Pedi Exam 1

The nurse is providing teaching about preventing poisoning. Which statement by the mother would warrant further discussion?

"All medicine in our bathroom cabinet is in childproof containers even though the door isn't locked"

The parents of a toddler asks the nurse about disciplining their son. What suggestions would be most helpful? SELECT ALL

"It's better to praise correct behavior than to punish wrong behavior" "It is important to have a consistent caregiver to prevent acting out from separation" "Increase the time spent in time outs assigning one min per child's age"

The nurse is evaluating if nutrition counseling for new mothers has been effective. Which comment by the mothers indicate the need for more instruction?

"No spill sippy cups are a good way to limit the amount of juice that comes into contact with the baby's teeth."

A newly hired nurse is receiving education about the role of the facility's ethics committee during the orientation period. Which statement indicates a need to better understand the role of this group?

"The ethics committee is only made up of physicians and hospitalized administrators"

The mother of a 4 day old infant brings her child to the clinic concerned about her infant's hands and feet appearing blue. What is the nurse's best response during the admission process?

"This is often a normal occurrence in infants of this age but we will have the physician assess your baby"

The nurse is meeting with the parents of a 7 y.o boy with Drown syndrome. The child's mother reports an interest in hippotherapy. The child's father reports that seems to be a waste of money. The parents then ask the nurse for additional info. What info may be included in the nurse's response? SELECT ALL

A variety of conditions including Down syndrome have used hippotherapy with success Self-esteem may be improved with hippotherapy The benefits of hippotherapy are both physical and psychological

The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? SELECT ALL

Around 2 mon the infant exhibits a first real smile Around 3 mon the infant smiles widely and make gurgles when interacting with the caregiver Around 3 mon the infant will mimic the parent's facial movements, such as sticking out the tongue Separation anxiety may start in the last few months of infancy

The nurse is planning interventions for an infant. The infant has been hospitalized for several weeks due to a chronic illness. Which interventions will assist the infant in developing a sense of trust?

Assess family during visits to determine if nurturing is consistent, and if parental attachment has occurred

The nurse is caring for a 1 y.o boy who was a premature infant. What must the nurse do to attain accurate developmental assessment data?

Assess for developmental progress based on the child's corrected or adjusted age

The nurse is providing home care for a 6 y.o girl with multiple medical challenges. Which activities are part of the educator role of the nurse? SELECT ALL

Teaching parents to administer albuterol Reminding a parents to give a full course of antibiotics Showing the parents how to perform proper hand hygiene

The nurse is collecting information from a 14 y.o female who was brought to the clinic for a well-child visit by her mother. Which technique would be least beneficial in this process?

Direct the questions to the child's mother but encourage the teen to interject as desired

You teach a child to imagine that she is swimming in a cool, shady park where nothing can harm her during a blood-drawing procedure. This technique is called:

Imagery

A 5 y.o wants to do everything independently, including riding his two-wheeled bike without training wheels. Everyday, he continues to try to ride the bike until finally he is successful. According to Erikson, the nurse identifies successful completion of what developmental task?

Initiative vs. guilt

A nurse who is striving to provide atraumatic care to a hospitalized 10 y.o client should NOT include which action in the plan of care?

Limit visitors to the child

When observing a group of toddlers at play in the clinic waiting room, which type of play would the nurse be most likely to note?

Parallel play

Which statement regarding infant safety is accurate?

Crib and playpen bars should be no more than 2 3/8 inches apart

The nurse is trying to establish a trusting relationship with an 8 y.o who was newly admitted for testing related to abdominal pain. Which action by the nurse does NOT incorporate effective actions into developing this relationship?

Th nurse explains to the child, who is hesitant to talk, that it is important to communicate with the nurse

The nursing professor is observing the student nurse measure the vital signs of several children. Which action by the student does not demonstrate knowledge of the procedure?

The student measures the radial pulse of a 16 mon old for one full minute The student listens to the 12 mon old's heart for 20 seconds before beginning to count the rate

The nurse in a pedi clinic is reviewing the chart of a child who is 4 months old. The infant weighed 8.2lbs at birth. What does the nurse anticipate the infant's weight to be in kg if the infant meets normal growth expectations at the end of 12 mon?

11.2 Kg

The student nurse is preparing a presentation on signs of developmental delay in preschoolers. Which example of a delay should be included?

A 4 y.o that does not use sentences with 5 or more words

The nurse is discussing development of fine motor skills in the preschool-age group with a group of nursing students. Which statement is most accurate regarding the fine motor skills of a 3 y.o?

Button his clothes

The nurse is caring for a 12 y.o with cerebral palsy who is unable to communicate verbally. Which pain assessment tool is the most appropriate for the nurse to use when assessing this patient?

FLACC

The school nurse is preparing a presentation for a group of teachers about teen suicide. Which is NOT a risk factor to include?

Family hx of depression

The nurse is reviewing the medical record of an infant who is being seen for the 12 month well child visit. Which finding are normal for this infant?

HR 101 bpm BP 80/50 R 28/min Temp 99 degrees

The nurse is caring for an infant who will have surgery. What type of pain assessment would the nurse use?

Observation of facial and body actions

A child is in need of emergency care. The child's parents want to provide consent via telephone. What action by the nurse is appropriate in this matter?

Obtain another nurse to also listen to the consent being provided from the parents hen cosign the consent with the other witness once parental permission is obtained

The nurse pulls the 5 mon old to sitting position from supine and notes head lag. The nurse's response is to:

Refer the infant for developmental and/or neuro examination

The nurse is caring for an 18mon old toddler with special needs. The toddler cries when the caregiver is not in sight. He also will only attempt to creep towards the caregiver when seen. According to Erikson, which developmental tasks are demonstrated as delayed in this child with special needs? SELECT ALL

Separation from parent Developing motor skills

The nurse is assessing the neuro status of a 1-mon old infant. Which finding does the nurse determine to be abnormal when performing this assessment?

The infant curls the toes when the nurse strokes along the lateral aspect of the sole and across the plantar surface of the foot

When is the best time for the nurse to count a 9 month old respirations?

When he is quiet in his mother's lap