Term 2 quiz #4 maternal child wksheets

a mother asks the nurse how many hours a school aged child needs to sleep per night. what is the nurses best response

10 to 12

the nurse provides written materials for the parents of a preschooler at a well child visit including information on sleep. the information states that preschoolers need about ? hours of sleep each night

12

the nurse is conducting a growth and development assessment and must calculate the body mass index (BMI) of a pediatric client. the childs weight is 33 lb 4 oz. the childs height is 37 5/8 in. tall. what is the childs BMI

16.5

at which age should the nurse suggest introducing rice cereal to the infants diet

6 months

which medication would the pediatric RRT not consider when caring for a child demonstrating acute respiratory distress

Amoxicillin

a nurse is reviewing a toddlers medical record and sees an indication of malnourishment. what lab tests should the nurse be expecting to be ordered

CBC with differential comprehensive electrolyte panel Albumin

which tool should the nurse use to monitor pain in a toddler aged patient

FLACC pain scale

a toddler aged client with leukemia comes to the clinic for a routine follow up visit. which statement made by the childs parent indicates the need for intervention related to overwhelming caregiver burden

I barely sleep anymore. all i can think about is how we are going to cover these medical expenses

the perception of death and dying differ throughout childhood. the nurse is caring for an adolescent patient that recently lost a close friend to a chronic illness. which statement should the nurse be most concerned about

I don't want to be here anymore. i even took a handful of Benadryl last night but all it did was make me really sleepy

which parental statement regarding the sleep needs of a toddler indicates the need for additional education from the nurse

I should expect my child to sleep 14 hours each night in addition to an afternoon nap

which of the following statements about rapid response teams are true

RRTs can significantly lower mortality rates RRTs can be called by anyone who sees a patient deteriorating RRTs significantly lower cardiopulmonary arrests outside of ICUs

which immunizations should the nurse prepare for an infant for during the 4 month well child visit

Rotavirus Hib IPV

which required immunization booster information should the nurse include in a health screening for the school aged child

TDaP MMR Meningococcal Group B

which parental statement about newborn and infant stooling patterns indicates the need for further teaching

a breastfed baby will only stool once per day

a home care nurse is conducting a home visit for a family with a toddler aged pt. which finding requires further education related to safety.

a bucket of water in the kitchen

which of these data causes the nurse to report to the charge nurse that an infant is experiencing moderate dehydration

a decrease in urine output

for which patient scenario should the nurse activate the raid response team

a school aged patient who has a grand mal seizure in the playroom

which of these data causes the nurse to provide the parents of an infant with education regarding colic

abdominal pain accompanied by crying 3 days per week

which should the nurse monitor when assisting with the rapid assessment of body systems to assess a childs cardiovascular system

abnormal heart sounds

the nurse is assessing a child who is receiving chemotherapy treatments. which nursing action is appropriate for the child who is experiencing nausea

administering antinausea medication around the clock

a nurse is following procedures for using pharmaceutical interventions for pain in the hospitalized child. which of the following actions by the nurse needs further instruction

administers the pain medication without the second nurse

a nurse understands that medical play helps accomplish therapeutic goals for medical procedures. which of the following is an example of medical play for a school aged child

allow the child to give a doll a shot with a toy syringe

which strategy is most appropriate for administering a medication to a toddler aged child who has a history of being difficult

allow the mother to administer the medication to the child

which nursing action is most appropriate to reduce stress while preparing a 5 year old pediatric patient for surgery

allow the parents to be with the child up to the last minute before sedation

which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room

allowing the parents to stay with the child

the nurse is preparing to assess a preschool aged child who states "this is Bella, my bear. people tell me that they cant hear Bella talking, but that hurts her feelings and makes her cry" when documenting this interaction in the childs medical record, which term should the nurse use

animism

the nurse is conducting a health hx for a preschool aged pt. which should the nurse anticipate regarding language development at the age of 4 years

answering simple questions with simple answers

which action by the nurse is appropriate when using the "R" of the SBAR system

asking if the provider will be coming to assess the patient

which nursing action is appropriate when assisting with the assessment of a toddler aged pt who is diagnosed with a communicable disease

