PEDS Pre Exam 1 Quiz
B) Talking and gesturing to the infant
C) Claiming proudly that their infant is unique
D) Constantly touching the infant's palms and smiling
Rationale: Talking to the infant and making gestures indicates the attachment of the patient
to the baby and indicates that the patient is recognizing the infant as an individual.
Bragging about the uniqueness of the infant is a common behavior in new parents and
indicates that the patient is developing attachment with the infant. Touching the infant's
hands and smiling indicates feelings of love and attachment for the infant. If the parents
constantly try to wake up the child from sleep, it indicates the parents are nervous or do
not understand the needs of the infant for growth and development. Moving or squeezing
the nipples continuously while feeding the baby may indicate that the mother wants to feed
the baby hurriedly, which is not a sign of good infant care. - -The nurse observes that a
patient is providing appropriate care to the infant. Which behaviors did the nurse observe
in the patient to come to this conclusion? Select all that apply.
A) Waking the infant from sleep
B) Talking and gesturing to the infant
C) Claiming proudly that their infant is unique
D) Constantly touching the infant's palms and smiling
E) Squeezing the nipples continuously while breastfeeding the baby
-D) Increased risk for atelectasis and nasal obstruction - -Upon assessment the nurse finds
that a newborn has reduced lung elastic tissue recoil. The newborn also has a tendency to
breathe through its mouth. What does the nurse understand that the infant has from these
findings ?
A) A risk for ductal shunting and hypoxemia
B) Respiratory distress syndrome and apnea
C) A risk for respiratory insufficiency and apnea
D) Increased risk for atelectasis and nasal obstruction
-D) Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
Rationale: The preschool-age child should have symmetric chest movement bilaterally and
a coordinated breathing pattern. At this age breathing is a coordinated function and is
primarily abdominal or diaphragmatic. Thoracic breathing occurs in older children,
particularly girls. Anteroposterior diameter is equal to transverse diameter in infants. As
the child grows, the chest normally increases in the transverse direction; thus the
anteroposterior diameter is less than the lateral diameter. Intercostal retractions indicate
respiratory distress. - -When assessing a preschooler's chest, what does the nurse expect?
A) Respiratory movements to be chiefly thoracic
, B) Intercostal retractions on respiratory movement
C) Anteroposterior diameter to be equal to the transverse diameter
D) Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
-D) Hyperventilation
Rationale: When a child cries, oxygen intake is decreased due to the increased rate and
depth of respirations. Alveolar carbon dioxide concentration is higher than body
production and it results in hyperventilation. Hyperventilation may be voluntary or
involuntary. Dyspnea is distress during breathing or an inadequate breathing pattern due
to pathological illness. Dyspnea can also be caused by a respiratory and cardiovascular
problem. During times of exercise or after heavy activities, the respiratory pattern that is
needed to meet the metabolic demands is termed as hyperpnea. In situations where there
is inadequate oxygenation, the pattern of respiration is considered hypoventilation. If it
exceeds the limits it may also cause respiratory acidosis. - -The nurse is observing the
respiratory pattern of a child who is crying. The nurse documents that the child has an
increased rate and depth of respirations due to crying. What term does the nurse use to
describe this?
A) Dyspnea
B) Hyperpnea
C) Hypoventilation
D) Hyperventilation
-B) The preschool age child is curious about sexual reproduction.
Rationale: A preschooler usually has increased curiosity about everything, including
sexuality. As a result, the preschooler may ask questions about sexual reproduction. - -The
nurse at an educational camp is explaining to parents about the growth and developmental
changes in a preschooler. Which changes should the nurse mention?
A) The preschool age child is incapable of differentiating gender.
B) The preschool age child is curious about sexual reproduction.
C) The preschool age child is uninterested in mingling with peers.
D) The preschool age child is uninterested in playing indoor games.
-A) Report to the child welfare department as it can be a case of child abuse
D) Confer with the health care provider and admit the child into the hospital immediately -
-A 5-year-old child presents with a fever, cough, and flu-like symptoms. On examination,
the nurse finds that the child's temperature is elevated and respiratory rate is increased.
The nurse also notices wheezing on auscultation, a fracture in right forearm, and bruises
near the elbows and knees. What should be the most appropriate response of the nurse?
