1 Pediatrics Growth Question and Answers Complete 2023

1 Pediatrics Growth Question and Answers Complete 2023 A 3-year-old female is hospitalized for a femur fracture. As her nurse, what nursing action would help foster the child's sense of autonomy? 1. Allow the child to choose what time to take her oral antibiotics. 2. Allow the child to have a doll for medical play. 3. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe. 4. Allow the child to watch age-appropriate videos Ans- 3. Allowing toddlers to participate in actions of which they are capable is an excellent way to enhance their autonomy. The test taker must understand the meaning of the word "autonomy" in order to answer this question. The question also requires knowledge of Erickson's stages. The test taker also needs to consider safe nursing care. Answer 1 could be detrimental to the welfare of the child. A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives IV antibiotics. As the nurse caring for this patient, what action can you take that will most enhance his psychosocial development? 1. Fax the teen's teacher, and have her send in his homework. 2. Encourage the teen's friends to visit him in the hospital. 3. Encourage the teen's grandparents to visit frequently. 4. Tell the teen he is free to use his phone to call friends Ans- 2. Teens are most concerned about being like their peers. Having the teen's friends visit will help him feel he is still part of the school and social environment. The age of the child is essential to answering this question. The test taker must understand that peers are central to an adolescent's life. A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is: 1. "At 6 months his weight should be approximately three times his birth weight." 2. "Each child gains weight at his or her own pace." 3. "At 6 months his weight should be approximately twice his birth weight." 4. "At 6 months a child should weigh about 10 lb more than his or her birth weight." Ans- 3. Children should double their birth weight by 4 to 6 months of age. This is a specific physical developmental milestone that should be memorized. The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The nurse's best method for explaining the procedure to the child is to: 1. Show the child a pamphlet with pictures showing the IV placement procedure. 2. Have the 5-year-old patient next door tell the 4-year-old about her experience with her IV placement. 3. Show the child the IV placement equipment, and demonstrate the procedure on a doll. 4. Tell the child that if she remains still, the procedure will be over quickly. Ans- 3. A 4-year-old child understands things in very concrete and simple terms. Therefore, medical play is an excellent method for helping her understand the procedure. The age of the child is essential to answering this question. The test taker must understand the developmental level of the child in order to choose the appropriate intervention. Most 4-year-old patients are unable to read, so choice 1 can be eliminated. A 17-year-old male is being seen in the ER. In order to obtain the adolescent's health information, his nurse should: 1. Interview the adolescent using direct questions. 2. Gather information during a casual conversation. 3. Interview the adolescent only in the presence of his parents. 4. Gather information only from the parents. Ans- 2. Frequently adolescents will share more information when it is gathered during a casual conversation. The age of the child is essential to answering this question. Answers 3 and 4 contain the word "only." There are rare instances in nursing when the word "only" would apply. These answers can usually be eliminated. A 7-year-old female is being admitted to the hospital for a diagnosis of acute lympho- cytic leukemia. The nurse wants to gather information from the child regarding her feelings about her diagnosis. Which nursing action is most appropriate to gain infor- mation about how the child is feeling? 1. The nurse should actively attempt to make friends with the child before asking her about her feelings. 2. The nurse should ask the child's parents what feelings she has expressed in regard to her diagnosis. 3. The nurse should provide the child with some paper to draw a picture of how she is feeling. 4. The nurse should ask the child direct questions about how she is feeling. Ans- 3. Often children will include much more detail of their feelings in drawings. They will often express things in pictures they are unable to verbalize. The age of the child is essential to answering this question. The test taker must also have knowledge of psychosocial development of the school-age child. How can the nurse best facilitate the trust relationship between infant and parent while the infant is hospitalized? 1. The nurse should encourage the parents to remain at their child's bedside as much as possible. 2. The nurse should keep parents informed about all aspects of their child's condition. 3. The nurse should encourage the parents to hold their child as much as possible. 4. The nurse should encourage the parents to participate actively in their child's care. Ans- 3. Having parents hold their child while in the hospital is an excellent means of building the trust relationship. Infants are most secure when they are being held, patted, and spoken to. The test taker must understand Erickson's stages, including the individual tasks that are met during each stage. The nurse is caring for a 7-year-old female on the school-age unit. Her mother is con- cerned that she may have some developmental delays. Which of the following statements would indicate to the nurse that the child is not developmentally on track for her age: 1. The child is able to follow a four-to-five-step command. 2. The child started wetting the bed on this admission to the hospital. 3. The child has an imaginary friend named Kelly. 4. The child enjoys playing board games with her sister. Ans- 3. Most school-age children do not have imaginary friends. This is much more common for children of 3 and 4 years of age. The test taker must also understand the stressors that affect children who are hospitalized and how they will react to those stressors based on their develo