PEDS Q 1 The Family, Infancy and childhood, Adolescence, Maintenance of the hospitalized child

The parents of a 10-year-old are seeking advice regarding how to handle the child questions about sex. How should the nurse advised the parents

Answer the questions at the child's level of understanding

A nurse is preparing to administer an IM injection to a preschool age child. Which of the following actions should the nurse take?

Allow the child to hold a favorite toy.

A nurse is collecting data from a 10 year old child during a well-child visit. Which of the following statements by the child indicates he is meeting the psychosocial development expectations of a school age child?

" I really want to do well in school."

A nurse is reinforcing teaching with an assistive personnel (AP) about counting the respiratory rate for a 1 month old infant. Which of the following statements by the AP indicates an understanding of the teaching?

" I will count the baby's respiration by observing abdominal movements."

The parent of a 16 year old child tells the nurse that she is concerned because the child sleeps until noon every weekend and whenever there is a day off from school. Which of the following is the appropriate nursing response?

"Adolescents love to sleep late in the morning."

The parent of an 8 year old child tells the nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. The appropriate nursing response would be which of the following?

"At this stage, the child is developing his or her own personality."

A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15 year old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

"Before I can help you with that question, I need to know about your sexual activity"

A nurse is assisting with a family therapy session for parents and 2 school-age children. Which of the following statements should the nurse recognize as an example of effective communication among family members?

"Can you tell me the reason you get upset each time I go to the mall"

A nurse is caring for a 4 year old child who had an incident of bedwetting during hospitalization. The child's parents expresses concern about the incident. Which of the following responses should the nurse make?

"Children who are hospitalized often regress. The toileting skills will return when your child is feeling better."

A mother expresses concern about her preschool-age daughter to a nurse. The mother states, "She was talking to an imaginary person yesterday." Which of the following questions should the nurse ask in response to the mother's statement?

"Did the imaginary person have a name?

A mother expresses concern about her preschool age daughter to a nurse. The mother states, " she was talking to an imaginary person yesterday ". Which of the following question should the nurse ask in response to the mother statement

"Did the imaginary person have a name?"

A nursing student is assigned to care for an adolescent female client in the health care clinic, and the instructor reviews the menstrual cycle with the student. The instructor determines that the student understand the process of the secretion of follicle stimulating hormone (FSH) and Luteinizing hormone (LH) if the student states:

"FSH and LH are secreted by the corpus luteum of the ovary."

A nurse is reinforcing teaching about nutrition w/ a parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching?

"I should wait to give my baby fruit juice until 6 month of age."

The parent of a 4 year old child expressed concern because her hospitalized child has started sucking his thumb. The mother states that this behavior began 2 days after hospital admission. Which of the following is the appropriate nursing response?

"It is best to ignore the behavior."

A nurse in a pediatric clinic is talking with the mother of a preschool age child. The mother tells the nurse that her son is a "picky eater". Which of the following responses should then nurse make?

"Preschool age children eat slightly more than toddlers.

While administering ear drops to a toddler, a nurse by pulls the auricle down and back. The mother asks, "Why are you pulling the ear that way?" Which of the following responses should the nurse make?

"This opens the ear canal, allowing medication to reach the inner ear region."

A parent of a 4 year old child tells the nurse that she is concerned because the child has been masturbating. The appropriate response by the nurse is which of the following?

"this is a normal behavior at this stage."

trust vs. mistrust

(birth- 1 year) Infants needs are dependably met, infants develop a sense of basic trust

The nurse is reinforcing recommendations for oral care to a mother of a 19-month-old. Which of the following statements by the mother indicates an understanding of the teaching (select all)

**ch. 15 pg 381, 382

Atropine Sulfate 0.2 mg given intramuscularly, is prescribed for a child. The medication label reads as follow: "0.4 mg/mL." The nurse has determined that the prescribed dose is safe. How many milliliters should the nurse administer to the child? Fill in the blank. Answer: _____ mL

0.5 ml

A health care provider's prescription reads as follows: "Ampicillin, 125 mg intramuscular every 6 hours." The medication label reads "1 gram and reconstitute with 7.4 mL of bacteriostatic water." How many milliliters should the nurse draw up for one dose?

