Growth and Development
The nurse asks the nursing student to provide an example of proximodistal development. Which would be an appropriate response by the student? A child is able to sit unsupported before being able to grasp objects with the fingers. An infant is able to hold the head up steadily before standing. A child learns to crawl before walking. A child is able to sit unsupported before pulling to stand.
A child is able to sit unsupported before being able to grasp objects with the fingers.
Which statement would the nurse identify as an example of emotional abuse of a child? An ill child is not allowed to be taken for care due to parents' religious objections. Parents choose not to provide a hearing aid for a school-aged child due to the stigma of wearing it. A child is alone at home after school for several hours every day. A child is left alone prior to school in the morning and is expected to take their own medications.
A child is alone at home after school for several hours every day.
Which anticipatory guideline does the nurse identify as appropriate for a preschool aged child? A child this age will be learning to run. A child this age will be learning how to draw a circle with a pencil. A child this age will be learning dress themselves. A child this age will be learning to go down and upstairs independently.
A child this age will be learning dress themselves.
Which technique should the nurse use when assessing a preschooler in order to ensure child comfort and effective nursing care? Allow the child to select which finger to put the pulse oximeter on. Ask the child to sit on the examination bed. Begin with the most invasive procedure first to get it out of the way. Make sure the child is fully undressed before the examination begins.
Allow the child to select which finger to put the pulse oximeter on.
Which statement would the nurse identify as an example of medical abuse of a child? An ill child is not allowed to be taken for care due to parents' religious objections. Parents choose not to provide a hearing aid for a school-aged child due to the stigma of wearing it. A child is alone at home after school for several hours every day. A child is left alone prior to school in the morning and is expected to take their own medications.
An ill child is not allowed to be taken for care due to parents' religious objections.
The nurse is applying EMLA cream to a patient before a painful procedure. Which action is not safe an effective nursing care for EMLA cream application? Assess for allergic reaction Apply 5 hours before procedure Apply large "glob" Apply dressing over medication
Apply 5 hours before procedure
The nurse is orienting a new graduate to the unit when she notes the new graduate weigh a 3-year-old with clothing on. What is the best action for the nurse to take? Recognize the new graduate is respecting the child's privacy and record the weight. Ask the new graduate to reweigh the child wearing only underwear or a dry diaper. Quietly reweigh the child in private so as not to embarrass the new graduate. Ask the mother what the last known weight was to compare it with the current value.
Ask the new graduate to reweigh the child wearing only underwear or a dry diaper.
The parents of a school-age child report that their child appears withdrawn, disinterested in school, and refuses to ride the bus to school. The nurse suspects that the child is being bullied. Which nursing assessment is the priority? Determine the child's sexual orientation. Assess the child's socioeconomic class. Assess for psychological effects of bullying. Determine what community resources are available to assist with bullying.
Assess for psychological effects of bullying.
Toilet training as a major skill learned
Autonomy vs. Shame/Doubt During the toddler years, children become more independent and learn how to toilet train. They gain more control over their bodies and environment.
Teaching a child to toilet train is most likely to occur during which psychosocial developmental stage? Trust vs. mistrust Autonomy vs. shame/doubt Initiative vs. guilt Industry vs. inferiority
Autonomy vs. shame/doubt
The mother of a toddler asks the nurse when she should begin potty training her son. What is the best response from the nurse? "Toilet training should be done between 2 and 3 years of age." "Children typically show signs of readiness to potty train between the ages of 2 and 3." "Choose a time that is convenient for you." "Try some time on the toilet and be persistent if the child shows resistance."
"Children typically show signs of readiness to potty train between the ages of 2 and 3."
Which term does the nurse understand to describe the process of development in which simple to more complex progression of developmental milestones is achieved? Differentiation Cephalocaudal Proximodistal Interdependent
Differentiation
The nurse is caring for a 7-year-old client and obtains these vital signs: temperature 98.2°F, pulse 90, respirations 22, and blood pressure 93/60. What will the nurse do next? Cover the client with a warm blanket. Document these normal vital signs. Contact the healthcare provider regarding the low blood pressure. Repeat the vital signs for accuracy.