asking the parents if the child has been exposed to anyone who has been sick

Pediatric Early Warning Score (PEWS) scoring tool allows nurses to do which of the following

assess a childs behavior and clinical status

which type of play should the nurse encourage when providing age appropriate care to a preschool aged child

associative

the nurse is obtaining an infants chest circumference. where should the nurse place the measuring tape to obtain the correct measurement

at the level with the nipples

a nurse is teaching parents about the growing independence of toddlerhood. which term would the nurse use to describe this behavior

autonomy

which intervention might the nurse encourage for a breastfeeding mother whose infant is experiencing colic

avoid milk products

according to Erikson, which should the nurse anticipate when assessing a school aged child

being engaged in tasks wanting to participate in organized activities

which are examples of preschool aged child using magical thinking

believing that she caught varicella because she told a lie to her mother blaming herself for her mothers back injury because she stepped on a crack in the wall believing that if she wishes hard enough for a pony one will appear in her yard

a nurse is providing activities to a school aged child that may be easier and comfortable due to the changes in proportions from the preschool stage of development. what activities should the nurse offer

bike riding

which term should the nurse use when talking with other members of the health care team about a child who has a small head

brachycephalic

a nurse is providing prenatal education on toddler dentition. what interventions should the nurse offer to promote success

brush teeth twice a day floss the teeth avoid putting the toddler to bed with milk or juice

a nurse notices that a newborn is having an increased work of breathing (WOB) due to nasal mucus. what action should the nurse take FIRST

bulb suction the nasal passages

a mother informs that nurse that her child is being bullied at school. what is the nurses best response

bullying is a very real and devastating experience

the nurse is providing care to several pediatric clients in the hospital setting. which diagnosis is capable of producing chronic limitations for the child

cerebral palsy

clinical situations in which an RRT should be called include which o the following

change in neurological status/level of consciousness

a nurse is making pediatric bed assignments. what should the nurse take into consideration when making bed assignments

children of like ages can room together children with like diagnoses can be roomed together older infants should be placed in cribs

which pediatric diagnoses require the nurse to provide education related to the respiratory system

chronic inflammatory disease asthma cystic fibrosis

according to Piaget, which data does the nurse expect for a school aged child during the nursing assessment process

classifying objects understanding reversibility describing a process without actually doing it

which nursing intervention is most appropriate when providing care to a child who is experiencing difficulty sleeping related to hospitalizations

clustering nursing tasks when possible to minimize interruptions

which code should the nurse call if a newborn is missing from the nursery

code pink

which code should the nurse call for a fire in a patient care area

code red

a pediatric nurse assesses the language skills of a preschool child. this nurse is assessing an aspect of which developmental domain

cognitive

the nurse works in a clinic for medically fragile children who require home care. the nurse has noticed that there is a high percentage of divorce among these families. in an attempt to reduce the divorce rate among the parents, the nurse creates an educational session for parents of medically fragile children. which should be the focus of this session

communication

the nurse is caring for a patient with a rare heart condition that has been present since birth. which term accurately defines this childs illness

congenital disability

when performing a rapid assessment of body systems, the nurse knows which of the following findings should be reported to the chain of command immediately

cyanosis in a newborn petechiae in a 6 year old retinal hemorrhages in a 2 month old infant with reflux

which of the following are immediate responses of untreated pain in the hospitalized child

decreased oxygen saturation increased heart rate increased blood pressure mistrust with the health care team

what late consequences should the nurse be monitoring for when caring for a child with chronic illness

depression and social isolation

the nurse witnesses a child collapsing in the cafeteria. which is the priority action by the nurse

determining unresponsiveness

which of the following questions should be answered about the family's health care decision maker if that person is not a legal guardian

does the health care decision maker have a close, caring relationship with the patient is this person willing and able to make the needed medical treatment decisions is there a consensus among the individuals as to the proper decision or decision maker is this person aware of the family's and the patient's values can beiliefs

which question allows the nurse to assess a preschool aged child for delayed pee relationships

does your child play with the other children in the play room

which of the following is an appropriate nursing intervention when caring for a preschooler with encopresis

