HESI PEDIATRICS EXIT/HESI EXIT PEDIATRICS EXAM 3 OB GROWTH AND DEVELOPMENT QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+

The mother of a newborn asks the nurse when the infant will receive the first hepatitis B immunization. Which is the nurse's best response? - "The first dose of the hepatitis B vaccine will be given prior to discharge today." A school nurse is providing an educational session for parents of high school students. Which of the following actions should the nurse encourage parents to perform in relation to the moral development of their teenagers? - Role-model ethical and moral behavior in their everyday lives. A nurse is preparing to give a 5-year-old child preoperative teaching for abdominal surgery. Which of the nurse's actions is most appropriate? - Allow the child to dress up in surgical attire. Which reaction would a nurse expect when giving a preschooler immunization? - The child cries and tells the nurse that it hurts. Which stressor is common in hospitalized toddlers? Select all that apply. - Interrupted routine. Sleep disturbances. Fear of being hurt. The nurse assesses a 2-month-old girl. The baby weighed 3,400 grams at birth, 3,800 grams at 1 month, and 4,000 grams at 2 months of age. The nurse plots the information on the scale below. Which of the following conclusions and actions would be appropriate for the nurse to make? - Conclusion: the child's growth is below expected. Action— change: the baby's weight is markedly lower than normal, and the information should be reported. Which is the best method of distraction for an 8-year-old who is having surgery later today and is NPO? - Play a board game. The mother of a child 2 years 6 months has arranged a play date with the neighbor and her child 2 years 9 months. During the play date the two mothers should expect that the children will do which of the following? - Play alongside one another but not actively with one another. The nurse working in a local school district is developing the curriculum for a new sex education program for the 2nd grade students. Which of the following content would be appropriate to include in the class? - External genitalia of males and females A nurse in a day-care center is observing a 2-yearold child during recess. Which of the following actions would the nurse expect the child to perform? - Kick a ball A 13-year-old tells the nurse that he is worried because his breasts are growing. They hurt, and he is embarrassed to take his shirt off during gym class. What should the nurse tell him? - "This is a normal condition of puberty that will resolve within a year or two." A nurse is educating a parent regarding the immunizations that a child is to receive during the first year of life. Which of the following immunizations did the nurse discuss? - polio A nurse is providing anticipatory guidance to a young man who is at Tanner stage 2. Which of the following information should the nurse discuss with the young man? - Voice changes The school nurse is providing nutrition education to a group of high school students. Which of the following information should be included in the teaching session? Select all that apply. - Energy drinks are high in sugar and caffeine. Vegan diets are low in complete proteins. Sodas are high in sugar and empty calories. The mother of an 11-month-old with iron deficiency anemia tells the nurse that her infant is currently taking iron and a multivitamin. Which statement made by the mother should be of concern to the nurse? - "I give the iron and multivitamin in the morning 6-oz bottle." A nurse is providing health promotion education to a 10-yearold child during a well-child clinic visit. Which of the following is an appropriate patientcare goal for the teaching session? - Brush teeth using a fluoride toothpaste at least twice each day. The nurse is providing anticipatory guidance to the parents of a 12-month-old child regarding bedtime issues. Which of the following statements is appropriate for the nurse to include? - "Forewarn your child a few minutes before that it is time to go to bed. In other words, tell him when it is ten minutes before and then five minutes before bedtime." A 9-year-old girl builds a clubhouse in her backyard. She hangs a sign outside her clubhouse that says "No boys allowed" printed on it. The child's parents are concerned that she is excluding their neighbor's son, and they are upset. What should the school nurse tell the child's parents? - Her behavior is common among school-age children. The nurse is providing prehospital admission education to a 9- year-old child and family. Which of the following methods would be most appropriate for the nurse to utilize during the teaching session? - Take the child on a tour of the pediatric unit, and introduce the child to the nurses. An adolescent has a diagnosis of new-onset diabetes. What would most influence a teenager's food choices as he begins to make changes in his diet? - Peers and their dietary choices. The nurse has confirmed that a 9-year-old child understands the concept of conservation when the child makes which of the following statements? - "There is the same amount of clay in a snake made out of a ball of clay than there was when it was a ball." 