Pediatric/Child Health Nursing - Exam 2

Which is the maximum volume of an intramuscular injection recommended for a preschool-aged child?

1.0 mL

How long should a toddler sleep each day?

11-12 hours

How much sleep should a preschooler get each day?

12 hours

At which age would a child receive immunization for measles, mumps, and rubella?

12 months (1 year)

Which age range is classified as the toddler years?

12-36 months (1-3 years)

Which is the recommended protein intake for preschoolers?

13 g/day

At which age would the nurse anticipate that a child will begin to develop awareness of ownership?

18 months

At which age would the nurse expect a child to throw a ball overhand without losing balance?

18 months

Which average daily caloric intake is appropriate in preschoolers?

1800

Which is the average annual increase in the height of preschoolers?

2.5-3 inches (6.2-7.5 cm)

Which would the student nurse claim is an acceptable respiratory rate range in a 2-year-old toddler?

25 to 32 breaths/minute

The nurse receives an order to prepare the solution for administering a cleansing enema to a 3-year-old child. Which is the volume of solution the nurse would prepare?

250-250 mL

Which treatment would the nurse provide immediately to a preschooler who arrives at the emergency department after ingesting aspirin?

Activated charcoal

Which trait of temperament would the nurse assess for in a preschool-aged client who is beginning school?

Adaptability

Which strategy would the nurse use to gain the cooperation of a 4-year-old child while measuring the child's blood pressure?

Allow the child to manipulate the instrument

Which strategy would the nurse use to meet a preschooler's developmental needs just before a physical examination?

Allowing the child to handle the examination equipment

Which situation may occur if monocular strabismus is not corrected early?

Amblyopia will progress in the weaker eye

Which clinical condition is associated with lead poisoning?

Anemia

The nurse is teaching the parents of an 18-month-old child the procedure for instilling eardrops. How would this procedure be done?

By pulling the pinna down and back to straighten the auditory canal before instillation of the drops

The parents of a toddler tell the nurse the family has been living in a very old building. The nurse would carefully assess the child for the irreversible effects of possible lead poisoning by focusing on which organ system?

Central nervous system

Which action does the nurse perform when completing the third accuracy check before administering ear drops to a 5-year-old child?

Check the label of the medication at the child's bedside.

Which is the priority nursing care in the immediate postoperative period for a toddler with a newly applied hip spica cast?

Checking the toddler's peripheral circulation

Which education would the nurse provide the parents of a preschool child with a spinal cord injury about foods to avoid during prolonged bed rest to prevent complications associated with immobility?

Cheese

Which education would the nurse provide the parents of a preschool-aged child with leukemia who is undergoing chemotherapy and is susceptible to rectal ulcerations?

Clean the child's perianal area after each bowel movement.

The nurse is assessing a 3-year-old child with a tentative diagnosis of lead poisoning. Which clinical finding supports this diagnosis?

Clumsiness

The nursing instructor asks the nursing student to describe the initiative versus guilt stage of Erikson's theory of psychosocial development. Which student statement indicates a need for further teaching?

"At this stage, the child develops a sense of autonomy."

A child ingests a substance that may be a poison, and the parent calls the nurse to ask what to do. Which is the best response by the nurse?

"Call the Poison Control Center."

A parent reports that his or her child just ate several multivitamins with iron. Which statement would the nurse say to the parent?

"Call the Poison Control Center."

Which education would the nurse provide a group of parents about preventing Reye syndrome in their preschool-age children?

"Do not give aspirin when your child has a fever."

Which parental statement would the nurse recognize as the appropriate application of time-out when disciplining a 4-year-old?

"I explain the reason for the time-out before and after disciplining my child."

Which response would the nurse make to a hospitalized 4-year-old child who is crying while pulling at the hospital gown and clutching a teddy bear?

"I know you feel scared. This must be your special teddy bear."

Which statement by the parents of a toddler indicates the need for further education?

"I should allow my child to ride unrestrained for short car trips."

Which parental statement would the nurse recognize as indicative of needing further teaching about the nutritional needs of preschoolers?

"I should limit my child's calorie intake to 1200 per day."

Which strategy would the nurse use when preparing to administer an intramuscular injection to a preschool-aged client?

"It is okay to cry. After we are done, you can go to the box and pick out your favorite sticker."

A 15-month-old child is hospitalized after ingesting toilet bowl cleaner. The mother confides that she feels guilty about leaving the cleaner where her child could get it. Which is the best response by the nurse?