encourage high fiber foods

which nursing action is appropriate when preparing the family of a school aged child with a chronic illness for the provision of care in the home setting

encouraging interaction between the child and others with the same diagnosis

An adolescent diagnosed with type 1 diabetes mellitus is prescribed dietary restrictions and daily insulin injections. which behavior does the nurse anticipate from the adolescent upon return to school

exhibiting poor adherence to the prescribed treatment plan

when transferring a child to a higher level of care, the nurse knows which of the following actions should be taken to ensure that the needs of the family are met

explaining the situation and need for a higher level of care to the family in a calm manner

which of the following terms is a key element in recognizing the family in the constant in the childs life

family centered care

the nurse is teaching the parents of a 6 year old child what to expect in terms of normal growth and development. which parental statement indicates the need for further education

finger feeding is abnormal and indicates the need for intervention

which finding would the nurse consider normal when assessing a preschoolers growth

gain 5 pounds in 1 year

a nurse is providing education on sleep needs for the school aged child. what interventions should the nurse include in the teaching

get 10 to 12 hours of sleep per night sleep involves a predictable routine set a reasonable bedtime each night lack of sleep can cause poor academic performance

which actions should the nurse consider to help ease the fears of the hospitalized preschooler

give shift change report at the bedside and involve and include the child as much as possible involve the child life specialists in the care of the child include play when possible

which nursing action is most appropriate to minimize stress for a pediatric patient who will have a planned hospitalization for a tonsillectomy and his or her family

giving the client and family a tour of the hospital unit or surgical area

a nurse is developing playful ways to engage the child following an operative procedure. which of the following postoperative interventions can the nurse use

have the child ambulate to the play room offer popsicles have the child blow a pinwheel offer to have the child decorate new dressing changes provide a prize for participation

which of the following will the nurse document in the medical record as an infant anthropometric measurement

head circumference

a nurse is obtaining vital signs for a newborn infant. the nurse understands which of the following vital signs are normal for a newborn infant

heart rate 120 BPM respiratory rate of 40 breaths/minute axillary temperature 37 C BP 75/45 mm HG

which immunization should the nurse plan to give prior to newborn discharge from the hospital

hepatitis B

which statement should the nurse share with parents regarding the newborns immature vision

hold your newborn close to your face

the nurse is providing care to a toddler aged client whose laboratory data indicate anemia. which question should the nurse include in the health history of this patient

how much milk does your child drink each day

the nurse is conducting an educational program for parents of children with chronic conditions. which parental statement indicates the need for further instruciton

i know that my child will get better and not have to take anymore medication

a nurse is providing education to school aged children about stranger safety. which statement by the child should the nurse correct

i told someone I walk home alone

which should the nurse recommend to the parents of a toddler who is exhibiting tantrums

ignoring the childs behavior

the nurse is providing education to the parents of a preschool aged child. which statement regarding infectious disease should the nurse include in the teaching session

immunizations can decrease the risk for serious complications associated with communicable diseases

which nursing intervention is most appropriate when providing care to a child who has been diagnosed with a chronic respiratory disease and is experiencing dyspnea

implementing guided imagery with the child

a nurse is discussing the pediatric units playroom with a childs family. what statement by the parent needs further instruction

in this room my child will have time to enjoy playing

For which immunization booster does the nurse provide parental education during the health maintenance visit for a 4-year-old patient?

inactivated poliovirus

a preschool aged child just lost an older sibling to a long battle with leukemia. for which should the nurse monitor in a preschool aged patient after the death of a close family member

increase in nightmares

a nurse is educating parents on the risk for iron deficiency anemia related to poor nutritional intake. what intervention should the nurse offer

increase iron rich food

a mother of a hospitalized child informs the nurse about her childs growing sense of worth. the nurse gives the hospitalized child a task of drawing a design for the playroom. what is the term for this stage of development in the school aged child

industry

the inpatient pediatric nurse making an urgent call to a provider to receive orders knows that in order to promptly communicate concerns to the provider and avoid medical errors, she should include which of the following pieces of information

info on recent VS and/or VS trends if the phone call is urgent the reason for the phone call