Document these normal vital signs.
The 4-year-old sibling asks the nurse if she caused her brother to be sick because she "wanted him to go away." The nurse should recognize this as what? Normal thinking for this age A sign of potential abuse in the home Concerning signs of emotional distress due to so much sibling anger Highly developed language and thoughts for this age
Normal thinking for this age
A school-age child reports that the liquid medication "tastes bad." Which nursing intervention might the nurse try to hide the taste of the medication? Instruct the child to breathe in and out through his nose while taking the medication. Mix the medication with grape jelly. Request that the medication be provided as an intravenous medication. Numb the child's tongue with a popsicle.
Numb the child's tongue with a popsicle.
When assessing a 9-month-old, the nurse asks the mother if the child likes to play peek-a-boo. The nurse is determining if the child has achieved which milestone? Object permanence Use of symbols to represent objects Coordination of reflexes Coordination of secondary schema
Object permanence
Which nursing intervention should be included in the plan of care to decrease the stress for a hospitalized, chronically ill school-age child? Allow 24-hour visitation from peers. Offer the child some choices around daily activities. Have tutoring postponed until discharge. Maintain a strict daily routine.
Offer the child some choices around daily activities.
The nurse is demonstrating proper teeth-brushing techniques to a group of mothers of 2-year-olds. What principle should be included in the presentation? Parents should complete these tasks for their toddler. Parents should be taught to encourage the child to participate under parental supervision. Parents should allow the toddler to choose a time to brush their teeth in order to encourage control. Parents should use only water to brush the child's teeth until the age of 3 in order to prevent the swallowing of toothpaste.
Parents should be taught to encourage the child to participate under parental supervision.
The nurse studying developmental theories recognizes that egocentrism was described by which theorist as a component of normal toddler development? Piaget Freud Kohlberg Erikson
Piaget
Using personal judgments to determine what is right and wrong
Post-Conventional Children 12 years and older will place their value in their own individual rights regardless of authority figures and peers according to Kohlberg's moral development theory
Following parent's orders to eat dinner before having candy
Pre-Conventional Children ages 2 to 7 years follow rules set by those in authority and know the difference between right and wrong, good and bad, according to Kohlberg's moral development theory.
A 4-year-old thinks that his temper tantrum caused the thunderstorm.
Preoperational Magical thinking occurs from the ages of 2 to 4 in Piaget's preoperational stage. In this stage children think that their thoughts influence the world.
The nurse is discharging an infant after circumcision. What is an important teaching guide for a caregiver to care for the circumcised infant at home? Take the gauze off the penis when you get home. Report bleeding after three days to the pediatrician. Administer sugar for pain control. Notify the pediatrician when the infant voids
Report bleeding after three days to the pediatrician.
A nurse performs an admission assessment on a school-age child and suspects physical abuse. On the basis of this suspicion, what is the priority legal nursing responsibility? Document the child's physical assessment findings accurately. Report the suspected abuse according to hospital policy. Ask the parents to explain the injuries. Assist the family to identify resources and support systems.
Report the suspected abuse according to hospital policy.
When assessing risky behavior during a visit with a 14-year-old, what should the nurse be alerted to? Select the best answer. Forgetting to study for a test Going to a party with friends Joining a swimming league Riding in a car without a seatbelt
Riding in a car without a seatbelt
The nurse assesses developmental milestones of a 4-month-old infant. What is a normally expected developmental milestone? Rolls from abdomen to back Begins to lift head when lying on abdomen Transfers objects from one hand to the other Has taste preferences
Rolls from abdomen to back
An infant searches for an object placed under a pillow, exhibiting understanding of object permanence.
Sensorimotor During this stage, which lasts from birth to 2 years, infants develop a sense of object permanence. They begin to realize an object or person still exists when it is hidden. Examples include peekaboo or hiding an object under a pillow.
