Pediatric Nursing 1
The parent of a 2-year-old expresses concern that their child's growth rate has slowed. Which explanation would the nurse give to the parent about the growth of toddlers?
"This growth pattern is typical at this age."
When the nurse is evaluating the dietary plan of a 6-month-old infant, which action by the infant's parent needs correction?
The parent give low-fat milk to the infant in a bottle.
*EXAM* Which topic would be appropriate for the nurse to discuss with the parents of a school-age child?
Preventing accidents
*EXAM* Which religious preference does the nurse consider when providing care for a pediatric client who requires surgery and whose family are Jehovah's Witnesses?
The administration of blood and blood products is not allowed.
Which life event occurs during the senescence stage?
End of life
At which age would the nurse expect to begin screening a child for lead poisoning?
12 months
A 6-month-old infant with a birth weight of 7 lb is admitted to the pediatric unit with a diagnosis of failure to thrive. How many pounds would this infant typically weigh?
14
How many daily ounces of juice would the nurse recommend to the parent of a 2-year-old child?
4
Which parental situation is an integral part of a nuclear family?
Married parents with children
A nurse completing an initial assessment of a newborn finds tiny white papules on the newborn's cheeks, chin, and nose. The nurse documents this finding as which condition?
Milia
What is the average weight in pounds of a 5-year-old child?
41
How many hours of sleep would a nurse recommend for an 11-year-old child?
9
Which pediatric client would require a developmental screening versus developmental surveillance during a scheduled health maintenance visit?
A 9-month-old infant
Which goal is appropriate for school-age children when participating in organized athletics?
A lifelong enjoyment of fitness
Which type of injury results from risk-taking behavior in an adolescent? SATA
ALL suicide sports injuries substance abuse automobile accidents water-related accidents
Which method for calculating most pediatric dosages is correct?
Milligrams per kilogram (mg/kg)
Which assessment finding in a newborn indicates impaired vision?
Absence of corneal reflex
Which type of family is formed when both parents bring children from previous relationships into a joint living situation?
Blended
Which family structure is composed of at least one step-parent and one step-sibling?
Blended Family
Which treatment is frequently prescribed for lead poisoning?
Chelating agents
Which test is used to confirm the diagnosis of Down syndrome?
Chromosomal analysis
While assessing a newborn, the nurse finds a pink rash with papules on the thorax and abdoem. This assessment describes which condition?
Eryhtema toxicum
Which stage of family development involves decision making, conflict resolution, and communication?
Establishment
Which family consists of a traditional family and an additional family?
Extended
The mother of an infant with Down syndrome asks the nurse what causes the condition. The nurse recalls which genetic factor results in Down syndrome?
Extra chromosomal material
Which spiritual development stage is observed in early childhood, as per Fowler?
Mythical-literal
Which neurologic righting reflex of infancy will the nurse expect to appear at 3 months and persist until 24 to 36 months of age?
Neck
Which is a developmental theory characterisitic?
Provides a dynamic, rather than a static, view of family
Which interpretation would the nurse make when a Japanese American parent consistently smiles and nods the head while discussing the child's preoperative procedures?
Reflection of the cultural value of interpersonal harmony
Which type of hospital care setting uses the partnership model?
Rehabilitative
Which action would the nurse take in providing care for an 8-month-old infant restrained to prevent interference with an intravenous infusion?
Remove the restraints whenever possible.
Which enzyme is responsible for retaining milk in an infant's stomach for digestion?
Rennin
Which solid food does the nurse recommend that a parent introduce first to his or her infant?
Rice cereal
While assessing an infant, the nurse strokes the infant's cheek and the infant turns toward the nurse while making sucking sounds. Which reflex did the nurse elicit?
Rooting reflex
*EXAM* While sitting on the counter, a child touches a pan on the stove and burns his or her hands. The child learns that it is not safe to touch objects on the stove. Which stage of Piaget's cognitive development would the child's behavior demonstrate?
Sensorimotor
A Vietnamese family whose child was admitted with pneumonia tells the nurse they practice holistic medicine. Which practitioner would the nurse expect the parents to consult?
Shaman
Which gross motor skill can be observed in a 7-month-old infant?
Sits alone without support
Which type of family involves unmarried couples living together and sharing roles?
Social contract
Which suggestion is appropriate for the parent of a 3-year-old client who is concerned that the child still insists on taking a bottle of milk at naptime and at bedtime?
Allow the bottle only if it contains water.
The absence of both cerebral hemispheres is which congenital neural tube defect?
Anencephaly
In which type of play do children play together, share toys, and communicate with each other?
Associative play
Which type of family pattern favors negotiation, compromise, and growth?
Democratic
Which type of family pattern is reflected when all family members agree with individual opinions?
Democratic
*EXAM* Which approach would the nurse take when preparing a toddler for a procedure?
Demonstrate the procedure on a doll.
The nurse would teach the parents of a newborn that which sign indicates overfeeding?
Diarrhea
Which action would the nurse employ when administering a medication intramuscularly to a hospitalized school-age child?
Insert the needle quickly, using a dartlike motion.
Which attribute of temperment is related to the energy level of the child's reaction?
Intensity of reaction
*EXAM* According to Freud's theory, in which stage of development can a child identify with the parent of the same sex?
Phallic
Which orientation stage of Kohlberg's theory of moral development is a part of conventional reasoning?
Society-maintaining
A nurse advises parents to assist their child with stretching exercises. The child has impaired physical mobility due to neuromuscular impairment. Which rationale explains the need to perform stretching exercises?
To prevent contractures
Which behavior would the nurse expect to observe when evaluating the development of a healthy 2-year-old-child?
Uses a cup to drink
Which physiologic change occurs in pregnant women during the third trimester? SATA
1,3,5. Fatigue Urinary frequency Braxton Hicks contractions
Which type of family is reflected when a court orders to place the children in a private home after deeming the parents unable to care for them?
Foster
Which developmental task will the nurse consider when caring for toddlers?
Autonomy
*EXAM?* According to Jean Piaget's cognitive development theory, which stage is observed in a 9-year-old child?
Concrete operational
Which action is appropriate when a Chinese American parent continuously turns away from the nurse while discussing the child's required dietary modifications?
Continue with the instructions, verifying client understanding.
Which disorder is the most common congenital chromosomal abnormality?
Down syndrome
Which behavioral quality involves demonstrating the feelings and behaviors characterized by self-consciousness?
Egocentricity
A 15-year-old student is in which stage of Piaget's theory of cognitive development?
Formal operations
Which response is appropriate when a 7-year-old client requests that her parent hold her during a venipuncture?
It is approved and may help the child relax.
Which medication formulation is safest for infants?
Liquid forms
Which age group of children is likely to view illness as a punishment for misbehaving?
Preschool age