Select all that apply
A) Report to the child welfare department as it can be a case of child abuse
B) Talking and gesturing to the infant
C) Claiming proudly that their infant is unique
D) Constantly touching the infant's palms and smiling
Rationale: Talking to the infant and making gestures indicates the attachment of the patient
to the baby and indicates that the patient is recognizing the infant as an individual.
Bragging about the uniqueness of the infant is a common behavior in new parents and
indicates that the patient is developing attachment with the infant. Touching the infant's
hands and smiling indicates feelings of love and attachment for the infant. If the parents
constantly try to wake up the child from sleep, it indicates the parents are nervous or do
not understand the needs of the infant for growth and development. Moving or squeezing
the nipples continuously while feeding the baby may indicate that the mother wants to feed
the baby hurriedly, which is not a sign of good infant care. - -The nurse observes that a
patient is providing appropriate care to the infant. Which behaviors did the nurse observe
in the patient to come to this conclusion? Select all that apply.
A) Waking the infant from sleep
B) Talking and gesturing to the infant
C) Claiming proudly that their infant is unique
D) Constantly touching the infant's palms and smiling
E) Squeezing the nipples continuously while breastfeeding the baby
-D) Increased risk for atelectasis and nasal obstruction - -Upon assessment the nurse finds
that a newborn has reduced lung elastic tissue recoil. The newborn also has a tendency to
breathe through its mouth. What does the nurse understand that the infant has from these
findings ?
A) A risk for ductal shunting and hypoxemia
B) Respiratory distress syndrome and apnea
C) A risk for respiratory insufficiency and apnea
D) Increased risk for atelectasis and nasal obstruction
-D) Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
Rationale: The preschool-age child should have symmetric chest movement bilaterally and
a coordinated breathing pattern. At this age breathing is a coordinated function and is
primarily abdominal or diaphragmatic. Thoracic breathing occurs in older children,
particularly girls. Anteroposterior diameter is equal to transverse diameter in infants. As
the child grows, the chest normally increases in the transverse direction; thus the
anteroposterior diameter is less than the lateral diameter. Intercostal retractions indicate
respiratory distress. - -When assessing a preschooler's chest, what does the nurse expect?
A) Respiratory movements to be chiefly thoracic
, B) Intercostal retractions on respiratory movement
C) Anteroposterior diameter to be equal to the transverse diameter
D) Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
-D) Hyperventilation
Rationale: When a child cries, oxygen intake is decreased due to the increased rate and
depth of respirations. Alveolar carbon dioxide concentration is higher than body
production and it results in hyperventilation. Hyperventilation may be voluntary or
involuntary. Dyspnea is distress during breathing or an inadequate breathing pattern due
to pathological illness. Dyspnea can also be caused by a respiratory and cardiovascular
problem. During times of exercise or after heavy activities, the respiratory pattern that is
needed to meet the metabolic demands is termed as hyperpnea. In situations where there
is inadequate oxygenation, the pattern of respiration is considered hypoventilation. If it
exceeds the limits it may also cause respiratory acidosis. - -The nurse is observing the
respiratory pattern of a child who is crying. The nurse documents that the child has an
increased rate and depth of respirations due to crying. What term does the nurse use to
describe this?
A) Dyspnea
B) Hyperpnea
C) Hypoventilation
D) Hyperventilation
-B) The preschool age child is curious about sexual reproduction.
Rationale: A preschooler usually has increased curiosity about everything, including
sexuality. As a result, the preschooler may ask questions about sexual reproduction. - -The
nurse at an educational camp is explaining to parents about the growth and developmental
changes in a preschooler. Which changes should the nurse mention?
A) The preschool age child is incapable of differentiating gender.
B) The preschool age child is curious about sexual reproduction.
C) The preschool age child is uninterested in mingling with peers.
D) The preschool age child is uninterested in playing indoor games.
-A) Report to the child welfare department as it can be a case of child abuse
D) Confer with the health care provider and admit the child into the hospital immediately -
-A 5-year-old child presents with a fever, cough, and flu-like symptoms. On examination,
the nurse finds that the child's temperature is elevated and respiratory rate is increased.
The nurse also notices wheezing on auscultation, a fracture in right forearm, and bruises
near the elbows and knees. What should be the most appropriate response of the nurse?
Select all that apply
A) Report to the child welfare department as it can be a case of child abuse
