Peds exam 1
At what age can a child build a tower of 4 block, run, and jump - Answer Age 2
Which of the following practices is best known for ensuring effective communication
-know who's responsible for making decisions for the child
-respecting differences of opinion
-respecting and maintaining appropriate boundaries
-all the above - Answer Know who's responsible for making decision for the child
When do the sutures of the ANTERIOR fontanels close - Answer Between 9 to 18
months
You are preventing a new grad nurse who is in charge of a 2 year old boy. The patient
is very argumentative and has frequent temper tantrums. What can you teach your
colleague - Answer The temper tantrums are normal within this age group. Keep the
schedule consistent with little change at all, do not introduce new routines, allow a
comfort item, encourage parents to be attentive.
What is an infants first food and when is it introduced? - Answer Iron rich fortified rice
cereals between 4-6 months (little baby puffs)
Why do babies not get (whole) cows milk until 1 year of age? - Answer It can decrease
their appetite for iron rich foods
Describe excellent post-op tonsillectomy care - Answer -no red dyes (imitates blood if
coughed or thrown up)
-elevated HOB (do not lay flat)
-drink lots of liquids (starting with ice chips then slowly introducing clears)
-avoid acidic liquids and food products (no lemon or orange juices)
-give pain meds on schedule
-discourage nose blowing (even gently)
-**frequent swallowing or refusal to take pain meds is a sign of excessive bleeding
Describe respiratory distress for infants - Answer -Head bobbing
-cyanosis if severe
Describe respiratory distress for toddlers and children - Answer -nasal flaring
-pale skin/cyanosis
-belly breathing
-retractions
-frightened look on face
-Coughing and grunting
-tachypnea
-increased work of breathing
,Describe respiratory failure - Answer -inability to maintain adequate oxygenation of the
blood
-the body has tired out, cant go on
-no noises: silence= scary
T or F: As a nurse you will need to study and learn about every single culture - Answer
False- nurses are not expected to know everything about every culture, just learn a little
about each (ex: what is most important to know medically)
What is the normal respiratory rate and HR for neonates - Answer -RR: 30-60
-HR: 130-160
Describe effective communication with the adolescent: - Answer -involve them in their
care plan
-ask open ended questions
-if parents are present have them step out for the personal questions part of the
discussion
-have them invite their friends to visit
-provide privacy
-explain the limits of confidentiality
What are the nursing interventions for cystic fibrosis - Answer -physiotherapy/ vests
-postural drainage
-pancreatic enzymes before EVERY meal
-high protein and calorie diets
-monitor growth and weight
-supplement oxygen during crisis
-mucolytics to help thin mucous
-potential antibiotics or transplant
How does influenza differ from nasopharyngitis - Answer -influenza: all symptoms arise
on day 1 of the illness, comes on very quickly, season peaks December to February,
symptoms are more severe
-Nasopharyngitis: gradual progression, usually starts with a sore throat then runny nose
and then cough, less severe symptoms
What age group wants to feel like they are part of the medical team and enjoys being
given jobs to do? - Answer Pre schoolers and school aged (3-12 years old)
According to Kohlberg what age group will assume hospitalization is punishment for
doing something wrong? - Answer 2-7 year olds (preconventional stage)
, What is culture bias? - Answer A tendency to ignore cultural differences and interpret all
phenomena through the lens of one's own culture (placing your own cultural values
above those of another culture)
At what age does SIDS peak? - Answer 2-4 months
What are the symptoms of trachea esophageal fistula - Answer -coughing and choking
during feeding
-cyanotic during feedings
-poor weight gain
-poor feeding ability
What are the symptoms of peritonsillar abscess - Answer -fever
-muffled voice (HOT POTATO VOICE)
-drooling
-can't open mouth wide (trismus=lockjaw)
-severe pain and pain meds to not help
-will need to be drained or have an emergency tonsillectomy
You are a pediatric nurse caring for a child who has been brought to the clinic with otitis
externa. What assessment finding is characteristic of otitis externa and what is the
desired treatment? - Answer Pain on manipulation of the auricle and ear drops
otitis externa = swimmers ear
You are a pediatric nurse caring for a 2 year old. What 3 strategies can you implement
to ease his/her fears while communicating. - Answer -play with the child to introduce
yourself (medical play)
-Go from least invasive to most invasive
-use simple terms, "Good job" NOT "good boy/girl", be at their eye level
What is eriksons first stage of psychosocial development - Answer Trust vs. Mistrust:
Parents meeting the basic needs and being trust worthy (birth- 1.5 yrs)
What is eriksons second stage of psychosocial development - Answer Autonomy vs.
Shame: Parents allowing children to explore ( 1.5-3 yrs).
What is eriksons third stage of psychosocial development - Answer Initiative vs. Guilt:
Parents allowing children to make independent decisions (3-6 yrs)
What is eriksons fourth stage of psychosocial development - Answer Industry vs.
Inferiority: Children should be motivated to learn life skills (6-12 yrs).
