PEDS Ch 29 Health Promotion for the Infant, Child, and Adolescent
Testicular enlargement
A school nurse is preparing a class about male puberty. Which of the following manifestations should the nurse identify as occurring 1st when sexual maturation begins?
Role-model a lifestyle that includes exercise and healthy foods.
A young couple is seeking advice about how to help their toddler develop good lifelong health habits. What would the nurse recommend as the best method?
Iron-fortified cereals
A nurse is reinforcing education about introducing new foods to the parents of a 4 mo infant. The nurse should recommend that the parents introduce which of the following foods 1st?
"I will send my child's favorite stuffed animal when she will be napping away from home."
A nurse is reinforcing teaching about age-appropriate activities to the parent of a 24 mo. Which of the following indicates that the parent understands the info?
"I should clean my baby's teeth w/ a cool, wet wash cloth."
A nurse is reinforcing teaching about dental care and teething to the parent of a 9 mo infant. Which of the following statements indicates that the parent understands the info?
Body mass index Weight Scoliosis
A nurse is reinforcing teaching about health promotion w/ the parent of a 13 yo adolescent. Which of the following screenings should the nurse recommend?
Team play
A nurse is reinforcing teaching about recommended activities with the parents of a school-age child. Which of the following activities should the nurse suggest to the parents?
"Females usually stop growing about 2 yrs after menarche."
A nurse is reinforcing teaching w/ a group of parents of early adolescent females about expected changes during puberty. Which of the following parent statements indicates an understanding of the teaching?
"I will keep a dim light on in my child's room during the night."
A nurse is reinforcing teaching w/ the parent of a preschooler about methods to promote sleep. Which of the following statements by the parent indicates an understanding of the instructions?
Individuals using smokeless tobacco have an increased risk for the development of lip, gum, and throat cancer.
A 15 yo male pt states that he does not smoke. Further assessment reveals he uses chewing tobacco. What info should the nurse provide to the pt about smokeless tobacco?
Diphtheria, tetanus, pertussis (DTap) Inactivated polio virus (IPV) Measles, mumps, rubella (MMR)
A nurse in a provider's office is preparing to administer immunizations to a 5 yo child. Which of the following immunizations should the nurse plan to administer?
Trivalent inactivated influenza (TIV) Meningococcal (MCV4) Tetanus and diphtheria toxoids and pertussis (Tdap)
A nurse in a provider's office is preparing to administer immunizations to an 11 yo child. Which of the following immunizations should the nurse plan to administer?
Ride a tricycle
A nurse is assisting the provider w/ a developmental screening on a 3 yo child. Which of the following gross motor skills should the nurse expect the child to perform?
Average intake should be 1800 calories p/day.
A nurse is assisting w/ a nutrition education program for a group of parents of preschoolers. Which of the following dietary guidelines should the nurse plan to include?
Wearing helmets when riding bicycles or skateboarding Implementing firearm safety Wearing seat belts when riding in a vehicle
A nurse is assisting w/ an inservice for a group of parents about child safety during the school-age years. Which of the following info should the nurse include?
Grasps a rattle by the handle Uses a crude pincer grasp
A nurse is assisting w/ data collection for a developmental screening on a 10 mo infant. Which of the following fine motor skills should the nurse expect the infant to perform?
Throws a ball overhand Uses a spoon w/o rotation
A nurse is assisting w/ the collection of data for a developmental screening on an 18 mo. The nurse should expect the toddler to be able to perform which of the following skills?
Animism
A nurse is caring for a preschooler who says she needs to leave the hospital b/c her doll is scared to be @ home alone. The nurse recognizes that the child is exhibiting which of the following characteristics of preoperational thought?
Rapid growth
A nurse is caring for an adolescent whose mother expresses concerns about her adolescent sleeping long hrs on the wknds. The nurse should inform the mother that which of the following issues require additional sleep?
Birth weight doubled
A nurse is collecting data from a 12 mo infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Head circumference exceeds chest circumference.
A nurse is collecting data from a 2 1/2 yo toddler at a well-child visit. Which of the following findings should the nurse report to the provider?
Polio (IPV) Pneumococcal vaccine (PCV) Rotavirus vaccine (RV)
A nurse is conducting a well-baby visit w/ a 4 mo infant. Which of the following immunizations should the nurse plan to administer to the infant?
Growth differences between males and females becomes evident.
A nurse is discussing prepubescence and preadolescence w/ a group of parents of school-age children. Which of the following info should the nurse include in the discussion?
Develop food habits that will prevent dental caries. Expression of bedtime fears is common. Expect behaviors associated w/ negativism and ritualism.
A nurse is reinforcing anticipatory guidance to the parents of a toddler. Which of the following instructions should the nurse include?
Cervical cancer
HPV infection is associated with what health complication?
Girls from age 13-26 yrs who are not sexually active
Human papillomavirus (HPV) vaccine is recommended for what population?
Keep drapery cords out of children's reach. Do not tie pacifiers on a string around the infant's neck.
Proper counseling of the parent of a 1 yo regarding safety includes which instructions?
Abstaining from sexual activity or properly using condoms.
Responsible sexual behavior among young people most importantly should include what characteristic?
Point out that the red, peeling skin takes away from summer fashions.
The nurse has a 14 yo daughter who is refusing to wear sunscreen b/c "I want a tan just like my best friend has." What should the nurse say?
"Would you like cheese or peanut butter on your bread?"
The nurse is assisting a toddler to eat a healthy diet tray. Based on the child's developmental age, what would the nurse say?
"Our child's calories from saturated fats should be no more than 7% daily." "Our child should participate in physical activity for @ least 60 mins a day."
The nurse is developing a nutrition plan w/ the parents of an overweight 12 yo child. The parents demonstrate an understanding of the plan by stating:
"Whole milk is not a good option for my child." "I need to begin to decrease the amount of milk my child is allowed to drink." "Skim milk is a good alternative to whole milk for my child." "Until my child is 3 yrs of age, whole milk is recommended."
The nurse is discussing dietary intake w/ the mother of an 18 mo child. What statements by the mother indicate the need for further instruction?
Being overweight or obese sometimes results in major physical and psychological health problems.
The nurse is planning a program for parents and adolescents in the community r/t obesity. What info is the most appropriate for inclusion in the info that will be provided?
"What kind of precautions do you plan to use for protection during sexual intercourse?"
The nurse is talking to an adolescent about responsible sexual behavior. Which question best demonstrates use of the principle of anticipatory guidance?
Infants from birth to 20 lbs need to be in a rear-facing safety seat.
The parents of a 10 mo are concerned about motor vehicle safety. What education should be provided from the nurse to the parents?
Teach health promotion classes for parents/ children at a community center.
What would be the best way for the nurse to contribute to the overall achievement of the Healthy People 2020 goals?
Thinned rice cereal
When an infant begins to transition from breastfeeding or formula to solid foods, which is recommended as the introductory food?
"Begin cleansing the oral cavity by wiping teeth and gums w/ a damp washcloth." "Initiate fluoride supplementation @ 6 mos of age if infant's home water supply is not fluoridated."
When counseling the parents of a 6 mo about dental health, the nurse indicates which statements?
6-12 mos
Which age group is most @ risk for foreign-body aspiration?
A toddler who is visiting grandma
Which child has the highest risk for accidental ingestion of a poisonous substance?
A 9 yo who eats @ a fast-food restaurant every day
Which male child has the greatest risk for developing obesity?
"I won't play behind parked cars or @ the curbside of the street."
Which statement by the child indicates an understanding of safety principles to reduce injury caused by motor vehicle accidents?
