Pediatrics (in foundations)
A mother tells you that she is concerned about her daughter's diet. The toddler eats smaller amounts of food than she used to & is not very interested in eating. Which is the nurse's best response?
"This is a normal change. Toddlers are growing more slowly & don't need as much food"
A new mother tells you that her 4-month-old infant keeps spitting out his cereal when she feeds him. How should the nurse respond?
"This is a normal reflex. Carefully place food inside his mouth beyond the tip of his tongue"
puts objects in a container
10 months
offers object to others and releases them
11 months
imitates gestures
12 months
pokes with index finger
12 months
walks independently
12-15 months
1 step commands
15 months
5-20 words
18 months
climbs stairs assisted
18 months
understands "no"
18 months
builds tower of 4-7 cubes
24 months
points to named body parts
24 months
says "mine"
24 months
follows 2 independent commands
30 months
climbs well
36 months
copies circle
36 months
understands more sentences
36 months
rolls from prone to supine
4 months
grasps raddle or toy
5 months
sits with support
5 months
tripod sits
6 months
transfers object from one hand to another
7 months
sits unsupported
8 months
crawls on hands & knees (crawls with stomach off the floor)
9 months
Which characteristic is a toddler who has a temper tantrum demonstrating?
Autonomy
Why are temper tantrums common in toddlers?
a child this age is searching for independence.
The nurse is observing 3-year-old children in a daycare center. Which behavior might suggest an emotional problem? a. Has persistent separation anxiety b. Goes from calm to tantrum suddenly c. Sucks his thumb periodically d. Is unable to share toys with other
a. Has persistent separation anxiety
The nurse is caring for a hospitalize 7-year-old child. The child's mother has reported her child is becoming very clingy. Which advice should the nurse provide? Select all that apply. a. Regression is normal during hospitalization b. be careful not to coddle the child or it will result in regressive behaviors c. these behaviors are the result of a loss of self-control in are likely temporary d. allowing the child to have some input in the care may be helpful in managing these behaviors e.the child may miss school in interaction with peers
a. Regression is normal during hospitalization d. allowing the child to have some input in the care may be helpful in managing these behaviors e.the child may miss school in interaction with peers
The parent of a four-year-old girl tells the nurse that their daughter is having frequent nightmares which statement indicates that the girl is having night terrors instead of nightmares? a. She screams and thrashes when we try to touch her b. she has a hard time going back to sleep c. she comes and wakes us up after she awakens d. she is scared after she wakes up
a. She screams and thrashes when we try to touch her
The nurse is providing teaching about child safety to a parent of a four-year-old girl. Which statement by the parent indicates a need for further teaching? a. we have to tell her that vitamins are candy b. she still needs a booster seat in the car c. we need to know the basics of CPR and first aid d. we have to continually remind her about safety rules
a. we have to tell her that vitamins are candy
A 3-year-old child cries out that the CT scanning machine is going to eat her. Which characteristic is this an example of?
