PEDS EXAM 2.1

The mother of a 15-month-old child is questioning the nurse about the need for the hepatitis B vaccination. Which comment provides the most compelling reason for the vaccine?

"This protects your child from infection that can cause liver disease

The parents of a 7-month-old child with an infection ask the nurse about how to treat their child's fever. After providing teaching, the parents voice understanding with which statements? Select all that apply

"Unless my child develops a fever over 102.2 F , I don't need to make an appointment with the physician." "I can use acetaminophen to help with the symptoms of the infection but it won't get rid of the infection." "Even though people get frightened, fevers are not a bad thing during an infection unless it gets too high."

The nurse is enlisting the parents' assistance for therapeutic hugging prior to an otoscopic examination. What should the nurse emphasize to the parents?

"You will need to keep his hands down and his head still."

The nurse is discussing vaccination for Haemophilus influenzae type B (Hib) with the mother of a 6-month-old child. Which comment provides the most compelling reason to get the vaccination?

"Young children are especially susceptible to these bacteria."

Three children in a family, ages 7 months, 4 years, and 9 years have been tested for lead poisoning. The two younger children's tests reflect elevated lead levels and they will be undergoing treatment. The children's mother questions why her younger children were not "spared" as their older sibling was. What response by the nurse is most correct?

"Younger children are often impacted because of their play behaviors place them on the floors and they often put things into their mouths."

The nurse is assessing the tympanic temperature of several children. The nurse documents that the child with which temperature reading has a fever

100.8 F (38.2 C)

The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 in tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?

43 in

The nurse is providing care for children in a pediatric medical home. What is a characteristic of care in these types of facilities?

A centralized database contains all child information.

The nurse is supervising lunch time for children on a pediatric ward. Which observation, if noted by the nurse, would require further assessment?

A child uses his fingers and refuses to use a fork.

The nurse is performing developmental surveillance for children at a medical home. Which infants are most at risk for developmental delays? Select all that apply.

A child whose parent has a mental illness A child raised by a single parent A child with a lead level above 10 mg/dL A child with hypertonia or hypotonia

The nurse is aware that the community affects the health of its members. Which statements accurately reflect a community influence of health care? Select all that apply

A community can be a contributor to a child's health or be the cause of his or her illnesses. Community support and resources are necessary for children with significant problems The breakdown of community and family support systems can lead to depression and violence

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?

A less discriminating sense of taste

A large portion of the nurse's efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which facility does the nurse work?

A pediatric practice

The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?

Advising them to use praise, not scolding

Which activity would the nurse least likely include as exemplifying the preconceptual phase of Piaget's preoperational stage?

Beginning questioning of parents' values

The nurse is taking a health history for a 9-year-old girl. Which finding would alert the nurse to a possible risk factor specifically associated with visual impairment?

Being of African American heritage

When assessing the vision of a 2-month-old, what would the nurse use?

Black-and-white checkerboard

During a physical assessment of a 5-month-old child, the nurse observes the first tooth has just erupted and uses the opportunity to advise the mother to schedule a dental examination for her baby. When is the correct time for the dentist visit?

By the first birthday

The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's "negativism." Based on Erikson's theory of development, what would be an appropriate intervention for this child?

Encourage the child to pick out his own clothes.

A nurse is developing a plan of care for a child who is admitted to the hospital for surgery. The child is visually impaired. What would be most appropriate for the nurse to include in the child's plan of care? Select all that apply.

Explaining instructions using simple and specific terms the child understands Allowing the child to explore the postoperative equipment with his hands Using the child's body parts to refer to the area where he may have postoperative pain

The nurse is screening a 6-year-old child for mental ability. Which test would the nurse use to assess intelligence?

Goodenough-Harris Drawing Test

The nurse is teaching the parents of a 2-year-old girl how to deal with common toddler situations. Which is the best advice?

Have the child help clean up a bowel accident.

The nurse is conducting a psychosocial assessment of a child with asthma brought to the healthcare provider's office for a check-up. Which psychosocial issues may be assessed? Select all that apply.