"It was an accident, but you should consider special locks on your closets."

Which response would the nurse have when the parents of a 3.5-year-old worry that their child has become a "picky eater" and has not gained much weight?

"Preschoolers' rate of growth is slower, so they don't have large appetites."

An auditory screening reveals that a child has mild hearing loss. Which statement would the nurse use to explain this degree of hearing loss?

"Speech therapy and hearing aids may be required."

Which statement made by a toddler would the nurse identify as an example of animism?

"That chair is mean; it made me fall."

Which would the nurse state to the mother of a toddler to promote safety?

"Throw plastic grocery bags away."

Which response would the nurse have when a 4-year-old child hospitalized with pneumonia says, "I'm too sick to feed myself"?

"Wait a few minutes, and I will be back to help you."

Which parental statement would prompt the nurse that the parents of a 3-year-old child with cystic fibrosis need further teaching?

"We'll have to move to a very warm climate."

Which recommendation would the nurse make to a parent to address bedtime resistance in a 4-year-old child?

"You should limit screen time in the hour before bedtime."

Which strategy would the nurse recommend to a father to encourage a 5-year-old to wear a helmet while bicycling?

"You should wear your helmet while riding your bicycle."

How are the teaching methods for a toddler and a preschooler similar?

-In both cases, play is used to teach a method or procedure. -In both cases, learning is accompanied by pictures and short stories.

Which findings about spiritual development in a 5-year-old child are appropriate?

-The child thinks of God as an imaginary friend -The child thinks that one becomes ill because of some wrongdoing -The child learns from concrete representations of religious practices, such as picture books and small statues

Which feature of a child's outfit would the nurse recognize as the most important to address with the parents?

-The child's name is embroidered on a jacket pocket

Which characteristics observed in a 5-year-old child are considered age-appropriate?

-ability to swim and skate -interest in trying new foods -ability to draw triangles and diamonds

Which techniques would the nurse use when assessing a preschool-aged child?

-asking questions directly to the child -asking the child to sit on the examination table -having the child undress, leaving on the undergarments -asking the child whether he or she would like to have the respiratory or abdominal assessment done first

Which steps are included in the emergency treatment of poisoning in a toddler?

-assess the victim -identify the poison -terminate the exposure -prevent poison absorption

Which areas are sources of stress in 4-year-old children?

-attention -insecurity -activity level

Which action would the nurse perform when preparing to administer medication to a 4-year-old in a day care center?

-identifying the child -verifying the dosage -reviewing side effects -obtaining parental consent -ensuring that the medication is taken

Which characteristics would the nurse assess by evaluating the drawings of a preschooler?

-intelligence -personality development -psychosocial adjustment

Which assessment data indicates that a child is experiencing stage 1 chemical pneumonia?

-pallor -emesis -nausea

Which consideration is most important for the nurse when planning to communicate with a preschool child?

Developmental level

Which condition may a 4-year-old child develop as a result of a failure to master sensorimotor integration?

Developmental stuttering

Which action would the nurse take while giving an injection to a preschooler?

Distract the child with conversation

Which clinical manifestation would cause the nurse to suspect that a toddler-age client ingested a corrosive agent such as bleach?

Drooling

Which transmission-based precautions would the nurse use when caring for a 4-year-old child admitted with pertussis?

Droplet

Which developmental characteristic would the nurse recognize as contributing to a 4-year-old child's difficulty relating to some of the children in the playroom?

Exaggerating and boasting to impress others are typical behaviors of preschoolers

Which pain scale is used to measure the intensity of pain in preschoolers?

FACES scale

Which Korotkoff sound represents the diastolic blood pressure in toddlers?

Fourth

For which age group would the nurse anticipate experiencing the most challenge in providing care?

From 1 to 4 years of age

Which developmental skill would the nurse expect a 3-year-old child to be able to do?

Go up stairs while alternating the feet

Which topic would the nurse include in a teaching session for the parents of a 13-month-old child?

Gradual weaning from the bottle

Which manifestation would the nurse expect when a preschooler thinks that he or she has done something wrong?

Guilt

Which is the best way for the nurse to promote adherence to the restrictions after colorectal surgery?

Handle dietary changes in a matter-of-fact way

Which strategy would the nurse use to assess a 4-year-old child who is guarding the abdomen, crying, and not allowing any physical contact with the staff after a fall onto the handlebars of a tricycle?

