parents lap

which statement is the most appropriate advice to give parents of a 16 year old girl who is rebellious

"you need to collaborate with your daughter and set limits that are perceived as being reasonable"

Which statement by the nurse is most appropriate to a 15 year old whose friend has mentioned suicide

"your friend's threat needs to be taken seriously and immediate help for your friend is important"

the nurse should expect the anterior fontanel to close at age

12 to 18 months

the mean age of menarche in the United States is

12.5 years

The nurse is assessing a 6 month old healthy infant who weighed 7 pounds at birth. the nurse should expect the infant to now weigh approximately

15 pounds

By what age does the posterior fontanel usually close

6 to 8 weeks

at which age can most infants sit steadily unsupported

8 months

the nurse is doing a prehospitalization orientation for Kayla, age 7, who is scheduled for cardiac surgery. as part of the preparation, the nurse explains that Kayla will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. this explanation is

An appropriate part of the child's preparation

Olivia, age 5 years, tells the nurse that she "needs a band-aid" where she had an injection. the best nursing action is to

Apply a band-aid

The nurse is interviewing the mother of an infant. she reports "I had a difficult delivery, and my baby was born prematurely." This information should be recorded under which heading?

Birth History

A 2 year old child has been returned to the nursing unit after an inguinal hernia repair. which pain assessment tool should the nurse use to assess this child for the presence of pain?

FLACC tool

what is the causative agent of scarlet fever

Group A b-hemolytic streptococci

a young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. therapeutic management of this child will begin with

IV fluids

a 4 year old child tells the nurse that she does not want another blood sample drawn because "I need all my insides, and i don't want anyone taking them out." which is the nurse's best interpretation of this

Preschoolers have poorly defined body boundaries

a nurse is conducting an in-service on asthma. which statement is the most descriptive of bronchial asthma?

There is heightened airway reactivity

a clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. the nurse should include which associated risk of obesity in the teaching plan?

Type II diabetes

Which action is most likely to encourage parents to talk about their feelings related to their childs illness?

Use open-ended questions

a 14 year old boy is being admitted to the hospital for an appendectomy. which roommate should the nurse assign with this patient?

a 15 year old boy is admitted with a vaso-occlusive sickle cell crisis

An 8 year old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that, if she dies, she will go to hell. the nurse should interpret this as being

a belief common at this age

chronic otitis media with effusion is differentiated from acute otitis media because it is usually characterized by

a feeling of fullness in the ear

For what clinical manifestation should a nurse be alert when suspecting a diagnosis of esophageal atresia? a. A radiograph in the prenatal period indicates abnormal development. b. It is visually identified at the time of delivery. c. A nasogastric tube fails to pass at birth. d. The infant has a low birth weight.

a nasogastric tube fails to pass at birth

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is: a. A normal finding. b. An abnormal finding; the child needs referral to an ophthalmologist. c. A sign of a possible visual defect; the child needs vision screening. d. A sign of small hemorrhages, which usually resolve spontaneously.

a normal finding

An appropriate method for administering oral medications that are bitter to an infant or small child would be to mix them with

a small amount of a sweet-tasting substance such as jam or ice cream

a mother tells the nurse that she doesn't want her infant immunized because of the discomfort associated with injections. the nurse should explain that

a topical anesthetic, eutectic mixture of local anesthetic, can be applied before injections are given

a mother the nurse that she doesn't want her infant immunized because of the discomfort associated with injections. the nurse should explain that

a topical anesthetic, eutectic mixture of local anesthetic, can be applied before injections are given

a nurse in the emergency department is assessing a 5 year old child with symptoms of pneumonia and a fever of 102 F which intervention can the nurse implement to promote a sense of control for the child

allow the child to hold the digital thermometer while taking the child's blood pressure

a nurse in the emergency department is assessing a 5 year old child with symptoms of pneumonia and a fever of 102. which intervention can the nurse implement to promote a sense of control for the child

allow the child to hold the digital thermometer while taking the child's blood pressure

a nurse is reviewing hormone changes that occur during adolescence. the hormone that is responsible for the growth of beard, mustache, and body hair in the male is

androgen

The nurse is having difficulty communicating with a hospitalized 6 year old child. what technique may be most helpful?

