Pediatric Nursing Questions and Correct Detailed Answers
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Examples of stress experienced by toddlers
Ans: 1. separation anxiety from parents, grief reactions
2. regression
3. refusal to eat
4. difficulty sleeping
Three phases of separation anxiety and behavioral responses exhibited
during each phase
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Ans: 1. protest; clings to parent to force them to stay
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2. despair, inactive + withdrawn and regress
3. detachment, denial, after prolonged separation , denies need for parents
lvoe, affection to nurses
Nursing interventions to reduce separation anxiety
Ans: 1. encourage family contact
2. familiar belonging brought from home
3. provide therapeutic play
4. accept regression
5. consistent routine with familiar staff
6. extra cuddling and holding
Example of a coping strategy found amongst toddlers when in stress
Ans: throwing games
List the major developmental tasks for toddlers
, 2 Exampromax - Stuvia US 2025/2026
Ans: 1. development of autonomy
2.. control environment
3. act of movement with no restraining
Identify examples of collaborative efforts to assist toddlers with control and
mobility
Ans: 1. assist child with ambulation within their control
2. throwing games, vent frustrations
3. child life specialist, modified toys
4. physical therapist, promote strength and flexibility
List nursing interventions used to prepare a toddle for a procedure
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Ans: 1. brief explanations, 5-10 mins, emphasize what the child will see,
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hear, taste, or feel
2. see age appropriate videos with parents
3. comfort by use of bandages to stop bleeding, avoid deception to gain
compliance
Identify the initial step to effective pain management and special
considerations made for a toddler
Ans: 1. assessment, meaning of hurt, what word is used for pain
2. prior pain experience
3. what does your child do when she/he is hurting
4. anything special that need to know about the child in pain
List behavioral cues demonstrated by a a toddler when experiencing pain
Ans: 1. frowning
2. crying
2. restlessness
List physiological cues demonstrated by a toddler when experiencing pain.
, 3 Exampromax - Stuvia US 2025/2026
Ans: 1. rapid pulse
2. rapid respiration
3. perspiration
Identify nursing interventions used for pain management with a toddler
Ans: 1. form of relaxation, deep breaths
2. form of distraction
3. transport to treatment room for treatments
4. medical personnel restrains, not parents
5. the parents presence
6. explain in a a few simple words
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7. administration of pain meds
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Provide examples of fostering autonomy and independence when planning
for discharge
Ans: 1. select favoring snacks
2. help with dressing change
3. allow playing if on bed rest ( can play near bed)
4. continue to perform toileting and hygiene skills
5. toys for psychosocial development
6. give independence and allow exploration within safe guidelines
List seven reliable devices for accurately measuring and administering oral
meds
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Ans: *measuring spoon
*plastic syringes
*calibrated nipple
*plastic medicine cup
*calibrated dropper
*hollow handles medicine spoon
*medicine bottle used to delivery oral meds via syringe
Six methods of med administration that encourage child's acceptance
Ans: 1. flavored ice pop/small ice cube to suck to numb tongue
2. mix drop with a small about (1tsp) of sweet tasting substance
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NO honey until age 1 year
3. give a chase of water, juice, soft drink
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4. if n/v is a problem, give a carbonated beverage poured over finely
crushed ice before or after
5. when unpleasant tastes pinch the nose and drink med thru a straw
6. have pharmacist prepare drug in a flavored chewable lozenge
7. infants will suck forma needless syringe
What two types of meds should never be crushed and why?
Ans: *enteric or protected coating; could irritate the stomach; this type of
tables is absorbed by small intestine
*Slow release- could be absorbed more rapidly
If med must be crushed what type of food should never be used?
Ans: Honey in infants due to botulism
2 methods of restraining for infant or toddler receiving IM injection in
vastus lateralis