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Quiz 1
Pediatry
| Question | Answer |
|---|---|
| -1. While evaluating the reflexes of a male newborn, the nurse notes that with a loud noise, the newborn symmetrically abducts and extends his arm, his fingers fan out and form a “C” with the thumb and forefinger and he has a slight tremor. The nurse docu | - Moro reflex response |
| 2. An adolescent has a diagnosis of new onset diabetes. What would most influence a teenagers food choice as he begins to make changes in his diet? | - Peers and their dietary choices |
| 3. While assessing the newborn, the nurse should be aware that the average expected apical pulse range of a full-term, quiet, alert newborn is: | - 120 to 160 beats/min |
| 3. 4. Which is the first sign of pubertal change seen with boys? | Testicular enlargeme |
| 5. A 3-year-old girl is attending her grandfather’s funeral. Her parents have told her that her grandfather is in heaven with God. The child is taken up to the open casket with her parents. Which statement by the child describes a 3-year-old | - “Grandpa is in heaven. Is this heaven?” |
| 6. What can a nurse do to reinforce a 5-year-old’s intellectual initiative when he asks about his upcoming surgery? | - Answer the child’s questions about his upcoming surgery in simple terms. |
| 7. A first-time mother brings in her 5-day-old baby for a well child visit. The nurse weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was discharge | Weight loss of a few ounces is common among newborns, especially for breastfeeding mothers |
| 8. Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for development delay? | ’My child is able to stand but is not yet taking steps independently.” |
| 9. An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year? | - 21 lbs |
| 10. The mother of a newborn asks the nurse when the infant will receive the first hepatitis B immunization. Which is the nurse’s best response? | - “The first dose of hepatitis B vaccine will be given prior to discharge today.” |
| 11. The mother of 11-year-old fraternal twins tells the nurse at their well-child checkup that she is concerned because her daughter has gained more weight and height than her twin brother. The mother is concerned that there is something wrong with her so | It is normal for girls to grow a little taller and gain more weight than boys at this age. |
| A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse’s best response is: | - “At 6 months his weight should be approximately twice his birth weight.” |
| 14. What is the leading cause of death during toddlerhood period | - Injuries |
| 15. How does the onset of the pubertal growth spurt compare in girls and boys? | - In girls it occurs about 1 year before it appears in boys or It occurs earlier in girls. |
| When teaching parents about mandatory newborn screening, it is important for the nurse to explain that the main purpose is to: | - Recognize and treat newborn disorders early. |
| According to the recommendations of the American academy of pediatrics on infant n nutrition | - Infants should be given only human milk for the first 6 months of life. |
| A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is: | - Passed in the first 12-24 hours of life. |
| 19. The mother of a child 2 years 6 months arranged a play date with the neighbor and her child 2 years 9 months. During the play the two mothers should expect that the children will do which of the following? | - Play alongside one another but not actively with one another. |
| 20. The nurse should expect the anterior fontanel to close at age: | - 12 to 18 months |
| 21. Which comment should the parent of a 2-year-old expect from the toddler about a new baby brother? | - ‘’It is time to put him away so we can play.” |
| The head to tail direction of growth is referred to as | - Cephalocaudal |
| An appropriate approach to when performing a physical assessment on a toddler is to: | - Use minimum physical contact initially. |
| Which characteristic best described the gross motor skills of a 24-month-old child? | - Walks up and down stairs |
| According to Erickson, what is the psychosocial task of adolescence? | - Identity |
| 1. The nurse is aware that the age at which the posterior fontanelle closes is ___ months. | - 2 to 3 |
| 2. Which stage of development is most unstable and challenging regarding development of personal identity? | - Adolescence |
| 3. A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson’s psychosocial development theory, the nurse would instruct the mother to: | - Allow the newborn infant to signal a need |
| 4. A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother t | - Set limits on the child’s behavior |
| 5. A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child? | - Uses a cup to drink |
| 6. By ages 3 to 4, the child begins to use a fork. By the end of the preschool period, the child should be able to pour milk into a cup and begin to use a knife for cutting. A clinic nurse assesses the communication patterns of a 5-month-old infant. The n | - Uses monosyllabic babbling. |
| 7. A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child? | - Crayons and coloring book |
| 8. A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development? | -- Allow the child to participate in activities with other individuals in the same age group when the condition permits. |
| 9. The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-forward position. The best nursing response is which of the following | - When the toddler weighs 20 lbs |
| 10. A mother calls the pediatricians office because her infant is “colicky.” The helpful measure the nurse would suggest to the parent is to: | - Rock the fussy infant slowly and gently. |
| 11. The nurse teaches parents how to help their children learn impulse control and cooperate behaviors. This would occur during which of the stages of development defined by Erickson? | - Initiative vs Guilt |
| The nurse is aware that an infant’s birth weight should be tripled by: | - 1 year |
| 13. The nurse is aware that the earliest age at which an infant is able to sit steadily alone is ____ month. | - 8 |
| The nurse is aware that the earliest age at which the infant should be able to walk independently is ___ months? | - 12 to 15 |
| The parent of a 3-month-old infant asks the nurse. “At what age do infants usually begin drinking from a cup?” The nurse would reply: | - 5 months |
| The nurse would expect a 4-month-old to be able to: | - Lift head and shoulders |
| The abnormal findings in an evaluation of growth and development for a 6-month-old infant would be: | - Head lag present. |
