HW

T/F: Pediatric weight ranges by a larger variable/ factor than that of adults

true

T/F: Transgender persons have an increased risk for depression and suicide.

true

Calculate the fluid maintenance rate in ml/hr. for an infant weighing 7.2 kg

24 mL/hr 7.2 x 100 = 720 cc 720/24=30 cc/hr

parent of an 8 yo asks what they can do to help the child achieve the developmental tasks associated with the school age period, what would be a developmentally appropriate suggestion to give them? a. establish age-appropriate chores for child to do regularly and give the child recognition or reward for completing them b. allow child to be alone and unsupervised in the house for several hours c. have the child babysit their younger sibling while the parents go to dinner

A.

an example of thinking abstractly, a hallmark of adolescent cognitive development include which of the following? a. describing characteristics of respect b. counting 3 cookies on a plate c. a child using a broom to pretend they're riding a horse

A. (b. concrete, c. preoperational)

A two month old infant is admitted to the walk in clinic with moderate Diarrhea. Which of the following assessments suggests the infant is moderately dehydrated? a) Delayed capillary refill, greater than 3 seconds, oral mucosa pale and slightly dry b) Oral mucosa moist, skin color pale. c) Fontanels depressed; capillary refill greater than 4-5 seconds. d) Fontanels flat, oral mucosa pale and slightly dry

A. (all important esp, cap refill)

what disease does the MenACWY vaccine prevent? a. shingles b. COVID-10 c. bacterial meningitis d. Hep A

C.

which of the following statements are TRUE regarding bullying? a. bullying only occurs in school settings b. males engage only in physical bullying c. bullying associated with physical, psychological, and social harm d. children with special healthcare needs are not at increased risk for bullying

C.

The following are examples of cephalo-caudal development. Mark all that apply. a. Holding head up before sitting b. Swatting at objects before picking them up with fingers c. Using trunk of body before limbs d. Sitting before standing

a. d. b & c = proximo-distal

The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory? a. A sense of competence, mastery, and worth b. Lack of the ability to think abstractly c. The principle of conservation d. The conventional stage of development

a. A sense of competence, mastery, and worth

During a previous well-child visit, the nurse reviews the importance of immunizations for the preschool-age child with the parents. Which outcome indicates that the nurse's instruction to the parents has been effective? a. Child has all immunizations up to date. b. Parents plan to have the child receive needed immunizations within a year. c. Child began to cry during an immunization, and the decision was made to try again later. d. Primary care physician changed the appointment for immunizations to another day in a month.

a. Child has all immunizations up to date.

While evaluating the development of a 10-month-old boy, a nurse hides the boy's stuffed animal behind her back. The boy crawls around the examination table to look behind the nurse's back for the stuffed animal. Which developmental phenomena has this a. Object permanence b. Hand regard c. Binocular vision d. Depth perception

a. Object permanence

Mild reactions to vaccines include: a. Redness or swelling at injection site b. Seizures c. High fever, 105 or greater d. Anaphylaxis

a. Redness or swelling at injection site

When caring for a child with a cognitive impairment, what is a primary factor for the nurse to consider regarding the approach for interaction with the child? a. The developmental stage is based on developmental tasks achieved. b. The developmental stage is based on the chronological age. c. The developmental stage is based on the gestational age. d. The developmental stage is based on the parent's report of level of functioning.

a. The developmental stage is based on developmental tasks achieved.

The mother of a 13-year-old adolescent is concerned about her daughter getting cervical cancer later in life and asks the nurse if there are any ways to reduce the risk. Which would the nurse recommend? a. Vaccination for the human papilloma virus b. Urging the daughter to not begin smoking c. Insist that the daughter wear SPF 30 sunscreen while outside d. A diet free from animal fats

a. Vaccination for the human papilloma virus

According to Piaget, one basic concept that a child will learn during the first year is that: a. he is separate from his parents. b. he cannot be fooled by changing shapes. c. his parents are not perfect. d. most procedures can be reversed.

a. he is separate from his parents.

