Which of the following assessment finding would lead the nurse to suspect Down syndrome in an infant?

A nurse manages the interdisciplinary care for a patient with pancreatitis. Which of the following are recommended interventions for this condition? Select all that apply.

a) Providing glycemia control; b) Keeping the child NPO to rest the pancreas; c) Administering analgesics for pain; d) Positioning the patient in a fetal position

The toddler with a cancer diagnosis is seen for a well-child checkup. Which health maintenance activity will the nurse exclude?

Administering the measles, mumps, rubella (MMR) vaccine

The nurse recognizes that which of the following would be a likely physiologic cause for a child to have enuresis?

The nurse is conducting a physical examination of a child with suspected Crohn disease. Which of the following findings would be the most highly suspicious of Crohn disease?

perianal skin tags or fissures

Parents ask why their child is receiving prednisone to treat leukemia, because it is not a chemotherapy drug. How should the nurse answer?

“Prednisone interferes with white blood cell production.”

Which intervention is best to use with the 6-year-old who has developed stomatitis as a side effect of chemotherapy?

Practice frequent, gentle oral hygiene

. The nurse is educating the parents of a 4-year-old boy with a Wilms tumor who is about to have chemotherapy prior to surgery. Which statement by the parents indicates that the nurse should review the instructions about preventing infection?

"He takes his antibiotic twice a day.”

The nurse is caring for a 3-year-old diagnosed with diabetes mellitus. The child's eating patterns are unpredictable. One day the child will eat almost nothing, the next day the child eats everything on her tray. The nurse recognizes that which of the following types of insulin would most likely be used in treating this child?

A 4-year-old has developed acute lymphocytic leukemia (ALL). Nursing care for the child with ALL involves taking axillary, rather than rectal, temperatures because the child has which of the following?

Parents bring their daughter to the health care facility for evaluation. They report that lately the child seems rather pale and really tired. Which of the following would the nurse most likely find with further assessment if the child has acute lymphocytic leukemia? Select all that apply.

a) Painless cervical lymphadenopathy; b) Low-grade fever; c) Bleeding from the oral mucous membranes

The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. Which of the following would the nurse include in this teaching plan first?

Ensuring fluid intake to prevent dehydration

A 14-year-old boy is diagnosed with Hodgkin disease. When palpating for enlarged lymph nodes, the nurse would expect to find which nodes as most commonly enlarged? Select all that apply.

a) Supraclavicular; b) Cervical

The nurse is developing a plan of care for a child who is receiving cyclophosphamide. Which of the following would the nurse expect to include?

Encouraging frequent voiding during and after the infusion

After teaching the parents of a child diagnosed with celiac disease about nutrition, the nurse determines that the teaching was effective when the parents identify which foods as appropriate for their child? Select all that apply.

a) Jelly; b) Carbonated drinks; c) Shellfish; d) Peanut butter

The nurse will use a special needle to start intravenous (IV) fluids through which central venous access device?

The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3. Which of the following would the nurse most likely expect to assess after the first dose is administered?

Fever with chills, chest tightness

A preschooler who received chemotherapy in the pediatric oncology outpatient department 1 week ago now has a temperature of 101.5°F (38.6°C). Which is the most appropriate response by the nurse?

Have the parent bring the child to the pediatric oncology clinic as soon as possible

A 9-year-old girl has just been diagnosed with Graves' disease. Which of the following symptoms should the nurse expect in this child? Select all that apply

a) Moist skin; b) Nervousness; c) Increased basal metabolic rate; d) Exophthalmos (protruding eyes)

The nurse is caring for a 13-year-old girl with delayed puberty. When developing the plan of care for this child, which of the following would be the priority?

Monitoring for therapeutic and side effects of medication

The nurse is reviewing the laboratory test results of a child who is suspected of having systemic lupus erythematosus (SLE). Which of the following would the nurse identify as supporting this diagnosis? Select all that apply

a) Leukopenia; b) Positive antinuclear antibody (ANA); c) Thrombocytopenia

The nurse notices while holding him upright that a day-old newborn has a significantly indented anterior fontanel. She immediately brings it to the attention of the physician. Which of the following does this finding most likely indicate?