which of the following actions would you perform first when initiating CPR on a child

initiate compressions

which nursing action is appropriate when assessing an infant for respiratory distress

inspecting for head bobbing

a nurse is teaching parents on foods to introduce first to their infants diet. which food should the nurse offer

iron fortified infant cereal

which should the nurse include when assessing the central nervous system (CNS) of a child who is acutely ill

irritability lethargy seizures

which of the following should the nurse be prepared to administer when providing care to a child who is experiencing shock

isotonic crystalloid IV fluids epinephrine hydrocortisone

a mother asks the nurse when physical growth and development begins for the school-aged child. what is the nurses best response

it beings with the shedding of deciduous teeth

a mother informs the nurse that her child is slow to warm up and exhibits social discomfort. what is the nurses best response

it is fine to allow time to adjust to new circumstances

which statement by the parent about the nutritional needs of a preschooler tells the nurse that further education is needed

it is recommended that preschoolers drink whole milk

a nurse is providing education on discipline and using time outs as a mechanism of choice. which interventions should the nurse offer regarding time outs

keep the time outs brief keep time outs consistent implement a time out immediately after the misbehavior all caregivers should be in agreement with time outs

which of the following data collection during the health history process causes the nurse to assess for autism

lacking interest in games such as hide and seek

possible causes of enuresis in preschoolers include all of the following expect

large bladder

which of the following assessment data increases the risk for newborn airway compromise

large tongue

at which stage of development should the nurse anticipate that pediatric patients will begin to show differences in play activities that are related to gender

late school aged

a preschool aged child is admitted to the pediatric unit for surgery. the parents request to stay with their child. which is the best response by the nurse

let the parents know that they are allowed to stay with the child

the nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization. which data indicate that the patient is experiencing the "despair" stage

lies quietly in bed

which behavior noted by the school aged child indicates the development of concrete operations

logical thinking

what process may the preschool aged child use to explain cause and effect relationships that he or she cannot understand

magical thinking

a nurse is discussing tips for sleep success for the childs hospitalization. which interventions should the nurse offer

maintain consistent lights out and bedtime maintain bedtime rituals such as bedtime reading maintain presence of a parent or family during the childs overnight stay maintain consistency with comfort items from home

the nurse is providing care to a school aged patient who is overweight. which nursing action is appropriate to enhance the childs intake of a healthy diet

making fruits and vegetables available for daily snacks

which of the following terms is an example of using structured play to allow the child to learn about the hospital experience

medical play

pediatric health care team members must provide anticipatory guidance to parents and caregivers on how to prevent injuries and accidents in which of the following areas

motor vehicles pools falls poisoning sports

which parental statement regarding the sleep needs of a younger infant is accurate

my baby requires 22 to 23 hours of sleep each day

the pediatric hospice care nurse is educating the family on some of the common signs of impending death. what are some of the physiological responses that they can expect to see

myoclonus increasing airway secretions mottling of the skin

the parent of a toddler states "my child is constantly saying 'no'" when documenting this in the medical record, which term should the nurse use

negativism

which professional organization provides families with information on caring for a seriously ill child, ideas to balance academics and serious illness, and information on health conditions for teenagers

nemours foundation

a nurse is providing education on child safety seats. which interventions should the nurse include in the teachings

never place a child safety seat in the front seat of a vehicle the toddler can be placed in a forward facing toddler seat properly use safety belt positioning research the manufacturer safety instructions the back seat is the safest place for all children younger than 13

a mother expresses to the nurse that her toddler has a fear of the dark. what is the BESR intervention that the nurse should offer

offer a night light

which chronic illness has the highest rate of depression among children

orthopedic disorders

essential members of a code blue team of RRT include which of the following

pediatric advanced life support (PALS) certified nurse respiratory therapist to manage the childs airway pharmacist nursing supervisor who can provide staffin support and support for the family

the parents of a toddler have not sought the recommended dental care for their child. which type of abuse should the nurse identify in this situation

physical neglect

an infants head circumference is measured at each well child examination. what steps should the nurse take to obtain a head circumference?