0.92 ml

A nurse is reinforcing teaching with a parent of a 15-month-old toddler about safety. Which of the following information should the nurse include (select all)

1. Avoid marshmallows and popcorn 2. Position furniture away from the windows

A nurse has excepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Ericksons stages of psychosocial development from birth through 18 years

1. Trust vs mistrust 2. Autonomy vs. shame and doubt 3. Initiative vs. guilt 4. Industry vs. inferiority 5. Identity vs. role confusion

A nurse is preparing to administer a liquid medication to a 10 month old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

Administer the medication with a needleless syringe placed in the buccal pouch.

A nurse is performing cardiopulmonary resuscitation (CPR) on an infant. When performing chest compressions, the nurse understands that the compression rate is at least:

100 time per min.

A parent of a school age child tells the nurse in the family practice clinic that she is concerned about the amount of sleep her son is getting. The nurse should explain the school age children should get tleast which of the following amounts of sleep each night?

11 hr

A parent of a toddler tells the nurse in the provider's office that she is concerned about the amount of sleep her daughter is getting. The nurse should explain that toddlers should get about which of the following amounts of sleep each night?

14 Hr

Sulfisoxazole, 1 g orally four times daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads "500-mg tablet." The nurse has determined that the prescribed dose is safe. How many tablets per dose should the nurse administer to the adolescent?

2

An infant weighed 7 lbs. 11 oz. at birth. During his well baby check at 12 months old, what should the nurse expect this infant wait to be

23 lbs

A nurse is preparing to administer a dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hr to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer per dose? a. 3.8 mL

3.8 ml

A nurse is calculating the fluid intake for an infant at the end of an 8-hr shift. For oral intake, the infant had 10 mL of medication, 3 oz of formula, and 2 oz of juice. In addition, the infant had IV fluid infusing at 20 mL/hr via an IV pump. The nurse should record how many mL of intake on the client's record?

320 ml

. A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone solution 5mg/5mL. How many mL should the nurse administer?

40 ml

A nurse is preparing to administer amoxicillin 30 mg/kg/day divided doses every 12 hr to a toddler who weighs 32 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer every 12 hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

5.5 ml

A nurse is collecting data from an infant at a well-child visit. The nurse should expect the infant to double his birth weight by which of the following ages?

6 months

A health care provider has prescribed phenobarbital sodium (Luminal Sodium), 25 mg orally twice daily, for a child with febrile seizures. The medication label reads as follows: "Phenobarbital sodium, 20 mg/5 mL." The nurse has determined that the dose prescribed is a safe dose for the child. How many milliliters per dose should the nurse administer to the child?

6.25 ml

A nurse is preparing to administer acetaminophen 10/mg/kg PO to a preschool child for fever. The child weighs 22 lb. available is acetaminophen liquid 160 mg/5mL. How many ML should the nurse administer? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero

A 3.1 ml

A nurse is providing care to a group of children at a pediatric clinic. Which of the following children meets the criteria to receive a varicella vaccine?

A child who has cold and nasal discharge

A charge nurse is observing a newly licensed nurse who is performing endotracheal suctioning for a preschool age child. Which of the following actions by the newly licensed nurse requires the charge nurse to intervene?

Applying suction for 15 seconds.

A nurse is preparing a 9 year old child for an IV catheter insertion. Which of the following should the nurse take first?

Ask the child what he knows about the procedure

A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base care planning on what type of family

Blended

A four-year-old child tells the nurse she will not eat peas because they are green. Of what is this an example

Centering

A nurse is reinforcing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse include as the leading cause of death among this age group?

Congenital anomalies

A nurse is caring for a 3 year old child who weighs 33 lb and has had 160 mL of urine output during the 8 hr. Which of the following actions should the nurse take?

Continue to monitor the client

A nurse is preparing to begin cardiopulmonary resuscitation on an infant. Which of the following actions should the nurse take?

Deliver compressions at a depth of 4 cm (1.5 in)

A nurse is planning to instill ear drops to a toddler and must straighten the ear canal by pulling the auricle of the ear. The nurse should plan to pull the auricle in which of the following directions?

Down and backwards

A nurse is collecting data about an IV infusion site on an infant's left hand. Which of the following findings should the nurse identify as an indication of an infiltration?

Edema in the palm of the hand

. A nurse is collecting data from an adolescent client. Which of the following behaviors should the nurse expect an adolescent who has achieved successful resolution of the developmental tasks of identity vs role confusion to exhibit?

