Carman Essentials of Pediatric Nursing 3rd Ed - Ch. 9 Health Supervision Complete Questions and Answers

Carman Essentials of Pediatric Nursing 3rd Ed - Ch. 9 Health Supervision Complete Questions and Answers During the health history of a 2-month-old infant, the nurse identified a risk factor for developmental delay and is preparing to screen the child's development. Which risk might the nurse have found? a. The child had neonatal conjunctivitis b. The parents are both in college c. The child was born at 36 weeks d. The child has small eyes and chinAns- Answer: d Congenital facial malformations are developmental warning signs. Neonatal conjunctivitis, when properly treated, has no long-term effects on development. Parents who are college students are not risk factors as would be high school dropouts. A 36-week birth is not a warning sign, but 33 weeks or less is. The nurse is promoting the benefits of achieving a healthy weight to an overweight 12-year-old child and her parents. Which approach is best? a. Show the family the appropriate weight for the child b. Ask what activities she enjoys such as dance or sports c. Suggest that the child join a little league softball team d. Point out fattening foods and excesses in their dietAns- Answer: b Asking what activities to promote exercise for the child is best for several reasons. It provides assessment of the child's activity preferences and whether the child is health-centered (positive) or weight-centered (negative). It also offers variety. If one sport doesn't work, others might. Emphasizing appropriate weight or dietary shortcomings can lead to eating disorders or body hatred. Suggesting only softball limits the success of the healthy weight promotion. The nurse is discussing Varicella immunization with a mother of a 13-month old. The mother is reluctant to vaccinate because she feels it is "not necessary." Which comment by the nurse will be most persuasive for immunization? a. "Mild reactions occur in 5% to 10% of children." b. "Varicella is a highly contagious herpes virus." c. "Children not immunized are at risk if exposed to the disease." d. "Risk of Varicella is greater than the risk of vaccine."Ans- Answer: c The most compelling argument for vaccinating for Varicella is that children not immunized are at risk if exposed to the disease. The mother needs to know about the chance of her child contracting the illness if not immunized. The contagious nature of the disease, low risk of the vaccine, or the low incidence of reactions is not appropriate explanation for why the child should have the vaccine. The nurse is doing a health history for a 14-year-old boy during a health supervision visit. The boy says he has outgrown his clothes recently. For which condition should the nurse check, based on this information? a. Developmental problems b. Hyperlipidemia c. Iron deficiency anemia d. Systemic hypertensionAns- Answer: c Iron deficiency anemia could be present because the iron stores in the boy's body may have diminished by the adolescent's growth spurt. This would be checked for by blood work. Developmental problems are not caused by the adolescent's growth spurt. Hyperlipidemia could be possible if the child's diet included an excessive amount of fat. Hypertension might be a problem if a family member had the condition in early adulthood or if many family members had this condition. A mother and her 2-week-old infant have arrived for a health supervision visit. Which activity will the nurse perform? a. Assess the child for an upper respiratory infection b. Take a health history for a minor injury c. Administer a Varicella injection d. Warn against putting the baby to bed with a bottleAns- Answer: d The nurse will provide information to prevent injury or disease such as discussing the hazards of putting the baby to sleep with a bottle. Assessing for an infection and taking a health history for an injury are not part of a health supervision visit. Administering a vaccination for Varicella would not occur until 12 months of age. During a physical assessment of a 6-year-old child, the nurse observes the child has lost a tooth. The nurse uses the opportunity to promote oral health care with the child and parents. Which comment should the nurse include in this discussion? a. "Oral health can affect general health." b. "Fluoridated water has significantly reduced cavities.