ask the child to draw a picture

Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. The most appropriate way to collect small amounts of urine for these tests is to: a. Apply a urine-collection bag to the perineal area. b. Tape a small medicine cup to the inside of the diaper. c. Aspirate urine from cotton balls inside the diaper with a syringe. d. Aspirate urine from a superabsorbent disposable diaper with a syringe.

aspirate urine from cotton balls inside a diaper with a syringe

a child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. this suggest

asthma

Emma, age 3 years, is being admitted for about 1 week of hospitalization. her parents tell the nurse that they are going to buy her "a lot of new toys because she will be in the hospital." The nurse's reply should be based on an understanding that

at this age children often need the comfort and reassurance of familiar toys from home

clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include

avoidance of eye contact

cardiopulmonary resuscitation is begun on a toddler. which pulse is usually palpated because it is the most central and accessible

carotid

Parent guidelines for relieving colic in an infant include

changing the infant's position frequently

which myth may interfere with the treatment of pain in infants and children

children and infants are more susceptible to respiratory depression from narcotics

a nurse is charting that a hospitalized child has labored breathing. Which describes labored breathing?

dyspnea

an appropriate nursing interventions to minimize separation anxiety in a hospitalized toddler is to

encourage parents to room in

Bismuth subsalicylate, clarithromycin, and metronidazole are prescribed for a child with a peptic ulcer to

eradicate helicobacteria pylori

an adolescent teen has bulimia. which assessment finding should the nurse expect

erosion of tooth enamel

which is an important nursing consideration when caring for an infant with failure to thrive?

establish a structured routine and follow it consistently

Which term best describes the emotional attitude that one's own ethnic group is superior to others

ethnocentrism

The father of 12 year old ryan tells the nurse that he is concerned about his son getting "fat." Ryan's body mass index for age is at the 60th percentile. the most appropriate nursing action is to

explain that this is typical of the growth pattern of boys at this age

Parents tell the nurse that their toddler daughter eats little at mealtimes, only sits at the table with the family briefly, and wants snacks "all the time." the nurse should recommend that the parents

give her planned, frequent, and nutritious snacks

An appropriate intervention to encourage food and fluid intake in a hospitalization child is to

give high-quality foods and snacks whenever child expresses hunger

In addition to injuries, the leading causes of death in adolescents ages 15 to 19 years are

homicide, suicide

the parents of a 12 month old child ask the nurse if the child can eat hot dogs. the nurse's reply should be based on knowing that

hot dogs must be cut into small, irregular pieces to prevent aspiration

The nurse is caring for an adolescent who had an external fixator placed afer suffering a fracture of the wrist during a bicycle accident. which statement by the adolescent would be expected about separation anxiety

i hope my friends don't forget about visiting me"

When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. the best explanation for this is

infection or inflammation close to the site

The nurse must assess 10 month old infant. the infant is sitting on the fathers lap and appears to be afraid of the nurse and of what may happen next. which initial action by the nurse would be most appropriate?

initiate a game of peek-a-boo

Which statement is most descriptive of pediatric family-centered care?

it recognizes that the family is the constant in a child's life

what is the best action for the nurse to take when a 5 year old child who requires another 2 days of intravenous antibiotics cries, screams, and resists having the IV started?

let the child decide which color arm board to use the IV

An important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome is to

make a follow-up home visit to parents as soon as possible after the infants death

a child with cystic fibrosis is receiving recombinant human deoxyribonuclease. this drug

may cause voice alterations

the pediatric nurse understands that nonpharmacologic strategies for pain management

may reduce pain perception

The most common cause of death in the adolescent age-group involves

motor vehicle

a nurse is caring for an adolescent experiences many "mood swings" throughout the day. the nurse interprets this behavior as

normal behavior

a 3 month old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands; however, she will not voluntarily grasp it. the nurse should interpret this as

normal development

the father of a hospitalized child tells the nurse, "he can't have meat. we are buddhist and vegetarians." The nurse's best intervention is to