The nurse is discussing immunity with parents. Which statement supports the parent's decision to breastfeed the infant? a. The infant's immune system is fully developed by birth. b. Passive immunity is provided by breast milk. c. The breastfed infant has exposure to proteins and can develop allergies. d. The five immunoglobulins are found in breast milk.
b. Passive immunity is provided by breast milk.
The mother of a 2-year-old asks the nurse advice on what toys are appropriate for this age. Which toy selection by the mother would be concerning for the nurse? Building blocks Tricycle Play-Doh Bead stringing toys
Bead stringing toys
When assessing a toddler or preschooler, the nurse should keep in mind that children will respond to which of the following measures? Being allowed to touch equipment before the nurse uses it. Standing upright over the child to demonstrate authority. Asking the mother to step out of the room for privacy. Ignoring questions or comments that may be distracting.
Being allowed to touch equipment before the nurse uses it.
A mother is considering potty-training her twin boy and girl children. Which of the following statements should the nurse include in determining readiness? Select all that apply. Both children wear a diaper only at bedtime but stay dry during naps. Boys are able to stand while voiding. Girls should consistently wipe back to front after voiding. Both children should have regular bowel movements. Both children are able to pull pants up and down on their own.
Both children should have regular bowel movements. Both children are able to pull pants up and down on their own.
In completing a physical assessment on a school-age child, the nurse will need to complete which step first? Gain permission from the child to complete the physical assessment. Ask the child to change into a patient gown. Ask the parents to leave the room. Develop a therapeutic relationship with the child.
Develop a therapeutic relationship with the child.
The nurse is teaching parents about child abuse. What statement indicates that the parents need more education? "We will use a car seat each time we take the infant out." "I cannot get out of bed every time the infant cries during the night." "My mother is the best babysitter we have today." "I know we need to get a babysitter when we leave the house."
"I cannot get out of bed every time the infant cries during the night."
A nurse has completed a class on safety for parents of preschoolers. Which parent statement requires follow-up from the nurse? "I will check the temperature setting on our water heater when we return home." "I will ask my partner to check the smoke detectors and change the batteries." "I will be getting my sister's old crib so that the baby does not have to sleep with us anymore." "I will have my car seat checked at the motor vehicle agency to make sure it is installed correctly."
"I will be getting my sister's old crib so that the baby does not have to sleep with us anymore."
A three-year-old who is hospitalized following surgery cries every time his mother leaves the room. The mother expresses concern, as this is not normal behavior at home Which is the most appropriate response from the nurse? "This is normal behavior for toddlers who are hospitalized." "This is separation anxiety and typically disappears by 9 months. Possibly the child is showing signs of pain." "This crying will cause unnecessary stress during recovery, so you will need to stay with the child unless they are asleep." "Perhaps the child is getting spoiled from all of the attention you provided right after surgery."
"This is normal behavior for toddlers who are hospitalized."
The parents of a school-age child tell the nurse that according to the measurements taken today their child has gained 2 ½ pounds and grown 1 inch in the last year. What is the nurse's best response? "Don't worry, your child just hasn\"t had a growth spurt yet." "Okay, let's take a look at his growth chart and see how your child has been growing over the last year." "This is the expected pattern of growth in a school-age child." "Why don't we weigh and measure him one more time to be sure we have the correct measurements."
"Why don't we weigh and measure him one more time to be sure we have the correct measurements."
The school nurse is requesting written permission from the parents of older school-age students to provide information regarding risky behaviors. The mother of one student calls the nurse stating she is upset that this topic is being addressed and does not want to sign the consent form. What is the nurse's best initial response? "Well, you know that risky behavior starts in middle school, so it would be best if you just gave us permission to teach your child about them." "I understand that you are worried. We feel it is important to teach our students about risky behaviors. We know that sexting, for instance, has been linked to an increased likelihood of risky sexual behaviors in middle school students." "Okay, that's fine. We will make sure your child goes to the library for study time when her classmates are receiving the information on risky behaviors." "You absolutely have a right to be concerned. Do you have some specific questions I can answer for you to help you understand why we are addressing these issues in class?"
