Peds PreuU 1

A nurse is giving nutritional counseling to the mother of a child with celiac disease. Which statement by the mother indicates understanding? 1. "My son can't eat wheat, rye, oats, or barley." 2. "My son needs a gluten-rich diet." 3. "My son must avoid potatoes, rice, and cornstarch." 4. "My son can safely eat frozen and packaged foods."

1. "My son can't eat wheat, rye, oats, or barley."

Which of the following parent statements demonstrates an understanding of feeding priorities with their 4 month old? Select all that apply. 1. "Solid foods aren't compatible with my baby's immature gastrointestinal (GI) tract." 2. "Solid foods will not meet my baby's nutritional needs." 3. "Giving my baby solid foods before 4-6 months can contribute to protein allergies." 4. "My baby will be obese if I give solid foods." 5. "I gave my first baby solid foods at 3 months and it didn't produce ill effects."

1. "Solid foods aren't compatible with my baby's immature gastrointestinal (GI) tract." 2. "Solid foods will not meet my baby's nutritional needs." 3. "Giving my baby solid foods before 4-6 months can contribute to protein allergies."

A 6-month-old infant has a high fever and cold symptoms. She is pulling at her left ear. She is scheduled to receive her 6-month immunizations. The mother asks the nurse if she will receive them. The nurse's best response would be: 1. "She will receive just the hepatitis immunization today because she is so sick." 2. "Make an appointment to come back when she has finished your antibiotics to get her immunizations" 3. "She must be free of infection for 6 months before she can resume her immunizations." 4. "She should have a pneumonia shot today instead."

2. "Make an appointment to come back when she has finished your antibiotics to get her immunizations"

A mother tells the nurse that her 4-year-old boy has developed some strange eating habits, including not finishing meals and eating the same food for several days in a row. She would like to develop a plan to correct this situation. When developing such a plan, what should the nurse and mother do? 1. Decide on a good reward for finishing the meal. 2. Allow him to make some decisions about the foods he eats. 3. Restrict the availability of foods to those served at meal times. 4. not allow him to leave the table until he has eaten the food.

2. Allow him to make some decisions about the foods he eats.

During the nurse's assessment, the newborn wakes and is in a quiet-alert state. The nurse counts the apical pulse to be 157 beats per minute. Which of the following is the most appropriate nursing action? 1. Call the pediatrician because this finding is dangerously high. 2. Document this finding as on the low end of the normal range and plan to reassess. 3. Document this finding as on the high end of the normal range and plan to reassess. 4. Notify the charge nurse because this finding is on the low end of the normal range given the newborn's quiet-alert state.

3. Document this finding as on the high end of the normal range and plan to reassess.

The nurse needs to assess an infant's height to determine if he or she is meeting appropriate growth and development parameters. To obtain the most accurate measurement of an infant's height (length), the nurse measures the: 1. Recumbent height with the infant lying on the side. 2. Recumbent height with the infant supine. 3. Recumbent height with the infant prone. 4. Standing height with the infant held upright.

2. Recumbent height with the infant supine.

A nurse is conducting a nutrition class for a group of teenagers. Which of the following food choices would a nurse encourage this group to consume to increase their dietary fiber content? 1. Baked French fries with ketchup 2. Sandwiches on whole wheat bread 3. Grape-flavored juice 4. Chicken legs with gravy

2. Sandwiches on whole wheat bread

When developing a nutritional plan for a child who needs to increase protein intake, the nurse should suggest which foods? Select all that apply. 1. whole wheat bread 2. cooked dry beans 3. peanut butter 4. yogurt 5. apple

2. cooked dry beans 3. peanut butter 4. yogurt

A dehydrated infant is receiving I.V. therapy. The mother tells the nurse she wants to hold her infant but is afraid this might cause the I.V. line to become dislodged. What should the nurse do? 1. Tell the mother it's best not to move the infant now. 2. Inform the mother that only a nurse should hold the infant during I.V. therapy. 3. Show the mother how to hold the infant properly. 4. Advise the mother to let the infant lie quietly in bed.

3. Show the mother how to hold the infant properly.

A 10-month-old infant is brought to the well-baby clinic for a follow-up visit. The mother tells the nurse that she has been having trouble feeding her infant any solid foods. The infant only prefers breastfeeding and pushes food out of his/her mouth. To help correct this problem, the nurse should: 1. instruct the mother that tongue thrusting is the infant's way of rejecting food. 2. instruct the mother to place the food further back and to the side of the infant's mouth. 3. instruct the mother to offer small, bite-size food. 4. instruct the mother to limit the infant's breast milk.

2. instruct the mother to place the food further back and to the side of the infant's mouth.

The nurse advises a mother with a 2-year-old child to avoid encouraging excessive milk consumption by the toddler because excess milk consumption can lead to: 1. vitamin C deficiency. 2. iron deficiency. 3. biotin deficiency. 4. folate deficiency.

2. iron deficiency.

The mother of a 9-month-old infant asks about adding new foods to his diet. The child is being breast-fed and takes formula and cereal when at the sitter's. What should the nurse instruct the mother to do? 1. Mix new foods with formula or breast milk. 2. Mix new foods with more familiar foods. 3. Offer new foods one at a time. 4. Offer new foods after giving formula or breast milk.