The nurse is caring for a 7-year-old girl who is undergoing a stem cell transplant. Which of the following would the nurse include in the child's postoperative plan of care?

Monitoring for severe diarrhea and maculopapular rash

Which of the following treatments are common to both systemic lupus erythematosus and juvenile idiopathic arthritis? Select all that apply

a) Nonsteroidal anti-inflammatories; b) Corticosteroids

When explaining the procedure of bone marrow aspiration to a child with leukemia, what would be the best explanation?

“You will feel pressure on your hip from the needle.”

The nurse suspects that a 4-year-old with type 1 diabetes is experiencing hypoglycemia based on which of the following? Select all that apply.

: a) Tachycardia; b) Diaphoresis; c) Slurred speech

After teaching the parents of a 6-year-old how to administer an enema, the nurse determines that the teaching was successful when they state that they will give how much solution to their child?

The nurse prepares to collect a 24-hour urine specimen for catecholamines from the child admitted with which likely childhood cancer diagnosis?

A group of nursing students are reviewing information about the endocrine system in infants and children. The students demonstrate understanding of the information when they state which of the following?

Infants have difficulty balancing glucose and electrolytes.

. A 4-year-old girl is undergoing a radioimmunoassay of T4 and T3 to determine whether her thyroid is functioning properly. Which of the following factors could abnormally elevate the child's iodine level and thus invalidate the test?

Recent consumption of large amounts of cough medicine

The mother of an 11-year-old girl who will begin radiation therapy soon asks the nurse what the family needs to do for their daughter during this time. Which of the following interventions should the nurse mention? Select all that apply.

a) Administer antiemetics as prescribed; b) Expose the irradiated area to air; c) Help the child devise "mind games" to play during the procedure

A nurse is administering IV fluid to a 3-year-old girl. The nurse notices that the girl's pulse rate and blood pressure are increasing. On examination, the nurse finds that the child's urine is extremely dilute. Which of the following complications should the nurse immediately suspect?

A child is scheduled to undergo radiation therapy as part of his treatment plan for newly diagnosed cancer. After teaching the child and parents about this treatment, the nurse determines that additional teaching is needed when the parents state which of the following?

“He can use petroleum jelly if the skin becomes reddened.”

The nurse has developed a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. Which of the following interventions would the nurse include in the plan of care first?

Maintaining the intravenous (IV) fluid rate as ordered

A group of students are reviewing information about gallbladder disease in children. The students demonstrate a need for additional review when they identify which of the following?

Cholesterol gallstones are more frequently found in males.

The nurse is caring for a child who is taking corticosteroids for systemic lupus erythematosus. The nurse closely monitors the child based on the understanding that corticosteroids exert which of the following major actions?

They can mask signs of infection.

A child with systemic lupus erythematosus is receiving high-dose corticosteroid therapy over the long term. The nurse would instruct the parents and child to report which of the following?

A 12-year-old girl in the hospital suddenly experiences an extreme drop in blood pressure following discontinuation of prednisone. She appears gray and has no detectable pulse. Which of the following is the priority nursing intervention in this situation?

Immediate replacement of cortisol

A nurse is providing postoperative care for a 5-year-old who had a hypospadias repair. Which of the following would the nurse expect for postoperative care of this child?

Wheelchair kickball is an appropriate postoperative activity.

A group of nursing students are reviewing information about inflammatory bowel disease in preparation for a class discussion on the topic. The students demonstrate understanding of the material when they identify which of the following as characteristic of Crohn disease? Select all that apply.

a) Most common between the ages of 10 to 20 years; b) Elevated erythrocyte sedimentation rate; c) Low serum iron levels

The nurse is assessing a 13-year-old girl with a family history of kidney cancer who has come to the clinic complaining of abdominal pain, nausea, and vomiting. Which of the following findings would the nurse identify as least likely indicative of cancer in a child?

The child reports rectal bleeding and diarrhea.

Which of the following is a well-defined risk management technique that the nurse can teach children and parents to prevent cancer?

Limit sun exposure throughout childhood and adolescence

The nurse is preparing a teaching plan for the family and their 6-year-old son who has just been diagnosed with diabetes mellitus. Which of the following would the nurse identify as the initial goal for the teaching plan?