Having the child guide the examiner's hand to the area that hurts

Which insect or arthropod is the most common allergen for children with asthma?

Household cockroach

Which behavior would the nurse recognize as indicating the end of the Oedipus or Electra complex in a preschool-aged client?

Identification with same-sex parent

Which statement would the nurse recognize as accurate about a preschooler's imaginary playmates?

Imaginary playmates experience what a preschooler wants to remember

Which pathophysiological process would the nurse expect to account for growth failure in a 4-year-old child with newly diagnosed cystic fibrosis?

Impaired digestion and absorption because of the lack of pancreatic enzymes

Which condition is commonly seen in preschoolers?

Impetigo

While assessing a 5-year-old child, which clinical finding would the nurse recognize as indicative of a verbal response score of 3 on the Glasgow Coma Scale?

Inappropriate words

Which recommendation would the nurse make to the parents of a 3-year-old child who is a picky eater?

Including some of the foods the child prefers in every meal

According to Erikson's theory, in which stage would the nurse expect a preschooler to start to pretend?

Initiative versus guilt stage

Which health education would the nurse prioritize when teaching the parents of preschoolers?

Injury prevention and dental health

After many episodes of otitis media a 3-year-old child is to undergo myringotomy and have tubes implanted surgically. Which should the nurse include in the discharge preparation for this family?

Insert earplugs during the child's bath.

Which method of medication administration is commonly used in toddlers when the child has poor intravenous access during an emergency situation?

Intraosseous

Which cognitive development milestone is characteristic of a 4-year-old?

Intuitive thought

In the playroom of a pediatric unit, the nurse sees several toddlers seated at a table trying to copy the same picture from a book. They are not talking to each other or sharing their crayons. Which would the nurse conclude about this behavioral interaction?

It is a typical expression of toddlers' social development.

Which education about the rationale for cranial radiation would the nurse provide the parents of a 3-year-old child who has acute lymphoblastic leukemia?

It treats central nervous system involvement

Which language developmental milestone is seen in 4-year-olds?

Knows simple songs

Ingestion of which chemicals may cause chemical pneumonia?

Lighter fluid

Which plant, if ingested by a preschool-age client, would necessitate further action by the nurse?

Lily

A 4-year-old child is found to have Hirschsprung disease (aganglionic megacolon). Which diet recommendations would the nurse provide the parents?

Low-residue

Which foods would the nurse order for a 30-month-old toddler on a regular diet?

Macaroni and cheese and Cheerios

Which play activity would the nurse encourage for a preschooler whose hand is immobilized with a peripheral intravenous line?

Manipulating jigsaw puzzles

Which is another name for rubeola?

Measles

The parents of a toddler with newly diagnosed cystic fibrosis ask the nurse what causes the problems related to this disorder. Which would the nurse consider about the primary pathologic process before responding?

Mechanical obstruction of mucus-secreting glands

Which education would the nurse provide to the parents of a child being discharged after an asthma exacerbation?

Minimize exertion and exposure to cold.

Which discharge education would the nurse provide the parents of a 3-year-old child with thalassemia (Cooley anemia)?

Minimize the risk of infection

Which age-appropriate fear would the nurse anticipate in a hospitalized preschooler?

Mutilation

A 2-year-old toddler has hearing loss caused by recurrent otitis media. Which treatment would the nurse anticipate that the practitioner will recommend?

Myringotomy

Which treatment would the nurse anticipate administering to a toddler who has acetaminophen poisoning?

N-acetylcysteine

Which symptom would lead the nurse to suspect strabismus in a child?

One eye moves inward

The nurse on the pediatric unit is observing the developmental skills of several 2-year-old children in the playroom. Which child would the nurse continue to evaluate?

One who exhibits echolalia when speaking

The nurse is observing two 18-month-old children playing side by side in a sandbox. Although they watch each other, neither interacts wit the other. Which type of play would the nurse identify?

Parallel

Which type of play do 2-year-old toddlers engage in?

Parallel

Which statement is true regarding the importance of play for children?

Playing is important because it helps children to release frustration

Which cognitive developmental stage would the nurse expect for a 3-year-old child?

Preconceptual

Which cognitive development stage would the nurse expect for a 4-year-old child whose concept of death is based on a sense of causality?

Preoperational thought

For which age group would the nurse recommend that parents teach their children to safely cross roads and walk in parking lots?

