ped Q 1
Reinforcing teaching to parents of toddlers about temper tantrums. Which statements should include in teaching?
temper tantrums are the toddlers attempt to gain control of situation"
Food choices with the mother of an 8 month old infant. Which of the following statements by the mother indicates a need for further teaching?
"I will give my child peanut butter and mashed egg whites.
New parents on the proper way to use an infant car seat. Indicates further teaching
"My baby will be comforted in the back seat by being able to watch me while i drive"
The emergency nurse is providing discharge teaching to the parents of a 2 year old child who sustained burns from a hot cup of coffee that had been left on the kitchen counter. The nurse evaluates that parents have correctly understood the teaching when they state:
"We will be sure not the leave hot liquids unattended"
Select interventions appropriate for the care of an infant. SATA
*Caress the infant while bathing or during diaper changes *Hang mobiles with black and white contrast designs *Provide swaddling
Instructions to a new parent regarding psychosocial development of the infant. Using erikson's psychosocial development theory, nurse should instruct Allow the infant to signal a need Atropine sulfate 0.2 mg given intramuscularly, is prescribed for a child. The medication label reads as follows: 0.4mg/mL. The nurse has determined that the prescribed dose is safe. How many mL should the nurse administer to the children?
0.2/0.4 *1 = 0.5 mL
Administer acetaminophen 10 mg/kg PO to a preschool child for fever. The child weighs about 22 lb. available is acetaminophen liquid 160 mg/5mL. How many ml should nurse administer?
22/2.2=10 kg 10kg*10mg=100mg/160mg *5 = 3.1
Dexamethasone 1.5 mg/kg/day O to divide equally every 6 hr to preschool age child who weighs 22 lbs. Available is dexamtethasone oral solution 1 mg/mL. How many ml should the nurse administer per dose? 24/6 =4 22lb/ 2.2lb = 10kg 10k*1.5 15mg/day
3.8 mL
A nurse is administering prednisone 40 mg PO to an adolescent client. Available is oral solution 5 mg/mL. How many mL should be administered
40/5mg * 5 mL = 40
A nurse is providing care to a group of children at a pediatric clinic. Which of the following children meets the criteria to receive a varicella vaccine?
A child who has a cold and nasal discharge
Selecting a toy for a 7 month old infant. Which of the following toys should the nurse choose?
A colorful crib mobile that plays music
Assisting family therapy session for parents and 2 school age children. Which of the following statements should nurse recognize as an example of effective communication
Can you tell me the reason you get upset each time I go to the mall?
Caring for a 4 year old child who had an incident of bedwetting during hospitalization. The child's parents expresses concern about the incident. Which response nurse make
Children who are hospitalized often regress. The toileting skills will return when your child is feeling better
3-year old child who weighs 33 lb and has 160 mL of urine output during the past 8 hr. Which of the following actions should the nurse take?
Continue to monitor the client
Preparing to administer ear drops to a 2 year old child. The nurse should pull the auricle in what direction
Down and backward
Collecting data about an IV infusion site on an infant's left hand. Identify as an indication of an infiltration?
Edema in the palm of the hand
Reinforcing teaching with the mother of a 14 month old child about safe food choices. Which should the nurse recommend
Mashed potatoes
Obtaining the length and weight of a 6 month old infant. Which of following actions nurse take (SATA)
Measure infant from crown of head to heels of feet Ensure scale is balanced to 0 prior to use Place a disposable covering on the scale
Administer an oral elixir to 3 month old infant using an oral medication syringe. Which following actions should nurse take
Position syringe to the side of the infant's tongue
Mother of a preschool age child . the mother tells the nurse that her son is a "picky eater" which of the following should the nurse make?
Preschool age children eat slightly more than toddlers.
According to kohlberg's theory of moral development. At the preconventional level, moral development is thought to be motivated by which of the following?
Punishment and reward
Stages of sexual development with a 12 year old male. The nurse should identify that which of the following pubertal changes occur first?
Reddening of scrotal skin
Parent of a toddler about appropriate snacks. Which of the following foods should nurse include in teaching?