Health insurance coverage Transportation to healthcare facilities School's response to the chronic illness

The nurse is conducting a well-child assessment for a 5-year-old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has suffered from depression and substance abuse issues. The nurse understands that the child is at increased risk for which developmental problem?

Lack of social and emotional readiness for school

A group of nursing students are reviewing the six links in the chain of infection and the nursing implications for each. The students demonstrate understanding of the information when they identify which precaution as helping to break the chain of infection to the susceptible host?

Maintaining skin integrity

The nurse determines that it is necessary to implement airborne precautions for children with which infection?

Measles

A nurse is reviewing the medical record of a child with hearing loss and notes that the child's hearing loss is in the range 40 to 60 decibels (dB). The nurse interprets this as indicating what level of hearing loss?

Moderate loss

The nurse is designing a nursing care plan for a toddler with lymphoma, who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan?

Monitoring the toddler for developmental delays

The nurse is teaching the parents of a 4-year-old boy about the normal maturation of the child's organs during the preschool years and their effect on body functions. Which statements accurately describe these changes? Select all that apply

Myelination of the spinal cord allows for bowel and bladder control to be complete in most children by age 3 years. b. The respiratory structures are continuing to grow in size, and the number of alveoli continues to increase, reaching the adult number at about 7 years of age. d. The bones continue to increase in length and the muscles continue to strengthen and mature; however, the musculoskeletal system is still not fully mature. e. The small intestine is continuing to grow in length, and stool passage usually occurs once or twice per day in the average preschooler

After teaching a class on the role of white blood cells in infection, the instructor determines that the teaching was successful when the class identifies which type of white blood cells as important in combating bacterial infections?

Neutrophils

The nurse is caring for a child who is scheduled to begin chemotherapy. When planning education for the parents, what action by the nurse is most correct?

Obtain a small conference room and arrange the chairs in a circle for both the nurse and family members to sit.

The nurse is providing anticipatory guidance to an obese teenager. Which intervention would be most likely to promote healthy weight in teenagers?

Obtain nutritional histories directly from the school-age child and adolescent.

The nurse is caring for children in a healthcare provider's office where health supervision is practiced. Which are some points of focus of health supervision? Select all that apply

Optimizing the child's level of functioning Teaching parents to prevent injury Providing care developed from national guidelines

The nurse is using verbal skills to explain the nursing care plan to parents of a 10-year-old child with cancer. What describes a guideline the nurse should follow to provide appropriate verbal communication?

Paraphrase the child's or parent's feelings to demonstrate empathy

A nurse suspects that an adolescent may have community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA). What would the nurse expect to assess? Select all that apply.

Participation in contact sport Recent cut on the lower leg Raised fluctuant lesions

The nurse working in a community clinic attempts to establish a free vaccination program to refer low-income families. What is the key strategy for success when implementing a health promotion activity?

Partnership development

The nurse is explaining the difference between active and passive immunity to the student nurse. Which statement accurately describes a characteristic of the process of immunity

Passive immunity can be obtained by injection of exogenous immunoglobulins.

A nurse is conducting a health history for a 1-month-old with an infectious disorder. Which segment of the health history would be most helpful for the nurse when determining if the infant developed the infection from the mother?

Past medical history

A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record, expecting which medication to be prescribed for this child?

Penicillin V

The nurse is providing teaching about car safety to the parents of a 5-year-old girl who weighs 45 lb. What should the nurse instruct the parents to do?

Place her in a booster seat with lap and shoulder belts in the back seat."

The nurse is assessing the psychosocial development of a preschooler. What are normal activities characteristic of the preschooler? Select all that apply.

Plans activities and makes up games. Initiates activities with others. Acts out roles of other people.

A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease

Playing in the woods about a week ago

A mother and her 4-week-old infant have arrived for a health maintenance visit. Which activity will the nurse perform?

Plot the child's head circumference on a growth chart

The school nurse is helping parents choose books for their preschoolers. What literacy skills present in the preschooler would the nurse consider when making choices? Select all that apply.