Preschoolers

In which age group would the nurse anticipate observing associative play?

Preschoolers

Which cognitive developmental milestone is characteristic of preschoolers?

Preschoolers are aware of cause-and-effect relationships

How does the teaching method for a preschooler differ from that for a toddler?

Preschoolers are encouraged to learn together

Which statement about language development in preschoolers is correct?

Preschoolers find words such as die and dye confusing

The nurse notes that a child in a crib has a clamped jaw and is having a tonic-clonic seizure. Which is the priority nursing responsibility at this time?

Protecting the child from self-injury

Which action would the nurse take when administering eardrops to a 4-year-old?

Pull the auricle up and out.

Which stage of moral development would the nurse recognize when a 4-year-old child judges an action as good because it resulted in a reward?

Punishment and obedience orientation

Which essential education would the nurse provide the parents of a 4-year-old child after a nephrectomy for a Wilms tumor?

Recognize the signs of urinary tract infection

The parents of a preschooler with a congenital heart defect asks the nurse why their child squats after exertion. Which rationale would the nurse provide the parents?

Reduces how hard the heart must work

Which toddler behavior would the nurse identify as global organization, a characteristic of preoperational thought?

Refusal to sleep in bedroom because the bed has been moved

Which concept of death would the nurse expect a 4-year-old child to have?

Reversible separation

Which gross motor milestone is exhibited by 3-year-olds?

Riding a tricycle

Which characteristic related to achieving autonomy would the nurse anticipate when providing care to a toddler?

Ritualism

Which infection is caused by droplets larger than 5 microns and typically affects children between 3 to 6 years of age?

Rubella

Which is the priority topic when teaching the parents of a toddler-age client regarding the selection of toys?

Safety

The nurse is planning to teach activities of daily living to a developmentally disabled 3-year-old child. Which activity would the nurse plan to teach to the child first?

Self-feeding

In which position would the nurse place a 4-year-old child before performing postural drainage of both lung aspices?

Sitting on nurse's lap, leaning forward

Which strategy would the nurse recommend the parent of a 4-year-old child with frequent nightmares avoid?

Sleeping with the child

Which sensory function is difficult to assess in preschoolers?

Smell

The preschool-age client is learning sociocultural mores. Which developmental milestone would the nurse suspect in this client?

The child is developing a conscience.

The nurse suggests taking a 2-year-old child to the playroom. The child responds by shaking the head vigorously from side to side, screaming, "No! Won't!" However, the child is trying to climb out of the crib at the same time. In light of these behaviors, which is the most likely conclusion by the nurse?

The child is trying to assert independence.

According to Erikson's theory, which behavior would a toddler exhibit?

The child starts performing self-care activities.

Which developmental skill would the nurse determine as exceeding the expectations of fine motor milestones for a 3-year-old child?

The child uses scissors to cut out pictures

Which temperament type would the nurse recognize in a 4-year-old child who becomes aggressive and refuses to play or interact with other children at the playground?

The difficult child

Which statement is true for toddlers?

The incidence of poisoning is very common in toddlers

Parents whose child has cystic fibrosis have no history of CF in their family and ask how their child inherited this disorder. How would the nurse clarify the way in which the disease was inherited?

The inheritance is autosomal recessive.

The nurse is performing a physical assessment of a 15-month-old toddler. Which finding indicates that a disorder may be present?

The liver is palpated 3 cm below the costal margin

The nurse is educating parents about the changes to expect when their child enters toddlerhood. Which information would the nurse include?

The toddler has a protruded abdomen.

Which criterion would the nurse use when selecting the appropriate size of blood pressure cuff for a 4-year-old child?

The width is approximately 40% of the circumference of the upper arm

Which statement is true regarding the development of body image in preschoolers?

They can become conscious of their size

Which education would the nurse provide the parent of a 4-year-old child?

They double their birth length at this age.

Which is a major risk factor for lead poisoning in 2-year-old children?

They explore the environment by touching and tasting.

Which is true about the effect of grief and loss in toddlers?

They express a sense of change in sleeping

How do toddlers learn self-protection?

Through trial-and-error strategies

Which area would the nurse palpate to assess a 4-year-old child's radial pulse?

Thumb side of the forearm at the wrist

Which statement is true about the appearance of a toddler's body?

Toddlers have a gap between their legs while walking.

How are toddlers different from children of other age groups?

