Essentials of Pediatric Nursing CH 12
Questions with Answers 100% Accuracy
Origin: Chapter 12, 1
The nurse is teaching a group of parents with premature infants about the various
medical and developmental problems that may occur. The nurse determines that
additional teaching is needed when the group identifies what as a problem?
A) Sudden infant death syndrome
B) Hydrocephalus
C) Peptic ulcer
D) Bronchopulmonary dysplasia - Correct Answer an: C
Feedback:
Gastro esophageal reflux disease, not peptic ulcer, is a medical problem that commonly
affects premature infants. Myriad problems may occur, including sudden infant death
syndrome, hydrocephalus, bronchopulmonary dysplasia, cardiac changes, growth
retardation, nutrient deficiencies, Bradycardia, rickets, inguinal or umbilical hernias,
visual problems, hearing deficits, delayed dentition, and growth delays.
Origin: Chapter 12, 2
The nurse is caring for a toddler with special needs. Which developmental tasks related
to toddlerhood might be delayed in the child with special needs?
A) Developing body image
B) Developing peer relationships
C) Developing language and motor skills
D) Learning through sensorimotor exploration - Correct Answer an: C
Feedback:
In special needs children, developmental delays may occur in all stages. In particular,
motor and language skill development may be delayed if the toddler is not given
adequate opportunities to test his or her limits and abilities. Development of body image
may be hindered in the preschooler due to painful exposures and anxiety. Development
of peer relationships may be delayed in the school-age and adolescent child. The
infant's ability to learn through sensorimotor exploration may be impaired due to lack of
appropriate stimulation, confinement to a crib, or increased contact with painful
experiences.
Origin: Chapter 12, 3
The nurse is providing home care for a 1-year-old girl who is technologically dependent.
Which intervention will best support the family process?
A) Finding an integrated health program for the family
B) Teaching modifications of the medical regimen for vacation
, C) Assessing family expectations for the special needs child
D) Creating schedules for therapies and interventions - Correct Answer an: D
Feedback:
Coordinating care with the schedules and capabilities of the parents provides the
greatest support for the family. It gives them a sense of order and control. Integrated
health care programs may not be available in the family's area. Teaching therapy
modifications for travel and assessing family expectations are not supportive
interventions.
Origin: Chapter 12, 4
The nurse is caring for families with vulnerable child syndrome. Which situation would
be most likely to predispose the family to this condition?
A) Having a poster infant
B) Having an infant who is reluctant to feed properly
C) Having a child diagnosed with impetigo at age 10
D) Having a child with juvenile diabetes - Correct Answer an: B
Feedback:
"Vulnerable child syndrome" is a clinical state in which the parents' reactions to a
serious illness or event in the child's past continue to have long-term psychologically
harmful effects on the child and parents for many years. Risk factors for the
development of vulnerable child syndrome include preterm birth, congenital anomaly,
newborn jaundice, handicapping condition, an accident or illness that the child was not
expected to recover from, or crying or feeding problems in the first 5 years of life.
Origin: Chapter 12, 5
A 7-year-old boy has reentered the hospital for the second time in a month. Which
intervention is particularly important at this time?
A) Assessing his parents' coping abilities
B) Seeking his parents' input about their child's needs
C) Educating his family about the procedure
D) Notifying the care team about his hospitalization - Correct Answer an: A
Feedback:
Transition times, such as when the child reenters the hospital, create additional stress
on the parents and child. Assessing the parents' coping abilities is particularly important
at this time. Seeking parental input, educating about a procedure, and notifying the care
team are basic activities of family-centered care and care coordination.
Origin: Chapter 12, 6
The nurse is caring for a special needs infant. Which intervention will be most important
in helping the child reach her maximum developmental potential?
