PEDS Q 1 The Family, Infancy and childhood, Adolescence, Maintenance of the hospitalized child

A nurse is collecting data from an infant at a well child visit. The nurse should expect the infant to double his birthweight by which of the following ages

Six months

A nurse is reinforcing teaching with a parent of a 15-month-old toddler about safety. Which of the following information should the nurse include (select all)

1. Avoid marshmallows and popcorn 2. Position furniture away from the windows

A nurse has excepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Ericksons stages of psychosocial development from birth through 18 years

1. Trust vs mistrust 2. Autonomy vs. shame and doubt 3. Initiative vs. guilt 4. Industry vs. inferiority 5. Identity vs. role confusion

A nurse is 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 in school."

A nurse is 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 of the following responses should the nurse make?

"Children who are hospitalized often regress. The toileting skills will return when your child is feeling better."

A nursing student is assigned to care for an adolescent female client in the health care clinic, and the instructor reviews the menstrual cycle with the student. The instructor determines that the student understand the process of the secretion of follicle stimulating hormone (FSH) and Luteinizing hormone (LH) if the student states:

"FSH and LH are secreted by the corpus luteum of the ovary."

The parent of a 4 year old child expressed concern because her hospitalized child has started sucking his thumb. The mother states that this behavior began 2 days after hospital admission. Which of the following is the appropriate nursing response?

"It is best to ignore the behavior."

A nurse in a pediatric clinic is talking with the mother of a preschool age child. The mother tells the nurse that her son is a "picky eater". Which of the following responses should then nurse make?

"Preschool age children eat slightly more than toddlers.

initiative vs. guilt

( 3-6 years) Preschoolers finds independence in planning, playing and other activities

Autonomy vs. Shame and Doubt

(1-3 years) Toddlers learn to exercise their will and do things for themselves, or they doubt their abilities

identity vs. role confusion

(12-18 years) Adolescence, teenagers and young adults search for and become their true selves

Industry vs. Inferiority

(6-12 years) School age, when the child learns to be productive

trust vs. mistrust

(birth- 1 year) Infants needs are dependably met, infants develop a sense of basic trust

time outs

- timing should not begin until the child has settled down - the child is praised after he or she is calm - timing is usually based on 1 minute per year of age

A parent of a toddler tells the nurse in the provider's office that she is concerned about the amount of sleep her daughter is getting. The nurse should explain that toddlers should get about which of the following amounts of sleep each night?

14 Hr

Sulfisoxazole, 1 g orally four times daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads "500-mg tablet." The nurse has determined that the prescribed dose is safe. How many tablets per dose should the nurse administer to the adolescent?

2

A nurse is preparing to administer a dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hr to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer per dose? a. 3.8 mL

3.8 ml

A nurse is assisting with the development of an education program about nutritional risk among adolescents to a group of parents of adolescents. Which of the following information should the nurse include in the teaching?

Skipping more than three meals per week b. Eating without family supervision c. Frequently skipping breakfast

An infant weighed 7 lbs. 11 oz. at birth. During his well baby check at 12 months old, what should the nurse expect this infant wait to be

23 lbs

A nurse is calculating the fluid intake for an infant at the end of an 8-hr shift. For oral intake, the infant had 10 mL of medication, 3 oz of formula, and 2 oz of juice. In addition, the infant had IV fluid infusing at 20 mL/hr via an IV pump. The nurse should record how many mL of intake on the client's record?

320 ml

. A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone solution 5mg/5mL. How many mL should the nurse administer?

40 ml

A nurse is preparing to administer amoxicillin 30 mg/kg/day divided doses every 12 hr to a toddler who weighs 32 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer every 12 hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

5.5 ml

A nurse is collecting data from an infant at a well-child visit. The nurse should expect the infant to double his birth weight by which of the following ages?

6 months

doubles, triples, quadruples

6 months weight _____, at 1 year weight _____, and at 2.5 years weight _____.

A health care provider has prescribed phenobarbital sodium (Luminal Sodium), 25 mg orally twice daily, for a child with febrile seizures. The medication label reads as follows: "Phenobarbital sodium, 20 mg/5 mL." The nurse has determined that the dose prescribed is a safe dose for the child. How many milliliters per dose should the nurse administer to the child?

6.25 ml

A nurse is preparing to administer acetaminophen 10/mg/kg PO to a preschool child for fever. The child weighs 22 lb. available is acetaminophen liquid 160 mg/5mL. How many ML should the nurse administer? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero

A 3.1 ml

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 cold and nasal discharge

A nurse is preparing to administer a liquid medication to a 10 month old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

Administer the medication with a needleless syringe placed in the buccal pouch.

A nurse is preparing to administer an IM injection to a preschool age child. Which of the following actions should the nurse take?

Allow the child to hold a favorite toy.

The parents of a 10-year-old are seeking advice regarding how to handle the child questions about sex. How should the nurse advised the parents

Answer the questions at the child's level of understanding

A parent ask the nurse about toys to provide for a 10-month-old infant which of the following toy should the nurse suggest

Push pull toy

A parent ask a nurse about toys to provide for a 10 month old infant . which of the following toys should the nurse suggest?

Push-pull toy

A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base care planning on what type of family

Blended

A nurse is planning to instill ear drops to a toddler and must straighten the ear canal by pulling the auricle of the ear. The nurse should plan to pull the auricle in which of the following directions?

Down and backwards

A nurse is collecting data from a 3-year-old child. Which of the following findings should the nurse expect

Goes upstairs using alternate feet

A nursing instructor asks a nursing student to describe the formal operations stage of Piaget's cognitive developmental theory. The appropriate response by the nursing student is: "The child:

Has the ability to think abstractly."