Developing management and decision-making skills

A nurse identifies a nursing diagnosis of impaired urinary elimination related to urinary tract infection. When developing the plan of care, which of the following would be most important for the nurse to do first?

Assess usual voiding patterns

The nurse is providing home care instructions for a 13-year-old girl recently diagnosed with systemic lupus erythematosus. Which response by the girl indicates a need for further teaching?

“I need to wear sunscreen in the summer to prevent rashes.”

The nurse is reviewing the laboratory test results of a child who is receiving chemotherapy. To calculate the child's absolute neutrophil count, in addition to the total number of white blood cells, which results would the nurse use? Select all that apply.

After teaching the parents of a daughter with central precocious puberty about medication therapy, which statement by the parents indicates successful teaching?

“She'll start puberty again when the medication stops.”

The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How should the nurse respond?

“Breastfeeding is likely to be possible, but check with the surgeon.”

A child diagnosed with stage IV neuroblastoma has undergone abdominal surgery to remove the tumor. He is now receiving chemotherapy. Which nursing diagnosis would be most important?

Grieving related to advanced disease and poor prognosis

The parents bring their 4-year-old son to the emergency department. The child is receiving chemotherapy for acute lymphoblastic leukemia. The parents report that the child has become lethargic and has had significant episodes of vomiting and diarrhea. The nurse suspects the child may be experiencing tumor lysis syndrome based on which of the following? Select all that apply.

a) Hypocalcemia; b) Hyperkalemia; c) Hyperuricemia

A child is receiving fluorouracil as part of a chemotherapy protocol. Which of the following would be most important for the nurse to include in the child's plan of care?

Maintaining adequate hydration

A mother brings her child to the health care clinic because she thinks that the child has conjunctivitis. Which assessment finding would lead the nurse to suspect bacterial conjunctivitis? Select all that apply.

a) Inflamed conjunctiva; b) Mild pain

. During class, a student states, “I didn't think children could have strokes. I thought this only occurred in older adults.” When responding to the student, which of the following would be most important for the instructor to integrate into the response?

: Ischemic strokes are more common than hemorrhagic strokes.

A group of students are preparing for a class exam on skin disorders. As part of their preparation, they are reviewing information about acne vulgaris and its association with increased sebum production. The students demonstrate understanding of the information when they identify which areas as having the highest sebaceous gland activity? Select all that apply.

a) Face; b) Upper chest; c) Back

A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. Which of the following would the nurse expect the physician to prescribe? Select all that apply.

a) Intravenous immunoglobulin; b) Acetaminophen; c) Aspirin

An 8-year-old girl is diagnosed as having tonic-clonic seizures. You would want to teach her parents which of the following?

their daughter should maintain an active lifestyle.

A 4-month-old baby is found to be anemic. Which of the following is the most likely cause of anemia in a child of this age?

Inadequate intake of dietary iron in the mother of the infant during late gestation

A nurse is assessing an 8-year-old child brought to the emergency department by his mother. The child has a history of sickle-cell anemia and reports acute back pain and joint pain. His mucous membranes are dry; skin turgor is poor. Capillary refill is slowed and nail beds are pale. The child is diagnosed with sickle-cell crisis. Which nursing diagnosis would the nurse most likely identify as a priority?

Acute pain related to effects of sickling

. A nurse is providing instructions to the parents of a 3-month-old with developmental dysplasia of the hip who is being treated with a Pavlik harness. Which statement by the parents demonstrates understanding of the instructions? Select all that apply.

a) “We need to call the doctor if she is not able to actively kick her legs.” ; b)  “We need to check the area behind her knees for redness and irritation.” ; c)  “We should change her diaper without taking her out of the harness.”

When caring for a child who has a history of seizures, which of the following nursing interventions would be appropriate? Select all that apply.

a) The nurse goes for help as soon as a seizure begins; b) The nurse positions the child on the side during a seizure; c) The nurse teaches the caregivers regarding seizure precautions; d) The nurse pads the crib or side rails before a seizure.

