Quiz
Pediatrics Final, Chapter 1-5
Create a free account to finish this quiz
Save your progress and see your final score.
Already have an account? Sign in
Questions in this quiz (23)
1What is the number one cause for mortality among children?
- AHuman immunodeficiency virus
- BCongenital anomalies
- CMotor vehicle accidents
- DLow birthweight
2Nurse Bryn is assessing the vital signs of a child who is being evaluated in an urgent care center. The child is to be seen by the pediatric nurse practitioner (PNP). The mother asks, "Why is my child seeing the PNP and not the doctor? What is the best response by nurse Bryn?
- A"The PNP functions similar to the physician's assistant, so you should be perfectly at ease."
- B"The child may be seen by the physician instead if you like."
- C"Seeing the PNP is just one more step in having your child evaluated in this setting."
- D"The PNP is an experienced RN with advanced education in the diagnosis and treatment of children."
3When caring for an adolescent, in which case must the nurse share information with the parents no matter which state the care is provided in?
- APregnancy counseling
- BDepression
- CContraception
- DTuberculosis
4School nurse Mo is planning a screening program. What items should be included to address issues related to the "new morbidity?"
- AAcademic difficulties, violence, and other mental health issues
- BThe number of children with chronic illness at the school
- CStatistics related to health insurance coverage of the children
- DHIV infection, asthma, and respiratory allergy testing
5The parents of two school-age children state that they expect their children to adhere to their rules without question and that they make all the decisions. Which type of parenting style does this reflect?
- AAuthoritarian
- BDemocratic
- CAuthoritative
- DPermissive
6A single mother asks nurse Bao for suggestions on disciplining her 2-year-old son. Which suggestion would be most appropriate?
- AEncourage the mother to emphasize the inappropriate behavior
- BWait for an hour or so before enforcing the discipline
- CHave the child spend 2 minutes in time-out
- DWithhold a privilege from the toddler for a week
7Nurse Carina is teaching a group of students about the possible effects of immigration on the health status of children. Which response by the group would indicate the need for additional teaching?
- AThe children of immigrants have better access to preventive care
- BThe children of immigrants have limited involvement in activities due to the language barrier
- CThe children of immigrants lack adequate support systems
- DThe children of immigrants face increased stressors due to relocation
8Which would nurse Manjinder identify as a protective factor for youth violence?
- AExposure to family violence
- BLimited involvement in social activities
- CInconsistency of parental support
- DCommitment to academic performance
9In an effort to control health care costs, what is the best recommendation by nurse Jessica?
- A"Shop around to find the most inexpensive health insurance plan."
- B"Find a job that provides family health insurance at a minimal cost."
- C"Stress primary prevention, using the health care system for check-ups."
- D"Avoid seeing a physician until your child becomes ill."
10The mother of a 3-month-old boy asks nurse Laura about starting solid foods. What is the most appropriate response by nurse Laura?
- A"It's okay to start puréed solids at this age if fed via the bottle."
- B"Infants don't require solid food until 12 months of age."
- C"Solid foods should be delayed until age 6 months."
- D"The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods."
11The father of a 2-month-old girl is expressing concern that his infant may be getting spoiled. Nurse Harmeet's best response is:
- A"She just needs love and attention. Don't worry; she's too young to spoil."
- B"Consistently meeting the infant's needs helps promote a sense of trust."
- C"Infants need to be fed and cleaned; if you're sure those needs are met, just let her cry."
- D"Consistency in meeting needs is important, but you're right, holding her too much will spoil her."
12Parents of an 8-month-old girl express concern that she cries when left with the babysitter. How does nurse Marlene best explain this behavior?
- ACrying when left with the sitter may indicate difficulty with building trust
- BStranger anxiety should not occur until toddler-hood; this concern should be investigated
- CSeparation anxiety is normal at this age; the infant recognizes parents as separate beings
- DPerhaps the sitter doesn't meet the infant's needs; choose a different sitter
13Nurse Shelly is providing anticipatory guidance to the mother of a 6-month-old infant. What is the best instruction by the nurse in relation to the infant's oral health?
- A"Start brushing her teeth after all the baby teeth come in."