A 12-year-old is more likely to accept his parents decision if:

He understand why his parents made the decision

A nurse is collecting data from a four-year-old child. Which of the following findings should the nurse expect

Heart rate 110/min

3 months

Infant should be able to lift head at 45 degrees by what age?

8 months

Infant should be able to sit steadily at what age?

The mother of a three month old infant is seeking advice on when she can switch from iron fortified formula to whole milk. Which of the following is the best nursing response to this mother

Infants can drink whole milk after their first birthday

The school age child who has a few experiences of success is likely to develop a sense of

Inferiority

A nurse is reviewing the serum laboratory results of four children. Which of the following values should the nurse report to the provider?

Iron 38 mcg/dL

The most significant physical development at age 6 years is

Loss of primary teeth

A nurse is reinforcing teaching with the parents of a toddler who follows a vegetarian diet about food choices that increase dietary protein intake. Which of the following foods should the nurse recommend as the best choice for including protein in the toddler's diet?

Soy milk

A nurse is reinforcing teaching to parents of a toddler about temper tantrum's. Which of the following statements should the nurse include in the teaching

Temper tantrum's are the toddlers attempt to gain control of the situation

A nurse is collecting data from a preschool age child during a routine wellness check up. Which of the following findings indicates the need for further evaluation

The child has a blood pressure of 122/80

Morphine sulfate, 2.5 mg, is prescribed for a child. The safe pediatrics dose is 0.05 to 0.1 mg/kg/dose. The child weighs 50 kg. Which statement most accurately describes the prescribed dosage for this child?

The dose is within the safe dosage range

A nurse is obtaining 4 month old infant vital signs. The infants HR is 190/min and her temperature is 40C (104F). The father asks the nurse, "why is my baby's heart beating so fast? Which of the following is an appropriate response by the nurse?

The fever is causing an increase in your baby's heart rate.

A nurse is reinforcing teaching about car seat safety with a parent of an infant who weighs 4.5 KG/10 LB. Which of the following actions by the parent indicates an understanding of the teaching

The infant car seat is positioned rear facing in the backseat

A nurse is 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

A nurse in a pediatricians office is reinforcing teaching with the parents of a 24 month old toddler. Which of the following activities should the nurse recommend

Playing with pull toys

A nurse is collecting data from a six-month-old infant in the well-child clinic. Which of the following findings should the nurse expect

Posterior fontanelle is closed

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

A nurse is collecting data from a three month old infant which of the following findings should the nurse Report to the provider

The infant is unable to raise his head when in a prone position

accidents and unintentional injuries

What is the leading cause of death in toddlers?

4-6 months

When should we introduce solid food to infants?

The father of a toddler asks a nurse at a well child clinic what to do when the child kicks and screams during temper tantrum's. Which of the following responses should the nurse make

You should ignore your toddler's temper tantrum's

A nurse is reinforcing teaching with the mother of a 10-month-old infant about expected developmental milestones at this age. Which of the following statements should the nurse make

Your child should be able to walk when led

A nurse has accepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Erikson's stages of psychosocial development from birth through 18 years of. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

a.Trust vs Mistrust b. Autonomy vs Shame and doubt c. Initiative vs Guilt d. Industry vs Inferiority e. Identity vs Role Confusion

A nurse is reinforcing teaching about health promotion with an adolescent. The nurse include which of the following as the leading cause of death among this age group.

injuries

6 years old

loss of primary teeth starts at what age? - 4 permanent teeth erupt each year

Kholberg

stages of moral development - preconventional - conventional - post conventional

deciduous teeth

- 20 baby teeth begins at about the 5th month of intrauterine life - Serve not only in the digestive process but also in the development of the jaw - 1st tooth appears at about 6th or 7th months - Delayed or early eruption can be indicative of certain endocrine disorder or other pathologic conditions. - eruption completed by 2.5 years

feeding infants

- Start with iron fortified rice cereal is recommended as first food - offer small amounts (1 teaspoon) - introduce new foods every 4-7 days - fruit juices can begin around 5-6 months - delay orange juice until 1 year - delay fish, nuts, strawberries, chocolate, and egg whites

Atropine Sulfate 0.2 mg given intramuscularly, is prescribed for a child. The medication label reads as follow: "0.4 mg/mL." The nurse has determined that the prescribed dose is safe. How many milliliters should the nurse administer to the child? Fill in the blank. Answer: _____ mL

0.5 ml

A health care provider's prescription reads as follows: "Ampicillin, 125 mg intramuscular every 6 hours." The medication label reads "1 gram and reconstitute with 7.4 mL of bacteriostatic water." How many milliliters should the nurse draw up for one dose?

0.92 ml

A nurse is reinforcing teaching about nutritional considerations with a parent of a toddler. Which of the following statements by the parent indicates an understanding of the teaching

My child should drink no more than 720 ML of milk a day

The theorist known for his work on cognitive development is

Piaget

A nurse is reinforcing teaching to the parent of an infant about the introduction of solid foods. The nurse should recommend that which of the following food be introduced first?

Iron-fortified cereal

The mother of a 4-year-old child tells a nurse that her child is reluctant to go to bed at night. Which of the following responses should the nurse make

Keep a night light on in your child's room

Which of the following are components of Kohlberg's theory of moral development?

Moral development progresses in relation to cognitive development b. A person's ability to make moral judgements develops over a period of time c. Provides a framework for understanding how individuals determine a moral code to guide their behavior d. In stage 2 (punishment-obedience orientation), the child conforms to rules to obtain rewards or to have favors returned.

A nurse is reinforcing teaching with new parents about risk factors for sudden infant death syndrome. Which of the following statements by a parent indicates an understanding of the teaching

My baby will be placed on her back when sleeping