places the measuring tape at the level of the largest part of the head measures right above the brow line plots the measurement on the growth chart

which point should the nurse include in a teaching session for the parents of a toddler aged ept who live in a home with stairs

placing a gate so the child is unable to access the steps without supervision

a nurse is discussing object permanence with parents. which activity should the nurse recommend to the parents to understand and challenge the toddlers object permanence

play hide and seek

which medical play activities can be used to help a child work through emotions surrounding medical procedures

playing with toy medical kits and instruments using dolls to demonstrate procedures reading books about children in the hospital using medical materials to make collages

a nurse is educating parents on the increased risks that the toddler encounters due to the toddlers exploration and curiosity. what risk is increased in the toddler stage of development

poisoning

which of the followingis not a common symptom of early shock

polyuria

a mother indicates a concern regarding her 6 year old daughters breast development. what is the term for this condition

precocious puberty

which nursing actions are appropriate when attempting to stabilize a pediatric patient who is experiencing shock

preparing for intubation and mechanical ventilation protecting the childs vascular access line using color coded resuscitation tape to obtain accurate height and weight

which of the following is important for the nurse to include when giving education on hygiene practices to the parents of a preschooler

preschoolers should wash their hands immediately upon returning home

the nurse is working with families on how to provide emotional support to a child who has been affected by a chronic illness. which teaching points should the nurse include when educating a family about providing emotional support

providing a reward system providing routine showing an understanding of the childs distress

the nurse is providing care to a toddler newly diagnosed with a chronic condition. which nursing action will prepare the family for providing care to the toddler once her or she is discharged from the hospital setting.

providing a routine for medication adminsitration

which action is most appropriate when providing care to a hospitalized pediatric patient who is on contact precautions because of a communicable disease

providing age appropriate stimulation for the child

which physical change noted by the nurse during a growth and developmental assessment for a 7 year old patient necessitates further action

pubescent changes

which action should the nurse include when providing education regarding methods to enhance health promotion during a scheduled health maintenance visit for a 4 year old child

recognizing that food jags are common

a mother tells the nurse that her child has started sucking his thumb during his hospitalization. which term should the nurse use for documenting to describe this behavior.

regression

a nurse is discussing social development with parents of school aged children. which relationship is most important at this stage of development

relationship with peers

the nurse knows that which of the following is not an appropriate milestone for the preschooler

running

which type of relationship is most important to the school aged child

same sex peer relationship

the nurse learns that a child has been diagnosed with a seizure disorder. which is the most appropriate way to inform the childs parents about this diagnosis

scheduling an appointment for the parents to see the health care provider in person to discuss the dignosis

a nurse is educating parents on the developmental life spans. which developmental stage is characterized by a slower, steadier pattern of growth and development

school-aged

a nurse is providing nutrition education to parents of a school-aged child. what is the appropriate response regarding the amount of calories that a school aged child will need

school-aged children need fewer calories than preschoolers

a nurse is providing injury prevention education for the school aged child. what should the nurse include in the presentation

seek a hcp if you experience a head injury or loss of consciousness during sports activities use protective gear for all contact sports and activities skateboards should be used at skateparks avoid trampolines always wear a seatbelt

when the preschooler is using all his or her attention to complete a task and does not respond to his or her name being called by a caregiver, it is known as

selective attention

which nursing actions are appropriate when teaching a pediatric patient how to administer an insulin injection

showing the child a syringe filled with water to practice on a favorite doll showing the child a video of another child receiving an insulin injection showing the child how the injection will occur by pretending to inject self

which should the nurse identify as most important to social development during the toddler stage

sibling like

which complication related to family relationships can be expected in the preschooler

sibling revalry

the nurse is providing the family of a hospitalized child with information on the RRT. the nurse should include which of the following items in her teaching

signs to be aware of that would warrant calling the RRT

which data obtained during an infants health history interview causes the nurse to provide specific info about SIDS

smoking at home

the nurse understands which of the following as a common fear for a hospitalized pediatric patient between the ages of 6 and 36 months

stranger anxiety

the nurse knows which of the following is the first step in the newborn airway clearnace

suctioning secretions of mucus

in which position should the nurse place a child who is experiencing a medical emergency in order to use color coded resuscitative response tape