"You absolutely have a right to be concerned. Do you have some specific questions I can answer for you to help you understand why we are addressing these issues in class?"
Scoliosis screenings should begin at what age? 9 years 11 years 10 years 12 years
12 years
What is the required daily fluid intake for a school-age child who weighs 36.8 kg? Record your answer in mL/day using a whole number. Enter the number only.
1836
How long before the procedure should topical EMLA cream be applied to decrease the pain associated with an intramuscular injection? 45 minutes 4 hours 90 minutes 2 hours
2 hours
Which information is most important for the nurse to include regarding anticipatory guidance for health promotion in the school-age child? A balanced diet and one hour of exercise per day is recommended. School-age children should attend a basic first aid class. Allow for unsupervised activities. Limit screen time (TV, cell phones) to four hours per day
A balanced diet and one hour of exercise per day is recommended.
During a well-child visit, the nurse would ask about which developmental milestones in a 13-month-old toddler? Select all that apply. Can your child walk or take a few steps on their own? Does your child experience separation anxiety? Is your child able to dress themselves? Which words does your child say? Can your child throw a ball?
Can your child walk or take a few steps on their own? Does your child experience separation anxiety? Which words does your child say?
To decrease the school-age child's anxiety about a surgical procedure, the nurse will enlist the services of which member of the health care team? Child-life specialist Surgical nurse practitioner Anesthesiologist Social worker
Child-life specialist
The nurse is working with an infant as the infant takes the first breath. What infant systems undergo the most transitions to extrauterine life? Select all that apply. Respiratory system Metabolic system Hepatic system Thermoregulatory system Circulatory system
Circulatory system Respiratory system
A 9-year-old boy is able to explain how his injury happened to the nurse.
Concrete Operational Children can have more logical thought processes while beginning to think abstractly. During the concrete operational stage, children become less self-centered and their thought processes are more coherent and logical, but they are still unable to think abstractly.
The desire to follow the rules and maintain social order.
Conventional This level follows the preconventional level in which rules are set by those in authority. The child adjusts behaviors to conform to good-bad/right-wrong thinking. In the conventional level the focus is on conformity and loyalty, following rules, and maintaining social order.
The nurse is starting phototherapy with an infant with hyperbilirubinemia. Which nursing intervention would be appropriate to include with the start of therapy? Discourage breast feeding. Cover the infant's eyes with eye patches during therapy. Place the infant in a blanket under the light for warmth. Allow the parents to hold the infant to promote bonding throughout the day.
Cover the infant's eyes with eye patches during therapy.
The nurse is assessing pain with an infant. What is a common category with pain scales used with infants? Cry Blood pressure Pupil size Heart rate
Cry
A two-and-one-half-year-old child does not search for an object when it is removed from the field of vision. The nurse correctly interprets this finding as: Normal cognitive development Delayed cognitive development Delayed psychosocial development Normal psychosocial development
Delayed cognitive development
A four-year-old is exhibiting signs of anxiety due to an upcoming invasive procedure. Which is the appropriate action by the nurse to alleviate anxiety and improve compliance for this child? Explain the procedure in concrete terminology and allow the child to ask questions. Demonstrate the procedure on a doll and allow the child to manipulate the equipment. Reassure the child that there is no reason to be fearful. Explain to parents that this is normal and to ignore the behavior so that it does not become reinforced.
Demonstrate the procedure on a doll and allow the child to manipulate the equipment.
The parents of a 4-year-old girl tell the nurse that she eats very little at meals but constantly wants to snack. What course of action should the nurse follow? Instruct the parents to encourage the child to clear her plate at meals. Encourage the parents to offer multiple nutritious snacks throughout the day. Encourage parents to limit snacking so that she is hungrier at mealtime. Instruct the parents to substitute whole milk for one of the snacks in order to maintain calcium intake.
