Pediatric Questions and Answers
Verified A+ 2023
A 2-year-old toddler has hearing loss caused by recurrent otitis media. What treatment does the
nurse anticipate that the practitioner will recommend? Ans- *Myringotomy* is a surgical
opening into the eardrum to permit drainage of accumulated fluid associated with otitis media.
Ear drops are not used because they will obscure the view of the tympanic membrane. Removal
of the mastoid will not relieve pressure within inflamed ears. Antibiotics, not steroids, are used
for an infectious process.
What does the nurse state is the cause of frequent upper respiratory tract infections in toddlers?
Ans- Immature immune system
A toddler on the pediatric unit is required to have temporary dietary restrictions after colorectal
surgery. What is the best way for the nurse to promote adherence to the restrictions? Ans-
Toddlers are ritualistic and do not tolerate change well; *any change in diet should be done
matter of factly.*
age range for toddler years Ans- 12-36mos
,While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to
copy the same picture from a book. They are not talking to each other or sharing their crayons.
What does the nurse conclude about this behavioral interaction? Ans- It is a typical expression of
toddlers' social development. As part of the socialization process, toddlers enjoy playing beside
other children (parallel play).
A nurse is obtaining a health history from the mother of a 15-month-old toddler with celiac
disease. The nurse expects the mother to indicate what about her toddler? Ans- *Steatorrhea
(fatty, foul-smelling, frothy, bulky stools)* occurs with celiac disease because of an intolerance
to gluten; toxic substances, which can damage the intestinal mucosal cells, accumulate and cause
diarrhea.
What is the priority nursing care in the immediate postoperative period for a toddler with a newly
applied hip spica cast? Ans- *Checking the toddler's peripheral circulation*. Priority nursing care
for any cast application includes checking the color and temperature of the area surrounding the
cast to ensure that the cast is not too tight. A tight cast compresses arteries and veins, thereby
impairing circulation.
, The parent of a 2-year-old calls a nurse who is a neighbor and reports that the child just ate
several multivitamins with iron. What should the nurse say to the parent? Ans- "Call the Poison
Control Center."
The Poison Control Center will provide the best guidance for treatment of excess ingestion of a
substance; enemas, lavage, or chelation therapy with deferoxamine (Desferal), a heavy metal
antagonist, may be recommended, depending on the amount ingested and the child's age and
response.
A nurse in the daycare center is teaching several aides about the play behavior of 2-year-old
toddlers. What is this type of play called? Ans- *Parallel*: Toddlers play independently but
beside other children; they are aware of the other children, often grabbing toys from them, but do
not socially interact with them.
Elbow restraints are prescribed for an 18-month-old toddler who just had surgery for a cleft
palate. The nurse explains to the parents that the restraints are used to keep the child from doing
what? Ans- The suture lines in the mouth must be protected. Because the toddler uses the mouth
to explore the environment, elbow restraints are needed to keep the child from placing fingers or
objects in the mouth.
During which health maintenance visit for a toddler-age client should the nurse assess the ability
to throw a ball overhand without losing balance? Ans- 18mos
Verified A+ 2023
A 2-year-old toddler has hearing loss caused by recurrent otitis media. What treatment does the
nurse anticipate that the practitioner will recommend? Ans- *Myringotomy* is a surgical
opening into the eardrum to permit drainage of accumulated fluid associated with otitis media.
Ear drops are not used because they will obscure the view of the tympanic membrane. Removal
of the mastoid will not relieve pressure within inflamed ears. Antibiotics, not steroids, are used
for an infectious process.
What does the nurse state is the cause of frequent upper respiratory tract infections in toddlers?
Ans- Immature immune system
A toddler on the pediatric unit is required to have temporary dietary restrictions after colorectal
surgery. What is the best way for the nurse to promote adherence to the restrictions? Ans-
Toddlers are ritualistic and do not tolerate change well; *any change in diet should be done
matter of factly.*
age range for toddler years Ans- 12-36mos
,While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to
copy the same picture from a book. They are not talking to each other or sharing their crayons.
What does the nurse conclude about this behavioral interaction? Ans- It is a typical expression of
toddlers' social development. As part of the socialization process, toddlers enjoy playing beside
other children (parallel play).
A nurse is obtaining a health history from the mother of a 15-month-old toddler with celiac
disease. The nurse expects the mother to indicate what about her toddler? Ans- *Steatorrhea
(fatty, foul-smelling, frothy, bulky stools)* occurs with celiac disease because of an intolerance
to gluten; toxic substances, which can damage the intestinal mucosal cells, accumulate and cause
diarrhea.
What is the priority nursing care in the immediate postoperative period for a toddler with a newly
applied hip spica cast? Ans- *Checking the toddler's peripheral circulation*. Priority nursing care
for any cast application includes checking the color and temperature of the area surrounding the
cast to ensure that the cast is not too tight. A tight cast compresses arteries and veins, thereby
impairing circulation.
, The parent of a 2-year-old calls a nurse who is a neighbor and reports that the child just ate
several multivitamins with iron. What should the nurse say to the parent? Ans- "Call the Poison
Control Center."
The Poison Control Center will provide the best guidance for treatment of excess ingestion of a
substance; enemas, lavage, or chelation therapy with deferoxamine (Desferal), a heavy metal
antagonist, may be recommended, depending on the amount ingested and the child's age and
response.
A nurse in the daycare center is teaching several aides about the play behavior of 2-year-old
toddlers. What is this type of play called? Ans- *Parallel*: Toddlers play independently but
beside other children; they are aware of the other children, often grabbing toys from them, but do
not socially interact with them.
Elbow restraints are prescribed for an 18-month-old toddler who just had surgery for a cleft
palate. The nurse explains to the parents that the restraints are used to keep the child from doing
what? Ans- The suture lines in the mouth must be protected. Because the toddler uses the mouth
to explore the environment, elbow restraints are needed to keep the child from placing fingers or
objects in the mouth.
During which health maintenance visit for a toddler-age client should the nurse assess the ability
to throw a ball overhand without losing balance? Ans- 18mos