Toddlers sleep more during the daytime than preschoolers do

How does the skeletal system of a toddler differ from that of an older adult?

Toddlers' bones can withstand falls better than the bones of older adults.

Which geometric figure is often the last to be mastered during the preschool stage of development?

Triangle

Which education would the nurse provide the parents of a 3-year-old child with sickle cell anemia about splenomegaly during a pain crisis?

Triggered by a vasoocclusive crisis

A 2-year-old child with previously diagnosed hemophilia is admitted to the pediatric unit for observation after a motor vehicle collision. The toddler has several bruises but no other apparent injuries. Which is the nurse's specific concern regarding this child?

Undetected injury

Which would the nurse teach the parents of a child who is being discharged from the hospital after a diagnosis of acute spasmodic laryngitis to help prevent another croup episode?

Use a cool mist vaporizer in the child's room.

Which step would the nurse follow when taking a toddler's blood pressure?

Use a pediatric stethoscope bell to hear Korotkoff sounds

Which action would the nurse take to diminish a 3-year-old child's fear when in the pediatric clinic?

Walking into the waiting room to greet the child

Which is the priority nursing responsibility when caring for a toddler after a circumcision?

Watching for bleeding around the penis

Which is the most appropriate toy for the nurse to offer a 2.5-year-old child?

Wooden puzzle with large pieces

Three days after the application of a spica cast, a toddler has a temperature of 101.4 degrees Fahrenheit. Which clinical finding would the nurse anticipate?

a foul odor from the cast

Which belief would the nurse expect a preschooler to hold regarding the concept of death?

a temporary condition

Which clinical finding would the nurse score a 3 for motor response on the Glasgow Coma Scale?

abnormal flexion

The nurse in the pediatric clinic is examining a toddler with a suspected pinworm infestation. Which first sign of an infestation would the nurse assess the child?

anal itching

Which action is contraindicated while giving an injection to a preschooler?

asking the parent to restrain the child

Which is the most important action the nurse would take in preparation for a lumbar puncture for a child with a tentative diagnosis of bacterial meningitis?

asking the parents what they were told about the test

Which clinical finding is associated with high-dose lead exposure?

blindness

Which fear would the nurse expect in a 4-year-old child during a hospitalization?

bodily harm

Which fine motor developmental milestone emerges in 4-year-olds?

can lace shoes but may not be able to tie the bow

Which assessment findings would the nurse expect in a 3-year-old child with tetralogy of Fallot?

clubbing of fingers

Which symptom would the nurse recognize as a late sign of acute aspirin poisoning in children?

confusion

Which would the nurse identify as a group of hospitalized toddlers' most important need?

contact with their parents

Which instruction would the nurse give to the parent of a child who has had one episode of diarrhea according to evidence-based practice for this situation?

continue the child's feedings as usual, observe the frequency of stools, and bring the child to the clinic tomorrow if the diarrhea continues

Which developmental milestone would the nurse expect when assessing a preschooler?

copying squares

Which toddler behavior would the nurse identify as egocentrism, a characteristic of preoperational thought?

does not understand that others have a different perspective

Which nursing action is appropriate when terminating exposure for a toddler who presents to the emergency department (ED) after eating a lily?

emptying the mouth

The nurse observes that an 18-month-old toddler is crawling up stairs but needs assistance when climbing the stairs upright. Which would this indicate to the nurse?

expected behavior in a toddler of this age

The nurse is caring for a toddler who has undergone bone marrow transplantation. Which clinical finding would the nurse anticipate if an infection develops?

fever and lethargy

Which play activity would the nurse provide for a 4-year-old child on bed rest?

finger painting on blank sheets of paper

Which fluids would the nurse recommend the parents offer their child after a tonsillectomy?

ginger ale *clear liquid, soothing to oropharyngeal membranes, helps decrease nausea

A child has a respiratory tract infection with a low-grade fever. When teaching the parents, which intervention would the nurse emphasize?

giving small amounts of clear liquids frequently to prevent dehydration

Which type of fracture is common in preschool children?

greenstick

Which finding would the nurse expect when taking a health history of a 15-month-old child with celiac disease?

has bulky, foul, frothy stools

Which recommendation would the nurse make to the parents of a 4-year-old child who is admitted to the hospital and has never been separated from parents overnight?

have one of them stay with the child

Which fine motor skill would the nurse anticipate when assessing a 15-month-old client during a health maintenance visit?

