Nursing Care
At 12 Months - answers At what point in an infant's development would you expect the
birth weight to triple ?
While prone, lifting head and neck off surface - answers While the nurse is assessing
the neurological development of a 3 month old. infant which of the following would the
nurse expect to fine?
Decreased urine output - answers While assessing an infant with moderate dehydration
demonstrating a 10% body weight loss which of the following would the nurse expect to
fine?
6 months of age - answers While reinforcing a teaching session between the nutritionist
and a mother of a 5 month old infant who has stopped breast feeding you explain that
the maternal iron stores are present in the infant's bodies until what time frame ?
Trust - answers The most important aspect of care of an infant according to Erickson is
to develop a sense of what
Double-check all medications and calculations with a second nurse - answers When
administering medications to an infant in the hospital the best way to ensure medication
administration accuracy safety is to
Providing simple conversations that encourage autonomy - answers All of the following
represent ways to communicate with infants except
Trust vs. Mistrust - answers While providing anticipatory guidance to the parent of a 4
month old during a routine scheduled well-child visit, the nurse would explain. which
psychological stage is the infant expected to accomplish during the first year of life ?
Iron-fortified cereal - answers Which of the following foods should the nurse teach the
parents to introduce to their infant's diet first ?
Rotavirus Vaccine
Hib Vaccine
PCV
Polio Vaccine IVP
DTaP - answers Which of the following immunizations would be given to a 4 month old
infant ?
Watching roommate being placed on a gurney to go to surgery - answers Which of the
following activities within the hospital environment is the child in the toddler
development stage most likely to be fearful of?
,Art activities that promote the sense of a completion or task - answers According to
Erinkson the milestone that the toddler must achieve can best be supported by which of
the following.
The toddlers egotistical thought process - answers A frustrating behavior displayed by a
toddler that a parent should acknowledge as a normal response is the cognitive
development of a toddler is
300 - answers The number of words mastered by a toddler third birthday is
The fear from separation at bedtime - answers Bedtime fears are very real experiences
for the toddler which of the following creates the greatest fear?
This is normal and foods lags should be expected during this time of slowed growth. -
answers A parent comes into the clinic with a toddler for a well child appointment. The
topic of food preferences and refusal has been brought up as a concern that the child is
not eating enough and is refusing to consume what the rest of the family eats for dinner.
The nurse best repose is
Establish a positive rapport with the parents before approaching the child - answers
Stranger anxiety is a common experience for the toddler. The nurse should practice
which of the following to assist in the minimization of stranger anxiety in the hospital ?
Transition to a convertible seat and place it facing forward - answers Car seat safety for
the toddler includes the following
This is the most common age of chid abuse in the nation - answers The prevention and
identification of a child abuse is important during the toddlers because
Too much milk in the Diet prevents the toddler from consuming enough iron rich foods -
answers Iron deficiency anemia is a common toddler nutritional problem. While teaching
a parent about the greatest influence to the development of this disorder the nurse
explains that
Ride a tricycle - answers The pediatric nurse should explain to the parents of a
preschooler that they can expect their 3 year old child to be able to accomplish which of
the following skills?
In a multi bed room with 3 other children - answers A 4 year old child has been admitted
to the in patient pediatric unit for a course of antibiotics to fight cellulitis. Which of the
following bed assignments would be most appropriate for this preschooler
She is requesting a ballerina bandage after having blood drawn. - answers Which
behavior demonstrated by a preschooler would confirm the child is in an appropriate
developmental level
,Secondary bacterial infections - answers Which of the following conditions can occur
when a preschooler frequently scratches chickenpox vesicle lesions
Strep throat - answers Which of the following infections experienced by a 5 year old
child in a preschool center must be reported to all parents
That is OK your young child will change his mind soon enough - answers A preschooler
is requesting to have the same lunch for school everyday an appropriate response to
the parent would be
Magical thinking - answers Which of the following would the pediatric nurse see as a
reason for a preschooler describing her teddy bear as being in the hospital because she
was naughty
90 to 115 - answers What heart rate would a pediatric nurse expect to find in a
preschooler who is 4 years old?
A video game for 2 on the large screen in the playroom - answers Evan an 11 year old
child has been hospitalized for a fractured femur by an all terrain vehicle The injury
requires 2 weeks of traction and the nurse notes boredom is setting in and making Evan
restless. B y understating developmental theory the nurse selects which of the following
forms of play or distraction for this child
Describe the importance of not sharing costumes with others and keep personal items
in a plastic bin away from other performing children. - answers Parents of 7 year old
heather bring her into the clinic on her third pediculosis infestation in the last 6 months
Her mother describes her intense interest in performing arts and shares that she has
been in two musicals in the last year After listening the nurse offers the following advice
Bronchoconstriction
Mucus production
Inflammation - answers Asthma is considered a chromic inflammatory process that
involve three distinct characteristics The pediatric nurse describes the family of a newly
diagnosed school-aged child that asthma characteristics are
A high calorie food-intake
sedentary lifestyle
genetics - answers Obesity has reached epidemic proportions influencing factors
associated with most cases of childhood obesity include
Successful mastery of the first three stages of psychosocial development - answers
Erkinsons theory of psychosocial development describes the opposing feelings of
accomplishments or industry vs inferior a school aged child feelings of inferiority
According to Erinkson the greatest influence to a school aged Childs success during
this stage is
, central incisor - answers The loss of primary (deciduous teeth ) and the eruption of
permanent teeth (secondary) teeth take place during the early school age children The
pediatric nurse explains to the family that although shedding of teeth can be quite
variable they can expect child to loose
The time before sexual maturity - answers While providing care at a summer camp for
children the nurse is approached by a counselor who asks about the process of puberty.
The nurse explains that while puberty is considered the time when a child's sexual
development is complete and the child is now available reproduce prepubescence is
considered
True - answers Precious puberty is the process of puberty that begins before the age of
8 for girls and before the age of 9 for boys
True - answers According to Kholberg theory of moral development the young school
aged child sees rules and behavioral standards as coming from the expectations of
those around them rules are not established from within rather are created established
and enforced by others
false 7 Caucasians
6 African Americans - answers Precocious puberty can be specially defined as breast
development in girls before the age of 6 in Caucasians and 5 in African Americans
Having the child stand on the unit scale and using measure arm - answers What is the
best way to measure the height of hospitalized 16 month old toddler
By using a child's age to estimate their daily calorie need per kilogram of weight -
answers How does the nurse determine how many Calories a child needs on a daily
basis
Subjective and objective - answers Two forms of pediatric pain assessment tools are
used to collect information about a child's pain experience these two forms are
Cries pain scale - answers Which one of the following pain assessment tools is used for
a newborn
Preschool age child starting a five years - answers But what age can most children
answer specific questions about location in severity of their presenting symptoms
Wong baker face pain rating scale - answers Oral morphine sulfate has just been
administered to a six year in severe pain after surgical appendectomy according to the
child's age and developmental level which Pain tool will the nurse use to asses this
child's level of pain relief