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peds exam 1 Question and answers
already passed 2025
the clinic nurse is using a developmental screening tool during a well child visit for a 4 year old child. the parent asks the nurse what type of information will be gained from developmental assessments. what ares of functioning should be included by the nurse when making a reply? - correct answers cognitive ability, language, motor skills, and social development a nurse discusses dental care with the parents of a 3 year old. the nurse explains that by the age of 3 years, their child should have how many deciduous teeth? - correct answers 20 teeth the mother of a 6 month old infant is concerned that the infant's anterior fontanel is still open. the nurse should explain to the nurse that further evaluation is needed if the anterior fontanel is still open after how any months? - correct answers 18 months with a group of new mothers, the nurse has discussed appropriate support of an infant to prevent injuries from falls. which statement by a mother indicates to the nurse a need for further education? - correct answers by the time my baby is 6 months old he will be able to sit without support? a 9 year old child is at the 98th percentile for weight and at the 40th percentile for height. what conclusion should the school nurse draw about this child's growth pattern? - correct answers overweight or large in stature in discussing sexual maturation with girls in a health class, the school nurse should include information that which secondary sex characteristic is the first to occur? - correct answers breast budding
a recently hospitalized 2 year old client screams and shouts that he wants a bottle. his parents are puzzled, saying that he has been drinking from a cup for about a year. the nurse should include which information in an explanation to the parents? - correct answers regression to an earlier behavior often helps the child cope with stress and anxiety a friend who claims to know nothing about children is shopping for a toy to give her 18 month old nephew. when the friend asks about an appropriate toy, the nurse should make which recommendation based on growth and developmental skills? - correct answers a rocking horse, a pull toy, a cloth and cardboard book the nurse is preparing an 8 year old child for procedure. what is the msot appropriate nursing intervention considering the child's stage of growth and development? - correct answers provide visual aids, such as dolls, puppets, and diagrams in the explanations the nurse explains to new parents that the american academy of pediatrics recommends that iron fortified formula be continued in a child's dietary intake up until what age? - correct answers 12 months a mother asks the pediatric nurse what she should begin to feed her 6 moth old infant. what should the nurse include in a response? - correct answers rice cereal is the first solid introduced that is least allergenic of the cereals a 1 year old boy is scheduled for a routine exam at the pediatric clinic. the child's birth weight was 8lbs. if the child has followed normal growth patterns, the nurse anticipates that he should weight how many pounds by 1 year of age? - correct answers 24 after providing a lecture on puberty for 5th and 6th grade boys, the nurse should asks the group to place the secondary sexual characteristics in their order of appearance. the nurse concludes the students learned the
witht he child, identify how the child has coped with previous hospitalizations, and allow opportunities for child to participate in own care in caring for an adolescent with suspected opiod (narcotic) abuse, the nurse would monitor for which of the following? - correct answers constricted pupils, euphoria, respiratory depression a 7 month old infant has all of the folowing abilities. - correct answers pulling feet to mouth, smiling at self in mirror, rolling from back to abdomen, transferring rattle from 2 hands the school health nurse is scheduled to do routine vision testing with a group of students. which test should the nurse use to assess each child's visual actuity - correct answers snellen eye chart children are usually brought to the clinic for health care by a parent. at what age group is it appropriate for the nurse to question the child about presenting symptoms? - correct answers school age when recording the health history of a child, what information that is uniquely pertinent to children is important for the nurse to obtain? - correct answers immunizations when plotting a child's height and weight on a growth grid, the nurse understands that which range generally represents the normal percentile range for children? - correct answers 2nd - 98th percentile when assessing a child who reports abdominal pain, which action by the nurse would be most appropriate? - correct answers palpate painful area last after other areas of abdomen
young child will undergo developmental screening as part of well-child healthcare visit. what roles should the pediatric clinic nurse expect to play part of this screening? - correct answers explain the purpose of the screening and information expected to be gained, administer the test if part of the agency policy, and provide emotional suport to family members present as needed based on results in what order should the nurse complete the following assessments when performing a physical exam on a sleeping 8 month old infant? - correct answers auscultate heart and lungs, measure occipital-frontal head circumference, inspect genitalia, check eyes for red reflex when preparing to assess a preschool chiild, what communications by the nurse would be appropriate - correct answers give reassurance and feedback to child during the assessment and ask if the child prefers to sit on the parents lap during assessment what method should the nurse use to assess the length of an 18 month old child who is brought to the clinic for routine exam - correct answers use a horizontal measuring board at what age should the pediatric nurse change the sequence of examination of a child from that of chest and thorax first to head to toe - correct answers school age child mother of a pediatric client is considering going to nursing school and asks the pediatric nurse how the nurse plans the child's care. the nurse's best response would include what information about the nursing framework used? - correct answers it is called nursing process and aids in identifying child responses to actual and potential health problems the pediatric nurse should plan to include cover-uncover test screening for strabismus and amblyopia into the physical assessment of children at which
what should the nurse include when developing care plan for child who is post-op for tonilectomy? - correct answers observe for excessive swallowing and report any trickle of bright red blood the nurse is caring for a hospitalized child who has developed a common cold (nasopharyngitis). what should be the primary goal of nursing care for this new-onset infection> - correct answers relieving symptoms the nurse obtains a health history on a school aged pediatric client. which signs should alret the nurse to possible hearing impairment in the child? - correct answers turning up the volume on the TV and poor school performance the nurse is caring for a 1 month old infant who is blind secondary to retinopathy of prematurity. which statement should the nurse include when teaching the parents about activities to promote their infant's development - correct answers talking, holding, and singing to your baby are appropriate activities at this age the nurse is assessing a child with conjunctivitis (pink eye). which clinical manifestations would the nurse most likely assess? - correct answers crusting of eyelids and eyelashes the nurse teaches a child with conjunctivitis measures to prevent the spread of infection. the nurse concludes that further teaching is needed when the child makes which statement? - correct answers i will carry a handkerchief w/me so that i can wipe my eyes during the day a 4 mo old infant has severe nasal congestion, nasal mucous drainage, and crusting in and around the nares. which is the best way for the nurse to clear
the infant's nasal passages? - correct answers administer saline drops in the nose and suction with bulb syringe the nurse is caring for a younger school age child who just returned to the day surgery recovery area following a tonsillectomy, adenoidectomy, and bilateral myringotomy with insertion of tympanostomy tubes. which assessment data indicated to the nurse that the child is experiencing active, uncontrolled bleeding at the operative site? - correct answers tachycardia, hypotension, increased swallowing the nurse is caring for a child with a recent diagnosis of amblyopia. which information should the nurse include in child and family educaiton? - correct answers greatest success of treatment of amblyopia when accomplished by age 5-6 years, patching the unaffected eye while maintaining skin integrity, and necessity of completing treatment the nurse is beginning an otoscopic examination of ear of a toddler. child cries, kicks and pulls away from nurse. which action should the nurse take? - correct answers get assistance to gently restrain the child to proceed with the exam during a day surgery hospitalization experience for tonsillectomy for a preschool age child, the nurse should anticipate that the child will most likely have which greatest fear? - correct answers intrusive procedures a school age pediatric client is brought to the emergency room experiencing significant blood loss following an episode of epitaxis. the nurse should assess the results of which priority lab tests? - correct answers hemoglobin and hematocrit which care measures should the nurse include when providing discharge teaching instructions for the pediatric client who has bilateral bacterial conjunctivitis - correct answers teach parents use of warm, moist, disposable
