NSG 6435 FINAL EXAM STUDY GUIDE

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The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? Introduce self.  What action is most likely to encourage parents to talk ab ... out their feelings related to their child’s illness? Use open-ended questions.  What is the single most important factor to consider when communicating with children? The child’s developmental level  What is an important consideration for the nurse who is communicating with a very young child? Use transition objects such as a doll.  When introducing hospital equipment to a preschooler who seems afraid, the nurse’s approach should be based on which principle? The child may think the equipment is alive.  An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to: Explain in simple terms how it works.  When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered because these milestones are: An important part of the child’s past growth and development.  An appropriate approach to performing a physical assessment on a toddler is to: Use minimal physical contact initially.  Which tool measures body fat most accurately? Calipers  When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is: Infection or inflammation close to the site.  What term is used to describe breath sounds that are produced as air passes through narrowed passageways? Wheezes  Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the “finger-to-nose" test. The nurse is testing for: Cerebellar function.  Which statement best describes the infant’s physical development? Birth weight doubles by age 5 months and triples by age 1 year.  The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately: 15 pounds  By what age does the posterior fontanel usually close? 6 to 8 weeks  The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant’s stool. The nurse bases her explanation on knowing that: This is normal because of the immaturity of digestive processes at this age.  A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands, but she will not voluntarily grasp it. The nurse should interpret this as: Normal development.  In terms of fine motor development, the infant of 7 months should be able to: Transfer objects from one hand to the other.  In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? Roll from abdomen to back  At which age can most infants sit steadily unsupported? 8 months  By what age should the nurse expect that an infant will be able to pull to a standing position? 11 to 12 months, they can pull themselves up by 9 months  What behavior indicates that an infant has developed object permanence? Actively searches for a hidden object This study source was downloaded by 100000831988016 from CourseHero.com on 04-28-2022 10:51:32 GMT -05:00 https://www.coursehero.com/file/51715546/MOREdocx/  Most infants begin to fear strangers at age: 6 months  The nurse is interviewing the father of 10-month-old Megan. She is playing on the floor when she notices an electrical outlet and reaches up to touch it. Her father says “No” firmly and removes her from near the outlet. The nurse should use this opportunity to teach the father that Megan: Is old enough to understand the word “No.”  Sara, age 4 months, was born at 35 weeks’ gestation. She seems to be developing normally, but her parents are concerned because she is a “more difficult” baby than their other child, who was term. The nurse should explain that: Infants’ temperaments are part of their unique characteristics.  What information could be given to the parents of a 12-month-old child regarding appropriate play activities for this age? Give large push-pull toys for kinetic stimulation.  An appropriate play activity for a 7-month-old infant to encourage visual stimulation is: Playing peek-a-boo.  The best play activity for a 6-month-old infant to provide tactile stimulation is to: Allow to splash in bath.  At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli? 2 months  Latasha is a breastfed infant being seen in the clinic for her 6-month checkup. Her mother tells the nurse that she recently began to suck her thumb. The best nursing intervention is to: Reassure the mother that this is very normal at this age.  Austin, age 6 months, has six teeth. The nurse should recognize that this is: Earlier-thannormal tooth eruption.  The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive, inflexible, high-top shoes. The nurse should explain that: Soft and flexible shoes are generally better.  A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. The nurse should recommend that the infant be given: Commercial iron-fortified formula.  When is the best age for solid food to be introduced into the infant’s diet? 4 to 6 months  The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby’s formula faster. The nurse should recommend to: Always leave bottle top uncovered to allow heat to escape.  Parents tell the nurse that their 1-year-old son often sleeps with them. They seem unconcerned about this. The nurse’s response should be based on knowing that: This is a common and accepted practice, especially in some cultural groups.  The parent of 2-week-old Sarah asks the nurse if Sarah needs fluoride supplements because she is exclusively breastfed. The nurse’s best response is: She may need to begin taking them at age 6 months.”  A mother tells the nurse that she doesn’t want her infant immunized because of the discomfort associated with injections. The nurse should explain that: A topical anesthetic, eutectic mixture of local anesthetic (EMLA), can be applied before injections are given.  The parents of a 12-month-old child ask the nurse if the child can eat hot dogs. The nurse’s reply should be based on knowing that: Hot dogs must be cut into small, irregular pieces to prevent aspiration.  Pacifiers can be extremely dangerous because of the frequency of use and the intensity of the infant’s suck. In teaching parents about appropriate pacifier selection, the nurse should This study source was downloaded by 100000831988016 from CourseHero.com on 04-28-2022 10:51:32 GMT -05:00 https://www.coursehero.com/file/51715546/MOREdocx/ explain that a pacifier should have which characteristics? Choose all that apply: Easily grasped handle, One-piece construction, Sturdy, flexible material  In terms of gross motor developm [Show More]

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