holding cubes in one hand without assistance

Which urinary diversion surgery involves the transplantation of the ureters to a section of the colon, with one end attached to the abdominal wall as an ileostomy?

ileal conduit

Which is the cause of frequent upper respiratory tract infections in toddlers?

immature immune system

The parents of a child with nephrotic syndrome state that the child is always tired and has no appetite. The nurse notes that the child has a muddy, pale complexion. Which problem would the nurse suspect?

impending renal failure

Which psychosocial developmental skill would the nurse anticipate in a 4-year-old child?

increased curiosity

Which is the cause of milk anemia in toddlers?

increased milk intake

After a 4-year-old child undergoes craniotomy, the nurse performs a neurological assessment that includes level of consciousness, pupillary activity, and reflex activity. Which would the nurse include in this assessment?

motor function

The nurse is assessing a toddler with plumbism (lead poisoning). Which organ system is of most concern because of the condition's irreversible effects?

nervous

A child sitting on a chair starts having a tonic-clonic seizure with a clenched jaw. Which would be the initial action by the nurse?

placing the child on the floor

Which physiological factor increases the risk of falls for a toddler?

poorly developed depth perception

Which is the priority nursing intervention for a toddler who receives a gastrostomy tube feeding every 4 hours?

positioning the child on the right side after the feeding

Elbow restraints are prescribed for an 18-month-old toddler who just had surgery for a cleft palate to keep the child from doing which?

putting fingers into the mouth

Which clinical manifestations are associated with rabies infection?

seizures and difficulty swallowing

Which is the recommended size of the urinary catheter that can be used in a 3-year-old child?

8-10 Fr

Which range of heart rate is acceptable for a preschooler?

80-110

How many words are expected in the vocabulary of a 3-year-old client?

900 words

The nurse is measuring the blood pressure of toddlers. Which blood pressure finding is the nurse most often to find in the toddlers?

95/65 mm Hg

Which education would the nurse provide the parent of a preschool-age child about how preschoolers view death?

A form of sleep

Which ages are the most critical for speech development during the preschool years?

3 and 4 years

Which is the average height of a 4-year-old child?

3 feet, 4.5 inches (103 cm)

For which blood-lead level (BLL) would the nurse recommend rescreening in 1 year?

3 mcg/dL

At which age would the nurse anticipate the appearance of an imaginary friend for a preschool-age client?

3 years old

Which blood lead level would the nurse recognize as the threshold for identifying children with abnormal lead exposure, according to the Centers for Disease Control and Prevention, 2012?

5 mcg/dL

Which is the average weight of a 3-year-old child?

32 lb (14.5 kg)

Which quantity of iron would be considered mildly to moderately toxic in a preschool child?

35 mg/kg

At which height is it no longer safe for a toddler to sleep in a crib?

36 inches (3 feet)

The nurse is assessing a 5-year-old child using the Glasgow Coma Scale after surgery. Which rating would the nurse assign if the child shows a confused verbal response?

4

At which age would the nurse anticipate that the preschool-aged client will overcome many fears?

5 years

At which age would the nurse expect permanent dentition to erupt?

5 years

Which is the average weight of a 5-year-old child?

41 pounds

Which method would the nurse refrain from in measuring the blood pressure of a 2-year-old child?

Basing the choice of cuff on its brand name

In a child with lead poisoning, where is lead stored while remaining inert?

Bones

Which description provided by the parent of a toddler-age client would suggest to the nurse that the child is experiencing sleep terrors?

Sweating profusely

Which parental description would the nurse recognize as characteristic of sleep terrors in a preschool-aged child?

Sweating profusely

In a preschool-aged client who is considered gifted, which trait would the nurse expect?

Talented in one area, such as drawing

Which situation would the nurse expect may predispose a preschooler to feeling guilty?

The caregiver's response are too harsh

When is administration of activated charcoal indicated after a poisoning?

The charcoal has to be administered within 1 hour after the poisoning

Which behavior would be exhibited in a 2-year-old child after the death of a family member?

The child exhibits changes in eating and sleeping patterns.

What are the similarities between a preschooler and a toddler?

-similar dietary requirements -both eager to independently perform self-care

Which gross motor milestones would the nurse expect when assessing a 4-year-old client?

-skipping -catching a ball -hopping on one foot

Which education would the nurse provide the parent of a child diagnosed with sleep terrors?