When educating the family of an ill infant with a large, symptomatic ventricular septic defect (VSD), which of the following would be included in the education if the doctor is planning on performing palliative care until the infant is healthier?

Palliative pulmonary artery banding should help the infant grow.

The nurse is assessing a child who is experiencing an acute splenic sequestration secondary to sickle cell disease. Which of the following would be a priority?

The nurse is assessing a child with suspected infective endocarditis. Which of the following assessment findings would the nurse interpret as a sign of extracardiac emboli?

The nurse is caring for a burn patient in a pediatric hospital. The patient is scheduled to be discharged the following day and the nurse is going over discharge teaching with the parents. Which of the following is the best intervention for the parents when removing an old dressing?

Soak the old dressing in tepid water before attempting to remove.

On assessment immediately following cardiac surgery, which of the following conditions would you expect to find in an infant?

The father of a 7-year-old boy reports to the nurse that two or three times over the past weeks he has observed his son seemingly staring into space and rubbing his hands. The behavior lasts for a minute or so, followed by an inability of the child to understand what's being said to him. . The symptoms this child is exhibiting might indicate the child is having which of the following?

A pregnant client tells her nurse that a friend of hers recently gave birth to an infant who was found to have congenital heart disease. She asks the nurse whether there is anything she can to reduce the risk of this type of condition occurring in her baby. Which of the following should the nurse mention to this patient?

"Make sure you are fully immunized."

When caring for a child that has just had a cardiac catheterization, which of the following would indicate a sign of hypotension?

Cold clammy skin and increased heart rate

Which of the following would lead the nurse to suspect that a child is beginning to develop increased intracranial pressure?

When developing the plan of care for a child with burns requiring fluid replacement therapy, which of the following would the nurse expect to include?

Administration of most of the volume during the first 8 hours

The most important assessment of neurovascular status to make after spinal surgical instrumentation would be to do which of the following?

assess the legs for warmth

The nurse is assessing a child with a possible fracture. Which of the following would the nurse identify as the most reliable indicator?

The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following assessment findings would the nurse identify as helping to confirm this suspicion?

Harsh, continuous, machine-like murmur under the left clavicle

A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, which of the following would the nurse most likely include?

A special wand that picks up sound is used to check your heart

A 3-year-old child has sustained significant severe burns and is ordered to receive 100% oxygen. Which of the following would the nurse use to administer the oxygen?

When educating the family of an infant with a small, asymptomatic atrial septal defect (ASD), which of the following would be included in the education?

“Most infants do not need surgical repair for this.”

A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information?

“I should eat plenty of fresh fruits and vegetables.”

The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next?

Administer next dose as ordered in 12 hours

The emergency room nurse is taking a history of a 1-year-old child whose parent said that she had a “fit" at home. Which of the following inquiries would suggest what has happened?

“What happened just before the seizures?”

Which of the following are signs that you would assess for when looking for increased intracranial pressure in an infant or child?

increased temperature, decreased respiratory rate

Assessment of a child leads the nurse to suspect viral conjunctivitis based on which of the following?

A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following?

When caring for a child who has hemophilia which of the following nursing interventions would be most appropriate for this child? Select all that Apply

a) Performing passive range-of-motion exercises; b) Applying splints to extremities; c) Encouraging physical therapy

Maria is a 9-month-old whose babysitter brings her to the ER. An x-ray shows a spiral fracture of the femur. The babysitter tells the nurse that she found the infant in this condition when she showed up to watch her an hour ago. How should the nurse respond to this situation?

: Arrange for the parents to come in for an evaluation for possible physical abuse.

When providing care to a newborn infant who was born at 29 weeks' gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of which of the following?

The school nurse cares for children with overuse injuries and refers them for treatment. Which of the following statements accurately describe interventions to prevent or care for these types of injuries? Select all that apply.

a) Avoid the causative activity for 6 to 8 weeks; b) Apply ice to the injured area to reduce inflammation; c) Link the chain of communication in the disciplinary approach.

Which of the following would be included in the care of an infant in heart failure?

Begin formulas with increased calories

The nurse is conducting a physical examination of a toddler with suspected lead poisoning. Lab results indicate blood lead level 52 ?g/dL. Which action would the nurse expect to happen next?