Establishes a close relationship with another person

A nurse is collecting data from a school age child. Which of the following behaviors should the nurse identify as indicating a positive resolution of the expected psychosocial development for a school age

Expresses belief of another person

A nurse is caring for a hospitalized 2 year old child who has a tantrum when a parent leaves. Which of the following actions should the nurse take?

Give the child a stuffed animal.

A nurse is collecting data from a 3-year-old child. Which of the following findings should the nurse expect

Goes upstairs using alternate feet

A nursing instructor asks a nursing student to describe the formal operations stage of Piaget's cognitive developmental theory. The appropriate response by the nursing student is: "The child:

Has the ability to think abstractly."

A 12-year-old is more likely to accept his parents decision if:

He understand why his parents made the decision

A nurse is collecting data from a four-year-old child. Which of the following findings should the nurse expect

Heart rate 110/min

During a routine well child visit, a nurse is reinforcing teaching with the parents of a preschool age child whom they have difficulty getting to sleep. Which of the following statements by the parents indicates an understanding of the teaching

I will encourage my child to fall asleep with his favorite toy

The mother of a three month old infant is seeking advice on when she can switch from iron fortified formula to whole milk. Which of the following is the best nursing response to this mother

Infants can drink whole milk after their first birthday

The school age child who has a few experiences of success is likely to develop a sense of

Inferiority

A nurse is reviewing the serum laboratory results of four children. Which of the following values should the nurse report to the provider?

Iron 38 mcg/dL

A nurse is reinforcing teaching to the parent of an infant about the introduction of solid foods. The nurse should recommend that which of the following food be introduced first?

Iron-fortified cereal

The mother of a 4-year-old child tells a nurse that her child is reluctant to go to bed at night. Which of the following responses should the nurse make

Keep a night light on in your child's room

______ children are those left unsupervised after school because parents are away from home and extended family members are not available to care for them

Latchkey

The most significant physical development at age 6 years is

Loss of primary teeth

A nurse is planning care for a four-year-old child who has been admitted to the hospital. Which of the following toys should the nurse plan to provide the child

Modeling clay

Which of the following are components of Kohlberg's theory of moral development?

Moral development progresses in relation to cognitive development b. A person's ability to make moral judgements develops over a period of time c. Provides a framework for understanding how individuals determine a moral code to guide their behavior d. In stage 2 (punishment-obedience orientation), the child conforms to rules to obtain rewards or to have favors returned.

A nurse is reinforcing teaching with new parents about risk factors for sudden infant death syndrome. Which of the following statements by a parent indicates an understanding of the teaching

My baby will be placed on her back when sleeping

A nurse is reinforcing teaching about nutritional considerations with a parent of a toddler. Which of the following statements by the parent indicates an understanding of the teaching

My child should drink no more than 720 ML of milk a day

A nurse is assessing the psychosocial development of an 18-month-old toddler. The nurse should recognize that this stage is characterized by which of the following behaviors

Offering negative responses due to the need for autonomy

A nurse is assisting an adolescent client in the selection of complimentary protein sources on the lunch menu. The client is a vegetarian who eats milk products but does not like beans. Which of the following food items should the nurse recommend?

Peanut butter and jelly with enriched bread

The theorist known for his work on cognitive development is

Piaget

A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?

Place the toddler in a side-lying, knee-chest position

A nurse in a pediatricians office is reinforcing teaching with the parents of a 24 month old toddler. Which of the following activities should the nurse recommend

Playing with pull toys

A nurse observes a parent of an infant administer a prescribed oral medication. Which of the following actions by the parent indicates a need for further instruction?

Positions infant in a supine position

A nurse is collecting data from a six-month-old infant in the well-child clinic. Which of the following findings should the nurse expect

Posterior fontanelle is closed

According to Kohlberg's theory of moral development, at the preconventional level, moral development is thought to be motivated by which of the following?

Punishment and reward

A parent ask the nurse about toys to provide for a 10-month-old infant which of the following toy should the nurse suggest

Push pull toy

A parent ask a nurse about toys to provide for a 10 month old infant . which of the following toys should the nurse suggest?

Push-pull toy

A nurse is reviewing the stages of sexual development with a 12 year old male. The nurse should identify that which of the following pubertal changes occurs first?

Reddening of scrotal skin

A nurse is collecting data from an infant at a well child visit. The nurse should expect the infant to double his birthweight by which of the following ages

Six months

A nurse is assisting with the development of an education program about nutritional risk among adolescents to a group of parents of adolescents. Which of the following information should the nurse include in the teaching?