Sliced bananas
Preschool age child during a routine wellness checkup Which of the following findings indicates a need for further evaluation?
The child has a blood pressure 122/80 mm HG
Morphine sulfate, 2.5 mg is prescribed for a child. The safe pediatric dose is 0.05 to 0.1mg/kg/dose. The child weighs 50kg. WHich statement most accurately describes dosage for this child?
The dose is within the safe dosage range
Parent of a 16 year old child tells the nurse that she is concerned because the child sleeps until noon every weekend and whenever day off from school. Which response
"Adolescent loves to sleep late in the morning"
Collecting data from a 10 year old child during a well-child visit. Which of the following statements by the child indicates he is meeting the psychosocial development expectations of a school-age child?
"I really want to do well on school"
Teaching about nutrition with a parent of an infant. Which of the following statements by the parents indicate understanding
"I should wait to give my baby fruit juice until 6 months of age"
Well child visit, a nurse is reinforcing teaching with the parents of a preschool age child whom they have difficulty getting sleep. Understand the teaching
"I will encourage my child to fall asleep with his favorite toy.
A nurse is caring for a 5 year old child who has been placed in traction after a fracture of the femur. Which of the following is the most appropriate activity for this child?
A music video
Administer an IM injection to a preschool age child. Which of the following actions should the nurse take?
Allow child to hold a favorite toy
A nurse is performing CPR on an infant. When performing chest compressions, the nurse understands that the compression rate is at least
100 times per minute
Collecting data from an infant. Which of the following sites is the most reliable location to check infant's pulse?
Apical
Parenting class and is approached by a parent of a 2 year old toddler who asks what to do when the toddler throws a tantrum. Which of the following instructions should the nurse give
Appear to ignore them
Apply a eutectic mixture of local anesthesia (EMLA) cream prior to inserting an intravenous catheter on preschool age child. Nurse take: (SATA)
Apply medication an hour before the procedure begins Cover the treated area with transparent occlusive dressing Use facial pain rating scale to evaluate effectiveness of treatment
Observing a newly licensed nurse who is performing endotracheal suctioning for preschool age child. Which requires a nurse to intervene?
Applying suction for 15 seconds.
Data from a 7 month old infant. Which of the following findings should indicate the nurse a need for further evaluation
Babbles one syllable sounds
Preparing a conference on Freud's psychosocial stages of development, specifically the anal stage. Which of the following appropriately relates to this stage?
Beginning of toilet training
Caring for hospitalized 2 year old child who has tantrum when a parent leaves. Which of the following actions should the nurse take?
Give the child a stuffed animal
Collecting data from a 4 year old child. Nurse expect:
Heart rate 110/min
Parents of an adolescent about expected development. Which of the following developmental tasks should the nurse instruct the parents to expect the adolescent to achieve
Identity
Home care for a school-age child who is awaiting discharge to home following an acute asthma attack. Which growth and development stages according to Erikson consider
Industry vs inferiority
Caring for toddler who is scheduled to have a lumbar puncture. Which action should nurse take
Place toddler on side lying, knee chest position
Collecting data from an 8 month old infant. Which should the nurse expect
Positive crawl reflex
Collecting data from a 10 month old infant. Which of the following findings should the nurse report to the provider
The infant does not sit steadily without support
Learning more about psychosocial development. Identify the order of erikson's stages of psychosocial development from birth through 18 years
Trust vs mistrust (infancy) Autonomy vs shame and doubt (toddler) Initiative vs guilt (preschooler) Industry vs inferiority (school age) Identity vs role confusion (adolescence)
Relieve an airway obstruction on a 6 year old conscious child. The nurse perform this maneuver by placing the hands between
Umbilicus and xiphoid process
Reinforcing health promotion teaching with parents of toddler. Include as the leading cause of death among this age group?
Unintentional injuries
Refuses medication because of bad taste which of the following strategies should the nurse use to elicit child's cooperation Hide the medication in apple slices
inform the child that if he does not take medication he will need a shot
