Pediatrics Final, Chapter 1-5

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Quiz by mminter002, updated more than 1 year ago
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Created by mminter002 over 5 years ago
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Pediatrics

Resource summary

Question 1

Question
What is the number one cause for mortality among children?
Answer
  • Human immunodeficiency virus
  • Congenital anomalies
  • Motor vehicle accidents
  • Low birthweight

Question 2

Question
Nurse Bryn is assessing the vital signs of a child who is being evaluated in an urgent care center. The child is to be seen by the pediatric nurse practitioner (PNP). The mother asks, "Why is my child seeing the PNP and not the doctor? What is the best response by nurse Bryn?
Answer
  • "The PNP functions similar to the physician's assistant, so you should be perfectly at ease."
  • "The child may be seen by the physician instead if you like."
  • "Seeing the PNP is just one more step in having your child evaluated in this setting."
  • "The PNP is an experienced RN with advanced education in the diagnosis and treatment of children."

Question 3

Question
When caring for an adolescent, in which case must the nurse share information with the parents no matter which state the care is provided in?
Answer
  • Pregnancy counseling
  • Depression
  • Contraception
  • Tuberculosis

Question 4

Question
School nurse Mo is planning a screening program. What items should be included to address issues related to the "new morbidity?"
Answer
  • Academic difficulties, violence, and other mental health issues
  • The number of children with chronic illness at the school
  • Statistics related to health insurance coverage of the children
  • HIV infection, asthma, and respiratory allergy testing

Question 5

Question
The parents of two school-age children state that they expect their children to adhere to their rules without question and that they make all the decisions. Which type of parenting style does this reflect?
Answer
  • Authoritarian
  • Democratic
  • Authoritative
  • Permissive

Question 6

Question
A single mother asks nurse Bao for suggestions on disciplining her 2-year-old son. Which suggestion would be most appropriate?
Answer
  • Encourage the mother to emphasize the inappropriate behavior
  • Wait for an hour or so before enforcing the discipline
  • Have the child spend 2 minutes in time-out
  • Withhold a privilege from the toddler for a week

Question 7

Question
Nurse Carina is teaching a group of students about the possible effects of immigration on the health status of children. Which response by the group would indicate the need for additional teaching?
Answer
  • The children of immigrants have better access to preventive care
  • The children of immigrants have limited involvement in activities due to the language barrier
  • The children of immigrants lack adequate support systems
  • The children of immigrants face increased stressors due to relocation

Question 8

Question
Which would nurse Manjinder identify as a protective factor for youth violence?
Answer
  • Exposure to family violence
  • Limited involvement in social activities
  • Inconsistency of parental support
  • Commitment to academic performance

Question 9

Question
In an effort to control health care costs, what is the best recommendation by nurse Jessica?
Answer
  • "Shop around to find the most inexpensive health insurance plan."
  • "Find a job that provides family health insurance at a minimal cost."
  • "Stress primary prevention, using the health care system for check-ups."
  • "Avoid seeing a physician until your child becomes ill."

Question 10

Question
The mother of a 3-month-old boy asks nurse Laura about starting solid foods. What is the most appropriate response by nurse Laura?
Answer
  • "It's okay to start puréed solids at this age if fed via the bottle."
  • "Infants don't require solid food until 12 months of age."
  • "Solid foods should be delayed until age 6 months."
  • "The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods."

Question 11

Question
The father of a 2-month-old girl is expressing concern that his infant may be getting spoiled. Nurse Harmeet's best response is:
Answer
  • "She just needs love and attention. Don't worry; she's too young to spoil."
  • "Consistently meeting the infant's needs helps promote a sense of trust."
  • "Infants need to be fed and cleaned; if you're sure those needs are met, just let her cry."
  • "Consistency in meeting needs is important, but you're right, holding her too much will spoil her."

Question 12

Question
Parents of an 8-month-old girl express concern that she cries when left with the babysitter. How does nurse Marlene best explain this behavior?
Answer
  • Crying when left with the sitter may indicate difficulty with building trust
  • Stranger anxiety should not occur until toddler-hood; this concern should be investigated
  • Separation anxiety is normal at this age; the infant recognizes parents as separate beings
  • Perhaps the sitter doesn't meet the infant's needs; choose a different sitter

Question 13

Question
Nurse Shelly is providing anticipatory guidance to the mother of a 6-month-old infant. What is the best instruction by the nurse in relation to the infant's oral health?
Answer
  • "Start brushing her teeth after all the baby teeth come in."
  • "Use a washcloth with toothpaste to clean her mouth."
  • "Clean your baby's gums, then new teeth, with a washcloth."
  • "Rinse your baby's mouth with water after every feeding."

