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Pediatrics Final: Chapters 6-9

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Pediatrics
mminter002
Quiz by mminter002, updated more than 1 year ago
mminter002
Created by mminter002 over 9 years ago
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Question 1

Question
The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by:
Answer
  • Learning from repeating tasks
  • Developing a sense of worth and competence
  • Using fantasy and magical thinking to cope with problems
  • Developing a sense of trust

Question 2

Question
Which of the following are reasons that stealing occurs in school-age children? (Choose all that apply)
Answer
  • To escape punishment
  • High self-esteem
  • Low expectations of family/peers
  • Lack of sense of propriety
  • Strong desire to own something

Question 3

Question
Which activities will promote weight loss in an obese school-age child? (Choose all that apply)
Answer
  • Unlimited computer and TV time
  • Role modeling by family
  • Becoming active in sports
  • Eating unstructured meals
  • Involving child in meal planning and grocery shopping
  • Drinking three glasses of water per day

Question 4

Question
As the school nurse conducting screening for vision in a 6-year-old child, you would refer the child to a specialist if the visual acuity in both eyes is:
Answer
  • 20/20
  • 20/25
  • 20/30
  • 20/50

Question 5

Question
The mother of two sons, ages 6 and 9, states they want to play on the same baseball team. As the school nurse, what advice would you give their mother?
Answer
  • Having the boys on the same team will make it more convenient for the mother
  • Levels of coordination and concentration differ, so the boys need to be on separate teams
  • Put the boys on the same team because they are both school-age children
  • It is best to avoid putting the boys on the same team to prevent sibling rivalry

Question 6

Question
When giving parents guidance for the adolescent years, the nurse would advise the parents to: (Choose all that apply)
Answer
  • Accept the adolescent as a unique individual
  • Provide strict, inflexible rules
  • Listen and try to be open to the adolescent's views
  • Screen all of his or her friends
  • Respect the adolescent's privacy
  • Provide unconditional love

Question 7

Question
In developing a weight-loss plan for an adolescent, which would the nurse include? (Choose all that apply)
Answer
  • Have parents make all of the meal plans
  • Eat slowly and place the fork down between each bite
  • Have the family exercise together
  • Refer to an adolescent weight-loss program
  • Keep a food and exercise diary

Question 8

Question
Which is associated with early adolescence? (Choose all that apply)
Answer
  • Uses scientific reasoning to solve problems
  • Still at times wants to be dependent upon parents
  • Incorporates own set of morals and values
  • Is influenced by peers and values memberships in cliques

Question 9

Question
What has the most influence in deterring an adolescent from beginning to drink alcohol?
Answer
  • Drinking habits of parents
  • Drinking habits of peers
  • Drinking philosophy of adolescent's culture
  • Drinking philosophy of adolescent's religion

Question 10

Question
When providing atraumatic care to a child, which action would be most appropriate?
Answer
  • Applying restraints for any procedure that would be uncomfortable
  • Keeping the lights on in the child's room throughout the day and night
  • Limiting the use of topical anesthetics for painful injections
  • Allowing parents and children an informed choice about being together

Question 11

Question
When caring for children, how does the nurse best incorporate the concept of family-centered care?
Answer
  • Encourages the family to allow the physician to make health care decisions for the child
  • Uses the concepts of respect, family strengths, diversity, and collaboration with the family
  • Advises the family to choose a pediatric provider who is on the child's health care plan
  • Recognizes that families undergoing stress related to the child's illness cannot make good decisions

Question 12

Question
The nurse is caring for a 2-year-old in the hospital, and the mother expresses concern that the toddler will be scared. Which response by the nurse would be most appropriate?
Answer
  • "Don't worry; we practice family-centered and atraumatic care here."
  • "We will do our best to minimize the stress that your child experiences."
  • "It will probably be upsetting for you as well, so you should stay home."
  • "Our practice of atraumatic care will eliminate all pain and stress for your child."

Question 13

Question
When planning education for a child and parents, what is the first step the nurse should take?
Answer
  • Decide which procedures and medications the child will be discharged on
  • Determine the child's and family's learning needs and styles
  • Ask the family if they have ever performed this type of procedure
  • Tell the child and family what the goals of the teaching session are

Question 14

Question
During the health interview, the mother of a 4-month-old says, "I'm not sure my baby is doing what he should be." What is the nurse's best response?
Answer
  • "I'll be able to tell your more after I do his physical."
  • "Fill out this developmental screening questionnaire and then I can let you know."
  • "Tell me more about your concerns."
  • "All mothers worry about their babies. I'm sure he's doing well."

Question 15

Question
An infant boy is at your facility for his initial health supervision visit. He is 2 weeks old and responds to a bell during his examination. You review all his birth records and find no documentation that a newborn hearing screening was performed. What is the best action by the nurse?
Answer
  • Do nothing; responding to the bell proves the infant does not have a hearing deficit
  • Schedule the infant immediately for newborn hearing screening
  • Ask the mother to observe for signs that the infant is not hearing well
  • Screen again with the bell at the infant's 2-month health supervision visit

Question 16

Question
A 15-month-old girl is having her first health supervision visit at your facility. Her mother has not brought a copy of the child's immunization record but believes she is fully immunized: "She had immunizations 3 months ago at the local health department." Which would be the best action by the nurse?
Answer
  • Ask the mother to bring the records to the 18-month health supervision visit
  • Start the "catch-up" schedule because there are no immunization records
  • Keep the child at the facility while the mother returns home for the records
  • Call the local health department and verify the child's immunization status

Question 17

Question
A 4-year-old child is having a vision screening performed. Which screening chart would be best for determining the child's visual acuity?
Answer
  • Snellen
  • Ishihara
  • Allen figures
  • CVTME

Question 18

Question
Which facility fulfills the characteristics of a medical home?
Answer
  • An urgent care center
  • A primary care pediatric practice
  • A mobile outreach immunization program
  • A dermatology practice

Question 19

Question
When should the child's first examination by a dentist occur?
Answer
  • By the first birthday
  • By the second birthday
  • By entry into kindergarten
  • By entry into first grade
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