order the child a meatless tray

an advantage of peritoneal dialysis is that

parents of older children can perform treatments

the nurse is explaining Tanner staging to an adolescent and her mother. which statement best describes Tanner staging

predictable stages of puberty that are based on primary and secondary sex characteristics

the nurse is preparing staff in-service education about atraumatic care for pediatric patients. which intervention should the nurse include

prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal

a 4 year old child tells that nurse that she does not want another blood sample drawn because "i need all my insides, and i don't want anyone taking them out." which is the nurse's best interpretation of this

preschoolers have poorly defined body boundaries

the nurse is completing a health history with a 16 year old male. he informs the nurse that he has started using smokeless tobacco would be most correct for the nurse to provide to this teen

proven to be carcinogenic

a histamine receptor antagonist such as cimetidine or ranitidine is ordered for an infant with gastroesophageal reflux. the purpose of this is to

reduce gastric acid production

a parent asks the nurse about how to respond to negativism in toddlers. the most appropriate recommendations is to

reduce the opportunities for a "no" answer

During a routine health assessment, the nurse notes that 8 month old infant has significant head lag. which is the nurses most appropriate action?

refer for further evaluation

the nurse just started assessing a young child who is febrile and appears very ill. there is hyperextension of the child head with pain on flexion. the most appropriate action is to

refer for immediate medical evaluation

an important nursing consideration in the care of a child with celiac disease is to

refer to a nutritionist for detailed instructions and education

A previously "potty-trained" 30 month old child has reverted to wearing diapers while hospitalized. the nurse should reassure the parents that this is normal

regression is seen during hospitalization

a father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. the nurse should explain that this is

ritualism, common at this age

which common childhood communicable disease may cause severe defects in the fetus when it occurs in its congenital form

rubella

what represents the major stressor of hospitalization for children from middle infancy throughout the preschool years

separation anxiety

The school nurse has been asked to begin teaching sex education in the 5th grade. the nurse should recognize that

sex can be presented as a normal part of growth and development

The appropriate placement of a tongue blade for assessment of the mouth and throat is the

side of the tongue

a 9 year old girl often comes to the school nurse complaining of stomach pains. her teacher says that she is completing her schoolwork satisfactorily, but lately she has been somewhat aggressive and stubborn in the classroom. the school nurse should recognize this as

signs of stress

which statement is true about smoking in adolescence

smoking is related to other high-risk behaviors

which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats

social isolation

when teaching injury prevention during the school age years, the nurse should include

teaching basic rules of water safety

which behavior suggests appropriate psychosocial development in the adolescent

the adolescent is self-absorbed and self-centered and has sudden mood swings

What is the single most important factor to consider when communicating with children?

the child developmental level

When introducing hospital equipment to a preschooler who seems afraid, the nurse approach should be on which principle?

the child may think the equipment is alive

when assessing pain in any child, the nurse should consider that

the child's behavior, physiologic, and verbal responses are valuable when assessing pain

which statement characterizes moral development in older school age children

they are able to judge an act by the intentions that prompted it rather than just by the consequences

the nurse recommends to parents that peanut are not a good snack food for toddlers. the nurse's rationale for this action is that

they can be easily aspirated

the parens of a 14 year old girls express concern about the number of hours their daughter spends with her friends. the nurse explains that peer relationships become more important during adolescent because

they provide adolescent with a feeling of belonging

a 10 year old girls needs to have another intravenous line started. she keeps telling the nurse, "Wait a minute" and "I'm not ready" the nurse should recognize that

this is normal behavior for a school age child

in terms of fine motor development, the infant of 7 months should be able to

transfer objects from one hand to the other

the weight loss anorexia nervosa is often triggered by

traumatic interpersonal conflict

in terms of cognitive development, the 5 year old child would be expected to

use magical thinking

Appropriate approach to performing an assessment on a toddler is to

use minimal physical contact initially

which statement about toilet training is correct

wanting to please the parents helps motivate the child to use the toilet

when is a child with chickenpox considered to be no longer contagious

when lesions are crusted


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