PEDIATRIC EXAM FINAL_Chamberlain

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Infancy 1. The head-to-tail direction of growth is referred to as which of the following? 2. The community health nurse has been following a mother of a 3-month-old infant. The nurse notes that ... the mother is inconsistent and careless in the care of the infant. According to Erikson, the child can develop: 3. The nurse decides on a teaching plan for a new mother and her infant. The plan should include 4. The term cruising means: 5. A mother notices that her six-month-old child grasps things such as a rattle in her palms. This mother asks when her daughter will be able grasp a spoon between the thumb and fingers. She has been trying to teach the child this skill without success. The best response by the nurse would be? 6. A nurse is assessing a 3-month-old. The nurse should be concerned if the child is not meeting which developmental milestone? SATA 7. The new mother brings her 4-month-old son to the pediatric clinic for the well-baby check-up. Which statement by the mother indicates the child is developmentally on target for growth and development? 8. A nurse caring for a 6-month-old infant is assessing the infant’s physical and motor ability. Which of the following reflexes if found during the assessment should be of concern to the nurse? 9. During the health history, the mother of a 4-month-old infant tells the nurse that she is concerned that her baby is doing what he should be at this age. The best response from the nurse would be: 10. The parent of a hospitalized infant expresses the desire to hold her infant, who has been hospitalized with a bacterial infection. What is the most appropriate action by the nurse? The pediatric clinic nurse notes some discoloration and decay on the 9-month-old male infant's teeth. Which question would be most appropriate for the nurse to ask the mother concerning the child's teeth? Nutrition: 11. A bottle-fed infant, 7-months-old, is brought to the peds office for a well child visit. During the previous visit, the nurse taught the mother about infant nutritional needs. Which statement by mother during current visit indicates effective teaching? A. Wight and Fontanels: 12. A nurse is assessing an infant when the infant’s mother asks, “When will the soft spot on the front of the baby’s head close?” Which of the following responses by the nurse is most appropriate? 13. The mother of an 8 weeks old infant contacts the office stating, “my baby’s soft spot toward the back of her isn’t soft. Is this a problem?” select the best response by the nurse? 14. The anterior fontanel closes at… 15. Birth weight is 8lbs present is 12 lbs what should the child be at 6 months? 16. A six-month old infant's weight at birth was 8 pounds and the present weight is 12 pounds. How much pounds should the nurse expect the infant to weigh at 1-year? 17. A nurse is conducting an assessment in the pediatric clinic. Which of the following data should be of concern to the nurse? - A 6-month-old who weighted 3 kg at birth and now weighs 4.5 kg Safety: 18. The pediatric nurse is discussing poison control awareness with the parents of a 10-month-old baby. Which priority intervention should the nurse discuss with the parents? 19. An unlicensed assistive personnel (UAP), is transporting a new mother and her infant to the automobile for discharge home. Which statement by the UAP warrants immediate intervention by the nurse? Toddlerhood 20. While completing a pediatric case study, the student nurse researched the psychosocial development of the toddler. According to Erik Erikson the toddler would be in what stage? 21. The parents of a 36-month-old child ask the nurse why the child says “NO” when asked to do something. The nurse explains that the negativism demonstrated by the child is frequently an expression of the child’s: 22. During a well-baby visit, the mother on an 18-month old appears concerned. Which assessment findings might lead the nurse to suspect developmental delay? SATA 23. During a teaching session regarding motor skill development, a nurse questions a student about what fine motor skill a toddler is expected to master by 36 months old? 24. A parent of a 2-year-old child asks the nurse, “what is an outstanding characteristic of growth and development?” Which of the following is the best response? 25. The nurse caring for a 26-month-old child is teaching the child's parents about normal development for the toddler period. Which of the following should the nurse suggest, as an appropriate way to meet the toddler's development needs? 26. A 2-year-old boy is admitted to the hospital and will need to stay for several days. The child's mother is unable to stay overnight because there is no one to care for her other children at home. The nurse recommends that the child's mother: 27. nurse is observing some children in the playroom. Which of the following play situations exhibits the characteristics of parallel play? 28. A nurse is teaching a parent of a 2-year old how to handle negativism. Which of the following questions/statements to the child by the parent should indicate understanding of the nurse teaching? 29. A nurse is explaining to the toddler that he is to take medicine to help him get well and it is taken once a day until the total amount prescribed is finished (seven days). The mother and the nurse agree that this medicine will be given in the early morning each day. Which of the following statements by the nurse will the toddler understand best? - 30. The nurse is preparing to give a 34-month-old toddler who has a persistent cough some cough syrup. Which of the following statements by the nurse would best help the toddler understand why he or she is being given this medicine? - 31. A parent is upset that her 34-month-old girl has begun to wet the bed and suck her thumb after being admitted to the hospital. The parent asks the nurse to explain why this is happening. The nurse's best response is which of the following? 