Growth and Development peds final test
A nurse in a clinic is assessing a 9 month old infant. Which of the following findings requires further interventions?
Positive moro reflex (Disappears at approximately 3 to 4 months of age)
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?
Separates easily form primary care giver for short periods of time
A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of milk, 3 oz gelatin, 1 oz of an ice pop, and 20 ml of ginger ale. How many ml should the nurse record as the child's fluid intake?
260 mL
A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?
3 years
A nurse is preparing to administer acetaminophen 10mg/kg/dose to a child who weighs 28 lbs. The amount available is acetaminophen 120mg/5ml. How many ml should the nurse administer?
5.3 mL
A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?
6 months
A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 ounce of grains. Which of the following foods should the nurse recommend?
1 cup ready to eat cereal flakes
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching?
1. Management of tantrums 2. Dental care
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development.
1. Trust vs Mistrust 2. Autonomy vs Shame and Doubt 3. Initiative vs Guilt 4. Industry vs Inferiority 5. Identity vs Role Confusion
A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately?
A client's blood pressure changes form 112/60 to 90/54 when standing
A nurse is caring for an 18-month-old toddler who has been hopitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away form the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
Anxiety reaction
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?
Apex of the heart
A nurse is planning care for a 10 year old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erkison?
Arrange for a teacher to provide lesson plans (Industry vs Inferiority)
A nurse in a clinic is assessing a 7 month old infant. Which of the following indicates a need for further evaluation?
Babbles one syllable sounds
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect
Closed posterior fontanel
A nurse is preparing to begin chest compressions on an infant. The nurse should perform compressions using which of the following techniques?
Deliver compressions at 1/3 the depth of the chest
The parent of a 4 year old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make?
Keep a night light on in your child's room
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs for the kid?
Large building blocks
A nurse is performing a pre college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?
Meningococcal polysaccharide vaccine
A nurse is speaking with the mother of a 6 year old child. Which of the following statements by the mother should concern the nurse?
The teacher says my child has to squint to see the board
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?
Your need for sleep will increase during periods of growth
A nurse is assessing a female child in an area struck by an earthquake. The child, who is crying, walks well, can state her first name, and repeatedly says, "all done" and "go bye-bye now" during the assessment. The child has 24 deciduous teeth and her anterior fontanel is closed. Based on these observations, the nurse should estimate that the child is how many months old?
30 weeks
A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Growth spurts in height occur toward the end of midpuberty
A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?
Negative behaviors characterized by the need for autonomy
A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching
Our car seat is an infant model and is anchored in the car
