Pediatrics Questions 1

Which condition would the nurse assess for first as a result of an infant's acute overdose of acetaminophen? 1. Heart failure 2. Renal damage 3. Hepatic damage 4. Neurological toxicity

3 Hepatic damage

When assessing a 1-month-old, which most recently developed sounds would the nurse expect to find? 1. Cooing sounds 2. Babbling sounds 3. Imitated sounds 4. Combined sounds

1. Cooing sounds

The American academy of pediatrics recommends that the first set of immunizations an infant should receive are: 1. Polio, diphtheria, and pertussis 2. Measles, diphtheria, and pertussis 3. Diphtheria, pertussis, and mumps 4. Diphtheria, polio, and tetanus

1. Polio, diphtheria, and pertussis

A maternity nurse is providing instructions to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's developmental theory, the nurse would instruct the mother to: 1. Allow the newborn infant to signal a need 2. Anticipate all of the needs of the newborn infant 3. Avoid the newborn infant during the first 10minutes of crying 4. Attend to the newborn infant immediately when crying

1. Allow the newborn infant to signal a need

A nursing instructor asks a nursing student to describe the formal operations stage of Piaget's cognitive development theory. The most appropriate response by the nursing student is: 1. "The child has the ability to think abstractly." 2. "The child develops logical thought patterns." 3. "The child develops logical thought patterns." 4. "The child begins to understand the environment."

1. "The child has the ability to think abstractly."

A home health nurse visits a 70-year-old grandmother who cares for her two grandchildren during the day. At each of the weekly visits, she reminisces about past life experiences in a positive way. The home health nurse interprets this behavior as: 1. A normal psychosocial response 2. Requiring a psychiatric consultation 3. A mental status alteration 4. A sensory deficit requiring social activities away from the children

1. A normal psychosocial response

A nursing instructor asks a nursing student to present a clinical conference to peers regarding Freud's psychosexual stages of development, specifically the anal stage. The student plans the conference, knowing that which of the following most appropriately relates to this stage of development? 1. This stage is associated with toilet training. 2. This stage is associated with pleasurable and conflicting feelings about the genital organs. 3. This stage is characterized by a tapering off of conscious biological and sexual urges. 4. This stage is characterized by the gratification of self.

1. This stage is associated with toilet training.

The RN should instruct the LPN/LVN or UAP caring for a child with PKU to be sure to not give this child: 1. Green grapes 2. Diet soda 3. Cheerios 4. Cranberry apple juice

2. Diet soda

Which conditions would prompt a nurse to withhold giving any immunizations on a routine visit to the pediatric clinic? 1. Poor appetite 2. Febrile illness 3. Teething and drooling 4. Nasal congestion and cough

2. Febrile illness

A nurse educator is preparing to conduct a session to the nursing staff regarding the theories of growth and development. The nurse educator plans to discuss Kohlberg's theory and understands that which of the following is not a component of the theory? 1. Moral development progresses in relationship to cognitive development. 2. Individuals move through all six stages in a sequential fashion. 3. It provides a framework for understanding how individuals determine a moral code to guide their behavior. 4. A person's ability to make moral judgments develops over a period of time.

2. Individuals move through all six stages in a sequential fashion.

The mother of an 8-year-old child tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. The most appropriate nursing response would be which of the following? 1. "You need to be concerned." 2. "You need to monitor the child's behavior closely." 3. "At this age, the child is developing his own personality." 4. "You need to provide more praise to the child to stop this behavior."

3. "At this age, the child is developing his own personality."

The mother of a 4-year-old child calls the clinic nurse and expresses concern because the child has been masturbating. The most appropriate response by the nurse is which of the following? 1. "The child is very young to begin this behavior and should be brought to the clinic for an evaluation." 2. "This is not normal behavior, and the child should be seen by a physician." 3. "This is normal behavior at this age." 4. "Children usually begin this behavior at age 8 years."

3. "This is normal behavior at this age."

A father of a 5-year-old child tells the nurse that the child scolds the floor or table if the child hurts herself on the object. According to Piaget's theory of cognitive development, this behavior is identified as: 1. Object permanence 2. Egocentric speech 3. Animism 4. Global organization

3. Animism

A mother of a 3-year-old tells a clinic nurse that the child is constantly rebelling and having temper tantrums. The nurse most appropriately tells the mother to: 1. Punish the child every time the child says "no," to change the behavior. 2. Allow the behavior because this is normal at this age period. 3. Set limits on the child's behavior 4. Ignore the child when this behavior occurs.

3. Set limits on the child's behavior

The nurse is assessing an infant diagnosed with FTT. Which behavior is seen as most relative to this disorder? 1. Lack of caregiver affection 2. Increased need for attention 3. Increase need for solitude/quiet 4. Lack of physical needs being met

4. Lack of physical needs being met

When planning care for an infant with suspected sepsis, an initial nursing priority of care would be to: 1. Administer ordered antibiotics 2. Ensure maintenance of a patent IV line 3. Instruct the parents regarding the prevention of future infections 4. Obtain and send specimens for laboratory analysis to identify the causative organism

4. Obtain and send specimens for laboratory analysis to identify the causative organism

A clinic nurse is preparing to discuss the concepts of moral development with a mother. The nurse understands that according to Kohlberg, in the preconventional level, moral development is thought to be motivated by which of the following? 1. The parents' behavior 2. Peer pressure 3. Social pressures 4. Punishment and reward

4. Punishment and reward