- B"Use a washcloth with toothpaste to clean her mouth."
- C"Clean your baby's gums, then new teeth, with a washcloth."
- D"Rinse your baby's mouth with water after every feeding."
14A 9-month-old infant's mother is questioning why cow's milk is not recommended in the first year of life as it is much cheaper than formula. What rationale does nurse Steve include in his response?
- AIt is permissible to substitute cow's milk for formula at this age as he is so close to 1 year old
- BCow's milk is iron poor and does not provide the proper balance of nutrients for the infant
- CAs long as the mother provides whole milk, rather than skim, she can start cow's milk in infancy
- DIf the mother cannot afford the infant formula, she should dilute it to make it last longer
15Nurse Carrie is caring for a hospitalized 30-month-old who is resistant to care, is angry, and yells "no" all the time. The nurse identifies this toddler's behavior as...
- ANormal because the child is hospitalized and out of his routine
- BProblematic, as it interferes with needed nursing care
- CNormal for this stage of growth and development
16The mother of a 15-month-old is concerned about a speech delay. She describes her toddler as being able to understand what she says, sometimes following commands, but using only one or two words with any consistency. What is nurse Jon's best response to this information?
- AThe toddler should have a developmental evaluation as soon as possible
- BIf the mother would read to the child, then speech would develop faster
- CReceptive language normally develops earlier than expressive language
- DThe mother should ask her child's physician for a speech therapy evaluation
17A 2-year-old is having a temper tantrum. What advice should nurse Umbi give the mother?
- AFor safety reasons, the toddler should be restrained during the tantrum
- BPunishment should be initiated, as tantrums should be controlled
- CThe mother should promise the toddler a reward if the tantrum stops
- DThe tantrum should be ignored as long as the toddler is safe
18What is the best advice about nutrition for the toddler?
- AEncourage cup drinking and give water between meals and snacks
- BEncourage unlimited milk intake, because toddlers need the protein for growth
- CAvoid sugar-sweetened fruit drinks and allow as much natural fruit juice as desired
- DAllow the toddler unlimited access to the sippy cup to ensure adequate hydration
19To gain cooperation from a toddler, what is the best approach by nurse Katrina?
- AImmediately pick the toddler up from the mother's lap
- BKneel in front of the toddler while he or she is on the mother's lap
- CDo the nursing tasks quickly so the toddler can play
- DAsk the toddler if it is okay if you begin the needed task
20Nurse Julisa is caring for a hospitalized 4-year-old who insists on having Julisa perform every assessment and intervention on her imaginary friend first. She then agrees to have the assessment or intervention done to herself. Julisa identifies this preschooler's behavior as...
- AProblematic; the child is old enough to begin to have a basis in reality
- BNormal, because the child is hospitalized and out of her routine
- CNormal for this stage of growth and development
- DProblematic, as it interferes with needed nursing care
21The mother of a 3-year-old is concerned about her child's speech. She describes her preschooler as hesitating at the beginning of sentences and repeating consonant sounds. What is nurse Angelica's best response?
- AHesitancy and dysfluency are normal during this period of development
- BReading to the child will help model appropriate speech
- CExpressive language concerns warrant a developmental evaluation
- DThe mother should ask her child's physician for a speech therapy evaluation
22The mother of a 4-year-old asks for advice on using time-out for discipline with her child. What advice should nurse Kevin give the mother?
- AIf spanking is not working, then time-out is not likely to be helpful either
- BPlace the child in time-out for 4 minutes
- CUse time-out only if removing privileges is unsuccessful
- DThe child should stay in time-out until crying ceases
23A 5-year-old child is not gaining weight appropriately. Organic problems have been ruled out. What is the priority action by nurse Ashley?
- AAllow the child unlimited access to the sippy cup to ensure adequate hydration
- BEncourage sweets for the extra caloric content
- CTeach the mother about nutritional needs of the preschooler
- DAssess the child's usual intake pattern at home
Information
- Description
- Pediatrics
- Author
- mminter002
- Language
- English
- Views
- 371
- Tags
- Rating
- 5.0 out of 5 · 1 rating Rate this quiz