Term
| The nurse is preparing to perform an assessment of a 4 year old client. The child is happy and content in mother's lap. When the nurse approaches the child, the child begins to say "I'm sorry, I'm sorry, Don't hurt." The nurse understands that this child is exhibiting |
|
Definition
| Magical thinking-the child believes that their actions caused them to be ill or need to see the health care provider |
|
|
Term
| The nurse demonstrates family centered care by which of these actions? |
|
Definition
| Encouraging family visitation. |
|
|
Term
| A couple is evaluated in the genetics clinic, and the male is found to have an X linked dominant disorder. The couple asks the nurse what this means in regard to their future children. The nurse's response should include the following information. |
|
Definition
| All girls born to the family will be affected. |
|
|
Term
| A nurse who does not speak Spanish is working with a 7 year old who speaks English, but his family speaks only Spanish. The nurse needs to give discharge instructions about oral antibiotics. There are no Spanish interpreters available at present, but one will be at the site in one hour. The nurse's most appropriate intervention is to: |
|
Definition
| have the parents wait until the interpreter arrives to translate the discharge instructions |
|
|
Term
| A child health clinic nurse is preparing immunizations for a 6 month old and the mother states, "My baby is afraid of strangers and of separating from me My friends say it is my fault because he is with me all the time." Which response by the nurse is most appropriate? |
|
Definition
| Separation anxiety is an important component of a parent child attachment. |
|
|
Term
| While caring for a chronically ill adolescent, the nurse would best demonstrate friendliness and interest by the nonverbal behavior of: |
|
Definition
| Sitting at eye level and leaning forward while speaking with the client. |
|
|
Term
| The nurse is talking with the parents of a toddler who is struggling with toilet training. The nurse reassures them that their child is demonstrating the developmental stage that Erikson described as: |
|
Definition
| Autonomy vs. Shame and Doubt |
|
|
Term
| Which one of the following screenings should be performed on all teenagers? |
|
Definition
|
|
Term
| Every child has the right to be free from discrimination, and to be protected from neglect, cruelty, and exploitation. This is an example of which right? |
|
Definition
|
|
Term
| A nurse is assessing language development in all the infants presenting at the well child clinic. The child who would be expected to begin verbalizing the words "Dada" and "Mama" is the child between the ages of: |
|
Definition
|
|
Term
| The nurse working with a family has observed that the older children have a large number of dental caries, and so plans to provide the mother with information to prevent the development of dental caries in her new infant. Which of the following interventions should the nurse include in her teaching plan? Select all that apply. |
|
Definition
-Wiping the infant's gums with soft moist gauze once or twice daily
-Avoiding nursing or giving the infant a bottle at bedtime |
|
|
Term
| Which statement by a pregnant couple indicates correct understanding of autosomal recessive inheritance teaching when both husband and wife have one sickle-cell trait gene? |
|
Definition
| "Regardless of whether this baby carries the gene, our next child still has a 50% chance of carrying the trait." |
|
|
Term
| A nurse is working in a clinic where children from several cultures are seen. As a first step toward the goal of personal cultural competence, the nurse will: |
|
Definition
|
|
Term
| When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:" |
|
Definition
|
|
Term
| The mother of a child with type 2 diabetes is concerned about the effect her child's current treatment may have on her development. The nurse has heard that insulin pump therapy may be more successful treatment than conventional insulin therap. However, the nurse wants to get the facts right, so she searches the literature. The question to be answered it: Are insulin pumps more effective than conventional therapies in managing type 2 diabetes in children? Utilizing the PICO method of literature search, match the following steps with the case information given. |
|
Definition
Question Correct Match
Patient population children with type 2 diabetes
Intervention Insulin pump therapy
Comparison Conventional insulin therapy
Outcome Improved management of glucose levels |
|
|
Term
| The nurse is working with the family of a pediatric client to obtain an accurate family assessment. What is the initial step? |
|
Definition
| Establish a trusting relationship with the family |
|
|
Term
| What is the nurse's best response when preparing a 6 year old client for an IV catheter insertion? |
|
Definition
| "It is okay to cry. I know that this hurts." |
|
|
Term
| Nurses are important to children in hospitals and clinic settings. Which of the following nursing behavior was found to be the most helpful by children? |
|
Definition
| Using kind words and being nice and helpful |
|
|
Term
| Put the following nursing assessments of a toddler in the best order for the nurse to proceed. |
|
Definition
-Developmental assessment
-Auscultation of chest
-Palpation of abdomen
-Examination of eyes, ears, throat, and genitalia |
|
|
Term