Repeat testing within 2 days and prepare to begin chelation therapy as ordered

The nurse is caring for a child with thalassemia who is receiving chelation therapy at home using a battery-operated pump. After teaching the parents about this treatment, which statement by the mother indicates a need for additional teaching?

“I can have the nurse administer the chelation therapy if I am uncomfortable.”

After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. Which of the following would the nurse identify as associated with this finding?

A 10-week-old infant is found to have a small ventricular septal defect. She is prescribed digoxin. The father of the child questions the nurse about the purpose of this medication. Which of the following should the nurse mention?

To help prevent fluid from accumulating in the lungs

In developing a plan of care for the child diagnosed with rheumatic fever, the nursing intervention, which is the highest priority for this child, is which of the following?

Promote rest periods and bed rest

You take an infant's apical pulse before administering digoxin. What is the usually accepted level of pulse rate considered safe for administering digoxin to an 8-month-old infant?

The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching?

“I need to feed him every hour to make sure he eats enough.”

When providing care to a child with aplastic anemia, which nursing diagnosis most likely would be the priority?

. After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

The nurse is instructing a 7-year-old child and his parents about using his prescribed corrective lenses. Which of the following would the nurse include in these instructions?

“Clean the glasses every day with a mild soap and water or commercial cleaning agent.”

Hydrocephalus is suspected in a 4-month-old infant. Which of the following would the nurse expect to assess?

Lower extremity spasticity

The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision would the nurse expect to find during assessment?

When a child is scheduled for a cardiac catheterization, an important health teaching point for parents is which of the following?

child will return with a bulky pressure dressing over the catheter insertion area.

The nurse is assessing a 4-year-old child whose mother reports that the child is more irritable lately. Which of the following questions would suggest suspected increased intracranial pressure (ICP)?

“Does she have headaches when she gets out of bed?”

The nurse has gathered the following data on four different children. Which of the following children will likely be further assessed and tested for autism?

A 14-month-old whose reaction to his caregiver leaving him is to calmly repeat the statement, “Bye bye, Will. Bye bye, Will.”

A nurse is preparing a program for a parent group about various techniques that can be used to manage behavior. Which of the following would the nurse be least likely to include?

: Focus the child's attention on the negative behavior

A school nurse is working with the parents of an 8-year-old who has Tourette syndrome on how best to accommodate the child. Which of the following would be most helpful? Select all that apply.

a) Allowing for breaks when tics occur; b) Using a tape recorder to take notes

A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD). When explaining this disorder to the parents, which of the following would the nurse include as being involved? Select all that apply.

a) Distractibility; b) Impulsivity; c) Inattention; d) Hyperactivity

The responsibility of the nurse caring for a victim of child abuse in the emergency room would include which of the following?

Suggesting to the attending physician that the child be admitted for observation

A 15-year-old girl has been evaluated and diagnosed with major depression. The advance practice mental health nurse has prescribed Paxil, a selective serotonin reuptake inhibitor. The mother of the girl refuses to let her take the medicine because she has read about several suicides of teenagers who have been on this medicine. What should the nurse say to address the mother's concerns?

“Let's sit down with your daughter and talk about your concerns.”

The nurse is caring for a child with bipolar disorder. The child is taking lithium as ordered. The parents inquire about the potential side effects. Which response by the nurse would be most appropriate?

“You might see excessive urination and thirst, tremor, nausea, weight gain, and diarrhea.”

The nurse is caring for a 13-year-old boy with a history of inappropriate behavior. Which statement by the mother would lead the nurse to suspect oppositional defiant disorder rather than conduct disorder?

“He has frequent temper tantrums.”

Which of the following would lead the nurse to suspect that an adolescent has bulimia?

Calluses on back of knuckles

A school-age child diagnosed with depression is receiving antidepressant therapy. The nurse would instruct the parents to notify the physician immediately if the child demonstrates which of the following?

A nurse is providing an in-service program on child abuse for a group of newly hired nurses. When evaluating the effectiveness of the teaching, the nurse determines a need for additional review when the group identifies which of the following as an indicator of possible child abuse?