-sleep terrors usually occur 1-4 hours after falling asleep -the child rapidly returns to sleep after an episode of sleep terrors

Which nutrients would the nurse list as restricted for the child with the diagnosis of acute glomerulonephritis?

-sodium -potassium

How do you convert a temperature in Fahrenheit into Celsius?

-subtract 32 from the number -then multiply by 5/9

Which information would the nurse include when working with the parents of a toddler regarding bathroom safety?

-supervise all time in the bathtub -install a lock for the toilet bowl lid -remove electronics from the bathroom -test the water temperature before getting in the tub -keep a basket with soap and shampoo close

Which statements about preschoolers are accurate?

-they can ride a tricycle -their thinking is often described as magical thinking -they use language without comprehending the meaning of words

Which clinical manifestations indicate early symptoms of aspirin poisoning in children?

-tinnitus -hyperventilation

Which actions would the nurse perform for a 5-year-old child who ingests hair shampoo?

-turn the head of the child to the side -empty the child's mouth if there is shampoo in it -call the local poison control center before any intervention

Which activities can a child perform at 3 years of age?

-turning doorknobs -holding crayons with fingers -eating with a spoon without rotating it

Which developmentally appropriate actions would the nurse take when caring for a hospitalized preschool-age child?

-use toys for distraction during a painful procedure -offer medical equipment to play with before a procedure

Which item would the nurse instruct parents to keep locked up and away from preschool-age children?

-vitamins -cosmetics -sunscreen -mouthwash -aloe vera gel

Which would the nurse anticipate when assessing a toddler-age client's respirations?

Abdominal breathing

Which treatment would the nurse anticipate when providing care for a child who ingested bleach?

Analgesics, per prescription

A 3-year-old child whose parents have been unable to visit since the child has been in the hospital has become quiet and withdrawn. To best help the child at this time, which would the nurse do?

Assign the same nurse to care for the child whenever possible.

Which evaluation finding would indicate to the nurse that a 4-year-old may be gifted?

-exhibits perfectionism -follows directions well -curious about electronics -displays good memory skills -understands cause and effect

Which clinical findings would the nurse recognize as indicative of possible neglect of a 5-year-old child?

-malnutrition -poor hygiene

Which response to hospitalization would the nurse expect in a 4-year-old child?

-out of control behavior -regression to overdependency -fear of bodily mutilation

Which plants would the nurse recognize as poisonous?

-plum -azalea -foxglove

Which descriptions of play are developmentally normal in preschoolers?

-preschoolers engage in pretend play -preschoolers get engaged in associative play -preschoolers need a temporary leader to play

Which developmental skills are fostered by a child scribbling and drawing?

-reading -fine muscle -eye-hand coordination

A 3-year-old boy has X-linked Duchenne muscular dystrophy, but neither of his parents has muscular dystrophy. Which statement indicates that the parents understand how the disorder is transmitted?

"Our daughters may be carriers of the disease."

A child in respiratory distress is admitted to the hospital and diagnosed with acute spasmodic laryngitis (spasmodic croup). At the time of discharge, the mother asks how to handle another attack at home. Which would the nurse recommend?

"Place him near a cool-mist humidifier."

Which education would the nurse provide the parents of preschool-aged children regarding injury prevention?

"Preschool-aged children are at risk for head injuries from riding a tricycle or balance bike."

Which response would the nurse have when the parents of a 3.5-year-old child with nephrotic syndrome express concern over their child becoming incontinent while hospitalized?

"This is an expected response to hospitalization. Ignore the regressive behavior and be supportive."

The nursing instructor asks the student nurse about controlling a nosebleed in a toddler. Which statements made by the student indicate the need for further teaching?

-"I should keep the child's head tilted back." -"I should keep the child's mouth closed for some time."

Which education would the nurse provide the parent of a 5-year-old child who has an imaginary friend?

-"Imaginary friends may help your child explore ideas, behaviors, or fears." -"Your child's imagination of a friend is developmentally normal in 5-year-olds."

Which statements would the nurse include when educating parents of preschoolers about safety?

-"Teach your children physical safety rules." -"Remove doors from unused refrigerators and freezers."

The nursing instructor asks the nursing student about the physical changes found in preschoolers. Which statement made by the student is accurate?

-"They grow about 2.5 to 3 inches per year." -"They double their birth length by around 4 years of age."

Which physical changes are characteristic of a preschool-aged child?