Preschoolers enjoy books with pictures that tell stories. Preschoolers like stories with repeated phrases as they help keep their attention. Preschoolers demonstrate early literacy skills by reciting stories or portions of books. Preschoolers may retell the story from the book, pretend to read books, and ask questions about the story.

The nurse is counseling parents of a picky eater on how to promote healthy eating habits in their child. Which intervention would be appropriate advice?

Present the food matter-of-factly and allow the child to choose what to eat.

The nurse is caring for a 3-year-old boy with amblyopia. Which intervention would be most appropriate to include in the child's plan of care?

Promoting eye safety

The nurse is preparing a plan of care for a 5-year-old boy with chickenpox. Which nursing intervention should be questioned?

Provide alcohol baths as needed.

The parents of a 5-year-old bring their son to the emergency department because of significant eyelid edema. The mother states, "He scratched himself near his eye a couple of days ago while playing outside in the yard." The nurse suspects periorbital cellulitis based on which finding?

Purplish discoloration of eyelid

The nurse is performing a cognitive assessment of a 2-year-old. Which behavior would alert the nurse to a developmental delay in this area?

The child does not point to named body parts.

The nurse is developing a nursing care plan for a hospitalized 6-year-old. Which behavior would warrant nursing intervention?

The child does not want to play games with other children on the hospital ward.

The nurse is assessing a 2-year-old boy who has missed some developmental milestones. Which finding will point to the cause of motor skill delays

The child is homeless and has no toys.

The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

The child is unable to push a toy lawnmower.

The mother of a 4-year-old boy has contacted the physician's office. She reports her son was exposed to someone with chickenpox. She has inquired about when her son may show if he has gotten the disease. What information should be provided?

The incubation period for the disease is between 10 and 21 days.

The nurse strives to provide culturally competent care for children in a health clinic that follows the principles of health supervision. Which nursing action reflects this type of care

The nurse negotiates a care plan with the child and family

The nurse has obtained the services of an interpreter to assist with communicating with a child and parents who have a limited understanding of English. Which behaviors may impede the communication? Select all that apply.

The nurse speaks to the interpreter, who then translates the information to the parents and child. The nurse limits the sessions with the interpreter to 1 hour. The nurse stops talking every 45 to 60 seconds to allow the interpreter to catch up with the information provided.

The parents of a preschooler express concern to the nurse about their son's new habit of masturbating. What is an appropriate response to this concern?

Treat the action in a matter-of-fact manner emphasizing safety

The nurse is caring for a 6-year-old visually impaired boy and is about to begin the physical examination. Which intervention would be most appropriate to promote effective communication with the child?

Use his name before touching him.

The nurse is caring for a premature baby in the NICU. The mother reports that the infant's normally happy and outgoing 5-year-old sister is acting sad and withdrawn. The nurse understands that due to her developmental stage, the girl is at risk of what happening?

Viewing her baby sister's illness as her fault

The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision would the nurse expect to be similar to his father's vision?

Visual acuity of 20/100

The nurse is preparing a presentation to a local parent group about pediatric health supervision. Which would the nurse emphasize as the focus

Wellness

The parents of a preschooler ask the nurse to help them choose a preschool for their child. What are recommended guidelines and goals for choosing a preschool? Select all that apply.

When selecting a preschool, the parent may want to consider the accreditation of the school and the teachers' qualifications. each individual student. The parent should observe the classroom, evaluating the environment, noise level, and sanitary practices. The parent should observe the classroom to determine how the children interact with each other and how the teachers interact with the children.

The nurse is preparing to obtain a blood specimen via capillary heel puncture. Which action would be most appropriate for the nurse to do?

Wipe away the first drop of blood with dry gauze.

The parents of a 2-year-old girl are frustrated by the frequent confrontations they have with their child. Which is the best anticipatory guidance the nurse can offer to prevent confrontations?

