PEDS Silvestri Questions Exam 1

The maternity nurse is providing instructions to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse instructs the mother to take which measure? A. allow the newborn infant to signal a need B. Anticipate all needs of the newborn infant C. Attend to the newborn infant immediately when crying D. Avoid the newborn infant during the first 10 minutes of crying

A

The nurse notes that a 6 year old child doesnt recognize that objects exist when the objects are outside of the visual field. Based on this, which action should the nurse take? A. Report observation to pediatrician B. Move the object in the childs direct field of vision C. Teach Child how to visually scan the environment D. Provide additional lighting for the child during play

A

the nurse is describing piagets cognitive developmental theory to pediatric nursing staff. the nurse should tell that staff that which child behavior is characteristic of the formal operations stage? a, the child has the ability to think abstractly b. the child begins to understand the environment c. the child is able to classify, order, & sort facts d. the child learns to think in terms of past, present, & future

A

which action is the primary concern in the treatment plan for a child with persistent vomiting? A. detecting cause of vomiting b. preventing metabolic acidosis c. positioning child to prevent further vomiting d. recording intake & output

A

Which car safety device should be used for a child who is 8 years old and is 4 feet tall? A. Seat belt B. Booster seat C. Rear-facing convertible seat D. Front-facing convertible seat

B

the mother of an 8 year old tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. Using Eriksons psycosocial development theory the nurse should make which response? a. you need to be concerned b. you need to monitor the childs behavior closely c. at this age, the child is developing his own personality d. You need to provide more praise to the child to stop this behavior

C

A parent of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erikson's psychosocial development theory, which instructions should the nurse provide to the parent? SELECT ALL THAT APPLY A. Set limits on the child's behavior. B. Ignore the child when this behavior occurs. C. Allow the behavior, because this is normal at this age period. D. Provide a simple explanation of why the behavior is unacceptable. E. Punish the child every time the child says "no" to change the behavior.

A, D

NCLEX: The mother of a 10 month old infant asks the nurse about weaning her child. What assessment by the nurse indicates the child is not ready to be weaned? A. Frequently throwing the bottle down B. Takes very little formula from bottle C. Constantly chewing on the bottle nipple D. Appears to be sucking consistently when given a bottle

D

A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted? a. The child has no tears. b. Urine specific gravity is 1.030. c. Urine output is less than 1 mL/kg/hour. d. Capillary refill is less than 2 seconds.

d

A pediatrician prescribes an intravenous (IV) solution of 5% dextrose & half-normal saline (.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription? a. obtains weight b. takes temperature c. takes blood pressure d. checks urine output

d

a 16 year old is admitted to the hospital for acute appendicitis an an appendectomy is performed. which nursing intervention is most appropriate to facilitate normal growth & development? a. encourage client to rest & read b. encourage parents to room in with the client c. allow family to bring in client's favorite computer games d. allow client to interact with others in his or her same age group

d