Week 4 quiz 3 maternal child

During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?

"Acceptance by friends, especially of the same sex, is very important at this age."

A nurse in the teen clinic is using anticipatory guidance to educate parents about preventing suicide in teens. Which of the following responses by a parent would show the nurse that the teaching on suicide was effective?

"I will check for signs of depression and a lack of peers."

Which client statement indicates the possibility of emotional abuse experienced by an adolescent?

"i am a failure and should have never been born"

A school-aged child will have an intravenous line inserted. His mother asks if he could have this placed in his left hand so that he can do homework. What is the nurse's best response?

"let's take a look at the left hand first"

A nurse is admitting a 16-year-old male to the floor for an appendectomy. How can the nurse prepare this client for hospitalization? Select all that apply.

-Encourage him to keep his cell phone nearby to communicate with his friends. -Interview the adolescent separately from the parent to allow expression of information that he may not be comfortable sharing in front of the parent. -Provide privacy when client is changing into the hospital gown or going to the bathroom.

A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her preschool class in case they ever get sick and need to be admitted. What resources could the child life specialist provide for this group to aid in their learning? Select all that apply

-Provide a room for the class with hospital gowns, masks and equipment used on children. -Let the children lie in the beds, use the call lights and practice being a patient. -Tour the hospital, including the playrooms on the pediatric floors.

Mike, age 8, is going home on medication after surgery. The nurse is preparing to review the discharge instructions with the mother. What basic information and/or instructions should be given to her to continue the drug therapy at home? Select all that apply.

-generic and trade names of drugs -schedule and duration of administration -description of the intended therapeutic drug effect

A family nurse practitioner is speaking to a community group about family abuse and informs the group that such abuse can take various forms, including which of the following? Select all that apply.

-substance abuse -child abuse (child maltreatment) -other family member abuse -spouse abuse

During the admission process the nurse learns a 14-year-old female client has not experience menarche yet. Which nursing action is appropriate

Continue with the admission process

The mother of an obese 10-year-old child asks the nurse what she can do at home to help the child have a more healthy weight. Which is the best response made by the nurse?

Encourage the child to increase daily physical activity

What information should be included in an 8-year-old's pediatric history ?

Immunizations

A nurse overhears a 7-year-old child calling the hospital roommate a vulgar name. What is the best action by the nurse?

Inform the child that talking to the roommate using that language is not acceptable behavior.

A nurse in the clinic observes a school-age child pushing another child. The parent is watching without disciplining the child and tells the nurse, "He just does what he wants to and doesn't listen to anything I say." What can the nurse inform that parent about the development of self-confidence in the child? Select all that apply.

The child needs positive attention to develop self-confidence. The child needs consistent rules to develop self-confidence. The child needs clear expectations to develop self-confidence.

The nurse is gathering data on a child being admitted. Which would be considered collecting subjective data? Select all that apply

The nurse finds out the reason for the child's visit to the health care setting. The nurse interviews the child's caregiver. The nurse asks questions about the child's history.

A nurse is packing a bag with all of the equipment she will need to perform a complete physical assessment at a client's home. What will the nurse need? Select all that apply

Tongue depressor Stethoscope Ophthalmoscope Thermometer

If a nurse fails to report child maltreatment, she can face a fine, jail time, or loss of nursing licensure.

True

When is the best time for the nurse to count a 9-month-old's respirations?

When he is quiet in his mothers lap

A child tells the nurse, "The tooth fairy came while I was asleep and left me money under my pillow." What age group does the nurse understand is characterized by magical

age 6 to 7 years

Health care providers follow transmission-based precautions when caring for children with documented pathogens or children suspected of having highly transmissible pathogens. Which of the following are included in transmission-based precautions?

contact precautions droplet precautions airborne precautions

A nurse is working with a family that has two children who were identified as overweight based on screening. Which of the following strategies would be important for the nurse to include in assisting the family? Select all that apply.

emphasizing that the family not skip meals encouraging moderate exercise for 60 minutes/day involving the entire family in the program

A 13-year-old girl has recently begun menstruating. She is active in sports at school. Increased intake of which of the following nutrients should the nurse recommend to the girl to prevent anemia associated with menstruation?

iron

The purpose of performing a pulse oximetry measurement when taking the vital signs on a child is to measure:

oxygen saturation

Which symptom(s) does the nurse identify as potential clinical manifestations resulting from physical abuse in the home? Select all that apply.

poor attendance in school feelings of guilt behavioral issues bedwetting

While making a visit to the home of a family with a school-age child, the nurse observes a hunting rifle leaning against the wall in the dining room. Which nursing diagnosis should the nurse use to guide interventions for the family at this time?

risk for injury

A 5-year-old whose mother is rooming-in during the child's hospitalization will feel more:

secure

The school nurse is discussing various topics with a group of adolescent girls. One of the girls states, "I just want to be pretty and to look like everyone else." The nurse recognizes that the girl's feelings about herself and her body relate to the development of:

self-esteem

A nursing instructor is discussing child abuse (child maltreatment). What response by the student shows an understanding of what is included in the description of child maltreatment? Select all that apply.

sexual maltreatment negligence by someone responsible for the care of a child intentional psychological maltreatment intentional physical maltreatment

An adolescent with multiple tattoos and piercings comes to the health center at the school. The client reports feeling hot. In collecting further data, the nurse finds that the adolescent has a new piercing. The nurse recognizes the need for the adolescent to be given information related to personal health. Which topic would the nurse identify as the area that the adolescent needs immediate information about?

signs of infection

Injury from psychological maltreatment can be just as serious and lasting as that from physical maltreatment.

true

The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which actions would help reduce her stress related to the procedure? Select all that apply.

Pretend to perform the procedure on her doll. Teach her the steps of the procedure. Introduce her to the health care personnel