Pediatrics Final: Chapters 6-9

Question 1 of 19

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The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by:

Select one of the following:

  • Learning from repeating tasks

  • Developing a sense of worth and competence

  • Using fantasy and magical thinking to cope with problems

  • Developing a sense of trust

Question 2 of 19

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Which of the following are reasons that stealing occurs in school-age children? (Choose all that apply)

Select one or more of the following:

  • To escape punishment

  • High self-esteem

  • Low expectations of family/peers

  • Lack of sense of propriety

  • Strong desire to own something

Question 3 of 19

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Which activities will promote weight loss in an obese school-age child? (Choose all that apply)

Select one or more of the following:

  • Unlimited computer and TV time

  • Role modeling by family

  • Becoming active in sports

  • Eating unstructured meals

  • Involving child in meal planning and grocery shopping

  • Drinking three glasses of water per day

Question 4 of 19

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As the school nurse conducting screening for vision in a 6-year-old child, you would refer the child to a specialist if the visual acuity in both eyes is:

Select one of the following:

  • 20/20

  • 20/25

  • 20/30

  • 20/50

Question 5 of 19

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The mother of two sons, ages 6 and 9, states they want to play on the same baseball team. As the school nurse, what advice would you give their mother?

Select one of the following:

  • Having the boys on the same team will make it more convenient for the mother

  • Levels of coordination and concentration differ, so the boys need to be on separate teams

  • Put the boys on the same team because they are both school-age children

  • It is best to avoid putting the boys on the same team to prevent sibling rivalry

Question 6 of 19

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When giving parents guidance for the adolescent years, the nurse would advise the parents to: (Choose all that apply)

Select one or more of the following:

  • Accept the adolescent as a unique individual

  • Provide strict, inflexible rules

  • Listen and try to be open to the adolescent's views

  • Screen all of his or her friends

  • Respect the adolescent's privacy

  • Provide unconditional love

Question 7 of 19

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In developing a weight-loss plan for an adolescent, which would the nurse include? (Choose all that apply)

Select one or more of the following:

  • Have parents make all of the meal plans

  • Eat slowly and place the fork down between each bite

  • Have the family exercise together

  • Refer to an adolescent weight-loss program

  • Keep a food and exercise diary

Question 8 of 19

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Which is associated with early adolescence? (Choose all that apply)

Select one or more of the following:

  • Uses scientific reasoning to solve problems

  • Still at times wants to be dependent upon parents

  • Incorporates own set of morals and values

  • Is influenced by peers and values memberships in cliques

Question 9 of 19

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What has the most influence in deterring an adolescent from beginning to drink alcohol?

Select one of the following:

  • Drinking habits of parents

  • Drinking habits of peers

  • Drinking philosophy of adolescent's culture

  • Drinking philosophy of adolescent's religion

Question 10 of 19

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When providing atraumatic care to a child, which action would be most appropriate?

Select one of the following:

  • Applying restraints for any procedure that would be uncomfortable

  • Keeping the lights on in the child's room throughout the day and night

  • Limiting the use of topical anesthetics for painful injections

  • Allowing parents and children an informed choice about being together

Question 11 of 19

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When caring for children, how does the nurse best incorporate the concept of family-centered care?

Select one of the following:

  • Encourages the family to allow the physician to make health care decisions for the child

  • Uses the concepts of respect, family strengths, diversity, and collaboration with the family

  • Advises the family to choose a pediatric provider who is on the child's health care plan

  • Recognizes that families undergoing stress related to the child's illness cannot make good decisions

Question 12 of 19

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The nurse is caring for a 2-year-old in the hospital, and the mother expresses concern that the toddler will be scared. Which response by the nurse would be most appropriate?

Select one of the following:

  • "Don't worry; we practice family-centered and atraumatic care here."

  • "We will do our best to minimize the stress that your child experiences."

  • "It will probably be upsetting for you as well, so you should stay home."

  • "Our practice of atraumatic care will eliminate all pain and stress for your child."

Question 13 of 19

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When planning education for a child and parents, what is the first step the nurse should take?

Select one of the following:

  • Decide which procedures and medications the child will be discharged on

  • Determine the child's and family's learning needs and styles

  • Ask the family if they have ever performed this type of procedure

  • Tell the child and family what the goals of the teaching session are

Question 14 of 19

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During the health interview, the mother of a 4-month-old says, "I'm not sure my baby is doing what he should be." What is the nurse's best response?

Select one of the following:

  • "I'll be able to tell your more after I do his physical."

  • "Fill out this developmental screening questionnaire and then I can let you know."

  • "Tell me more about your concerns."

  • "All mothers worry about their babies. I'm sure he's doing well."

Question 15 of 19

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An infant boy is at your facility for his initial health supervision visit. He is 2 weeks old and responds to a bell during his examination. You review all his birth records and find no documentation that a newborn hearing screening was performed. What is the best action by the nurse?

Select one of the following:

  • Do nothing; responding to the bell proves the infant does not have a hearing deficit

  • Schedule the infant immediately for newborn hearing screening

  • Ask the mother to observe for signs that the infant is not hearing well

  • Screen again with the bell at the infant's 2-month health supervision visit

Question 16 of 19

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A 15-month-old girl is having her first health supervision visit at your facility. Her mother has not brought a copy of the child's immunization record but believes she is fully immunized: "She had immunizations 3 months ago at the local health department." Which would be the best action by the nurse?

Select one of the following:

  • Ask the mother to bring the records to the 18-month health supervision visit

  • Start the "catch-up" schedule because there are no immunization records

  • Keep the child at the facility while the mother returns home for the records

  • Call the local health department and verify the child's immunization status

Question 17 of 19

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A 4-year-old child is having a vision screening performed. Which screening chart would be best for determining the child's visual acuity?

Select one of the following:

  • Snellen

  • Ishihara

  • Allen figures

  • CVTME

Question 18 of 19

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Which facility fulfills the characteristics of a medical home?

Select one of the following:

  • An urgent care center

  • A primary care pediatric practice

  • A mobile outreach immunization program

  • A dermatology practice

Question 19 of 19

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When should the child's first examination by a dentist occur?

Select one of the following:

  • By the first birthday

  • By the second birthday

  • By entry into kindergarten

  • By entry into first grade

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Pediatrics Final: Chapters 6-9

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