Quiz
Pediatrics Final: Chapters 6-9
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Perguntas do quiz (19)
1The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by:
- ALearning from repeating tasks
- BDeveloping a sense of worth and competence
- CUsing fantasy and magical thinking to cope with problems
- DDeveloping a sense of trust
2Which of the following are reasons that stealing occurs in school-age children? (Choose all that apply)
- ATo escape punishment
- BHigh self-esteem
- CLow expectations of family/peers
- DLack of sense of propriety
- EStrong desire to own something
3Which activities will promote weight loss in an obese school-age child? (Choose all that apply)
- AUnlimited computer and TV time
- BRole modeling by family
- CBecoming active in sports
- DEating unstructured meals
- EInvolving child in meal planning and grocery shopping
- FDrinking three glasses of water per day
4As 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:
- A20/20
- B20/25
- C20/30
- D20/50
5The 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?
- AHaving the boys on the same team will make it more convenient for the mother
- BLevels of coordination and concentration differ, so the boys need to be on separate teams
- CPut the boys on the same team because they are both school-age children
- DIt is best to avoid putting the boys on the same team to prevent sibling rivalry
6When giving parents guidance for the adolescent years, the nurse would advise the parents to: (Choose all that apply)
- AAccept the adolescent as a unique individual
- BProvide strict, inflexible rules
- CListen and try to be open to the adolescent's views
- DScreen all of his or her friends
- ERespect the adolescent's privacy
- FProvide unconditional love
7In developing a weight-loss plan for an adolescent, which would the nurse include? (Choose all that apply)
- AHave parents make all of the meal plans
- BEat slowly and place the fork down between each bite
- CHave the family exercise together
- DRefer to an adolescent weight-loss program
- EKeep a food and exercise diary
8Which is associated with early adolescence? (Choose all that apply)
- AUses scientific reasoning to solve problems
- BStill at times wants to be dependent upon parents
- CIncorporates own set of morals and values
- DIs influenced by peers and values memberships in cliques
9What has the most influence in deterring an adolescent from beginning to drink alcohol?
- ADrinking habits of parents
- BDrinking habits of peers
- CDrinking philosophy of adolescent's culture
- DDrinking philosophy of adolescent's religion
10When providing atraumatic care to a child, which action would be most appropriate?
- AApplying restraints for any procedure that would be uncomfortable
- BKeeping the lights on in the child's room throughout the day and night
- CLimiting the use of topical anesthetics for painful injections
- DAllowing parents and children an informed choice about being together
11When caring for children, how does the nurse best incorporate the concept of family-centered care?
- AEncourages the family to allow the physician to make health care decisions for the child
- BUses the concepts of respect, family strengths, diversity, and collaboration with the family
- CAdvises the family to choose a pediatric provider who is on the child's health care plan
- DRecognizes that families undergoing stress related to the child's illness cannot make good decisions
12The 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?
- A"Don't worry; we practice family-centered and atraumatic care here."
- B"We will do our best to minimize the stress that your child experiences."
- C"It will probably be upsetting for you as well, so you should stay home."
- D"Our practice of atraumatic care will eliminate all pain and stress for your child."
13When planning education for a child and parents, what is the first step the nurse should take?
- ADecide which procedures and medications the child will be discharged on
- BDetermine the child's and family's learning needs and styles
- CAsk the family if they have ever performed this type of procedure
- DTell the child and family what the goals of the teaching session are
14During 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?
- A"I'll be able to tell your more after I do his physical."
- B"Fill out this developmental screening questionnaire and then I can let you know."
- C"Tell me more about your concerns."
- D"All mothers worry about their babies. I'm sure he's doing well."
15An 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?
- ADo nothing; responding to the bell proves the infant does not have a hearing deficit
- BSchedule the infant immediately for newborn hearing screening
- CAsk the mother to observe for signs that the infant is not hearing well
- DScreen again with the bell at the infant's 2-month health supervision visit
16A 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?
- AAsk the mother to bring the records to the 18-month health supervision visit
- BStart the "catch-up" schedule because there are no immunization records
- CKeep the child at the facility while the mother returns home for the records
- DCall the local health department and verify the child's immunization status
17A 4-year-old child is having a vision screening performed. Which screening chart would be best for determining the child's visual acuity?
- ASnellen
- BIshihara
- CAllen figures
- DCVTME
18Which facility fulfills the characteristics of a medical home?
- AAn urgent care center
- BA primary care pediatric practice
- CA mobile outreach immunization program
- DA dermatology practice
19When should the child's first examination by a dentist occur?
- ABy the first birthday
- BBy the second birthday
- CBy entry into kindergarten
- DBy entry into first grade
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