You need to adhere to various routines

The nurse is caring for an infant who had hyperbilirubinemia requiring exchange transfusion. Based on this information, this infant is at risk for what type of disorder?

hearing loss

The nurse is developing a plan of care for a 5-year-old child with a severe hearing impairment focusing on psychosocial interventions based on assessment findings. Which behavior would the nurse have most likely assessed?

immature emotional behavior

The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child?

insert a saline lock if the child will require multiple doses of parenteral medication

The nurse is caring for a 5-year-old girl posttonsillectomy. The girl looks out the window and tells the nurse that it is raining and says, "The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?

magical thinking

A nurse is examining a 7-year-old boy with hordeolum. Which would the nurse expect to find?

pain

The nurse is examining a 7-year-old boy with blepharitis. What would the nurse least likely expect to assess

pain

When observing a group of preschoolers at play in the clinic waiting room, which type of play would the nurse be least likely to note?

parallel play

Assessment of a child leads the nurse to suspect viral conjunctivitis based on what finding?

photophobia

The nurse is incorporating nonverbal communication with verbal communication when explaining the treatment plan for a child with juvenile diabetes. What should the nurse do to communicate effectively with this family

sit opposite the family and slightly forward

The nurse is choosing foods for a toddler's diet that are high in vitamin A. What foods could be added to the menu? Select all that apply.

sweet potatoe spinach carrots

The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

tell me more about the circumstances when this occurs

The nurse uses family-centered care to provide care for children in a pediatric office. Upon what concept is family-centered care based

the family is a constant in the child's life and the primary source of strength

The nurse is preparing a child and his family for a lumbar puncture. Which would be a primary intervention instituted to keep the child safe?

therapeutic hugging

The nurse is providing atraumatic care to children in a hospital setting. What are principles of this philosophy of care? Select all that apply

use core primary nursing, avoid or reduce physical distress avoid or reduce painful procedures

The nurse is using a family interpreter to teach home care to the deaf parents of a child with cystic fibrosis. Which technique of working with an interpreter is unique to this situation

using the child's aunt as an interpreter

Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium?

white beans

The child life specialist (CLS) is preparing a 6-year-old child for a magnetic resonance imaging (MRI) scan. Which statement reflects the use of atraumatic principles when explaining the procedure?

you may hear some loud noises when you are lying in the machine, but they wont hurt you

The nurse is caring for a neonate who is suspected of having sepsis. Which assessment findings would the nurse interpret as most indicative of sepsis?

Hypothermia

a 2-week-old child responds to a bell during an initial health supervision examination. The child's records do not show that a newborn hearing screening was done. Which is the best action for the nurse to take?

Immediately schedule the infant for a newborn hearing screening.

A mother brings her child to the health care clinic because she thinks that the child has conjunctivitis. Which assessment findings would lead the nurse to suspect bacterial conjunctivitis? Select all that apply

Inflamed conjunctiva Mild pain

The nurse is examining a 3-year-old boy with acute otitis media who has a mild earache and a temperature of 38.5 C. Which action will be taken?

Instruct the parents to watch for worsening symptoms

A nurse is examining a child who has sustained blunt trauma to the eye area. The nurse suspects a simple contusion based on what finding?

Intact extraocular movements

The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

Just ask the family about their culture and listen.

The nurse is caring for a teen who will be hospitalized for physical rehabilitation for an extended period of time after an auto accident. When working to promote a good working relationship with the teen, what action by the nurse will be most beneficial?

Keep your word with regard to promises and statements made to the teen.

The nurse is caring for a toddler who is in Piaget's sensorimotor stage of cognitive development. Which task would the nurse expect the toddler to be able to perform

Knowing which are his or her toys

The nurse is caring for a 14-year-old boy with an osteosarcoma. Which communication technique would be least effective for him?

Letting him choose juice or soda to take pills

After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful?

The shorter and wider eustachian tubes of an infant increase the risk

The nurse is describing the maturation of various organ systems during toddlerhood to the parents. What would the nurse correctly include in this description?

Myelination of the brain and spinal cord is complete at about 24 months.

After teaching the parents of a child with varicella zoster, the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time?

After the lesions have crusted

A child is diagnosed with a helminthic infection. Which treatments would the nurse expect to be prescribed? Select all that apply.

Albendazole Pyrantel pamoate

A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition?