Encourage the parents to offer multiple nutritious snacks throughout the day.
The nurse is caring for a 4-year-old who is prone to temper tantrums when asked to participate in basic care. What is the nurse's best response to this behavior? The nurse should leave the room and return once the child is calm. Tell the child this behavior is upsetting. Medicate the child prior to performing basic care. Establish a routine while in the hospital to complete basic care needs at the same time and in the same manner each day.
Establish a routine while in the hospital to complete basic care needs at the same time and in the same manner each day.
The nurse knows to earn a school-age child's trust by using which techniques? Select all that apply. Explaining procedures truthfully Using medical language Using age-appropriate teaching techniques Allowing child to participate in own care Focusing attention on caregivers
Explaining procedures truthfully Using age-appropriate teaching techniques Allowing child to participate in own care
The nurse identifies that a child who consistently measures below the 5th percentile for height and weight charts is demonstrating signs of this diagnosis: Failure to thrive Failure to develop Developmental delay Organic growth deficiency
Failure to thrive
This or That? Can you identify the motor skills (fine or gross) based on each statement? A 3-month-old infant can follow an object to midline with her eyes.
Fine Following objects to midline with eyes is a fine motor skill that develops in infants from 2 to 3 months of age.
A 5-year-old uses scissors to cut out shapes of paper.
Fine Using scissors is a fine motor skill exhibited in 4- to 5-year-old children
A 7-month-old infant rolls from side to side.
Gross Rolling from side to side is a gross motor skill that develops between 6 and 8 months of age.
A new mother is concerned about sudden infant death syndrome. What education would be appropriate for the nurse to provide to the mother regarding prevention of this syndrome? Buy a soft, giving mattress for comfort. Have the infant sleep supine. Keep the infant in the parent's bed Prop the infant to a side-lying position for sleeping
Have the infant sleep supine.
How is "mild" traumatic brain injury in school-age children defined? Headaches and photosensitivity Nausea and vomiting Stiff neck and blurry vision Headache and problems with concentration
Headache and problems with concentration
Which of the following activities is the most appropriate to demonstrate object permanence to an infant? Select all that apply. Hiding an object under a pillow for the infant to search Playing peekaboo Encouraging the infant to hold his or her own bottle Leaving a light on at night Allowing the child to look in the mirror at his or her own image
Hiding an object under a pillow for the infant to search Playing peekaboo
A 4-year-old hides from his mother after hitting his younger brother.
Initiative vs. Guilt During the preschool years, children are learning right from wrong and will establish a sense of conscience as part of the initiative vs. guilt stage. They learn about their environment through play. At this time, the child develops a conscience. Children who are constantly criticized will have feelings of guilt.
Children learn right from wrong during which stage of development? Initiative vs. guilt Industry vs. inferiority Identity vs. role diffusion Autonomy vs. shame/doubt
Initiative vs. guilt
The mother of an active 3-year-old asks the nurse for some suggestions to prevent an accidental poisoning. Which would the nurse include? Select all that apply. Keep the number of poison control posted clearly and assure that all caregivers know where to locate it. Place all potentially hazardous chemicals into smaller containers so that the child only has access to smaller quantities. Place child-safe locks on all lower cabinets. Keep all medications on a high shelf in upper cabinets. Buy cleaning products with childproof tops.
Keep the number of poison control posted clearly and assure that all caregivers know where to locate it. Place child-safe locks on all lower cabinets. Keep all medications on a high shelf in upper cabinets. Buy cleaning products with childproof tops.