32. Which of the following foods would be best for the toddler? Safety: 33. A nurse who works in a pediatric community clinic is planning an educational program for parents who have toddlers. Which of these hazards is a concern for this age group? SATA - 34. A nurse is giving a program on toddler safety regarding foreign body aspiration for a group of parents. Which of the following statements if made by a parent would indicate a need for further clarification? Hospitalized Toddler: 35. While the nurse is bathing a toddler the toddler says to her, “My mommy doesn’t do it this way.” This comment indicates that - Pre-School 36. A nurse preparing to examine a preschool child should be aware that it is important to: 37. A nurse is unsuccessful in teaching a pre-schooler, who is 24 hours post-abdominal surgery, how to use and incentive spirometer. Which action, if taken by the nurse would accomplish the same goal? - 38. A nurse is observing the interactions of a group of 4-year-old children through play. Which of the following best describes what interactions the nurse should expect to see? - 39. A child-life specialist is in the playroom observing a group of preschoolers at play. Which type of play would the nurse most likely observe? Safety: 40. A nurse practitioner is presenting the mother of a preschooler with a bottle of vitamins. The nurse should instruct the mother to do which of the following? - Hospitalized Preschooler 41. The parents of a preschool child ask the Child-Life Specialist, "What is the purpose of play therapy during hospitalization?" The Child-Life specialist correctly responds when it is stated that play gives the child: - 42. A nurse is caring for a 4-year-old child and her parents have decided to go home for a few hours to spend time with her siblings. The child asks when her mommy and daddy will be back. The nurse's best response is: School Age 43. A mother brings her 10-year- son to the pediatric clinic for the treatment of nocturnal enuresis. What of the following is most important to help minimize the problem? 44. The nurse is caring for a school age child and should recognize which of the following characteristics of psychosocial development? 45. A mental health nurse working with school age children, anticipates that unrealistic expectations or a sense of failure to meet standards should cause a 10 year old child to develop a sense of 46. A nurse is conducting an initial interview with a 10-year-old child. The nurse can establish rapport and credibility with the child by asking child about 47. A nurse is promoting nutrition to parents of 11-year-old boy who is overweight. Which statements should be included in teaching plan? 48. An 11-year-old child is receiving pre-op teaching prior to tonsillectomy. Which response would be most appropriate for nurse to make? A. Do not worry about operation. It is really not a big deal B. Do not worry. The doctor will take your tonsils out while you are sleeping C. The shot that you will get in your arm will only help the pain a little bit D. The doctor will give you a special sleeping medicine before she operates Safety: 49. A school nurse is conducting a teaching session on anticipatory guidance to parents of school age children. What should be included in the teaching for this age group? - Wearing helmets while roller-blading 50. A pediatric nurse is preparing a safety information class for parents of school-age children. In order to most effectively meet the anticipated needs of a parent of a school-age child, the nurse should plan to SATA - Encourage the parents to educate their children about puberty - Communicate the impact of alcohol, drugs, and sex - Stress the importance of children learning about sex from their parents Hospitalized School Age Child A 10-year-old child is admitted to the pediatric unit. Which of the following nursing interventions is most developmentally appropriate during hospitalization? Adolescents 51. A nurse working in the pediatric department is teaching student nurses about growth and development. The nurse explains that by the time children reach their 12th birthdays, they should have learned to trust others and should have developed a sense of: 52. A nurse is caring for a 16-year old girl. Which of the following is an appropriate nursing intervention to enhance growth and development? 1. A nurse is teaching the parents of a 12-year old boy about appropriate approaches when raising an adolescent. Which of the following should be included in the discussion? 2. A clinic nurse is caring for an adolescent who needs a camp physical 3. The mother of a 12-year-old diabetic tells the nurse how the child likes to go out. The best response by the nurse: 4. A nurse is caring for a 16-year-old male with osteomyelitis is hospitalized for IV antibiotic therapy. Which of the following will best enhance his psychosocial development? a. Tell the teen he is free to use his phone to call friends (School Age) b. Encourage the teen’s friends to visit him in the hospital c. Fax the teen’s teacher and send in his homework (School Age) d. Encourage the teens family to visit frequently (School Age) Pediatric Assessment 5. When performing a newborn assessment, the nurse should measure the vital signs in the following sequence: 6. A nurse is preparing to conduct a physical assessment of a sleeping 8-month old infant. What should the nurse plan to do first? 7. A father and his two-week-old daughter have arrived for a well-child clinic visit. Which of the following should the nurse perform first? Death Concept: 8. At what age do most children begin to have an adult concept of death as being inevitable, universal, and irreversible? Immunizations 9. A 13-month-girl is being seen in the clinic for the first time. The mother has no immunization record, but says the girl was immunized 3 months ago at the Public Health Department. What is the best action for the nurse to take now? 10. The nurse is discussing vaccination for haemophilus influenza type B (HIB) with the mother of a 6-month old. Which of the following statements provides the most compelling information. 11. A nurse is giving follow-up instructions to the parents of a 14-month old child who just received the varicella vaccine. The nurse knows that the teaching is successful when the parent states that the next vaccine will be administered: 12. A nurse is preparing to administer a second DTaP immunization to a child. To screen for a contraindication for this DTaP dose, which of the following questions should the nurse ask the child’s parent? 13. A nurse is preparing to administer DTaP immunization to a child. Which of the following questions would be most important for the nurse to ask the parent? 14. A mother brings her 4-month-old daughter to the clinic for a well child visit. Which of the following sets of immunizations should the nurse plan to discuss with the mother regarding her 4-month-old daughter? 15. A mother brings her 2-month-old daughter to the clinic for a well child visit. Which of the following sets of immunizations should the nurse plan to discuss with the mother regarding her 2-month-old daughter? 16. A pediatric clinic nurse is administering immunization to a 2-month-old infant. Which instructions should the nurse discuss with the mother? SATA 17. A nurse who works in the PICU is telling a parent on what information is important to the HCP about immunizations? 18. An 8-year-old child is visiting the clinic for a well child checkup and scheduled immunizations. Which of the following should be priority when planning to give an injection to this child? A. Give the child choice in taking the injection B. Give factual information about injection C. Allow child to give own injection D. Demonstrate injection on doll/puppet [Show More]

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