Peds: Unit 2 PrepU

The nurse is instructing a 12½-year-old boy who says, "I am too short! Girls are taller than I am. Guess I won't be playing basketball." What instructions are best included in the plan of care? Select all that apply.

"Girls begin to grow rapidly at a younger age than boys do. Boys start later and grow longer." "There are a lot of size differences in your age group now because everyone enters puberty and grows at slightly different times than others." "You could add as much as 12 inches to your height before you stop growing."

The parents of a toddler ask the nurse about disciplining their 2-year-old toddler. What suggestions will the nurse provide? Select all that apply.

"If you allow an unwanted behavior one time at this age, it is difficult to reverse later." "Try using time-out, assigning 1 minute per year of your toddler's age." "It is better to praise correct behavior than to punish wrong behavior."

An adolescent asks the nurse what the term "puberty" means. What is the nurse's best response?

"It is the age at which one first becomes capable of sexual reproduction."

In working with the toddler, which statement would be most appropriate to say to the toddler to decrease the behavior known as negativism?

"It is time for lunch. I am going to put your bib on."

A parent calls the hospital nursing hotline and asks, "My 8-week-old infant cries 8 hours a day and is hard to console. Is this normal?" How should the nurse respond?

"Let me ask you some more questions to see if there are symptoms of colic."

What finding would the nurse most likely discover in a 10-year-old child in the period of concrete operational thought?

Ability to classify similar objects

A nurse is assisting the health care provider with suturing a laceration on a preschool-age child's leg. What distraction methods can the nurse perform to promote atraumatic care? Select all that apply.

Ask the child to squeeze the nurse's hand. Sing a song and have the child sing along. Have the child blow bubbles.

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

The nurse is teaching the parents of a preschool-age child about injury prevention. Which method would the nurse advise for the parents as the best way to enforce injury prevention?

Repetition and reinforcement

Which gross motor developmental milestone is least likely for a 2-year-old?

Rides a tricycle

Which statement is most appropriate when initiating a nursing action with a preschooler?

"These sticky snaps are for your chest."

A nurse is taking care of a teenager who reports involuntary discharge of semen while sleeping. The nurse observes that the client is confused and does not know about the pubertal changes that are taking place in his body. Based on this information, what is the highest priority area that should be reviewed with the client?

Educate the client about the changes that occur during adolescence.

The school nurse is assessing a 12-year-old client suspected of having bulimia. Which assessment finding would the nurse expect to see?

Eroded dental enamel

The nurse establishes the following plan of care based on the nursing diagnosis: Caregiver role strain related to infant crying throughout night as manifested by parents stating, "We are exhausted." Which nursing interventions are included in the plan of care? Select all that apply.

Establish a quieting ritual for infant before bed. During night awakening, keep interactions minimal. Having one parent awake at a time with infant

Nursing students are reviewing information about preschooler growth and development. The students demonstrate understanding of the information when they identify which of the following as a common fear during this period? Select all that apply.

Fear of the dark Fear of mutilation Fear of separation Fear of abandonment

The nurse is educating a parent regarding child safety for the 14-month-old toddler. What would the nurse include in the educational plan?

Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach.

A child's medical record contains the diagnosis failure to thrive (FTT). What does this suggest? Select all that apply.

The cause may be organic or inorganic. It could be related to poverty. It may have developmental delay as a contributing factor. Special needs children often carry this diagnosis. The growth chart shows an extended period of poor weight gain

The nurse is writing a care plan for the nursing diagnosis "Knowledge deficit related to proper seat belt use, as evidenced by improper buckling of seat belt." Choose goals that are appropriate for this diagnosis. Select all that apply.

The parents will voice an understanding that a rear-facing car seat should be used until at least the age of 2. The parents will demonstrate the proper use of a car seat with a harness strap for the child under the age of 2. The parents will voice an understanding that the child should not sit in the front seat of the vehicle. The parents will demonstrate the proper use of the seat belt for securing the child car seat. The parents will voice an understanding that in trucks the car seat will be placed in the back seat.

The nurse is teaching a growth and development class to parents of school-age children. What does the nurse teach the parents about the cognitive abilities of their children?

They are able to classify objects.

The community health nurse is preparing a presentation on safety measures to prevent injuries in children. Which example of proper safety guidelines should the nurse include? Select all that apply.

a child wearing a helmet while ice skating an infant in a car seat a child wearing a helmet, knee pads, and elbow pads while riding a skateboard

The nurse is reviewing the medical record of an infant who is being seen for the 12-month well-child visit. Which finding(s) is normal for this infant? Select all that apply.

infant walks independently heart rate 101 beats/min respiratory rate 28 breaths/min

The nurse is monitoring a playgroup of children on the pediatric unit. The nurse predicts the school-age child will most likely be participating in which activity?

painting pictures in the art corner of the room

The nurse is planning play activities for a toddler admitted to the hospital. What play activity(ies) would the nurse include in the plan of care? Select all that apply.

stacking different-colored blocks pulling a toy train in the room or hallway putting together a large-piece puzzle

The nurse is teaching safety to a group of adolescents. Which common cause of death among adolescents will the nurse include in the teaching?

unintentional injuries

The nursing students working with a group of 8-year-olds have determined they will illustrate the concept of conservation of weight. Which activity would best help these children grasp this concept?

weighing a pound of oranges and a pound of bricks and counting how many of each make a pound