Amblyopia

The nurse is performing a risk assessment of a 5-year-old and determines the child has a risk factor for cystic fibrosis. What type of screening would the nurse perform to confirm or rule out this disease?

Selective screening

A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would be the priority?

Social isolation related to infectivity and inability to go to the playroom

The pediatric nurse is planning quiet activities for a hospitalized 18-month-old. What would be an appropriate activity for a child of this age group?

Stacking blocks

The nurse is performing a physical examination of an 8-year-old girl who was bitten by her kitten. Which assessment would lead the nurse to suspect cat-scratch disease?

Swollen lymph nodes

The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which intervention would be most appropriate for the nurse to implement?

Teaching the parents how to gently massage the duct

The parents of a 1-year-old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. Which is the best advice the nurse can provide?

Tell the parents to limit the child's eating to meal and snack time

The nurse is providing guidance after observing a mother interact with her negative 2-year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?

Telling the child firmly that we don't scream in the office

A group of students are reviewing information about the differences in the hearing and vision capabilities of a child when compared to an adult. The students demonstrate a need for additional study when they identify what as one of the differences

The ability to discriminate colors is completed by birth.

The parents of a 10-year-old girl with a refractive error ask the nurse about the possibility of laser surgery to correct the vision. Which statement by the nurse would be most appropriate?

"Laser surgery typically is not done until she's 18 years old."

What would be most important to include in the teaching plan for parents of a child with pinworm?

"Make sure the child washes his hands after using the bathroom."

A child is diagnosed with bacterial conjunctivitis and is prescribed topical antibiotic therapy. The child's mother asks when he can return to school. Which response by the nurse would be most appropriate?

"Once the drainage is gone, he can go back to school."

While obtaining a health history from a male adolescent during a well check-up, the nurse assesses his sexual behavior and risk for sexually transmitted infections. Based on the information, the nurse plans to teach the adolescent about using a condom. What would the nurse include in the teaching plan?

"Put the condom on before engaging in any genital contact."

During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse's best response

"Tell me what concerns you."

The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

"The average height for a 5-year-old is 43 in tall (118.5 cm), so your son is within the normal range for height."

The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern?

"This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

"This is normal; children his age do not understand the permanence of death."

During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his parents. Which statement from the parents reflects a recommended guideline for promoting healthy sleep in this age group?

"We keep a strict bedtime ritual for our son, which includes a bath and bedtime story."

After teaching a group of new parents about their newborns' eyes and vision, which statement by the group indicates effective teaching?

"We won't know the baby's eye color until he's at least 6 months old."

After teaching a group of parents about language development in toddlers, what if stated by a member of the group indicates successful teaching?

"When my 3-year-old asks 'why?' all the time, this is completely normal."

When providing anticipatory guidance to parents about their preschool son who was caught in a lie, what would the nurse emphasize?

"You need to determine the reason for lying before punishing the child."

A mother of three brings her children in for their vaccinations. The mother tells the nurse that her mother recently died and her husband just lost his job due to his company downsizing. Which parenting behaviors is the nurse likely to observe? Select all that apply

The mother rarely looks at her infant when the nurse is assessing the child. The mother becomes very frustrated and tells the nurse she can't handle her toddler's temper tantrum

The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior

The need for separation and control

The nurse is preparing to perform a dressing change on a 13-year-old client who is being treated for burns he received 2 weeks ago. The client prefers not to take pain medication before the dressing change because it causes drowsiness. What nursing interventions would provide atraumatic care? Select all that apply.

The nurse asks the client if he would like the television on during the dressing change. The nurse encourages the client to wear headphones to listen to music during the dressing change.

nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother?

"Acknowledge her fear and help her develop a strategy for dealing with it."

The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

"Children should be screened for depression every year beginning at age 11."

The nurse is instructing a 7-year-old child and his parents about using his prescribed corrective lenses. What would the nurse include in these instructions?

"Clean the glasses every day with a mild soap and water or commercial cleaning agent."

The nurse is teaching good sleep habits for toddlers to the mother of a 3-year-old boy. Which response indicates the mother understands sleep requirements for her son?

"He needs 12 hours of sleep per day including his nap."

A child with persistent otitis media with effusion is to undergo insertion of pressure-equalizing tubes via a myringotomy. The child is to be discharged later that day. After teaching the parents about caring for their child after discharge, which statement indicates that the teaching was successful?

"He should wear earplugs when swimming in a pool or a lake."

The parents of a 5-year-old boy tell the nurse that their son is having frequent episodes of night terrors. Which statement would indicate that the boy is having nightmares instead of night terrors

"He will tell us about what happened in his dream

The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge?

"I can't believe it. We're not unclean, poor people."

After teaching a mother how to remove a tick from her 6-year-old boy's arm, the nurse determines that additional teaching is needed when the mother makes what statement?

"I'll grasp the tick and pull it away quickly."

A nurse is instructing a parent on how to obtain a stool culture for ova and parasites from a child with diarrhea. What would the nurse include in the teaching plan

"Keep the specimen from coming into contact with any urine."

An infant is diagnosed with a congenital cataract. What would the nurse expect to assess?

Absent red reflex

The nurse is explaining a discharge plan to the parents of an infant being discharged from the hospital. Which characteristic regarding adult learning should the nurse incorporate into her plan?

Adults are problem focused.

The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which safety intervention should the nurse address?

Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the back seat of the car

The nurse is instructing the parents of a school-age child with an eye disorder how to care for her eye. Which condition would the nurse explain as resolving by itself without the use of antibiotics?

Chalazion

The nurse is helping parents prepare a healthy meal plan for their toddler. Which guidelines for promoting nutrition should be followed when planning meals? Select all that appl

Extending breastfeeding into toddlerhood is believed to be beneficial to the child. Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization. The toddler requires an average intake of 700 mg calcium per day

An infant is diagnosed with infantile glaucoma. When developing the plan of care for the infant, for what would the nurse expect to prepare the infant and family?

Goniotomy

When instructing the parents of a toddler about appropriate nutrition, what would the nurse recommend?

Approximately 16 to 24 ounces of milk per day

A woman gives birth to a healthy newborn. As part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventive measure for which sexually transmitted infection (STI)?

Gonorrhea

The nurse is providing anticipatory guidance for parents of a preschooler regarding sex education. What is a recommended guideline when dealing with this issue?

Before answering questions, find out what the child thinks about the subject.

An adolescent is diagnosed with gonorrhea. When developing the plan of care for this adolescent, the nurse would expect that she would also receive treatment for what?

Chlamydia

What activity would the nurse expect to find in an 18-month-old?

Climbing stairs with assistance

A 3-year-old child is scheduled for a hearing screening. The nurse would prepare the child for screening by which method?

Conditioned play audiometry

The nurse is caring for preschoolers in a day care center. For this age group, of what developmental milestones should the nurse be aware? Select all that apply.

Counting 10 or more objects Correctly naming at least four colors Understanding the concept of time Knowing everyday objects

The nurse is assessing a 3-year-old boy's development during a well-child visit. Which response by the child indicates the need for further assessment?

He laughs when his brother cries getting vaccinated.

A nursing instructor is teaching a group of students about the action of antipyretic agents in children. The instructor determines that the teaching has been successful when the students identify which action as the primary action?

Decrease the temperature set point

The nurse is caring for a 4-year-old boy with Ewing sarcoma who is scheduled for a computed axial tomography (CAT) scan tomorrow. Which is the best example of therapeutic communication?

Describing what it is like to get a CAT scan using words he understands

The nurse is teaching the student nurse how to communicate effectively with children. Which method would the nurse recommend

Direct questions and explanations to the child.

The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. What is a recommended intervention for this age group?

Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior.

The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

Draws a person with three body parts

The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. What would the nurse include in this teaching plan

Ensuring fluid intake to prevent dehydration

The nurse is administering a hepatitis B vaccine to a child. What is the classification of this type of vaccine?

Recombinant vaccines

After teaching a group of students about visual disorders, the instructor determines that the teaching was successful when the students identify what as the most common cause of visual difficulties in children?