3. Offer new foods one at a time.

A nurse is assessing an 8-month-old infant during a wellness checkup. Which action is a normal developmental task for an infant this age? 1. Sitting without support 2. Saying two words 3. Feeding himself with a spoon 4. Playing patty-cake

1. Sitting without support

Compared to the food requirements of preschoolers and adolescents, the food requirements of school-age children are not as great because these children have a lower: 1. growth rate. 2. metabolic rate. 3. level of activity. 4. hormonal secretion rate.

1. growth rate.

A parent calls the pediatric clinic to express concern over her child's eating habits. She says the child eats very little and consumes only a single type of food for weeks on end. The nurse knows that this behavior is characteristic of: 1. toddlers. 2. preschool-age children. 3. school-age children. 4. adolescents.

1. toddlers.

While performing an assessment, a nurse observes a 6-month-old infant transferring an object from one hand to another and reaching for the nurse's stethoscope. The mother tells the nurse this is new behavior and asks if it is normal. The nurses educates the mother about growth and development parameters for a 6-month-old infant. She responds by stating: 1. "Your baby has very advanced gross motor skills." 2. "This behavior is typical for a 6-month-old infant." 3. "This is an example of your baby exhibiting personal- social skills." 4. "This is a skill that your baby should have been exhibiting at 2 months of age. We will continue with further assessment since this is a developmental delay."

2. "This behavior is typical for a 6-month-old infant."

Parents of a preschool-age child ask the nurse about nutrition. Which statement about a preschooler's nutritional requirements is accurate? 1. Caloric requirements per kilogram of body weight increase slightly during the preschool-age period. 2. The preschooler's nutritional requirements differ greatly from those of a toddler. 3. The quality of food that a preschooler consumes is more important than the quantity. 4. Protein should account for 25% of the preschooler's total caloric intake.

3. The quality of food that a preschooler consumes is more important than the quantity.

When developing a plan of care with a mother who expresses concern that her 10-year-old son is overweight, the nurse should expect to include which intervention? 1. eliminating the child's between-meal snacks 2. eliminating the intake of fat from the diet 3. including the child in meal planning and preparation 4. encouraging slow weight loss

3. including the child in meal planning and preparation

A mother asks the nurse why her 12-month-old baby gets otitis media more frequently than her 10-year-old son. What should the nurse tell her? 1. "The baby's eustachian tubes are shorter and lie more horizontally." 2. "The baby is too young to blow his nose when he has a cold." 3. "The baby spends more time lying down than his older brother; therefore, more dirt gets in the baby's ear." 4. "The baby puts dirty toys in his mouth."

1. "The baby's eustachian tubes are shorter and lie more horizontally."

A nurse is teaching parents about the nutritional needs of their full-term infant, age 2 months, who's breast-feeding. Which response shows that the parents understand their infant's dietary needs? 1. "We won't start any new foods now." 2. "We'll start the baby on skim milk." 3. "We'll introduce cereal into the diet now." 4. "We should add new fruits to the diet one at a time."

1. "We won't start any new foods now."

Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit? 1. A sunken fontanel 2. Decreased pulse rate 3. Increased blood pressure 4. Low urine specific gravity

1. A sunken fontanel

The parent of a 9-month-old infant is concerned that the infant's front soft spot is still open. The nurse should tell the parent: 1. "I will measure your baby's head to see if it is a normal size." 2. "Your infant will need to be referred for more testing." 3. "You should contact your health care provider immediately." 4. "This is normal because this soft spot usually closes between 12 and 18 months."

4. "This is normal because this soft spot usually closes between 12 and 18 months."

After teaching the client about bottle-feeding, which client statement indicates the need for additional teaching? 1. "Bottle-fed babies up to 6 months of age may gain as much as 1 ounce (30 g)/day." 2. "Iron-fortified formulas are usually recommended for newborns." 3. "Bottle-fed babies will usually regain their birth weight by 10 to 14 days of age." 4. "Whole milk is an acceptable alternative to formula once the baby is 4 months old."

4. "Whole milk is an acceptable alternative to formula once the baby is 4 months old."

A public health nurse is teaching a group of parents at a community health center about feeding and nutrition for toddlers. Which of the following is most important for the nurse to include in the teaching? 1. It's OK to use dessert as a reward for good eating habits. 2. The amount eaten per meal is more important than the amount eaten each day. 3. Toddlers often eat one food for many days in a row. 4. Children should be able to choose what to eat and when they want to eat it.

3. Toddlers often eat one food for many days in a row.

A boy, age 3, develops a fever and rash and is diagnosed with rubella. His mother has just given birth to a baby girl. Which statement by the mother best indicates that she understands the implications of rubella? 1. "I told my husband to give my son aspirin for his fever." 2. "I'll ask the physician about giving the baby an immunization shot." 3. "I don't have to worry because I've had the measles." 4. "I'll call my neighbor who's 2 months pregnant and tell her not to have contact with my son."

4. "I'll call my neighbor who's 2 months pregnant and tell her not to have contact with my son."