A preschool-aged child saw that it started to rain after eating pasta and now believes that it will rain the next time they eat pasta as well. What belief is the child exhibiting? Magical thinking Imaginary play Egocentrism Delayed gratification
Magical thinking
The nursing student is helping the nurse provide care for a 4-year-old child. The student asks which behavior characterizes the preoperational stage in Piaget's cognitive developmental theory. How should the nurse respond? Object permanence Magical thinking Inductive reasoning Abstract thought
Magical thinking
The mother of twin boys states that they are constantly fighting with each other in her presence since turning 3 years old. She asks the nurse the possible reason for it. The nurse's response should be based upon an understanding of which aspect of normal development? Sibling rivalry is often used to gain attention from parents. It is unusual for twins to compete with each other, so there may be an underlying issue. The twins are reacting negatively to the mother's presence. The mother should allow the twins to work out the issues on their own regardless of how they are acting.
Sibling rivalry is often used to gain attention from parents.
A nurse is caring for a toddler on an inpatient unit. Which developmental milestones should be expected at this stage by the nurse? Select all that apply. Gross motor development milestones include learning to ride a bike. Speech and language milestones include learning to put three or more words together to form a sentence. Fine motor development milestones include learning to use a fine pincer grasp. Fine motor development milestones include stacking 6 or more blocks on top of one another. Cognitive development milestones include understanding the concept of object permanence.
Speech and language milestones include learning to put three or more words together to form a sentence. Fine motor development milestones include stacking 6 or more blocks on top of one another.
What is the priority nursing intervention to ensure accurate pain assessments in a school-age child? Use a developmentally appropriate pain scale. Teach the child how to use the scale. Ask the child specifically about the pain level. Instruct the parents how to interpret facial expressions to determine pain level.
Teach the child how to use the scale.
During a well-child visit, you are providing anticipatory guidance to the parents of a toddler. Which of the following statements is accurate? Temper tantrums can be a sign of illness or stress in a child. Separation anxiety in toddler years is indicative of a developmental delay. Toddler-aged children should not transition to skim milk before their 3rd birthday. Children are able to begin seeing the world through other's viewpoints.
Temper tantrums can be a sign of illness or stress in a child.
Upon assessment of a hospitalized 15-month-old, the nurse notices he does not pull to a standing position. The mother states that he will stand if she holds him upright. How should the nurse interpret this finding? The child has not yet met the appropriate developmental milestone for age. The child is meeting appropriate developmental milestones. It is not anticipated the child will pull up to a standing position until the end of 1 year. Regression is normal in a hospitalized child, so the nurse would not expect him to stand at this time.
The child has not yet met the appropriate developmental milestone for age.
The mother of a 14-month-old is concerned that her child does not talk as much as other children in the same day care. What should the nurse understand about normal speech development for this age? The child should be able to speak in sentences with two to three words by this age. The child should be able to use the words, "I" and "me" in a sentence by this age. Language is so individual, so speech delays are not diagnosed until school years. The child should be able to speak approximately five words by this age.
The child should be able to speak approximately five words by this age.
The nurse is assessing a 6-year-old child. According to Piaget, what should the nurse expect to observe in the child at this stage? Select all that apply. The child's thinking is influenced by fantasy. The child understands the concept of time. The child is able to think abstractly. The child is able to think about things that are not in the present. The child's language skills are fully developed.
The child's thinking is influenced by fantasy. The child is able to think about things that are not in the present.
The nurse measures the infant's head circumference at 35 centimeters and a chest circumference at 33 centimeters. How would the nurse interpret these measurements? The infant has microcephaly. The infant has caput succedaneum. The infant has macrocephaly. The infant has normal measurements.
The infant has normal measurements.
Which teaching intervention by the nurse would be the most appropriate method to prepare a school-age child for a medical procedure? The nurse provides a simple explanation of the procedure. The nurse shows a video detailing the entire procedure. The nurse explains the procedure to the parents so that they may explain it to the child. School-age children should not be told what is happening before the procedure.
The nurse provides a simple explanation of the procedure.
The nurse is explaining hyperbilirubinemia interventions to a mother who is having difficulty breast feeding her infant. What intervention can the nurse try with the mother? a. Supplement the infant's feedings with glucose water. b. Consult a lactation specialist. c. Encourage the mother to use formula. d. Support the use of daily formula feedings and breast milk at night.
b. Consult a lactation specialist.
