Pediatrics quiz 1
A nurse is performing a developmental assessment on a 3 year old child, Which of the following commands should the nurse expect the child to complete successfully?
"Put on your shoes."
A nurse is performing an annual physical assessment of a preschooler, The parent expresses concern about the child's 4lb weight gain over the past year. Which of the following responses should he nurse make?
"Your child's weight change is expected for this age group." ( a preschooler should gain about 2/3 kg, 4.4 to 6.6lb each year)
A nurse is conducting a health assessment for a 34 month old toddler at the local health department. The nurse should expect which of the following findings?
- Ability to build a tower of 6 blocks - Slightly bowed or curved leg appearance
A nurse is teaching the parent of an infant about home safety. Which of the following pieces of information should the nurse include?
-Position the car seat so it is rear facing - secure a safety gate at the top and bottom of the stairs -Maintain the water heater temperature at 49c ( 120f)
A nurse in the emergency department is caring for an unaccompanied infant following a MVA. During the assessment, the nurse notes that the infants anterior fontanel is almost closed. She has 6 teeth, is able to sit unsupported, and can drink from a cup. The child cries whenever anyone new to her enters the room, says a few words, and is asking for "mama" and "dada". The nurse should make which of the following age assessments for this child?
12 months old
A nurse is assessing an infant who was born at 32 weeks gestation and is now 8 months old Which of the following developmental ages should the nurse expect the infant to demonstrate?
6 Months
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parents presence at his bedside. The nurse should add engaging the child in therapeutic play to the care plan to offer which of the following benefits?
Allow the child to manipulate toy medical equipment
A nurse is providing teaching to the guardians of a 4 month old infant on how to plat with the infant. Which of the following play activities should the nurse suggest for this infant?
Allow the infant to splash in the bathtub.
A nurse is performing a physical assessment on a 6 month old infant. Which of the following reflexes should the nurse expect to find?
Babinski
A nurse is assessing the vital signs of a 1 month old infant. Which of the following actions should the nurse perform?
Count respiration's before taking other vital sings
a nurse is caring for a toddler who has asthma. The parents are concerned about the toddlers reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety?
Encourage rooming- in
A nurse is preparing to assess and 11 month old infant during a well child examination. Which of the following actions should the nurse take?
Examine the infants throat at the end of the examination
A nurse is teaching a parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching?
I will lock my medications in the medicine cabinet.
A nurse is performing a well child assessment on a 7year old client who takes great pride in bringing school papers home. The nurse recognizes that this behavior demonstrates which of the following Erickson's stages of pysychosocial development?
Industry vs. inferiority
A nurse is planning care for a preschooler who is scheduled for a surgical procedure. The nurse should identify that the preschooler is in whihc of the following of Erikson's phychsocial stages of development?
Initiative vs. Guilt
A nurse is assessing a 6 month old infant. The guardian reports that the infant does not appear interested in the brightly colored mobile hanging above the crib at home, Which of the following techniques should the nurse use to check the infants visual acuity?
Move a brightly colored toy from side to side in front of the infants face
A nurse is providing teaching about poisoning to a group pf parents with toddlers. Which of the following statements should the nurse make?
Put all cleaning supplies in a locked cabinet
A nurse is providing teaching about home safety to the parent of a 2 month old infant. Which of the following information should the nurse include?
Remove bibs before the infant goes to sleep
A nurse is assessing a 4 year old child for grwoth and development milestones during a well child visit. Which of the following suggests a possible delay in development?
Speaking using 2-3 word sentences
A nurse is assessing a 3 year old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate?
Stacking 10 blocks
A nurse on a pediatric mental health unit is caring for a school age child. Which of the following questions or statements should the nurse make to foster rapport and engage him in the conversation?
Tell me about your favorite video game
A nurse is assessing a 7 year old child's psychosocial development. Which of the following findings should the nurse recognize as an indicator for further evaluation?
The child complains daily about going to school
A nurse is performing a well child assessment on a 4 year old child. Which of the following findings should the nurse expect?
The child is able to hop on 1 foot.
A nurse is assessing a 10 month old infant at a well infant checkup. Which of the following assessment findings should the nurse report to the provider?
The infant needs assistance to sit up
A nurse is performing a physical assessment on a 12 month old infant, Which of the following findings should the nurse report to the provider?
The infants current weight is double his birth weight (the nurse should expect a 12 month old infants weight to be triple his birth weight, therefore the nurse should report this finding to the provider)
A nurse is assessing a 6 month old infant at a well child visit, Which of the following findings indicates the need for further assessment?
The infants legs remain crossed and extended when supine.
A nurse is assessing a 30 month old toddler during a well child visit. Which of the following findings requires further assessment by the nurse?
The toddlers birth weight is tripled.
A nurse on a pediatric unit is caring for a preschooler who is prescribed an IV medication. Which of the following actions should the nurse take to prepare the child for the procedure?
Use role play activities with the child
