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Peds Exam #1 | Questions and Answers

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Peds Exam #1 | Questions and Answers

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Peds Exam #1 | Questions and Answers
A nurse is performing a developmental age assessment on a 10-month-old. Which will the
nurse document as consistent with the infant's age?
1. Infant discriminates between pictures of objects.
2. Infant stands without support.
3. Infant builds a tower of 3 cubes.
4. Infant eats with fingers. - -4. Infant eats with fingers
Eating with fingers typically occurs between 10 and 12 months. The baby can build a tower
of 3 cubes occurs between 16 and 18 months. Standing occurs at 15 months.
Discrimination of pictures typically begins by 24 months.

-A nurse is performing an assessment on an infant. Which assessment should be
performed last?
1. Check heart and respiratory rates.
2. Assess deep tendon reflexes.
3. Assess ears and mouth.
4. Evaluate genitalia. - -3. Assess ears and mouth.
Uncomfortable examinations may induce crying and should be done last. The nurse should
perform auscultation and less upsetting assessments first while the patient is calm and
quiet.

-A pediatric clinic nurse teaches about behavior modification for young children. It is most
important to emphasize which points?
1. Once the child has calmed down, review what occurred.
2. If a child cries and refuses time-out, add another time-out period.
3. Time-outs should be 1 minute for each year of age.
4. Explain to the child why an act is wrong. - -3. Time-outs should be 1 minute for each year
of age.

One minute of time-out for each year of the child's age is the recommended practice for
time-outs. For toddlers the concept of time is limited and 1 minute can seem like hours. For
preschoolers, time is still not fully understood. A kitchen timer with an audible bell can be
useful for timing time-outs.

-A 9-year-old girl is to receive amoxicillin/clavulanate. Which statement by the nurse is
most likely to elicit cooperation from the child?
1. You can play after you take your medicine.
2. Would you like to take this medicine with juice?
3. This medicine tastes good.
4. Amoxicillin is antibiotic which will help you get well. - -4. Amoxicillin is an antibiotic
which will help you get well.
Rationale: Discussion of facts is correct with school-age child. Medication should not be
described as food or candy. Associating medication with food may cause the child to
develop an aversion to that specific food.

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