: Sexual behavior that correlates with the child's developmental age

A 3-day-old male infant is newly diagnosed with Tay-Sachs disease. The nurse reviews information about the disease process with the parents after the doctor has met with the family. Which statement by the parents demonstrates that the nurse has reviewed the disease process with the parents effectively?

“He will have normal development for about 6 months before developmental delays develop.”

A 6 year old boy who has mental retardation secondary to fragile-X syndrome has been admitted to hospital with a mitral valve prolapse. A health care worker who is providing care for the family should have which of the following statements as part of her knowledge base around the disease?

The boy will pass the gene to all his future daughters who will become carriers.

The nurse is working with a group of caregivers of school-age children diagnosed with attention deficit hyperactivity disorder. Which of the following statements would be most appropriate for the nurse to make to this group of caregivers?

The medications your child is on may cause a decreased appetite

The nurse is interviewing the caregiver of a 5-year-old child who has been admitted with bruises on the abdomen and thighs as well as additional bruises in various stages of healing. Which of the following statements made by the caregiver might alert the health care team to the possibility of child abuse?

“His brother just plays too rough with him.”

While interviewing a depressed adolescent boy, he reveals to the nurse that he has considered hurting himself. What should the nurse ask him?

Tell me exactly how you would hurt yourself.

The nurse identifies a nursing diagnosis of impaired social interaction related to altered social skills as evidenced by impulsivity and intrusive behavior. The nurse plans to identify factors that aggravate the child's behavior for which reason?

Minimize stimuli that exacerbate the child's undesired behaviors

A nurse is caring for a 5-year-old girl with depression. The girl is having difficulty coping with her feelings of sadness and fear, which stem from her parents' separation and recent divorce. The girl has been prescribed antidepressant medication but the mother thinks the girl would benefit from therapy. The nurse anticipates a referral to a therapist specializing in which type of therapy?

The nurse is caring for an adolescent girl with anorexia nervosa. Which of the following findings would indicate to the nurse that the girl requires hospitalization?

The nurse is caring for a 1-month-old girl with low-set ears and severe hypotonia who was diagnosed with trisomy 18. Which nursing diagnosis would the nurse identify as most likely?

Grieving related to the child's poor prognosis

A patient who is abused fails to report the abuse MAINLY because of which of the following reasons?

She feels responsible for causing the incident.

The nurse is performing a physical examination of a 5-year-old boy. Which of the following findings would most strongly indicate maltreatment of the child? Select all that apply.

a) Cuts and bruises on the hands; b) A curved laceration on the back; c) Linear lesions across the chest and abdomen; d) Burns on the dorsal surface of the hand

A nurse is reviewing the medical record of an 11-year-old child with a conduct disorder. Which of the following would the nurse identify as characteristic of this disorder? Select all that apply.

a) Arrest for arson; b) Truancy; c) Initiator of physical fights

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse. Which of the following findings might alert the nurse to this possibility that the child may have been abused?

The child has a burn that has not been treated.

The nurse is caring for a child with an eating disorder. Which of the following is the highest priority in treatment of the disorder?

Correct fluid and electrolyte imbalances

Which of the following children would be best characterized as having a separation-anxiety disorder?

An 8-year-old who will not stay overnight at a friend's house.

The nurse is teaching a child with PKU about his or her special diet during a checkup visit. It would be appropriate to teach the child that he can eat which of the following foods? Select all that apply.

When assessing the adolescent with anorexia, which of the following would the nurse expect to find?

A 10-year-old girl has been referred for evaluation due to difficulties integrating with her peers at her new school. The counselor believes she is at risk for situational low self-esteem due to problematic relationships with both family members and peers. Which of the following is the best approach?

Engage the girl in dialogue regarding feelings about self/personal appearance

The nurse is doing a presentation on the diagnosis of anorexia nervosa to a group of pediatric nurses. Which of the following clinical manifestations would the nurse teach this group to observe for in the adolescent with anorexia nervosa?

Soft hair on their backs and arms

A group of students are reviewing information about major and minor congenital disorders. The students demonstrate understanding of the information when they identify which of the following as a minor disorder?

The nurse is caring for a 7-year-old with Tourette syndrome. The nurse would be alert for which of the following comorbid conditions?

Attention deficit/hyperactivity disorder

A 16-year-old girl is seen in an emergency room following a rape. The management of a rape victim should be directed primarily toward which of the following?

decreasing guilt and increasing self-esteem.

A pregnant woman is to undergo testing to evaluate for chromosomal abnormalities. Which test would the nurse expect to be done the earliest?

In addition to providing privacy, which of the following would be most appropriate initially in situations involving suspected abuse?

Tell the client, “Injuries like these don't usually happen by accident.”

The nurse is observing a group of two and three year olds in a play group setting. Which of the following behaviors noted in one of the children indicates to the nurse that the child may be autistic?

While the other children are eating a snack, the child walks around the room feeling the walls and ignores the caregiver who offers him a snack.

The mother of an 8-year-old boy is concerned that her son has attention-deficit/hyperactivity disorder. She describes the symptoms he demonstrates. Which of the following behaviors should the nurse recognize as an example of impulsiveness?

Jumping out of his seat in the middle of class and running to the bathroom without the teacher's permission

The nurse is caring for a 12-year-old boy who is profoundly cognitively challenged, with an IQ of 15. Which of the following tasks is the most challenging that the nurse should expect this client to be able to accomplish as an adult?

A child is receiving therapy in which he is learning to replace automatic negative thought patterns with alternative ones. The nurse interprets this as which type of therapy?

A 10-year-old girl with ADHD has been on Ritalin for 6 months. The girl's mother calls and tells the nurse that the medication is ineffective and requests an immediate increase in the child's dosage. What should the nurse say?

Let's set up an appointment as soon as possible

Which of the following would lead the nurse to suspect that a child has Turner syndrome?

The nurse is teaching the parents of a 1-month-old girl with Down syndrome how to maintain good health for the child. Which instruction would the nurse be least likely to include?

Adhering to the special dietary needs of the child

The mother of a 9-year-old girl with attention-deficit/hyperactivity disorder (ADHD) is frustrated because of her daughter's inability to complete tasks due to her constant distractedness. Which of the following recommendations should the nurse make to the mother? Select all that apply.

a) Break down a chore into several steps; b) Ask questions such as "Why?" "Where?" or "Who?" to help when the child is struggling to relate a story; c) Paint the child's room in pastels; d) Be certain you have the child's attention before giving instructions

. The nurse is educating the parents of a 6-year-old boy about his learning disorder. Which of the following facts would be included in the discussion?

The disorder is caused by a difference in brain architecture

A nurse is working with a child she suspects may be a victim of maltreatment in her home. Which combination of characteristics related to the parent, the child, and the circumstances would most strongly indicate the risk for maltreatment of this child?

The mother was maltreated as a child; the child was born prematurely; the father recently lost his job

A nurse is working with a female client who is in her late adolescence. She is anticipating the possibility of leaving an abusive relationship. In helping the client make the decision to leave or to stay in the abusive situation, which of the following would be most important for the nurse to do?

Inform the client that if she leaves the abusive situation, there is a possibility her partner will attempt to murder her

The nurse is discussing health concerns and issues with a group of caregivers of adolescents. Which of the following statements made by the caregivers would indicate a need for follow-up by the nurse?

Our daughter has never had any health problems, and now she has developed so many cavities.

Which of the following statements probably would be most therapeutic to an adolescent seen for rape?

“Don't feel guilty; you did not provoke the attack.”

The nurse is caring for 3-day-old girl with Down syndrome whose mother had no prenatal care. Which of the following will be the priority nursing diagnosis?

Imbalanced nutrition, less than body requirements related to the effects of hypotonia

The nurse is assessing a 2-day-old newborn and suspects Down syndrome based on which of the following? Select all that apply.

: a) Flat facial profile; b) Epicanthal folds; c) Large tongue compared to mouth; d) Simian crease

Which assessment finding would lead you to suspect Down syndrome in an infant?

When providing postoperative care for the child with cleft palate the nurse should position the child in which of the following positions?

When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

Which of the following would be most appropriate for a nurse to use when describing menarche to a 13 year old quizlet?