-balanced and coordinated body -decreased abdominal protrusion

Which health conditions are associated with lead poisoning in a preschooler?

-brain damage -growth retardation

The nurse is working with parents in the community to decrease the incidence of poisonings in children younger than 5 years of age. Which information would the nurse include to meet this goal?

-clean fruits and vegetables -place locks on medicine cabinets -use child-resistant medication caps -keep the poison control center number near the phone -store cleaning products in a locked cabinet

Which physical findings would the nurse recognize as possible signs of sexual abuse in a preschooler?

-difficulty walking and sitting -pain, itching, or unusual odor in genital area

Which type of play would the nurse recognize as age-appropriate for a 5-year-old client?

-dress-up play -cooperative play

Which resources enable the family of a preschool-aged child to develop and adapt to stressors?

-education -prior experiences -adequate finances

Which early clinical manifestations would the nurse expect in a preschool-aged child with an aspirin overdose?

-emesis -nausea -tinnitus

Which factors influence vocabulary, speech, and comprehension in preschoolers?

-environment -cognitive ability

Which activities would the nurse recommend to the parents of a preschool-aged child to enhance gross motor skills?

-riding a bicycle -throwing a ball

Which source of stress would the nurse anticipate in a 4-year-old child?

Attention

Which education would the nurse provide the parents of a 4-year-old child with a new colostomy?

Encouraging physical activity

Which developmental norm would the nurse recognize as likely to influence a preschooler's response to hospitalization?

Fear of bodily harm

Which behavior would the nurse recognize as developmentally atypical in preschoolers?

Feeling happy if there is a newborn in the family

What is used to correct metabolic acidosis?

Sodium bicarbonate

After a prolonged period in a regional hospital far form home to which the parents were unable to travel, an 18-month-old toddler becomes depressed, withdrawn, and apathetic. Eventually the toddler begins playing with toys and relating to others, even strangers. When the parents visit, the child ignores them. The parents tell the nurse that their child has forgotten them. How would the nurse explain the child's behavior?

This is typical behavior in toddlers who are separated form their parents for prolonged periods, and indicates that their child will need special attention from them.

Which gross motor skill would the nurse anticipate when assessing a 15-month-old child during a scheduled health maintenance visit?

creeping up stairs

According to Erikson's theory of psychosocial development, which task does the nurse recognize as the chief psychosocial task of preschoolers?

development of a sense of initiative

Which change would the nurse expect when a child transitions from toddlerhood to the stage of preschooler?

develops later bedtime

A child with a brain tumor diagnosed as an astrocytoma complains of a headache and begins to cry during a physical examination while lying in the supine position. Which would the nurse suspect as the most likely cause of the headache?

increased intracranial pressure caused by blood pooling in the head

Besides hospital policy, which is one of the most important factors that the nurse would consider when parents of a toddler ask to be present for a procedure being performed on the hospital unit?

individual assessment of the parents

Which developmental vulnerability would the nurse expect when caring for a hospitalized 4-year-old?

intrusive procedures

A 3-year-old child is hospitalized with nephrotic syndrome. Which factor would the nurse anticipate will have the greatest effect on the child's adjustment to hospitalization?

lack of parental visits

The parents of a 3-year-old bring the child to the urgent care center for treatment of a burn sustained in the kitchen. Which information would the nurse explain to the parents to prevent further injuries?

locking up matches, cigarettes, and candles

Due to the immature immune systems of a toddler, which would the nurse anticipate when the child attends daycare?

minor infections

Which is the priority nursing care after a child has a cardiac catheterization procedure?

monitoring the site for bleeding

Which sleep pattern would the nurse recognize as normal in preschoolers?

on average, a preschooler sleeps about 12 hours a night

Which step would the nurse undertake during the administration of eardrops in children ages 1 to 3 years?

pulling the auricle down and backward

Which self-care skill would the nurse expect a 4-year-old child to be capable of performing?

putting on a shirt and buttoning it

A 3.5-year-old child begins to scream and kick when a laboratory technician arrives to draw blood. Which developmental milestone would the nurse recognize as likely contributing to this reaction?

terror of intrusive procedures

Which assessment would the nurse make when caring for a 4-year-old child who stutters?

typical preschooler speech

A 3-year-old child has been observed in the clinic waiting room taking toys form others, tearing pages out of books, and striking the mother. The nurse takes time when interviewing the mother to ask about television habits because of which reason?

viewing violent programs is positively correlated with the development of aggression