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: a. self-esteem b. independence c. modesty d. shyness

a. self-esteem

A nursing intervention in the hospital that focuses particularly on the developmental needs of the school age child with a chronic condition is: a. Discouraging the child's contact with peers with the same condition. b. Encouraging the child to finish school assignments and projects. c. Encouraging the parents to spend time at home with siblings. d. Making sure the parents provide all care related to the condition.

b. (try to maintain normalcy and expectations)

12-month-old child weighing 11 lb has an order for gentamycin sulfate 13 mg IM q 36 hour. The pharmacy has 20 mg/2 mL on hand. How may milliliters would the infant receive, and what is the best site for the injection? a. 0.13 mg; vastus lateralis b. 1.3 mL; vastus lateralis c. 0.13 mg; ventrogluteal d. 1.3 mL; deltoid

b. 1.3 mL; vastus lateralis

You are giving an immunization to a 2 year old that is recommended to give subcutaneously. Which gauge and length needle would you use? And which site would you choose? a. 20-22 gauge, 5/8 inch length and give in fatty tissue over anterolateral thigh b. 23-25 gauge, 5/8 length and give in fatty tissue over anterolateral thigh c. 20-22 gauge, 5/8 -1 inch and give in the deltoid d. 23-25 gauge, 5/8 inch length and give in deltoid

b. 23-25 gauge, 5/8 length and give in fatty tissue over anterolateral thigh

A 10 year old child weighs 73 pounds. The doctor orders a medication, Augmentin. The safe dose for Augmentin is 25mg/kg/day divided q.12hours. How many mg of Augmentin can the child receive per dose? a. 1825mg. b. 415 mg. c. 912 mg. d. 780mg.

b. 415 mg.

Which of the following immunizations would you anticipate administering to a 15-month old at a health maintenance visit? a. Hib b. MMR c. Tine test d. Oral polio

b. MMR

The mother of a toddler observes the child play next to another child but not with the child. What should the nurse explain to the mother about this type of play behavior? a. This is peer play and is abnormal. b. This is parallel play and is expected. c. This is premature play and should be stopped. d. This is adjacent play and is only seen in school-age children.

b. This is parallel play and is expected.

Toddlers playing with toys, sitting side by side but having very little interaction with each other, is an example of what stage of play? a. Cooperation b. Solitary c. Parallel d. Associative

c.

The mother of a 6-month-old infant asks the nurse at a community health center what she should do about her baby, who always wants to put everything in his mouth. What would be an appropriate response by the nurse, based on Freud's theory? a. "There must be something wrong...your baby should not be doing that." b. "I don't know if that is normal or not, but I will check on it." c. "Babies at this age explore and enjoy their world with their mouths." d. "This usually does not happen until babies are 2 years old."

c. "Babies at this age explore and enjoy their world with their mouths."

The parents state they are afraid to have their child vaccinated and ask the nurse for more information. Which response by the nurse is most appropriate? a. "State-required vaccinations are needed for your child to attend school." b. "There are no side effects from vaccinations that you need to worry about." c. "Vaccinations are very effective at preventing serious disease and infection." d. "Your child will probably not acquire the disease because other children are vaccinated."

c. "Vaccinations are very effective at preventing serious disease and infection."

The nurse enters her client's room and finds the infant on a pillow with a bottle propped up while the mother is dressing. What statement should the nurse make? a. "Look how cute she is." b. "Are you almost ready to be discharged?" c. "You should always hold your baby for feedings instead of propping the bottles." d. "Is she almost done feeding?"

c. "You should always hold your baby for feedings instead of propping the bottles."

A nurse is teaching a 7-year old diabetic child who is in Piaget's concrete operational stage about insulin injections. Based on Piaget's theory, what would be the nurse's best method of preparation for this child? a. Show the child a video about diabetes and insulin. b. Give the child a pamphlet on diabetes to read. c. Demonstrate the procedure on a teddy bear. d. Explain the procedure to the child in detail.

c. Demonstrate the procedure on a teddy bear.

A nurse is promoting vaccine administration. When instructing on the physiological changes, which statement best explains what occurs in the child when vaccines are administered? a. The child develops a passive immunity. b. The child becomes a carrier of the disease. c. The child develops an active immunity. d. The child becomes a host for the disease.

c. The child develops an active immunity.

The nurse at a health fair is teaching about the various changes of puberty. Which sequence of events will be best for the nurse to present when illustrating pubertal changes in females? a. menarche, breast budding, appearance of pubic hair b. Appearance of pubic hair, menarche, breast budding c. breast budding, appearance of pubic hair, menarche d. appearance of pubic hair, breast budding, menarche

c. breast budding, appearance of pubic hair, menarche

Based on the theories of Piaget and Erickson, which of the following would be the most effective way to help a pre-school-aged child prepare for a medical procedure? a. Assure the child that you will be with her in the hospital. b. Introduce the child to other children who have had the experience. c. Provide diagrams and explanations about the procedure. d. Provide medical props and dolls to facilitate medical play.

d.

A mother reports to the nurse that her 4-year-old does everything that she does. She says she is becoming somewhat frustrated with these actions. What would be the best response by the nurse to this mother? a. "I can imagine that it would be very irritating." b. "I am sure there are ways to get your daughter to stop imitating you." c. "This is not normal behavior. I am going to get the doctor's advice." d. "Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development."

d. "Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development."