Peds Chapter 20 STUDY GUIDE
What is the special category that encompasses children who have congenital abnormalities , malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) abnormalities?
-Children with special needs
What activity by the infant would cause a false evaluation of the tympanic temperature?
-Crying Vigorously.
What was founded by Lillian Wald?
-Henry Street Settlement.
What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?
-Inconsistency between the injury and the parent's explanation of it.
A disfiguring facial wound would have the most significant developmental impact on which child?
-A 14-year-old.
When measuring the head circumference of an infant , where should the nurse place the tape measure?
-Above the eyebrows and pinna, and around the occipital bone.
What should the nurse do to minimize an unpleasant -tasting drug?
-Administer the drug through a straw.
Following a lumbar puncture of a 2-year-old , what should the nurse do?
-Allow the child to play quietly at will.
What is the correct way to assess for the presence of Jaundice in an African American child?
-Apply pressure to the gums.
What should be done before initiating a garage feeding ?
-Aspirate the stomach contents.
When the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do?
-Be honest.
When is the best time to bathe an infant?
-Before a feeding.
The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?
-Child maltreatment.
The nurse welcomes the presence of the family in a pediatric unit because reduces the stressors of hospitalization . Which are common stressors for the hospitalized child (SELECT ALL THAT APPLY )?
- (1)Separation ,(2) fear of pain ,(3) loss of control.
What is the correct order for assessing the vital signs in an infant to ensure the accuracy of measurements?
- Respirations, pulse , temperature.
The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate?
-"Come to the conference room where we can have some privacy while you look at them.".
When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?
-"Ethan, I am going to give you some medicine that will sting, but only for a little while."
An 8-year-old child asks how a blood pressure is taken . What would be the most appropriate response by the nurse?
-"The armband will hug your arm and tell me how well your blood is going through your arm."
When the newly admitted 2- year-old who was potty trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
-"The stress of hospitalization makes children regress a little."
The mother of a 3- year- old child expresses concern about her daughter's slowed growth rate. What would be the most informative response by the nurse?
-"Three year old's have typically finished a growth spurt, and you may notice a decreased rate in your daughters growth."
The nurse clarifies that the family-centered care approach terminates which policies (SELECT ALL THAT APPLY)?
-(1) Rigid visiting hours , (2) Exclusion of family during procedures , (3) Discouraging family to stay overnight , (4) Restricting parents from reading the chart
What is the maximum amount of time that a nurse should suction an artificial airway?
-5 seconds.
The nurse is aware that visual acuity evaluation in a child is best assessed after the age of ______ years?
-6.
When attempting to provide information to the parents of a child undergoing surgery , the nurse notes that the parents appear confused, and do not seem to remember what they are being told. What is the most probable cause of the parents' forgetfulness?
-Increased level of parents' anxiety.
Why does obtaining the respirations of an infant require a modified approach from that of an adult?
-Infants respiratory movements are abdominal.
When communicating with parents suspected of child abuse, what should the nurse be sure to do?
-Interact with them in a non-judgmental manner.
What was one of the major strides in pediatric care made by Dr.Abraham Jacobi?
-Milk stations in the city of New York.
When the nurse is inserting a feeding tube in an 8-month -old , what safety reminder device "SRD" should the nurse most likely use?
-Mummy.
What is one way to enhance the nutrition of the hospitalized toddler?
-Offer nutritious fluids frequently.
The parents ask about preparations of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission ?
-Only two or three days before admission.
Where is the typical IV insertion site in an infant younger than 9 months of age?
-Scalp vein.
What should be the focus of a practice where the pediatric nurse uses a developmental approach ?
-Strengths and abilities of the child.
The pediatric nurse , along with the primary caregiver(s) , has a special duty to ________ the child and the family?
-Teach.
When discussing growth and development with the parents of the child, the nurse explains that nutrition is the single most important influence on :?
-The growth of bone and muscle.
What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?
-The opioid is very effective as a pain control method.
What is the disadvantage of using a mist tent with a toddler?
-The wet bedding and clothing must be changed frequently.
Why must the pediatric nurse be cautious about medicating infants and young children?
-They are more susceptible to medication effects than adults are.
What is the purpose of a mist tent?
-To liquify respiratory secretions.
What is the preferred IM injection site for a 2-year-old?
-Vastus Lateralis.
After observing parental behavior that leads the nurse to suspect child abuse when should the nurse report the abuse?
-Whenever maltreatment of a child is suspected.
How should an infant be positioned after a feeding?
-on the right side.
When a safety reminder device "SRD" is used to protect a child , what is a responsibility of the nurse?
-remove it every 2 hours