supine

a nurse is teaching new parents about thermoregulation. what should the nurse include in the teaching to encourage the importance of maintaining core body temperature for the newborn

swaddling or wrapping dry blankets soft hat

which nursing intervention is appropriate to enhance safety for the parents of a hospitalized toddler

teach the parents how to use the call bell

which teaching point regarding safety should the nurse include in instructions for the parents of a school aged patient

teach your children not to let others know that they are home alone after school

which information related to school aged play should the nurse include in a teaching session for the parents of children in this stage of development

team play card games board games club membership

the nurse is planning care for a school aged child who requires oxygen, enteral tube feedings, and IV medications during the school day. in which category does this child's chronic illness belong

technology dependent

a nurse is teaching new parents about their full-term infants respiratory system. which statement should the nurse share with parents that provides an explanation of an infants respiratory system

the infant has a compliant rib cage

the nurse knows which statements about the moral and spiritual development of the preschooler to be true

the preschooler is beginning to learn what is socially acceptable the preschooler strongly desires to please the adults in his/her life

which guideline should the nurse include in the education provided to the parents of pediatric patients regarding the implementation of the rapid response team

the team can be activated for signs and symptoms indicating the child is a deteriorating, such as trouble breathing

the nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. which practice is the nurse using

therapeutic play

a nurse is providing parental instructions for a hospitalized child. which of the following statements by the childs parent needs further instruction

this container can be kept in the unit refrigerator

which teaching points regarding pertussis should the nurse include in an educational s in the community

this infection will cause violent coughing to occur this infection can be prevented through immunization

a mother explains to the nurse that she feels guilty leaving her child when she has to go to work. when she returns her child seems to ignore her. what is the nurses best response

this is a normal emotional response

a mother is concerned about her toddlers protruding abdomen. what is the nurses best response

this is a typical distinct characteristic

a mother expresses to the nurse that her toddler protests every new person. what statement should the nurse offer

this is known as stranger anxiety

a nurse is discussing language development with a mother whose toddler is deaf. what is the best suggestion to offer

toddlers who are deaf will acquire sign language development at the same rate as hearing toddlers acquiring spoken language

secondary problems or complications can often occur when caring for a child with a chronic illness. what problems should the nurse assess for when providing care

urinary tract infection contractures bedsores or ulcers muscle loss

the nurse is assessing a young child during a sickle cell crisis. which nursing action is appropriate in assessing the childs pain level

using the CRIES, FLACC, and NIPS scales for assessment purposes

which nursing actions are appropriate when providing care to a toddler aged patient who is restrained to protect an incision after a surgial procedure

using the least restrictive method obtaining an order containing the reason, the type of restraint, and a start/stop time encouraging games and activities that promote growth and development assessing hygiene and elimination needs frequently

which health screenings should the nurse include during a scheduled health maintenance visit for a preschool aged pt

vision obesity lead

a nurse is teaching parents about appropriate infection control measures to reduce the risk of seasonal influenza. which statement indicates a misunderstanding of appropriate precautions

we avoid vaccinating our toddler against the flu

a nurse is providing nutrition education for a toddler aged child. what statement by the parent requires further education

we let our toddler drink as much as he wants

which statement regarding using bottles made by the parent indicates a need for further teaching

we put him to bed with milk to help him fall asleep

a nurse is providing guidelines to new parents about maintaining safety for their newborn. which response by the parents indicates a need for additional teaching

we will reuse a toddler car seat that was loaned to us

a nurse is providing health teaching on teething care to parents of an infant. which statement made by the parents indicates a need for further teaching

we will use fluoridated toothpaste

which of the following is the MOST important topic to cover with parents of an infant

well child check up

the nurse is speaking with the parents of a chil who was recently diagnosed with lymphoma. which of the following statements by the nurse is the most appropriate and recognizes the importance of establishing a therapeutic relationship with the family

would you like for me to talk to your child about the childs illness or would you rather talk to the child yourself

which statement regarding infant physical growth patterns should the nurse share with the parents of an infant

your baby should triple his birth weight by 12 months of age