A) Directing her parents to an early intervention program
B) Monitoring her progress in elementary school
C) Serving on an individualized education program committee
D) Preparing a plan for her to transition to college - Correct Answer an: A
Feedback:
Questions with Answers 100% Accuracy
Origin: Chapter 12, 1
The nurse is teaching a group of parents with premature infants about the various
medical and developmental problems that may occur. The nurse determines that
additional teaching is needed when the group identifies what as a problem?
A) Sudden infant death syndrome
B) Hydrocephalus
C) Peptic ulcer
D) Bronchopulmonary dysplasia - Correct Answer an: C
Feedback:
Gastro esophageal reflux disease, not peptic ulcer, is a medical problem that commonly
affects premature infants. Myriad problems may occur, including sudden infant death
syndrome, hydrocephalus, bronchopulmonary dysplasia, cardiac changes, growth
retardation, nutrient deficiencies, Bradycardia, rickets, inguinal or umbilical hernias,
visual problems, hearing deficits, delayed dentition, and growth delays.
Origin: Chapter 12, 2
The nurse is caring for a toddler with special needs. Which developmental tasks related
to toddlerhood might be delayed in the child with special needs?
A) Developing body image
B) Developing peer relationships
C) Developing language and motor skills
D) Learning through sensorimotor exploration - Correct Answer an: C
Feedback:
In special needs children, developmental delays may occur in all stages. In particular,
motor and language skill development may be delayed if the toddler is not given
adequate opportunities to test his or her limits and abilities. Development of body image
may be hindered in the preschooler due to painful exposures and anxiety. Development
of peer relationships may be delayed in the school-age and adolescent child. The
infant's ability to learn through sensorimotor exploration may be impaired due to lack of
appropriate stimulation, confinement to a crib, or increased contact with painful
experiences.
Origin: Chapter 12, 3
The nurse is providing home care for a 1-year-old girl who is technologically dependent.
Which intervention will best support the family process?
A) Finding an integrated health program for the family
B) Teaching modifications of the medical regimen for vacation
, C) Assessing family expectations for the special needs child
D) Creating schedules for therapies and interventions - Correct Answer an: D
Feedback:
Coordinating care with the schedules and capabilities of the parents provides the
greatest support for the family. It gives them a sense of order and control. Integrated
health care programs may not be available in the family's area. Teaching therapy
modifications for travel and assessing family expectations are not supportive
interventions.
Origin: Chapter 12, 4
The nurse is caring for families with vulnerable child syndrome. Which situation would
be most likely to predispose the family to this condition?
A) Having a poster infant
B) Having an infant who is reluctant to feed properly
C) Having a child diagnosed with impetigo at age 10
D) Having a child with juvenile diabetes - Correct Answer an: B
Feedback:
"Vulnerable child syndrome" is a clinical state in which the parents' reactions to a
serious illness or event in the child's past continue to have long-term psychologically
harmful effects on the child and parents for many years. Risk factors for the
development of vulnerable child syndrome include preterm birth, congenital anomaly,
newborn jaundice, handicapping condition, an accident or illness that the child was not
expected to recover from, or crying or feeding problems in the first 5 years of life.
Origin: Chapter 12, 5
A 7-year-old boy has reentered the hospital for the second time in a month. Which
intervention is particularly important at this time?
A) Assessing his parents' coping abilities
B) Seeking his parents' input about their child's needs
C) Educating his family about the procedure
D) Notifying the care team about his hospitalization - Correct Answer an: A
Feedback:
Transition times, such as when the child reenters the hospital, create additional stress
on the parents and child. Assessing the parents' coping abilities is particularly important
at this time. Seeking parental input, educating about a procedure, and notifying the care
team are basic activities of family-centered care and care coordination.
Origin: Chapter 12, 6
The nurse is caring for a special needs infant. Which intervention will be most important
in helping the child reach her maximum developmental potential?
A) Directing her parents to an early intervention program
B) Monitoring her progress in elementary school
C) Serving on an individualized education program committee
D) Preparing a plan for her to transition to college - Correct Answer an: A
Feedback:
