Which growth and development assessment would the nurse include when conducting a health maintenance visit for a 15 month old toddler?

a nurse manager on a pediatric oor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory?

defines consistencies in how families change

a nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. the nurse hears one parent state, “my son knows he better do what i say.” Which of the following parenting styles is the parent exhibiting?

a nurse is performing family assessment. Which of the following should the nurse include? (select all that apply.)

medical history

Parents’ education level

support systems

stressors

a nurse is preparing to assess a preschool‐age child. Which of the following is an appropriate action by the nurse to prepare the child?

allow the child to role‐play using miniature equipment.

a nurse is checking the vital signs of a 3‐year‐old child during a well‐child visit. Which of the following ndings should the nurse report to the provider?

a nurse is assessing a child’s ears. Which of the following is an expected finding?

Cerumen is present bilaterally.

A nurse is assessing a 6‐month‐old infant. Which of the following reflexes should the infant exhibit?

A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (Select all that apply.)

Clenching teeth together tightly

Detecting facial touches with eyes closed

A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?

A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine motor skills should the nurse expect the infant to perform? (Select all that apply.)

Grasp a rattle by the handle

Use a crude pincer grasp

A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse plan to administer to the infant? (Select all that apply.)

Polio (IPV)

Pneumococcal vaccine (PCV)

Rotavirus vaccine (RV)

A nurse is providing education about introducing new foods to the parents of a 4-month-old infant. The nurse should recommend that the parents introduce which of the following foods first?

A nurse is providing teaching about dental care and teething to the parent of a 9-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching?

“I should clean my baby’s teeth with a cool, wet wash cloth.”

A nurse is assessing a 21⁄2-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider?

Head circumference exceeds chest circumference

A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform? (Select all that apply.)

Throw a ball overhand

Use a spoon without rotation

A nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Which of the following statements by the parent indicates an understanding of the teaching?

I will send my child’s favorite stuffed animal when she will be napping away from home.”

A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include? (Select all that apply.)

Expression of bedtime fears is common.

Expect behaviors associated with negativism and ritualism.

a nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep. Which of the following statements by the parent indicates an understanding of the teaching?

i will keep a dim lamp on in my child’s room during the night.”

a nurse is conducting a well-child visit with a 5-year-old child. Which of the following immunizations should the nurse plan to administer to the child? (select all that apply.)

Diphtheria, tetanus, pertussis (DtaP)

inactivated poliovirus (iPV)

measles, mumps, rubella (mmr)

a nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching?

average calorie intake should be 1,800 calories per day.

a nurse is performing a developmental screening on a 3-year-old child. Which of the following skills should the nurse expect the child to perform?

a nurse is caring for a preschool- age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting?

a nurse is discussing prepubescence and preadolescence with a group of parents of school-age children. Which of the following information should the nurse include in the discussion?

growth differences between boys and girls become evident.

a nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 11- to 12-year- olds. Which of the following immunizations should the nurse administer? (Select all that apply.)

trivalent inactivated in uenza (tiV)

meningococcal (mcV4)

tetanus and diphtheria toxoids and pertussis (tdap)

a nurse is providing education about age-appropriate activities for the parents of a 6-year-old child. Which of the following activities should the nurse include in teaching?

a nurse is teaching a course about safety during the school- age years to a group of parents. Which of the following information should the nurse include in the course? (Select all that apply.)

Wearing helmets when riding bicycles or skateboarding implementing rearm safety

Wearing seat belts

a nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching?

“Girls usually stop growing about 2 years after menarche.”

a nurse is providing anticipatory guidance to the parent of a 13‐year‐old adolescent. Which of the following screenings should the nurse recommend for the adolescent? (select all that apply.)

Body mass index

Weight

scoliosis

a nurse is caring for an adolescent whose mother expresses concerns about her child sleeping such long hours. Which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescence?

a nurse is teaching a class about puberty in boys. Which of the following should the nurse include as the rest manifestation of sexual maturation?

a nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take?

Place the child in the supine position.

a nurse is preparing to administer an intramuscular (im) injection to a child. Which of the following muscle groups is contraindicated?

a nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (Select all that apply.)

ask the pharmacy to add avoring to the medication. Use the nipple of a bottle to administer the medication.
Hold the infant in an semireclining position.

a nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (Select all that apply.)

calculate the safe dosage.
ask the toddler what toy he wants to hold during administration.
offer juice after the medication.

a nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take?

Pull the pinna downward and straight back

a nurse is completing a pain assessment of an infant. Which of the following pain scales should the nurse use?

a nurse is planning care for a child following a surgical procedure. Which of the following interventions should the nurse include in the plan of care?

administer iV analgesics on a schedule.

a nurse is assessing an infant. Which of the following are manifestations of pain in an infant? (Select all that apply.)

Loud cry
Lowered eyebrows
Rigid body

a nurse is planning care for an infant who is experiencing pain. Which of the following interventions should the nurse include the plan of care? (Select all that apply.)

Offer a pacifier

Use swaddling.

encourage kangaroo care

a nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (Select all that apply.)

explain the procedure using the child’s favorite toy.

allow the child to make one choice regarding the procedure.

apply lidocaine and prilocaine cream to three potential insertion sites.

a nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool‐age child?

Relating fears to magical thinking

a nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (select all that apply.)

experiences separation anxiety

displays intense emotions
exhibits regressive behaviors

a nurse is teaching a parent about parallel play in children. Which of the following statements should the nurse include in the teaching?

“the child plays independently when in a group.”

a nurse is teaching a group of parents about separation anxiety. Which of the following information should the nurse include in the teaching?

Kicking a stranger is an example.

a nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.)

Difficulty swallowing

Cheyne‐Stokes respirations

a nurse is teaching a parent about complicated grief. Which of the following statements should the nurse make?

“Personal activities are affected when experiencing complicated grief.”

a nurse is teaching a parent of a preschool child about factors that affect the child’s perception of death. Which of the following factors should the nurse include in the teaching?

Preschool children perceive death as temporary.

a nurse often cares for children who are dying. Which of the following are appropriate actions for the nurse to take to maintain professional effectiveness? (Select all that apply.)

Remain in contact with the family after their loss.

Develop a professional support system.
take time off from work.

a nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (aP). Which of the following statements by the aP indicates understanding of this review?

“i will listen and respond as the family talks about their child’s life.”

According to Healthy People 2020, strategies that address leading health indicators for the nation would include all of the following areas except:

increasing innovative treatments for cancer.

Obesity in children and adolescents is defined as:

BMI equal to or greater than 95th percentile for age and gender

Mental health problems in children:

include attention deficit/hyperactivity disorder (ADHD).

Which one of the following statements is true about infant mortality in the United States?

In 2001 the United States ranked last in infant mortality rate among nations with similar-sized populations.

The major determinant of neonatal death in technologically developed countries is:

Which of the following accounts for the most deaths in infants under 1 year of age?

Infant mortality decreased significantly in the 1990s for which of the following?

Human immunodeficiency virus (HIV) infection

Which of the following differences is seen when infant death rates are categorized according to race?

Infant mortality for African-Americans is twice the rate of Caucasians.

After a child reaches the age of 1 year, the leading cause of death is from:

Children 12 years of age and older who are victims of homicide tend to be killed by:

The disease that continues to be a leading cause of death in all age-groups of children is:

Fifty percent of all acute conditions of childhood can be accounted for by:

Another term for “the new morbidity” is:

Which one of the following statements about injuries in childhood is false?

Most fatal injuries occur in children under the age of 9 years.

The incidence of accidental drowning is highest in both boys and girls in what age-group?

The current trend toward evidence-based practice involves:

a, b, and c are correct.

a. questioning whether a better approach exists.
b. analyzing published clinical research.
c. increased emphasis on measurable outcomes.

Two basic concepts in the philosophy of family-centered pediatric nursing care are:

The role of the nurse in the parent-professional partnership is to:

strengthen the family’s ability to nurture.

An example of atraumatic care would be to:

allow parents to “room in” with the child.

As the movement for providing care based on evidence continues, nurses will be using methods to evaluate research such as:

After organizing the data into similar categories, the nurse correctly makes which one of the following decisions?

Actual dysfunctional health problems are evident.

The nurse then identifies a possible human response pattern to further classify the data. Which one of the following functional health patterns would be best for the nurse to select?

Role-relationship pattern

Based on the data collected, which one of the following nursing diagnoses would be most appropriate?

Which one of the following patient outcomes is individualized for Sara?

Marisa Gutierrez will verbalize the need to keep small objects away from Sara to avoid aspiration.

Duringtheevaluationphase,whichoneofthefollowingresponsesbySara’smotherwouldindicatethattheexpected outcomes have been met?

“I had forgotten how curious babies are. It has been many years since the boys were babies, and they didn’t have an older child’s toys around.”

At Sara’s next well-baby visit, what information will be most important to document in the chart?

Written evidence of progress toward outcomes

Which one of the following is not a correct definition of the term family as it is viewed today?

The family is always related by legal ties or genetic relationships, and members live in the same household.

In working with children, nurses include family members in the care plan. Which of the following statements does the nurse recognize as false when planning nursing interventions for the family?

There is no expectation for parents to participate in their child’s care when using the systems theory.

Debbie is 2 years old and lives with her brother, Mark, her sister, Mary, and her mother. Her father and mother recently divorced, and now her father lives 1 hour away. Debbie sees her father once a month for a day’s visit. Her mother retains custody of Debbie. Debbie’s grandparents live in a different state, but she visits them each year. Debbie’s family represents which one of the following?

Parenting practices differ in small and large families. Which one of the following characteristics is not found in small families?

Emphasis is placed more on the group and less on the individual.

Limit setting and discipline are positive, necessary components of childrearing. Which one of the following best describes how these functions help children?

Support children’s ability to test their limits of control

Child misbehavior requires parental implementation of appropriate disciplinary action. Identify which one of the following would not be an appropriate guideline for implementing discipline.

Focus on the child and the misbehavior by using “you” messages rather than “I” messages.

Which one of the following is a correct interpretation in the use of reasoning as a form of discipline?

Used for older children when moral issues are involved.

Which one of the following is not a description of the use of time-out as a discipline?

Allows the reinforcer to be maintained.

Johnny spills his milk on the living room rug. His mother smacks him on the bottom and says, “You are a messy, bad boy, Johnny.” Which of the following discipline strategies are used?

b. ii and iii

ii. Corporal punishment iii. Scolding

Mike and Beverly Parker are adopting a 3-year-old girl from Russia. They have approached you for preadoptive counseling. What would you include in the counseling?

Provide information on appropriate referral agencies that can help with the adoptive process and support groups.

Areas of concern for parents of adoptive children include:

identity formation of children during adolescence.

Which of the following statements about adoption is true?

The sooner infants enter their adoptive home, the better the chances of parent-infant attachment.

Which one of the following is not considered important by parents when telling their children about the decision to divorce?

The initial disclosure should be kept simple, and reasons for divorce should not be included.

Which of the following describes joint legal custody?

The children reside with one parent but both parents are the legal guardians and both participate in childrearing.

When children enter school:

the school serves as a major source of socialization for the child.

When considering the impact of culture on the pediatric patient, the nurse recognizes that culture:

affects the development of health beliefs.

Which of the following is a fast-expanding minority group in the United States and in the 2010 census made up over 16% of the population?

To integrate spiritual care into practice, the nurse should:

d. do all of the above.

(a. demonstrate respect.
b. support visitation of spiritual leaders.
c. listen to ensure understanding.)

Which one of the following statements about mass media is true?

From a public health perspective, media contributes to 10% to 20% of health problems in the United States.

To provide culturally sensitive care to children and their families, the nurse should:

recognize characteristic behaviors of certain cultures.

Which of the following is not included in cultural humility?

Conforming to cultural norms to provide security and encourage change

Evil eye is an example of an influence that is considered:

believed to cause fatigue, low energy, and a variety of ailments.

To understand and deal effectively with families in a multicultural community, nurses should:

be aware of their own attitudes and values.

As you begin your assessment of the family, you know that the Garcias are in stage II, families with infants, accord- ing to Duvall’s developmental stages of the family. Which one of the following is a developmental task of this stage?

Accommodating to parenting role

Which of the following is a priority nursing diagnosis for this family?

Altered Family Process related to gain of family members

As the nurse developing the plan for this new family, you choose which of the following as the priority intervention?

Reassure the parents that you will examine both infants but that they appear to be healthy and that the parents are doing a good job

Both Thomas and Timothy are now sleeping, and you have completed your family assessment with Roberto and Ester. As a nurse, you decide to use the family stress theory to promote adaptation to the family’s new role. Which of the following is not a capability the family can use to manage the crisis?

Closed boundary within the family system

Which of the following would negatively affect the communication process between the nurse and the patient?

The nurse uses verbal and nonverbal communication to reflect approval of the patient’s statement.

Mrs. Green has brought her daughter Karen to the clinic where you work as a nurse. Karen, age 12 years, is a new patient and needs a physical examination so that she can play volleyball. Which of the following techniques would not be helpful to establish effective communication during the interview process?

After the introduction, you are careful to direct questions about Karen to Mrs. Green, since she is the best source of information.

The nurse says to 15-year-old Monique, “Tell me about your cough.” This is an example of which type of commu- nication technique?

While conducting an assessment of the child, the nurse communicates with the child’s family. Which one of the following does the nurse recognize as not productive in obtaining information?

Avoiding the use of guiding statements to direct the focus of the interview

The receptionist at the clinic where you are employed as a nurse has forwarded a call to you from Mrs. Garcia, mother of 4-year-old Maria. Mrs. Garcia tells you that Maria has had a fever all morning of around 37.8° C (100° F) and that she now has diarrhea and vomiting. As you provide triage by phone, which one of the following actions is appropriate?

Offer advice for home care and instruct Mrs. Garcia to call or come to the clinic if Maria’s symptoms do not improve.

_________________ is the capacity to understand what another person is feeling by experiencing the situation from that person’s frame of reference.

The nurse is conducting an interview with 8-year-old Jesus and his mother, Mrs. Lopez. Mrs. Lopez is worried be- cause Jesus has been acting up at home and at school and disrupting everyone. An interpreter has been requested, since the mother speaks little English. When using an interpreter for communication with Mrs. Lopez, the nurse realizes that:

the nurse needs to pose questions to elicit only one answer at a time from Mrs. Lopez.

To effectively provide anticipatory guidance to the family, the nurse should:

assist the parents in building competence in their parenting abilities.

Which one of the following best describes the appropriate use of play as a communication technique with children?

Play sessions serve as assessment tools for determining children’s awareness and perception of illness.

In eliciting the chief complaint, the nurse identifies which one of the following techniques as not appropriate?

Using labeling-type questions such as “How are you sick?” to facilitate information exchange

Read the following entry from a pediatric health history: “Nausea and vomiting for 3 days. Started with abdominal cramping after eating hamburger at home. No pain or cramping at present. Unable to keep any food down but able to drink clear liquids without vomiting. No temperature elevation, no diarrhea.” This entry represents which compo- nent of the health history?

Which one of the following is not part of the past history to be included in a pediatric health history?

The nurse knows that the best description of the sexual history for a pediatric health history:

alerts the nurse to the need for sexually transmitted infection screening.

Indications for the nurse to conduct a comprehensive family assessment include which of the following?

i. Children with developmental delays ii. Children with history of repeated accidental injuries
iii. Children with behavioral problems

c. i, ii, and iii

Assessment of family interactions and roles, decision making and problem solving, communication, and expression of feelings and individuality is known as assessment of:

The dietary history of a pediatric patient includes:

financial and cultural factors that influence food selection.

In pediatric examinations, the normal sequence of head-to-toe direction is often altered to accommodate the patient’s developmental needs. The nurse identifies which of the following goals as least likely to guide the examination process?

Recording the findings according to the normal sequence.

Mr. Alls brings his 12-month-old son, Keith, in for his regular well-infant examination. The nurse knows that the best approach to the physical examination for this patient will be to:

have the infant sit in the parent’s lap to complete as much of the examination as possible.

Behavior that signals the child’s readiness to cooperate during the physical examination does not include:

sitting on the parent’s lap or playing with a doll.

The assessment method that the nurse expects to provide the most reliable evaluation about the physical growth pattern of a preschool-age child is:

recording height and weight measurements of the child and comparing growth measurements over time.

Which one of the following findings for growth is cause for potential concern and should be followed closely?

Height and weight fall below the 5th percentile on the growth chart.

equal to chest circumferences at about 1 to 2 years of age.

Which of the following statements about temperature measurement in children is true?

Tympanic artery thermometry for children older than 2 years of age and temporal artery thermometry in all age groups is recommended.

The nurse should obtain the vital signs of an infant in what order?

Count respirations, then count the pulse, and then measure the temperature.

Which one of the following findings should the nurse recognize as normal when measuring the vital signs of a 5-year-old child?

The nurse should eliminate which of the following observations when recording the general appearance of the child?

You are assessing skin turgor in 10-month-old Ryan. You grasp the skin on the abdomen between the thumb and index finger, pull it taut, and quickly release it. The tissue remains suspended, or tented, for a few seconds and then slowly falls back on the abdomen. Which of the following conclusions can you correctly assume?

The child has poor skin turgor.

You are assessing 7-year-old Mary’s lymph nodes. Using the distal portions of your fingers, you press gently but firmly in a circular motion along the occipital and postauricular node areas. You record the findings as “tender, enlarged, warm lymph nodes.” Which of the following is true?

Your findings suggest infection or inflammation in the scalp area or external ear canal.

Which of the following assessment findings of the head and neck does not require a referral?

Head lag before 6 months of age

Which one of the following is an expected finding in the child’s eye examination?

Ophthalmoscopic examination revealing that veins are darker and about one-fourth larger than the arteries

Which of the following children meet(s) referral criteria?

Jason, age 14 years, who identified fewer than four out of six correct letters with his right eye and five out of six correct with his left eye during visual acuity testing

b. Sandra, age 3 years, who demonstrated eye movement with the unilateral cover test
c. Tommy, age 4 years, who demonstrated a two-line difference between eyes on his visual acuity testing

All of the above is the answer

When assessing the ear of a 2-year-old child, the nurse should:

pull the pinna down and back to visualize the canal better.

The nurse is performing an otoscopic examination on 14-month-old Justin. Which one of the following is recognized as an abnormal finding?

Tympanic membrane is dull, nontransparent.

The nurse is assessing the mouth and throat of 7-month-old Alex. Which of the following is recognized as a normal finding?

Membranes are bright pink, smooth, and glistening

When assessing 4-year-old Gail’s chest, the nurse should expect:

movement of the chest wall to be symmetric bilaterally and coordinated with breathing.

On auscultation of 8-year-old Tammie’s lung fields, the nurse hears inspiratory sounds that are louder, longer, and higher pitched than on expiration. These sounds are heard over the chest, except over the scapula and sternum. These sounds are:

On palpation of 3-year-old Jennifer’s apical impulse, where would the nurse expect to place the fingers?

At the left midclavicular line and fourth intercostal space

When listening over the aortic area of the heart, the nurse should place the stethoscope where?

Second right intercostal space, close to sternum

Examination of the abdomen is performed correctly by the nurse in what order?

Inspection, auscultation, and palpation

When examining a child’s genitalia, the nurse should:

understand that this examination may provoke anxiety in the child.

In performing an examination for scoliosis, the nurse understands that which one of the following is an incorrect method?

The child should squat down with hands extended forward so the nurse can observe for asymmetry of the shoulder blades.

Which of the following statements about developmental assessment is true?

The Ages & Stages Questionnaires are age-specific surveys asking parents about developmental skills common in daily life for their children.

To effectively establish a setting for communication, you enter the room, introduce yourself to Mrs. Brown and Kenny, and explain your role and the purpose of the interview. You include Kenny in the interaction as you ask his name and age and what he is expecting at his visit today. You next inform Mrs. Brown and Kenny that he is 25 lb overweight and that his diet and exercise plan must be “terrible” for Kenny to be in “such bad shape.” Which aspect of effective communica- tion have you, as a nurse, forgotten that will most significantly affect the exchange of information during this interview?

Injecting your own attitudes and feelings into the interview

Based on the information provided in the case study, you can correctly record which of the following?

Mrs. Brown, Kenny, and you agree to the need to conduct a more intensive nutritional assessment. Which one of the following ways to record Kenny’s dietary intake would you suggest as most reliable in providing needed information to assess his dietary habits?

Food diary for 3-day period

During the physical examination, which of the following physical findings could be consistent with excess carbo- hydrate nutrition?

The physical examination has been completed and reflects that, other than his obesity, Kenny is in excellent physical health with normal blood counts. The completed nutritional assessment reflects that Mrs. Brown has little knowledge about proper nutrition and that Kenny has a large intake of “junk” foods high in fat and calories but low in nutrients. Based on the data collected, which of the following nursing diagnoses are most appropriate?

d. iv and v

iv. Altered Nutrition: More Than Body Requirements, related to eating practices v. Altered Nutrition: More Than Body Requirements, related to knowledge deficit of parent

Which developmental milestone would the nurse anticipate for a 15

Which gross motor skills would the nurse expect children 3 to 5 years of age to develop select all that apply one some or all responses may be correct?

Which assessment data would cause the nurse to suspect that a toddler age child is experiencing physical neglect quizlet?

Which are sources of lead the nurse should assess for when providing care to a toddler age client who is admitted with lead poisoning?