Chapter 39: Pediatric Variations of Nursing
InterventionsPerry: Maternal Child Nursing Care,
6th Edition Exam Question and Answer
1. 1. What should the nurse consider when having consent forms
signed for surgery and procedures on children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18 years old.
c. The risks and benefits of a procedure are part of the consent
process.
d. A mental age of 7 years or older is required for a consent to be
considered "informed."
\ correct answer: ANS correct answer: C
The informed consent must include the nature of the procedure, benefits and risks, and alternatives to
the procedure. In special circumstances such as emancipated minors, the consent can be given by
someone younger than 18 years without the parent or legal guardian. A mental age of 7 years is too
young for consent to be informed.
2. 2. The nurse is planning how to best prepare a 4-year-old child for
some diag- nostic procedures. What guideline should the nurse
consider when preparing a preschooler for a diagnostic procedure?
a. Planning for a short teaching session of about 30 minutes.
b. Telling the child that procedures are never a form of punishment.
c. Keeping equipment out of the child's view.
d. Using correct scientific and medical terminology in explanations.
correct answer: ANS correct answer: B
Illness and hospitalization may be viewed as punishment in preschoolers. Always state directly that
procedures are never a form of punishment. Teaching sessions for this age-group should be 10 to 15
minutes in length. Demonstrate the use of equipment and allow the child to play with miniature or
actual equipment. Explain the procedure and how it attects the child in simple terms.
3. 3. The most appropriate nursing action to implement when a
,preschooler being prepped for outpatient surgery refused to
allow the parent to remove his/her underwear?
a. Allow the child to wear their underpants.
b. Discuss to the mother why this is important.
c. Ask the mother to explain to her child why he/she must remove
the under- wear.
d. Explain in a kind, matter-of-fact manner that this is hospital policy.
correct answer: ANS correct answer: A
It is appropriate for the child to leave his/her underpants on. This allows his/her some measure of control
during the
, foot surgery. The mother should not be required to make the child more upset. The child is too young to
understand what hospital policy means.
4. 4. Using knowledge of child development, what is the best
approach when preparing a toddler for a procedure?
a. Avoid asking the child to make choices.
b. Demonstrate the procedure on a doll.
c. Plan for the teaching session to last about 20 minutes.
d. Show necessary equipment without allowing child to handle it. correct
answer: ANS correct answer: B
Prepare toddlers for procedures by using play. Demonstrate on a doll, but avoid the child's favorite doll
because the toddler may think the doll is really "feeling" the procedure. In preparing a toddler for a
procedure, the child is allowed to participate in care and help whenever possible. Teaching sessions for
toddlers should be about 5 to 10 minutes. Use a small replica of the equipment and allow the child to
handle it.
5. 5. The nurse is cleaning multiple facial abrasions on a 9-year-old
who was brought to the emergency department by his/her
mother. When the child begins crying and screaming loudly, what
intervention should the nurse im- plement to best manage this
situation?
a. Calmly ask the child to be quieter.
b. Suggest that his/her mother help the child to relax.
c. Tell the child it is okay to cry and scream.
d. Suggest that he/she talk to his/her mother as a form of distraction.
correct answer: ANS correct answer: C
The child should be allowed to express feelings of anger, anxiety, fear, frustration, or any other emotion.
The child needs to know that it is all right to cry. There is no reason for him to be quieter. He is too upset and
needs to be able to express his feelings.
6. 6. The nurse monitoring a child for signs and symptoms of
malignant hyper- thermia should be alert for which early sign of this
disorder?
a. Apnea
InterventionsPerry: Maternal Child Nursing Care,
6th Edition Exam Question and Answer
1. 1. What should the nurse consider when having consent forms
signed for surgery and procedures on children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18 years old.
c. The risks and benefits of a procedure are part of the consent
process.
d. A mental age of 7 years or older is required for a consent to be
considered "informed."
\ correct answer: ANS correct answer: C
The informed consent must include the nature of the procedure, benefits and risks, and alternatives to
the procedure. In special circumstances such as emancipated minors, the consent can be given by
someone younger than 18 years without the parent or legal guardian. A mental age of 7 years is too
young for consent to be informed.
2. 2. The nurse is planning how to best prepare a 4-year-old child for
some diag- nostic procedures. What guideline should the nurse
consider when preparing a preschooler for a diagnostic procedure?
a. Planning for a short teaching session of about 30 minutes.
b. Telling the child that procedures are never a form of punishment.
c. Keeping equipment out of the child's view.
d. Using correct scientific and medical terminology in explanations.
correct answer: ANS correct answer: B
Illness and hospitalization may be viewed as punishment in preschoolers. Always state directly that
procedures are never a form of punishment. Teaching sessions for this age-group should be 10 to 15
minutes in length. Demonstrate the use of equipment and allow the child to play with miniature or
actual equipment. Explain the procedure and how it attects the child in simple terms.
3. 3. The most appropriate nursing action to implement when a
,preschooler being prepped for outpatient surgery refused to
allow the parent to remove his/her underwear?
a. Allow the child to wear their underpants.
b. Discuss to the mother why this is important.
c. Ask the mother to explain to her child why he/she must remove
the under- wear.
d. Explain in a kind, matter-of-fact manner that this is hospital policy.
correct answer: ANS correct answer: A
It is appropriate for the child to leave his/her underpants on. This allows his/her some measure of control
during the
, foot surgery. The mother should not be required to make the child more upset. The child is too young to
understand what hospital policy means.
4. 4. Using knowledge of child development, what is the best
approach when preparing a toddler for a procedure?
a. Avoid asking the child to make choices.
b. Demonstrate the procedure on a doll.
c. Plan for the teaching session to last about 20 minutes.
d. Show necessary equipment without allowing child to handle it. correct
answer: ANS correct answer: B
Prepare toddlers for procedures by using play. Demonstrate on a doll, but avoid the child's favorite doll
because the toddler may think the doll is really "feeling" the procedure. In preparing a toddler for a
procedure, the child is allowed to participate in care and help whenever possible. Teaching sessions for
toddlers should be about 5 to 10 minutes. Use a small replica of the equipment and allow the child to
handle it.
5. 5. The nurse is cleaning multiple facial abrasions on a 9-year-old
who was brought to the emergency department by his/her
mother. When the child begins crying and screaming loudly, what
intervention should the nurse im- plement to best manage this
situation?
a. Calmly ask the child to be quieter.
b. Suggest that his/her mother help the child to relax.
c. Tell the child it is okay to cry and scream.
d. Suggest that he/she talk to his/her mother as a form of distraction.
correct answer: ANS correct answer: C
The child should be allowed to express feelings of anger, anxiety, fear, frustration, or any other emotion.
The child needs to know that it is all right to cry. There is no reason for him to be quieter. He is too upset and
needs to be able to express his feelings.
6. 6. The nurse monitoring a child for signs and symptoms of
malignant hyper- thermia should be alert for which early sign of this
disorder?
a. Apnea
