chp5-PEDS
The nurse is providing teaching about preventing poisoning. Which statement by the parent would warrant further discussion?
"All medicine in our bathroom is in childproof containers."
The nurse is conducting a well-child exam of a 4-year-old child. Which statement would alert the nurse that the child is at risk for iron deficiency?
"He loves milk and drinks it every time he is thirsty."
The parent of a 4½-year-old boy has contacted the nurse because he is concerned that his son is frequently touching his genitals. The nurse explains that this is normal during the preschool years. Which statement by the parent would indicate a need for further teaching?
"I will need to find an appropriate punishment for him if this continues."
The nurse is doing a well-child exam of a 5½-year-old child. Which statement by the parent would alert the nurse that further teaching is needed about healthy eating habits?
"Our family rule is that all children clean up their plates at each meal, and we feed them a lot."
A 3½-year-old shouts, "Look out for Boo-ga-loo!" as the nurse enters the exam room. The parent explains Boo-ga-loo is his daughter's imaginary friend. How should the nurse respond?
"Tell me about Boo-ga-loo."
The nurse is conducting a physical examination of a young preschooler and detects the odor of tobacco smoke on the parents' hair and clothing. How should the nurse respond?
"Tell me about your child's exposure to tobacco smoke."
The parents of a 6-year-old tell the school nurse that they are worried that their child will fall behind other children academically because they are not able to afford expensive toys like computer games and handheld electronic devices. Which are acceptable responses by the nurse? (Select all that apply.)
-"Do you play with your child and provide means of play through things like dolls, puzzles, crayons,and Play-Doh? These are the types of toys suggested for preschoolers." -"I understand how this can be frustrating, but rest assured this does not place your child at a disadvantage academically." -"All of these expensive toys that are advertised and purchased by some people are not necessary for preschoolers. Simple toys like chalk and Legos are great."
The nurse realizes that the 5-year-old's growth chart and BMI indicate the child is at risk for obesity. What other findings reinforce this risk? (Select all that apply.)
-A parent who is overweight, -Television on during meals, -Food used as reward or punishment, -Expectations to eat everything on plate
Parents ask for disciplinary guidance for their 4-year-old. The nurse suggests which of these actions? (Select all that apply.)
-Books and stories can help preschoolers master proper behavior., -When discussing improper behavior, call the behavior "bad" or "naughty," not the child., -Anticipate situations likely to cause misbehavior and redirect the child to another activity.
The nurse is providing teaching about car seat safety for a parents' meeting at the preschool their children attend. Choose the points the nurse should make. (Select all that apply.)
-Booster seats should be used with both a shoulder and lap belt. -Children who weigh less than 40 lb should use a rear-facing car seat. -The back seat remains the safest place for children to ride. -Many car seats are installed improperly, making them unsafe. -Children large enough for a front-facing care seat with a harness for as long as possible.
Place the steps for using time-out as a disciplinary measure for a 4-year-old in proper order
1) Remove the preschooler to a boring spot. 2) Warn the child there will be a time-out if the behavior does not stop. 3) Parent knows the misbehavior was intentional. 4) Set a timer for no more than 4 minutes. 5) If the child gets up, replace the child and restart the time.
The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?
A less discriminating sense of taste.
Parents say they have been using measures to lessen the struggle of getting their preschooler to bed at night and to sleep. Which practice will the nurse suggest they discontinue?
Allowing the preschooler to fall asleep wherever and whenever the child is tired enough
A parent describes the 4-year-old child's eating habits as "picky" and goes on to describe using, coaxing, and threatening measures to get the child to eat. The nurse determines the child is growing normally. What interventions will the nurse suggest? (Select all that apply.)
Approach mealtime matter-of-factly., Ignore the pickiness., Offer a variety of healthy foods including those liked and refused., Offer only nutritious between-meal snacks., Allow the child to decide how much the child will eat., Focus on quality, not quantity.
A 4-year-old child has begun stuttering. Which practice by the parents will the nurse discourage?
Asking the child to slow down and to think before talking
A 5-year-old child is not gaining weight appropriately. Organic problems have been ruled out. What is the priority action by the nurse?
Assess the child's usual intake pattern at home.
The nurse is organizing an indoor play area for preschoolers. What play materials are least important?
Electronic teaching toys
The mother of a 3-year-old is concerned about her child's speech. She describes her preschooler as hesitating at the beginning of sentences and repeating consonant sounds. What is the nurse's best response?
Hesitancy and dysfluency are normal during this period of development.
Parents tell the nurse their 3½-year-old refuses to eat meat but are pleased the child drinks "lots of milk." What risk does the nurse identify?
Iron deficiency
The nurse is caring for a hospitalized 4-year-old who insists on having the nurse perform every assessment and intervention on her imaginary friend first. She then agrees to have the assessment or intervention done to herself. The nurse identifies this preschooler's behavior as:
Normal for this stage of growth and development.
The nurse is providing teaching about good nondairy sources of calcium for preschoolers. Which of these fruits contains the most calcium?
Orange
The mother of a 4-year-old asks for advice on using time-out for discipline with her child. What advice should the nurse give the mother?
Place the child in time-out for 4 minutes.
A male child exhibits the following growth pattern. How should the nurse interpret these data? 3 yrs: Ht. 37 in Wt. 32 lb 4 yrs: Ht. 39 in Wt. 39 lb 5 yrs: Ht. 40 in Wt. 46 lb
The child is growing slowly in height but rapidly in weight.
The parents of a 5-year-old call the nurse for advice about night terrors. The child has had them nightly for almost 2 weeks. What is the most appropriate intervention?
Wake the child up nightly 30 to 45 minutes after going to sleep.
The parents of a 5-year-old child are discussing bicycle safety with the nurse. What comment indicates further teaching is needed?
We just got him a new bike he can grow into."
In assessing the bilingual 4-year-old's speech and language development, the nurse should find that the child will:
be able to use each language as a separate system.
Parents of a 3½-year-old indicate they spend time with grandparents who live near a lake. The nurse will emphasize:
having the child wear a personal flotation device whenever near or on the water.
In counseling a group of parents regarding the development of school readiness in preschoolers, the nurse emphasizes:
the home environment.
The nurse is caring for a 4-year-old child following an appendectomy. The child becomes fearful and starts to cry as soon as the nurse walks into the room. When the nurse asks about the crying, the child says, "Nurses who wear shirts with flowers give shots." The nurse understands that this statement is an example of:
transduction.