What is eriksons fifth stage of psychosocial development - Answer identity versus role
confusion (13-21)
At what age can a child build a tower of 4 block, run, and jump - Answer Age 2
Which of the following practices is best known for ensuring effective communication
-know who's responsible for making decisions for the child
-respecting differences of opinion
-respecting and maintaining appropriate boundaries
-all the above - Answer Know who's responsible for making decision for the child
When do the sutures of the ANTERIOR fontanels close - Answer Between 9 to 18
months
You are preventing a new grad nurse who is in charge of a 2 year old boy. The patient
is very argumentative and has frequent temper tantrums. What can you teach your
colleague - Answer The temper tantrums are normal within this age group. Keep the
schedule consistent with little change at all, do not introduce new routines, allow a
comfort item, encourage parents to be attentive.
What is an infants first food and when is it introduced? - Answer Iron rich fortified rice
cereals between 4-6 months (little baby puffs)
Why do babies not get (whole) cows milk until 1 year of age? - Answer It can decrease
their appetite for iron rich foods
Describe excellent post-op tonsillectomy care - Answer -no red dyes (imitates blood if
coughed or thrown up)
-elevated HOB (do not lay flat)
-drink lots of liquids (starting with ice chips then slowly introducing clears)
-avoid acidic liquids and food products (no lemon or orange juices)
-give pain meds on schedule
-discourage nose blowing (even gently)
-**frequent swallowing or refusal to take pain meds is a sign of excessive bleeding
Describe respiratory distress for infants - Answer -Head bobbing
-cyanosis if severe
Describe respiratory distress for toddlers and children - Answer -nasal flaring
-pale skin/cyanosis
-belly breathing
-retractions
-frightened look on face
-Coughing and grunting
-tachypnea
-increased work of breathing
,Describe respiratory failure - Answer -inability to maintain adequate oxygenation of the
blood
-the body has tired out, cant go on
-no noises: silence= scary
T or F: As a nurse you will need to study and learn about every single culture - Answer
False- nurses are not expected to know everything about every culture, just learn a little
about each (ex: what is most important to know medically)
What is the normal respiratory rate and HR for neonates - Answer -RR: 30-60
-HR: 130-160
Describe effective communication with the adolescent: - Answer -involve them in their
care plan
-ask open ended questions
-if parents are present have them step out for the personal questions part of the
discussion
-have them invite their friends to visit
-provide privacy
-explain the limits of confidentiality
What are the nursing interventions for cystic fibrosis - Answer -physiotherapy/ vests
-postural drainage
-pancreatic enzymes before EVERY meal
-high protein and calorie diets
-monitor growth and weight
-supplement oxygen during crisis
-mucolytics to help thin mucous
-potential antibiotics or transplant
How does influenza differ from nasopharyngitis - Answer -influenza: all symptoms arise
on day 1 of the illness, comes on very quickly, season peaks December to February,
symptoms are more severe
-Nasopharyngitis: gradual progression, usually starts with a sore throat then runny nose
and then cough, less severe symptoms
What age group wants to feel like they are part of the medical team and enjoys being
given jobs to do? - Answer Pre schoolers and school aged (3-12 years old)
According to Kohlberg what age group will assume hospitalization is punishment for
doing something wrong? - Answer 2-7 year olds (preconventional stage)
, What is culture bias? - Answer A tendency to ignore cultural differences and interpret all
phenomena through the lens of one's own culture (placing your own cultural values
above those of another culture)
At what age does SIDS peak? - Answer 2-4 months
What are the symptoms of trachea esophageal fistula - Answer -coughing and choking
during feeding
-cyanotic during feedings
-poor weight gain
-poor feeding ability
What are the symptoms of peritonsillar abscess - Answer -fever
-muffled voice (HOT POTATO VOICE)
-drooling
-can't open mouth wide (trismus=lockjaw)
-severe pain and pain meds to not help
-will need to be drained or have an emergency tonsillectomy
You are a pediatric nurse caring for a child who has been brought to the clinic with otitis
externa. What assessment finding is characteristic of otitis externa and what is the
desired treatment? - Answer Pain on manipulation of the auricle and ear drops
otitis externa = swimmers ear
You are a pediatric nurse caring for a 2 year old. What 3 strategies can you implement
to ease his/her fears while communicating. - Answer -play with the child to introduce
yourself (medical play)
-Go from least invasive to most invasive
-use simple terms, "Good job" NOT "good boy/girl", be at their eye level
What is eriksons first stage of psychosocial development - Answer Trust vs. Mistrust:
Parents meeting the basic needs and being trust worthy (birth- 1.5 yrs)
What is eriksons second stage of psychosocial development - Answer Autonomy vs.
Shame: Parents allowing children to explore ( 1.5-3 yrs).
What is eriksons third stage of psychosocial development - Answer Initiative vs. Guilt:
Parents allowing children to make independent decisions (3-6 yrs)
What is eriksons fourth stage of psychosocial development - Answer Industry vs.
Inferiority: Children should be motivated to learn life skills (6-12 yrs).
What is eriksons fifth stage of psychosocial development - Answer identity versus role
confusion (13-21)
