Growth and Development Peds Hesi

The nurse realizes that a 5-year-old's mother needs further education about the Denver Developmental Screening Test when she states:

It screens for intelligence level

What information should a school nurse include in a discussion on nutrition with a fourth-grade class?

A list of nutritious foods with basic scientific information about how they affect the body organs and systems

Which foods would the nurse recommend to the mother of a 2-year-old with anemia?

Meats, eggs, green vegetables

Which finding would the nurse consider abnormal when performing a physical assessment on a 6-month-old?

Posterior fontanel is open

Which reaction would a nurse expect when giving a preschooler immunizations?

The child cries and tells the nurse that it hurts

A 3-year-old is attending her grandfather's funeral. Her parents told her that her grandfather is in heaven with God. Which statement describes a 3-year-old child's understanding of spirituality?

"He is in heaven. Is this heaven?" (literal)

The nurse is instructing a new breastfeeding mother in the need to provide her premature infant with an adequate source of iron in her diet. Which statement reflects a need for further education of the new mother?

"My baby will need to have iron supplements introduced when she is 4 months old." -iron stores from the mother last up to 2 months in a premature infant and up to 4 months in full term

What can a nurse do to reinforce a 5-year-old's intellectual initiative when he asks about his upcoming surgery?

Answer the child's questions about his upcoming surgery in simple terms

A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be?

24 lb 6 oz (triple)

Which action is a developmentally appropriate method for eliciting a 4-year-old's cooperation in obtaining the blood pressure?

Ask the child if he feels a squeezing of his arm

What should parents understand is one of the most common causes of injury and death for a 7-month-old infant?

Aspiration

A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

At 6 months his weight should be approximately twice his birth weight

How can the nurse best facilitate the trust relationship between infant and parents while the infant is hospitalized? The nurse should:

Encourage parents to hold their child as much as possible

A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was discharged 4 days ago. The nurse's best response to the mother is:

A weight loss of a few ounces is common among newborns, especially for breastfeeding mothers

Which nursing action would help foster a hospitalized 3-year-old's sense of autonomy?

Allow the child to administer her own dose of Keflex via oral syringe

A 16-year-old is having a discussion with the nurse about the teen's recent diagnosis of lupus. In explaining the child's prognosis, the nurse uses the knowledge that adolescents are:

Able to understand and imagine possibilities for the future

A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives IV antibiotics. Which action taken by the nurse will most enhance his psychosocial development?

Encourage the teen's friends to visit him in the hospital

Which should the nurse do to prevent separation anxiety in a hospitalized toddler?

Establish a routine similar to that of the child's home

Which statement accurately describes how the nurse should approach an 11-year-old to do a physical assessment?

Explain what the nurse will be doing in basic understandable terms

The parents of a newborn are asking the nurse how to use the infant car seat and where it should be placed in their vehicle. Which is the next most appropriate action by the nurse?

Contact the hospital's car-seat safety officer and have the officer accompany the parents to the car for car-seat installation

Which comment should the parent of a 2-year-old expect from the toddler about a new baby brother?

It is time to put him away so we can play

The best method to explain a procedure to a hospitalized preschool-age child is to:

Demonstrate the procedure on a doll

The nurse is going to give a 6-month-old a dose of Rocephin IM. What must the nurse do when the 1.5-mL dose arrives from the pharmacy?

Divide the dose into 2 injections

A 3-year-old boy has been hospitalized because he fell down the stairs. His mother is crying and states, "This is all my fault." Which is the nurse's best response?

Falls are one of the most common injuries in this age group

To obtain an adolescent's health information, the nurse should:

Gather information during a casual conversation

During an adolescent's initial physical assessment, the nurse notes signs and symptoms of nutritional deficit. Which assessment led the nurse to this initial conclusion?

Hair and nails are brittle and dry

A 5-year-old boy has always been one of the shortest children in class. His mother tells the school nurse that her husband is 6' tall and she is 5'7". What should the nurse tell the child's mother?

He is expected to grow about 2 inches every year from ages 6-9

A 9-year-old girl builds a clubhouse in her backyard. She hangs a sign outside her clubhouse that says "No boys allowed" printed on it. The child's parents are concerned that she is excluding their neighbor's son, and they are upset. What should the school nurse tell the child's parents?

Her behavior is common among school age children

The mother of an 11-month-old with iron deficiency anemia tells the nurse that her infant is currently taking iron and a multivitamin. Which statement made by the mother should be of concern to the nurse?

I give the iron and multivitamin in the morning 6-oz bottle

Which statement by an infant's mother leads the nurse to believe that she needs further education about the nutritional needs of a 6-month-old?

I will start my son on fruits and gradually introduce vegetables -vegetables should be introduced before fruit since fruit is sweet

The mother of a 13-year-old girl tells the nurse that she is concerned because her daughter has gained 10 lb since she began puberty. The child's mother asks the nurse for advice about what to do about her daughter's weight gain. Which should the nurse do?

Inform the child's mother that it is common for teen girls to gain weight during puberty

Which stressor is common in hospitalized toddlers? Select all that apply.

