toddler-prep u

An 18-month-old boy is admitted to the pediatric unit with a diagnosis of celiac disease. What finding would the nurse expect in this child? A. A protuberant abdomen B. A concave abdomen C. A palpable abdominal mass D. Bulges in the groin area

A. A protuberant abdomen

A nurse is caring for a 2-year-old child admitted for long-term treatment of a chronic illness. Which action should the nurse take to promote normal childhood growth and development? A. Consult with a play therapist about activities in which the child can participate. B. Make sure the child is continuously isolated because of his chronic illness and risk of infection. C. Maintain a diet high in carbohydrates and low in fats. D. Allow the child to sleep for at least 12 hours per night.

A. Consult with a play therapist about activities in which the child can participate.

Which of the following techniques is best for the nurse to use in evaluating the parents' ability to administer eardrops correctly? A. Observe the parents instilling the drops in the child's ear. B. Ask the parents whether they have read the handout on the procedure. C. Ask the parents to list the steps in the procedure. D. Listen to the parents as they describe the procedure.

A. Observe the parents instilling the drops in the child's ear.

A nurse is conducting health teaching with the parents of a child who has chronic diarrhea. The parents state that they have treated the child with home remedies, including herbal medicine. What is the most important information for the nurse to communicate to the parents regarding the use of home remedies? A. Share home remedy information with healthcare professionals. B. Use stool consistency as a guide for dosing home remedies. C. Closely monitor and record the number of stools. D. Ensure that the appropriate herbs are organically grown.

A. Share home remedy information with healthcare professionals.

Which family should the nurse determine as most in need of follow-up? A. a single parent with a toddler who has third-degree burns over 20% of the body B. a two-parent family with a foster child who has a history of caustic liquid ingestion C. a two-parent family whose 3-year-old has a fractured leg from an automobile accident D. a single mother with a 7-month-old child whose immunizations are delayed

A. a single parent with a toddler who has third-degree burns over 20% of the body

During assessment of a child with celiac disease, the nurse should most likely note which physical finding? A. protuberant abdomen B. periorbital edema C. tender inguinal lymph nodes D. enlarged liver

A. protuberant abdomen

While interviewing a 3-year-old girl who has been sexually abused about the event, which approach would be most effective? A. Name the perpetrator. B. "Play out" the event using anatomically correct dolls. C. Draw a picture and explain what it means. D. Describe what happened during the abusive act.

B. "Play out" the event using anatomically correct dolls.

Which desired outcome demonstrates effective parent teaching about disciplining a toddler? A. The parents will verbalize requests for behavior in negative terms. B. The parents will call immediate attention to undesirable behavior. C. The parents will raise their voices when reprimanding the child. D. The parents will set flexible rules.

B. The parents will call immediate attention to undesirable behavior.

A young child with sickle cell anemia prefers a side-lying position with the knees sharply flexed. The nurse should assess further for: A. nausea. B. abdominal pain. C. backache. D. emotional regression.

B. abdominal pain.

The mother calls the nurse to report that her toddler just been burned on the arm. The nurse should advise the mother to first: A. call the child's health care provider (HCP) immediately, and then wrap the arm in a clean cloth. B. run cool water over the burned area, and then wrap it in a clean cloth. C. pack the arm in ice, and then take the child to the closest emergency department. D. rub the burned area with an antibacterial ointment, and then call the child's health care provider (HCP).

B. run cool water over the burned area, and then wrap it in a clean cloth.

The nurse is caring for a child whose mother is deaf and untrusting of staff. She frequently cries at the bedside, but refuses intervention from social work or the chaplain. Which issue is most important for the nurse to address with the mother to promote a trusting relationship? A. Lack of knowledge about the child's illness and treatment B. The mother's fear that the staff do not respect her C. Communication barriers between the mother and staff D. The mother's feelings of loss of control over her child

C. Communication barriers between the mother and staff

When assessing for pain in a toddler, which method should be the most appropriate? A. Use a numeric pain scale. B. Assess for changes in vital signs. C. Observe the child for restlessness. D. Ask the child about the pain.

C. Observe the child for restlessness.

A 3-year-old child receiving chemotherapy after surgery for a Wilms' tumor has developed neutropenia. The parent is trying to encourage the child to eat by bringing extra foods to the room. Which food would not be appropriate for this child? A. a milk shake B. french fries C. fresh strawberries D. fudge

C. fresh strawberries

Which statement made by a mother of a 3-year-old child with unexplained injuries should the nurse determine as supportive of suspicions about abuse? A. "My child helps dress himself." B. "A good friend and I go shopping at least weekly." C. "My mother helps me with the children." D. "I am disappointed that my child cannot tie his shoes."

D. "I am disappointed that my child cannot tie his shoes."

A 2-year-old child with a low blood level of the immunosuppressive drug cyclosporine comes to a liver transplant clinic for her appointment. The mother says the child hasn't been vomiting and hasn't had diarrhea, but she admits that her daughter doesn't like taking the liquid medication. Which statement by the nurse is most appropriate? A. "Give the ordered dose a little bit at a time over 2 hours to ensure administration of the medication." B. "Let your daughter take her medication only when she wants it; it's okay for her to miss some doses." C. "Insert a nasogastric (NG) tube and administer the medication using the tube as ordered by the physician." D. "Offer the medication diluted with chocolate milk or orange juice to make it more palatable."

D. "Offer the medication diluted with chocolate milk or orange juice to make it more palatable."

A nurse is caring for a 14-month-old infant being treated for an upper respiratory infection. The physician would like to order a series of X-rays for the infant, who has been in a foster home for 4 months. How should the nurse obtain consent? A. Contact the unit's director of nursing. B. Call Child Protective Services. C. Contact the child's biological mother. D. Obtain consent from the foster parents.

D. Obtain consent from the foster parents.

Which approach by a nurse is the best for trying to take a crying toddler's temperature? A. Ignore the crying and screaming. B. Bring extra help so it can be done quickly. C. Tell the mother not to hold the child. D. Talk to the mother first and then to the toddler.

D. Talk to the mother first and then to the toddler.

An uncle is shopping for a toy to give his niece. He has no children of his own and asks his neighbor, a nurse, what would be the most appropriate toy to give a 15-month-old. Which toy should the nurse recommend to facilitate learning and development? A. a nursery mobile B. a music box C. a stuffed animal D. a push-pull toy

D. a push-pull toy

When assessing a 2-year-old child at the clinic for a routine checkup, which skill should the nurse expect the child to be able to perform? A. tie shoelaces B. ride a tricycle C. use blunt scissors D. kick a ball forward

D. kick a ball forward

The nurse is educating the parents of a 2-year-old child regarding immunizations. When the parents ask where the injections will be given the nurse answers that the most appropriate site for an intramuscular injection for a child this age is the: A. ventrogluteal muscle. B. deltoid muscle. C. dorsogluteal muscle. D. vastus lateralis muscle.

D. vastus lateralis muscle.