Which statement best describes the expected social interactions of a school-age child that the nurse will need to remember when planning an interactive health fair at the local elementary school? School-age peer groups usually consist of both boys and girls. The school-age child does not like to be separated from his parents. The school-age child enjoys forming clubs with set rules. The school-age child becomes very upset when their daily routine is disrupted.
The school-age child enjoys forming clubs with set rules.
The nurse is receiving a report from a nurse in the labor and delivery room. The neonate had an initial 3 APGAR score at birth. What does the APGAR score of 3 indicate? The score of 3 indicates the need for resuscitation. The score of 3 is normal and will increase with time. The infant had an easy extra uterine transition. The birthing process went smoothly.
The score of 3 indicates the need for resuscitation.
Billy is in the emergency room for chronic history of vomiting and diarrhea with unknown origin. The nurse plots the child's measurements, realizing Billy is below the 5th percentile for both weight and height for age. Which statement is most accurate? As long as the child is meeting normal developmental milestones, waiting until illness resolves will allow the child time to increase weight gain. The Department of Human Resources should be notified as this is a sign of abuse. Immunologic conditions typically cause significant decrease in weight and height; Billy's condition should resolve spontaneously. This finding is consistent with a diagnosis of failure to thrive.
This finding is consistent with a diagnosis of failure to thrive.
An infant cries and the mother picks up the baby for a feeding.
Trust vs. Mistrust During the trust vs. mistrust stage, the infant will develop trust if basic needs are met and mistrust if basic needs are unmet. A sense of trust in his or her parents and surroundings allows the infant to see the world as a safe place.
Understanding that basic needs will be met, such as being picked up by a parent when crying, is a task in what psychosocial development stage? Trust vs. mistrust Autonomy vs. shame/doubt Initiative vs. guilt Industry vs. inferiority
Trust vs. mistrust
Which of the following is identified as the leading cause of death in school-age children? Heart defects Unintentional injuries Diabetes Alcohol and drug use
Unintentional injuries
On which topic should the nurse provide parental teaching in order to impact the leading cause of injury deaths in preschoolers and toddlers? Firearm and gun safety Use of lifejackets and floatation devices Secondhand smoke in the home Proper use of a bicycle helmet
Use of lifejackets and floatation devices
The nurse is completing an infant's skin assessment. The nurse observes a cheesy substance found in the armpits and groin. What does the nurse do with this finding? a. Leave the substance intact. b. Scrub the substance off. c. Alert the healthcare provider. d. Continue to observe for further spread.
a. Leave the substance intact.
Place the developmental tasks in order of development according to age. a. Climb on furniture b. Walk alone c. Go up and down stairs without assistance d. Catch a bounced ball
b a c d
The nurse is suctioning an infant after delivery. Which statement reflects the correct procedure for clearing the infant's airway? a. The nurse should routinely use a bulb syringe immediately after delivery to clear the infant's oral secretions. b. The nurse will use a bulb syringe in the corner of the mouth then suction the nose. c. The nurse will use a bulb syringe in the center of the mouth then suction the nose. d. The nurse will use a bulb syringe in the nose then suction the mouth.
b. The nurse will use a bulb syringe in the corner of the mouth then suction the nose.
The nurse is teaching parents about preventing hypothermia with the newborn. Which statement made by the mother requires further teaching? a. "I will keep my baby warm and dry." b. "I will keep the stocking cap on the baby to prevent heat loss." c. "I will cover the infant with pajamas when I have him under the radiant warmer." d. "I can wrap the infant with two blankets."
c. "I will cover the infant with pajamas when I have him under the radiant warmer."
The nurse is assessing a newborn reflex by brushing the side of the cheek near the corner of the mouth. What reflex is being assessed? a. Moro b. Startle c. Rooting d. Sucking
c. Rooting