Refractive errors

The nurse is teaching the parents of an overweight 18-month-old girl about diet. Which intervention will be most effective for promoting proportionate growth?

Remove high-calorie, low-nutrient foods from the diet.

The client has a heavily draining wound for which there is an order to change the dressing every 4 hours. The nurse becomes busy and does not change the dressing as ordered. Which link in the chain of infection has the nurse allowed to flourish?

Reservoir

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Reward the child for initiative in order to build self-esteem.

The nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find?

Ring-like rash on lower leg

A group of nursing students are reviewing information about childhood infectious diseases. The students demonstrate understanding of this information when they identify which disease as a common childhood exanthema?

Rubella

The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What would be the nurse's best intervention in this case?

Schedule a full evaluation since this may indicate a neurologic disorder.

The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?

Screening for infectious diseases

The parents of a 4-year-old ask the nurse when their child will be able to differentiate right from wrong and develop morals. What would be the best response of the nurse?

The preschooler is developing a conscience."

The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. What might alert the nurse to a potential problem with the child's sensory development?

The toddler does not respond to commands whispered in his ear.

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?

The toddler's anterior fontanel is not fully closed.

The nurse of a preschool child is helping parents develop a healthy meal plan for their child. What nutritional requirements for this age group should the nurse consider?

The typical preschooler requires about 85 kcal/kg of body weight.

The nurse emphasizes that a toddler younger than the age of 18 months should never be spanked primarily for which reason

There is an increased risk for physical injury in this age group.

While reviewing various studies about the use of antipyretics possibly prolonging illness, the nurse notes that there are benefits to their use for the child with fever. What would the nurse identify as the best explanation related to the benefit of antipyretics

They help decrease fluid requirements.

The nurse is watching toddlers at play. Which normal behavior would the nurse observe

Toddlers engage in parallel play.

What would the nurse include when teaching parents how to prevent otitis externa

Wearing ear plugs when swimming

The nurse is admitting a 7-year-old child to the medical-surgical unit. The child answers questions with very short answers, makes little eye contact with the nurse, and looks to the parent to answer most questions. Which interventions would be appropriate during this admission assessment? Select all that apply.

When asking questions, look at the child as well as the parent. Sit at the child's eye level during the admission questioning process

After teaching the mother about follow-up immunizations for her daughter, who received the varicella vaccine at age 14 months, the nurse determines that the teaching was successful when the mother states that a follow-up dose should be given at which time?

When the child is 4 to 6 years of age

The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

activities to support growth and development grief and bereavement support ER room intervention fo children and families

The nurse is performing a vision screening for a 4-year-old child. Which screening chart would be best for determining the child's visual acuity

allen figure

The nurse is implementing care for a hospitalized toddler. What communication technique would the nurse use with the child to reflect the child's developmental level

allow the child extra time to complete thoughts

The nurse is educating a 16-year-old girl who has just been diagnosed with acute myelogenous leukemia. Which statement best demonstrates therapeutic communication

assess the adolescene emotional status in private

The mother of a school-age child brings the child to the clinic for evaluation because he is having difficulty reading. His last visual screening was normal. He also reports headaches and dizziness. What would the nurse suspect?

astigmatism

The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would be alert to the child's increased risk for what issue?

atopic dermatitis

The nurse knows that effective communication with children and their parents is critical to providing atraumatic quality nursing care. Which statement accurately describes the communication patterns of children?

children rely more on nonverbal communication and silence

The parents of a 4-year-old who is a picky eater ask the nurse what foods to include in their child's diet to provide adequate iron consumption. Which food would the nurse recommend?

cooked lentils

The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the primary goal of the CLS?

decrease anxiety and fear during the hospitalization and painful procedure

The nurse is educating the parents of a 7-year-old girl who has just been diagnosed with epilepsy. Which teaching technique would be most appropriate?

giving the parents information small amounts at a time

The nurse has completed diabetic education regarding insulin administration to a 14-year-old child newly diagnosed with diabetes and his family. The nurse knows the teaching was effective if the client and family:

have demonstrated correct insulin administration over the past several days.