| 18. A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth weight was 8 pounds, 2 ounces. The nurse weighing the infant today would expect her weigh to be at least ____ pounds. | - 16 |
| The nurse would advise a parent when introducing solid food to: | - Introduce each new food 4 to 7 days apart. |
| When assessing development in a 9-month-old infant, the nurse would expect to observe the infant | - Creeping along the floor |
| 21. The statement made by a parent that indicates correct understanding of infant feeding is: | - “I give the baby new foods before he takes his bottle.” |
| The nurse would advise a mother who is concerned because her 10-month-old is lethargic to ____. | - Go to the Emergency Department |
| 23. The nurse discusses child-proofing the home for safety with the mother of a 9-month-old. The statement made by the mother that indicates an unsafe behavior is: | - “In the car, she rides in a front-facing car seat.” |
| 24. The nurse observes a 10-month-old infant using her index finger and thumb to | - The pincer grasps. |
| 25. The most appropriate activity to recommend to parents to promote sensorimotor stimulation for a 1-year-old would be to: | - Play with push-pull toys |
| 26. The nurse explains that by the age of 6 months an iron-rich formula should be offered because the infant has: | - Exhausted maternal iron stores |
| 27. The nurse cautions that children who have unmet hunger needs will likely display which characteristics? (Select all that apply.) | - Irritability - Ineffective feeding patterns - No predictable sleep-wake cycle - Distrust |
| 28. What should the teaching plan include about infant fall precautions? (Select all that apply.) | - Remove all unsteady furniture. - Keep crib rails up and in locked position. - Steady infant with hand when on changing table. - Keep infant seat on the floor. |
| 29. The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months, when the infant begins to ____. | - Creep |
| 30. A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands, but she will not voluntarily grasp it. The nurse should interpret this as: | - Normal development |
| 31. In terms of fine motor development, the infant of 7 months should be able to: | - Transfer objects from one hand to the other |
| In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? | - Roll from abdomen to back |
| Most infants begin to fear strangers at age: | - 6 months |
| In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? (Choose all that apply.) | - Roll from abdomen to back. - Put feet in mouth when supine. |
| 35. A parent of an 18-month-old boy tells the nurse that he says “no” to everything and has rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. The nurse’s best interpretation of this behavior is that: | - This is normal behavior for his age. |
| 36. A 17-month-old child would be expected to be in what stage according to Piaget? | - Tertiary circular reaction |
| Although a 14-month-old girl received a shock from an electrical outlet recently, her parents find her about to place a clip in another outlet. The best interpretation of this behavior is: | - This is typical behavior because of inability to transfer knowledge to new situations. |
| 39. Which statement is correct about toilet training? | - Wanting to please the parent helps motivate the child to use the toilet. |
| 40. Which characteristics best describes the gross motor skills of a 24-month-old child? | Walks up and down stairs |
| 41. The parents of a 2-year-old tells the nurse that they are concerned because the toddler has started to use “baby talk” since the arrival of their new baby. The nurse should recommend that the parents: | - Ignore the “baby talk.” |
| 42. What would the nurse expect of a healthy 3-year-old child? | - Balance on one foot for a few seconds |
| 43. In terms of cognitive development, the 5-year-old child would expect to: | - Use magical thinking. |
| 44. A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that he is sick because he was “bad.” The nurse’s best interpretation of this comment is that it is: | - Common at this age. |
| 45. Which type of play is most typical of the preschool period? | - Associative |
| The parent of a 4-year-old son tells the nurse that the child believes “monster and boogeyman” are in his bedroom at night. The nurse’s best suggestion for coping with this problem is to: | - Suggest involving the child to find a practical solution such as a night light. |
| Which statement accurately describes physical development during the school-age years? | - A child grows an average of 2 inches per year. |
| 48. Generally, the earliest age at which puberty begins is: | - 10 years in girls; 12 years in boys |
| The role of the peer group in the life of school-age children is that it: | - Provides them with security as they gain independence from their parents |
| A group of boys ages 9 and 10 years have formed a “boys only” club that is open to the neigh | - Characteristics of social development of this age |
| What is descriptive of the play of school-age children? | - Knowing the rules of a game gives an important sense of belonging |
| Which statement best describes fear in school-age children? | - Most of the new fears that trouble them are related to school and family. |
| 53. The school nurse has been asked to begin teaching sex education in the 5th grade. The nurse should recognize that: | - Sex can be presented as a normal part of growth and development. |
| 54. According to Erikson, the psychosocial task of adolescence is developing: | - Identity. |
| Peer relationships become more important during adolescence because | - They provide adolescents with a feeling of belong |
| 56. An adolescent boy tells the nurse that he has recently had | The adolescent should be encouraged to share his feelings and experiences. |
| The most common cause of death in the adolescent age-group involves | - Motor vehicles |
| An adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific plan. Asking this should be considered: | - An appropriate part of the assessment. |
| 59. What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years? | - Separation anxiety |
| The public health nurse is discusing immunizations with a group of caregivers of infants. ONe of the mother asks th nurse why the child will need immunizatios. Which of the follwoing statement for nurse to make to this mother? | The infant is born with immnunity to some diseases, but those immunities decrease over the first yerar of life. |
| What describes a toddler's cognitivite development at age 20 months: | Realizes that "out of sight" is no out of reach. |
Created by:
Maguirre1537