Skipping more than three meals per week b. Eating without family supervision c. Frequently skipping breakfast

A nurse is reinforcing teaching with the parents of a toddler who follows a vegetarian diet about food choices that increase dietary protein intake. Which of the following foods should the nurse recommend as the best choice for including protein in the toddler's diet?

Soy milk

A nurse is reinforcing teaching to parents of a toddler about temper tantrum's. Which of the following statements should the nurse include in the teaching

Temper tantrum's are the toddlers attempt to gain control of the situation

A nurse is caring for a 6 month old child. The child's provider has ordered diphtheria., tetanus and pertussis (DTap) vaccine to be administered. Which of the following should the cause the nurse to questions the administration of this vaccine?

Temperature of 40.5C (104.9F) after last Dtap

A nurse is collecting data from a preschool age child during a routine wellness check up. Which of the following findings indicates the need for further evaluation

The child has a blood pressure of 122/80

. A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 15 month old child. Which of the following findings should the nurse identify as a contraindication for this immunization?

The child has a congenital immunodeficiency

Morphine sulfate, 2.5 mg, is prescribed for a child. The safe pediatrics dose is 0.05 to 0.1 mg/kg/dose. The child weighs 50 kg. Which statement most accurately describes the prescribed dosage for this child?

The dose is within the safe dosage range

A nurse is obtaining 4 month old infant vital signs. The infants HR is 190/min and her temperature is 40C (104F). The father asks the nurse, "why is my baby's heart beating so fast? Which of the following is an appropriate response by the nurse?

The fever is causing an increase in your baby's heart rate.

A nurse is reinforcing teaching about car seat safety with a parent of an infant who weighs 4.5 KG/10 LB. Which of the following actions by the parent indicates an understanding of the teaching

The infant car seat is positioned rear facing in the backseat

A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider

The infant does not sit steadily without support

A nurse is collecting data from a three month old infant which of the following findings should the nurse Report to the provider

The infant is unable to raise his head when in a prone position

A nurse attempts to relieve an airway obstruction on a 6 year old conscious child. The nurse performs this maneuver by placing the hands between:

Umbilicus and Xiphoid process

A nurse is reinforcing health promotion teaching with the parents of a toddler. Which of the following should the nurse includes the the leading cause of death among this age group?

Unintentional injuries

A nurse is reinforcing health promotion teaching with the parents of the toddler. Which of the following should the nurse include as the leading cause of death among this age group

Unintentional injuries

The father of a toddler asks a nurse at a well child clinic what to do when the child kicks and screams during temper tantrum's. Which of the following responses should the nurse make

You should ignore your toddler's temper tantrum's

A nurse is reinforcing teaching with the mother of a 10-month-old infant about expected developmental milestones at this age. Which of the following statements should the nurse make

Your child should be able to walk when led

A nurse is planning an interview for a newly admitted client and plans to include the client's family members. Which of the following methods should the nurse use to determine who to include in the interview?

a. Include people whom the client views as family

. A nurse is assisting with the admission of a child who has pertussis. Which of the following actions should the nurse take?

a. Initiate droplet precaution

A nurse is caring for a 3 year old client whose parents report that she has an intense fear of painful procedures such as injections. Which of the following strategies should the nurse recommend including in the child's plan of care? (SATA)

a.Have a parent stay with the child during procedures b. Provide a distraction for the child c. Allow the child to keep a toy from home with her d. Limit the no. of visitors in the room during procedures.

A nurse has accepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Erikson's stages of psychosocial development from birth through 18 years of. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

a.Trust vs Mistrust b. Autonomy vs Shame and doubt c. Initiative vs Guilt d. Industry vs Inferiority e. Identity vs Role Confusion

A nursing student is preparing a conference on Freud's psychosocial stages of development, specifically the anal stage. Which of the following appropriately relates to the stage?

beginning of toilet training

A nurse is reinforcing teaching about health promotion with an adolescent. The nurse include which of the following as the leading cause of death among this age group.

injuries

A nurse is teaching cardiopulmonary resuscitation to a group of nursing students. The nurse asks a student to describe the reason why blind finger sweeps are avoided in infants. The nurse determines that the student understands the reason if the student makes which statement?

the object may be forced back further into the throat."