animism
The nurse is providing education concerning discipline to the parents of a 2-year-old girl. Which of the nurse's comments follows strategies for good discipline? a. Always have the father do the disciplining b. Explain the result of misbehaving c. Tell her adults can do as they please children can't d. You can modify the discipline when she is sick
b. Explain the result of misbehaving
The nurse is teaching a first-time mother with a 14-month-old boy about child safety. Which is the most effective overall safety information to provide guidance for the mother? a. Place a gate at the top of each stairway b. Never let him out of your sight when outdoors c. Put chemicals in a locked cabinet d. Don't smoke in the house or car
b. Never let him out of your sight when outdoors
The nurse is conducting a health screening of a 5-year-old boy. The child is fearful about starting kindergarten. The mother asks for the nurse's advice. Which response by the nurse is best? a. Kindergarten is a big step for a child be patient with him b. Talk to your child's teacher and schedule a tour with him c. Your child may have difficulty adjusting being away from home five days a week d. Remind him that kindergarten will be a lot of fun and he'll make new friends
b. Talk to your child's teacher and schedule a tour with him
The mother of a 7-year-old girl is asking the nurses advice about getting her daughter A2 wheeled bike. Which response by the nurse is most important? a. teach her to land on grass if she falls b. be sure to get the proper size bike c. she won't need a helmet if she has training wheels d. learning to ride a bike will improve her coordination
b. be sure to get the proper size bike
The nurse is providing anticipatory guidance for violence prevention to a group of parents with adolescence. Which parental action should the nurse include as the most effective in preventing suicide? a. Watching for aggressive behavior b. checking for signs of depression or lack of friends c. becoming acquainted with the teen's friends d. monitoring video games TV shows and music
b. checking for signs of depression or lack of friends
The nurse is promoting safe sex to a 14-year-old boy who is frequently dating. Which of the following points is most likely to be made during the talk? a. adolescents account for 25% of sexually transmitted infection (STI) cases b. contraception is a shared responsibility c. be careful or you'll wind up being a teenage dad d. girls are more susceptible to STIs than boys
b. contraception is a shared responsibility
The Parents of a 2-year-old girl is concerned with her behavior. for which behavior would the nurse share their concern? a. refuses to share toys with her sister b. frequently babbles to herself when playing c. likes to change toys frequently d. plays by herself when other children are present
b. frequently babbles to herself when playing
The nurse is teaching techniques for effective discipline to the parents of a 9-year-old girl. The girl is misbehaving, and the parents wish to use the extinction discipline which action should they take a. going out for ice cream b. going home early from shopping c. letting her go to a friend's house d. praising her for polite behavior
b. going home early from shopping
The nurse is talking with the parents of an 8-year-old boy who has been cheating on assignments at school. Which comment should be the nurse's primary message? a. punishment should be severe and long lasting b. make sure that your behavior around your son is exemplary c. resolve this by providing an opportunity for him to cheat then deal with it d. you may put too much pressure on him to succeed
b. make sure that your behavior around your son is exemplary
A nurse is providing a routine Wellness exam for a five-year-old girl. Which response by the nurse indicates a need for additional referral or follow up? a. she can count to 30 but gets confused after that b. we often have to translate his speech to others c. he is always talking and telling detailed stories d. he knows his name and address
b. we often have to translate his speech to others
The nurse is assessing the language development of a 3-year-old girl. Which finding would suggest a problem? a. Makes simple conversation b. tells the nurse she saw Na-Na today c. speaks in two to three-word sentences d. tells the nurse her name
c. speaks in two to three-word sentences
The nurse is conducting a health screening for a 3-year-old boy as required by his new preschool. Which statement by parents warrants further discussion of an intervention? a. The school has a looser environment which is a good match for his temperament b. the school requires processed foods in high sugar foods be avoided c. the school is quite structured in advocates Corporal punishment d. there is a very low student teacher ratio and they do a lot of hands-on projects
c. the school is quite structured in advocates Corporal punishment
Which behavior buy an 18-year-old is consistent with successful progression through the stages of Piaget's theory of development? a. Has a strong sense of understanding of internal identity b. reflects a strong moral code c. uses critical thought processes to handle a problem d. is able to be a part of a large group of peers while maintaining a sense of self
c. uses critical thought processes to handle a problem
The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which recommendation would be the most helpful to parents? a. Give the child time out for 1 ½ minute b. Ignoring unwanted behavior and praising desired behavior c. Slapping the child's hand with one or two fingers d. Describe proper behavior when the child misbehaves
d. Describe proper behavior when the child misbehaves
Which is a major challenge to the formation of an adolescents' identity?
dramatic changes in their bodies
the parents of a 4-year-old boy are worried because he often touches his genitals. Which is the nurse's best response?
explain that this is normal behavior & that the child should not be punished
which type of play is common in toddlers?
parallel play
which action is a milestone for a 12-month-old child?
plays peek-a-boo
a 4year-old child is hospitalized with an unintentional injury may attribute the hospital admission to which act?
punishment for previous bad behavior
why is placing an adhesive bandage over an injection site very important to a preschooler?
the child may fear that his or her insides will leak out
Why are older infants at high risk for choking?
they explore objects by placing them in their mouth