Interrupted routine Sleep disturbances Fear of being hurt

The nurse is using the FLACC scale to rate the pain level in a 9-month-old. Which is the nurse's best response to the father's question of what the FLACC scale is?

It estimates a child's level of pain utilizing behavioral and physical responses

The mother of 11-year-old fraternal twins tells the nurse at their well-child checkup that she is concerned because her daughter has gained more weight and height than her twin brother. The mother is concerned that there is something wrong with her son. The nurse's best response is:

It is normal for girls to grow a little taller and gain more weight than boys at this age

Which toy is the best choice for a 12-month-old?

Musical rattle

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

My child is able to stand but is not yet taking steps independently

An adolescent has a diagnosis of new-onset diabetes. What would most influence a teenager's food choices as he begins to make changes in his diet?

Peers and their dietary choices

Which is the best method of distraction for an 8-year-old who is having surgery later today and is NPO?

Play a board game

The mother of a child 2 years 6 months has arranged a play date with the neighbor and her child 2 years 9 months. During the play date the two mothers should expect that the children will do which of the following?

Play alongside one another but not actively with one another

A 2-year-old admitted to the hospital 2 days ago has been crying and is inconsolable much of the time. The nurse's best response to the child's parents who are concerned about this behavior is that the child is in the:

Protest stage of separation anxiety, which is normal for children during hospitalization

Which nursing action is most appropriate to gain information about how a child is feeling?

Provide the child with some paper to draw a picture of how she is feeling

Which activity can the nurse provide for a 9-year-old to encourage a sense of industry?

Provide the child with the homework his teacher has sent

Which technique should the nurse suggest to the mother of an 8-year-old who does not want to complete her chores?

Reward system

The mother of a 15-year-old is frustrated because he spends much of his weekend time sleeping. Which is the nurse's best response to the mother's frustration?

Teens require more sleep due to the rapid physical growth that is occurring

Which approach should the nurse use to gather information from a child brought to the ED for suspected child abuse?

Tell the child that the abuse is not her fault and that she is a good person

Which statement would indicate to the nurse that a school-age child is not developmentally on track for age?

The child has an imaginary friend named Kelly

According to developmental theories, which important event is essential to the development of the toddler?

The child participates in being potty-trained

The mother of a newborn asks the nurse when the infant will receive the first hepatitis B immunization. Which is the nurse's best response?

The first dose of the Hepatitis B vaccine will be given prior to discharge today

An 8-day-old was admitted to the hospital with vomiting and dehydration. The newborn's heart rate is 170, respiratory rate is 44, blood pressure is 85/52, and temperature is 99°F (37.2°C). What is the nurse's best response to the parents who ask if the vital signs are normal?

The heart rate is elevated but the other vital signs are within normal limits

Which statement accurately describes the best method for assessing a 12-month-old?

The nurse should assess the child while she is in her mother's lap

A 4-year-old hospitalized with FTT has orders for daily weights, strict intake and output, and calorie counts. Which action by the nurse would be a concern?

The nurse weighs the child every morning after breakfast

A mother requests that her child receive the varicella vaccine at the 9-month well-child checkup. The nurse tells the mother that:

The vaccine cannot be given at that visit

A 13-year-old tells the nurse that he is worried because his breasts are growing. They hurt, and he is embarrassed to take his shirt off during gym class. What should the nurse tell him?

This is a normal condition of puberty that will resolve within a year or 2

A 13-year-old boy is hospitalized for a femur fracture. He was hit by a car while he and his friends were racing bikes near a major intersection. The child's parents are concerned about his judgment. The nurse should tell the parents that the behavior is:

Typical of young teens

Which method is the most effective way to present an educational program on abstinence to adolescents?

Use peer-led programs that emphasize the consequences of unprotected sexual contact

The nurse is assessing the pain level in an infant who just had surgery. The infant's parent asks which vital sign changes are expected in a child experiencing pain. The nurse's best response is:

We expect to see a child's heart rate and blood pressure increase

An 18-year-old with a rash and itching in the groin area is concerned that he has contracted a sexually transmitted disease and does not want his parents to find out. The nurse's best response is:

We will not contact your parents regarding this visit

Which should the nurse recommend to the parents of a 9-year-old hospitalized following a bicycle injury? To prevent future injury, their child should:

Wear safety equipment while riding bicycles

A 3-year-old is hospitalized for an ASD repair. The parents have decided to go home for a few hours to spend time with her siblings. The child asks when her mommy and daddy will be back. The nurse's best response is:

Your mommy and daddy will be back after your nap

The mother of an adolescent complains that he has had some recent behavioral changes. He comes home from school every day, closes his door, and refrains from interaction with his family. The nurse's best response to the mother is:

Your son's behavior is normal. You should listen to him without being judgemental

A 3-year-old admitted to the hospital with croup has the following vital signs: heart rate 90, respiratory rate 44, blood pressure 100/52, and temperature 98.8°F (37.1°C). The parents ask the nurse if these vital signs are normal. The nurse's best response is:

Your son's respiratory rate is elevated, but the other vital signs are within the normal range