Question 14

Question
A 9-month-old infant's mother is questioning why cow's milk is not recommended in the first year of life as it is much cheaper than formula. What rationale does nurse Steve include in his response?
Answer
  • It is permissible to substitute cow's milk for formula at this age as he is so close to 1 year old
  • Cow's milk is iron poor and does not provide the proper balance of nutrients for the infant
  • As long as the mother provides whole milk, rather than skim, she can start cow's milk in infancy
  • If the mother cannot afford the infant formula, she should dilute it to make it last longer

Question 15

Question
Nurse Carrie is caring for a hospitalized 30-month-old who is resistant to care, is angry, and yells "no" all the time. The nurse identifies this toddler's behavior as...
Answer
  • Normal because the child is hospitalized and out of his routine
  • Problematic, as it interferes with needed nursing care
  • Normal for this stage of growth and development

Question 16

Question
The mother of a 15-month-old is concerned about a speech delay. She describes her toddler as being able to understand what she says, sometimes following commands, but using only one or two words with any consistency. What is nurse Jon's best response to this information?
Answer
  • The toddler should have a developmental evaluation as soon as possible
  • If the mother would read to the child, then speech would develop faster
  • Receptive language normally develops earlier than expressive language
  • The mother should ask her child's physician for a speech therapy evaluation

Question 17

Question
A 2-year-old is having a temper tantrum. What advice should nurse Umbi give the mother?
Answer
  • For safety reasons, the toddler should be restrained during the tantrum
  • Punishment should be initiated, as tantrums should be controlled
  • The mother should promise the toddler a reward if the tantrum stops
  • The tantrum should be ignored as long as the toddler is safe

Question 18

Question
What is the best advice about nutrition for the toddler?
Answer
  • Encourage cup drinking and give water between meals and snacks
  • Encourage unlimited milk intake, because toddlers need the protein for growth
  • Avoid sugar-sweetened fruit drinks and allow as much natural fruit juice as desired
  • Allow the toddler unlimited access to the sippy cup to ensure adequate hydration

Question 19

Question
To gain cooperation from a toddler, what is the best approach by nurse Katrina?
Answer
  • Immediately pick the toddler up from the mother's lap
  • Kneel in front of the toddler while he or she is on the mother's lap
  • Do the nursing tasks quickly so the toddler can play
  • Ask the toddler if it is okay if you begin the needed task

Question 20

Question
Nurse Julisa is caring for a hospitalized 4-year-old who insists on having Julisa perform every assessment and intervention on her imaginary friend first. She then agrees to have the assessment or intervention done to herself. Julisa identifies this preschooler's behavior as...
Answer
  • Problematic; the child is old enough to begin to have a basis in reality
  • Normal, because the child is hospitalized and out of her routine
  • Normal for this stage of growth and development
  • Problematic, as it interferes with needed nursing care

Question 21

Question
The mother of a 3-year-old is concerned about her child's speech. She describes her preschooler as hesitating at the beginning of sentences and repeating consonant sounds. What is nurse Angelica's best response?
Answer
  • Hesitancy and dysfluency are normal during this period of development
  • Reading to the child will help model appropriate speech
  • Expressive language concerns warrant a developmental evaluation
  • The mother should ask her child's physician for a speech therapy evaluation

Question 22

Question
The mother of a 4-year-old asks for advice on using time-out for discipline with her child. What advice should nurse Kevin give the mother?
Answer
  • If spanking is not working, then time-out is not likely to be helpful either
  • Place the child in time-out for 4 minutes
  • Use time-out only if removing privileges is unsuccessful
  • The child should stay in time-out until crying ceases

Question 23

Question
A 5-year-old child is not gaining weight appropriately. Organic problems have been ruled out. What is the priority action by nurse Ashley?
Answer
  • Allow the child unlimited access to the sippy cup to ensure adequate hydration
  • Encourage sweets for the extra caloric content
  • Teach the mother about nutritional needs of the preschooler
  • Assess the child's usual intake pattern at home
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