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: - "At 6 months his weight should be approximately twice his birth weight." Which activity can the nurse provide for a 9-year-old to encourage a sense of industry? - Provide the child with the homework his teacher has sent. An 8-month-old is seen in the well-child clinic. Which of the following behaviors would the nurse expect to see? Select all that apply. - Plays peek-a-boo Transfers objects from hand to hand The nurse is instructing a new breastfeeding mother in the need to provide her premature infant with an adequate source of iron in her diet. Which statement reflects a need for further education of the new mother? - "I will need to add iron supplements to my baby's diet when she is 2 months old." The parents of a 2-year-old child state that their child begins nursery school in one week. Which of the following actions should the nurse advise the parents to perform on the child's first day of school? - Make sure to let the child take to school any special object the child is attached to. Which comment should the parent of a 2-year-old expect from the toddler about a new baby brother? - "It is time to put him away so we can play." The mother of an adolescent complains that he has had some recent behavioral changes. He comes home from school every day, closes his door, and refrains from interaction with his family. The nurse's best response to the mother is: - "Your son's behavior is normal. You should listen to him without being judgmental." A nurse is educating a parent regarding the psychosocial stage of development of the infancy period. Which of the following information did the nurse include in the discussion? - Infants should have their needs met in a timely fashion. The mother of a 13-year-old girl tells the nurse that she is concerned because her daughter has gained 10 lb since she began puberty. The child's mother asks the nurse for advice about what to do about her daughter's weight gain. Which should the nurse do? - Inform the child's mother that it is common for teen girls to gain weight during puberty. An 18-month-old boy is being seen by the primary health-care provider for a well-child checkup. Refer to the growth charts in Appendix A. Which of the following assessments would indicate a need for further investigation? - Weight of 311⁄4 lb. The nurse is going to give a 6-month-old a dose of Rocephin IM. What must the nurse do when the 1.5-mL dose arrives from the pharmacy? - Divide the dose into two injections. A 4-year-old hospitalized with FTT has orders for daily weights, strict intake and output, and calorie counts. Which action by the nurse would be a concern? - The nurse weighs the child every morning before breakfast. A mother tells the nurse that it is difficult to get her 4-year-old child to bed at night. Which of the following should the nurse suggest that the mother do? - Develop a bedtime routine that is followed every night. A mother of an 8-month-old boy states that the family is vacationing in a beach house for the next 2 weeks. Which of the following information should the nurse educate the mother about in relation to sun exposure? Select all that apply. - Use sun lotions that protect against both UVA and UVB rays. Have the baby wear child-sized sunglasses whenever he is in the sun. Dress the child in lightweight clothing that covers the majority of his skin. A mother of a 21⁄2-year-old calls the health-care provider and states, "I don't know what to do. My son keeps taking off his diaper in public and playing with his penis." Which of the following responses by the nurse is appropriate? - "Simply put his diaper back on, and tell him that he should do that in his own bedroom." A 13-year-old girl, 61 inches tall, is seen for a yearly checkup. She tells the nurse, "I'm the shortest one of my friends. Do you think that I'll grow anymore?" In which of the following situations is it most likely that the young woman will continue to grow? - She started to menstruate 3 months earlier. To obtain an adolescent's health information, the nurse should: - Gather information during a casual conversation. A 2-year-old admitted to the hospital 2 days ago has been crying and is inconsolable much of the time. The nurse's best response to the child's parents who are concerned about this behavior is that the child is in the: - Protest stage of separation anxiety, which is normal for children during hospitalization A school nurse determines that a group of young women is in early adolescence based on which of the following observations? All of the young women: - Are dressed in the same style clothes and wear the same hairdos. A nurse is interviewing a group of 4th grade children. It would be appropriate for the nurse to diagnose the child who made which of the following statements as at "Risk for Altered Coping related to poor psychosocial development"? - "I strike out every time I bat when we play soft ball in gym class." A nurse is educating the parents of a 41⁄2-year-old child regarding personal safety issues. Which of the following statements should the nurse include in the teaching? Select all that apply. - Choose a safety word for the child to remember in cases of an emergency. Warn the child to report any unfamiliar adult who offers the child candy or toys. Instruct the child regarding the information that should be given when a 911 call is made. A 5-year-old boy has always been one of the shortest children in class. His mother tells the school nurse that her husband is 6' tall and she is 5'7". What should the nurse tell the child's mother? - He is expected to grow about 2 inches every year from ages 6 to 9 years. During an adolescent's initial physical assessment, the nurse notes signs and symptoms of nutritional deficit. Which assessment led the nurse to this initial conclusion? - Hair and nails are brittle and dry. Which statement would indicate to the nurse that a school-age child is not developmentally on track for age? - The child has an imaginary friend named Kelly. An 8-day-old was admitted to the hospital with vomiting and dehydration. The newborn's heart rate is 170, respiratory rate is 44, blood pressure is 85/52, and temperature is 99°F (37.2°C). What is the nurse's best response to the parents who ask if the vital signs are normal? - "The heart rate is elevated, but the other vital signs are within normal limits."