Pediatrics Blue Print

Pediculosis Capitis: A nurse is reinforcing teaching with the parent of a child who has pediculosis capitis. Which of the following should the nurse include when she reinforces the teaching?

C. Use an over-the-counter medication containing 1% permethrin

Bacterial Meningitis: expected finding for child w/ viral meningitis?

Headache

Juvenile Idiopathic Arthritis: A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Instructions to be included in the teaching?

"Encourage the child to perform independent self-care"

Otitismedia: A nurse is caring for a toddler who has otitis media and a temperature of 39.1 C (102.4F). Which of the following actions should the nurse take first?

Administer an antipyretic.

Communication: 8. To resolve family conflict, it is necessary to have open communication, accurate perception of the problem, and a(n): a. intact family structure. b. arbitrator. c. willingness to consider the view of others. d. balance in personality types.

c. willingness to consider the view of others.

Eczema: a nurse is assessing an infant who has eczema. which of the following findings should the nurse expect? (SATA) a. generalized distribution of lesions b. papules c. ecchymosis in flexural areas d. crusting lesions e. keratosis pilaris

a. generalized distribution of lesions b. papules d. crusting lesions

Ingested Kerosene: child who has ingested kerosene --lethargic, grunting, gagging?

prep for intubation w/ a cuffed endotracheal tube

Bacterial Meningitis: what two vaccines have decreased the incidence of bacterial meningitis in all ages except for infants <2?

the Hib and pneumococcal conjugate vaccines (PCV)

Well-child visit: A nurse is providing anticipatory guidance to the parents of an 8-month-old infant during a well-child visit. Which of the following statements should the nurse make

"Your baby should be able to sit unsupported"

Descending Stairs: A nurse is collecting data on a child who is descending stairs by placing both beet on each step while holding on to the railing. this is developmentally appropriate at which of the following ages? a. 3 years b. 4 years c. 5 years d. 6 years

3 years

Positive moro reflex: the moro reflex (startle) is seen from birth to ______ months. a typical reaction is when the infant's arms and legs symmetrically extend and then abduct while her fingers spread to form a C shape.

4

Well-child visit: A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe

Cuts a shape using scissor

Assessing Infants: A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to MD?

Nasal flaring

Tonic-Clonic: A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period

Place the child in a lateral position

Monsters in the closet: The parent of a four old tells you that the child believes that there are monsters hiding monsters hidings in the closet at bedtime. What is appropriate? a. "Let your child sleep with you" b. "Keep a night light on in your child's room." c. "Tell your child the monsters are not real." d. "Stay with your child until the child falls asleep."

Preschoolers are magical thinkers and the night light will assure them that there aren't monsters in the closet.

Lead screening: Planning care for a toddler who has a serum lead leverl of 4 mcg/dL. Appropriate action to take?

Schedule the toddler for a yearly rescreening.

Assessing Infants: A nurse in an ED is performing a physical assessment on a 2-wk-old male infant. Manifestation that is the priority to report to the provider?

Substernal retractions

A nurse in an ED is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Manifestations that indicate moderate to severe dehydration?

Sunken anterior fontanel

Suspected Child Abuse: A charge nurse in an ED is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following clinical manifestations should the charge nurse include as suggestive of potential physical abuse?

Symmetric burns of the lower extremities

Well-child visit: A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss

The toddler received tobramycin during a hospitalization 2 weeks ago

well-child visit: a nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. which of the following actions should the nurse plan to take?

Withhold the MMR vaccine

Developmental toy: 2. Which toy is the most developmentally appropriate for an 18- to 24-month-old child? a. A push and pull toy b. Nesting blocks c. A bicycle with training wheels d. A computer

a. A push and pull toy

Erikson: 5. The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is: a. Erikson. b. Freud. c. Kohlberg. d. Piaget.

a. Erikson.

Vaccines: 1. The nurse is preparing immunizations for a healthy 11-year-old boy who has received all his primary immunizations. Which immunizations will the nurse consider? Select all that apply. a. Meningococcal b. DTaP c. OPV d. Smallpox

a. Meningococcal b. DTaP

Suspected child abuse: A nurse is assessing a child and noted many bruises. Which of the following is an appropriate action for the nurse to take? a. Report the suspected abuse to authorities b. Obtain a detailed history c. Ask the psychiatrist to talk with the parents d. Separate the child from the parents

b. Obtain a detailed history

Earthquake: A ER nurse is assessing a femaie child in an earthquake area. The child, who is crying, walks well, can state her first name, and repeatedly says "all done" and "bye-bye now" during the assessment. On physical exam, the anterior fontanel is closed, and the child has 24 deciduous teeth. Based on these observations, what is the child's age?

D. 2 and a half years.

Tympanic Membrane: A nurse is assessing a toddler in a well-child clinic. At what point in the physical examination should the nurse examine the tympanic membrane? a. At the end b. At the beginning c. Before the head and neck are examined d. Before the chest and abdomen are auscultated

a. At the end

Intense Fear of painful procedures: A nurse is caring for a 3-year-old client whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? a. Have a parent stay with the child during procedures b. Cluster invasive procedures whenever possible c. Perform the procedure as quickly as possible d. Allow the child to keep a toy from home with her e. Use mummy restraints during painful procedures

a. Have a parent stay with the child during procedures c. Perform the procedure as quickly as possible d. Allow the child to keep a toy from home with her

Temper Tantrums: The parent of a toddler asks a nurse a well-child clinic how the child's frequent temper tantrums can be best handled. Which of the following actions should the nurse suggest to the parent? a. Restrain the child physically b. Ignore the temper tantrums c. Tell the child that temper tantrums are not acceptable d. Distract the child by offering to play a game

B. This is the recommended approach, since it does not provide positive reinforcement for the unacceptable behavior. Ignoring a negative behavior is a basic concept in behavior modification.

Bruises: A nurse is collecting data from a school-aged child. The nurse should identify that which of the following findings is a manifestation of physical abuse?

Bruises at various stages of healing.

Suspected child abuse: A charge nurse, following hospital policy, reports an incident of suspected child abuse. The parent of the child becomes upset and demands to know the reason for the nurse's action. The appropriate nurse response to the parent should be which of the following? a."As a nurse, I am required by law to report incidents of suspected child abuse." b. "I am unable to discuss this, but you can talk to my supervisor." c. "Perhaps you should have your lawyer contact my lawyer." d. "I reported the incident to my supervisor who decided to contact the authorities."

a."As a nurse, I am required by law to report incidents of suspected child abuse."

Vaccines: 17. Which immunization can cause fever and rash to occur 1 to 2 weeks after administration? a. HepB b. DTaP c. Hib d. MMR

d. MMR

Vaccines: 16. You are preparing immunizations for a 12-month-old child who is immunocompromised. Which immunization cannot be given? a. DTaP b. HepA c. IPV d. Varicella

d. Varicella

Picky Eaters: A nurse in a pediatric clinic is talking with the mother of a preschool child. The mother tells the nurse that her son is a "picky eater." Which of the following is an appropriate response by the nurse? a. Have the child remain at the table to increase food intake b. Add extra fruit juice to increase vitamin intake c. The quantity is more important than the quality of food d. Food consumption may not be significantly decreased

d. Food consumption may not be significantly decreased

Suspected child abuse: 11. In caring for a 4-year-old child with a diagnosis of suspected child abuse, which is the best nursing intervention? a. Avoid touching the child. b. Provide the child with play situations that allow for disclosure. c. Discourage the child from remembering the incident. d. Deny the suspected perpetrator visiting rights to the child.

b. Provide the child with play situations that allow for disclosure.

Communication: 9. The best response a nurse can make to a 15-year-old girl who has verbalized a desire to have a baby is: a. "Have you talked with your parents about this?" b. "Do you have plans to continue school?" c. "Will you be able to support the baby?" d. "Can you tell me how your life will change if you have an infant?"

d. "Can you tell me how your life will change if you have an infant?"

Otitismedia: A nurse is caring for a toddler who has acute otitis media and a temperature of 40º C (104º F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature

Dress the toddler in minimal clothing

Hirschsprung disease: A nurse is caring for a child who has Hirschsprung disease. Which of the following is an appropriate action for the nurse to take?

B. Prepare the family for surgery