| Children the hospital experience many troublesome aspects. In a survey by Johnson and Johnson (2006), children cited which of the following as most troublesome? |
|
Definition
|
|
Term
Using the growth chart provided, chart the length and weight of a 24 month old male as follows: length=32.5 inches weight=33lb
Based on these findings, what is your assessment of the 24 month old male child? |
|
Definition
| The child is between the 5th and 10th percentile for length, and between the 90th and 95th for weight, making him short and stocky. |
|
|
Term
| Convert the following weight to kilograms: 8lbs 12oz |
|
Definition
|
|
Term
| The phone triage nurse at the pediatric clinic receives a call from the parent of an 18 month old who states that the baby is making a crowing sound when breathing and will not wake up. The priority nursing action for the nurse is: |
|
Definition
| Advise the parent to hang up and call 911. |
|
|
Term
| The nurse recognizes that the pediatric client is from a cultural background different from that of the hospital staff. The nurse identifies this as a potential problem, and sets a nursing goal to: |
|
Definition
| Facilitate the family's ability to comply with the care needed through education. |
|
|
Term
| For each of the strategies below, identify whether it is primary, secondary, or tertiary prevention. |
|
Definition
Immunizations =Primary prevention
Developmental Milestones= Secondary prevention
Asthma control =Tertiary prevention
Bicycle helmets =Primary prevention
Scoliosis screens=Secondary prevention |
|
|
Term
| The nurse is to give Digoxin 0.2mg PO. Available is a bottle labeled 0.05mg/ml. How many mls will the nurse give? |
|
Definition
|
|
Term
| A nurse is assessing an 11 month old, and notes that the infant's height and weight are at the 5th percentile on the growth chart. Family history reveals that the infant's two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority? |
|
Definition
| Growth Pattern, altered related to parental anxiety |
|
|
Term
| An 8 month old baby girl, who is developing appropriately, is admitted to a pediatric unit for RSV. The baby is crying in it's mother's arms. The nurse should understand that this baby is in which developmental stage according to Erikson? |
|
Definition
|
|
Term
| Parents are active participants in client conferences aimed at addressing the health care needs of his 4 year old daughter with sickle cell disease. The nurses recognizes the parent's involvement as reflective of which philosophy? |
|
Definition
|
|
Term
| While assessing an 8 month old client, which of the following strategies would be best to promote communication with the infant? |
|
Definition
| Use touch, patting, cuddling and soothing speech. |
|
|
Term
| An adolescent is visiting the clinic for the first time. What should the nurse keep in mind when attending to this client? |
|
Definition
| The nurse should explain procedures, give them a tour, and introduce personnel to adolescents. |
|
|
Term
| A vegetarian adolescent has been placed on iron supplementation secondary to a diagnosis of iron-deficiency anemia. To increase the absorption of iron, Which of the following supplements should the nurse instruct the teen to take with the iron? |
|
Definition
|
|
Term
| Based on your knowledge of the top causes of death in children over the age of 1 year, what is the priority nursing implication? |
|
Definition
| Offer education and anticipatory guidance about common injuries and safety precautions, based on developmental levels. |
|
|
Term
| An important goal for pediatric nurses in the office setting is: |
|
Definition
3.
Develop a positive relationship with the child and family. |
|
|
Term
| The nurse is preparing a 4 year old for surgery. Which nursing action is developmentally appropriate for preoperative teaching based on Erikson's developmental stages? |
|
Definition
3.
Having the child put a surgical mask on a doll or teddy bear |
|
|
Term
| The nurse is caring for a young child with otitis media. The parent asks the nurse what causes otitis media. Which of the following is the best response by the nurse? |
|
Definition
| The eustachian tube is shorter, wider, and horizontal in young children. |
|
|
Term
| What are the 3 main areas of the rights of a child, as identified at the World Summit for Children? |
|
Definition
1.
Protection
5.
Survival
6.
Development |
|
|
Term
| The nurse is providing anticipatory guidance to parents of toddlers and preschoolers about injury prevention. Which of these injuries should the nurse identify as occurring in toddlers and preschoolers? (Select all that apply.) |
|
Definition
2.
Poisoning
3.
Drowning
4.
Falls |
|
|
Term
| Prior to giving an IM injection to a 3 year old child, the most appropriate statement by the nurse is which of the following? |
|
Definition
| "It is all right to cry, I know that this hurts a little. After we are done, you can go to the box and pick out your favorite sticker." |
|
|
Term
| Given the "zero rules", which of the following is written safely and correctly? |
|
Definition
| Morphine 5 mg every 2 hours as needed for pain |
|
|
Term
| The best position to place a 4 year old child for performing the physical exam of the genitalia would be: |
|
Definition
|
|
Term
| A nurse is caring for a visually impaired 20 month old who has not begun to walk. An appropriate nursing diagnosis for this child would be: |
|
Definition
| Delayed growth and development |
|
|
Term
| The mother of a 3-month-old boy asks the nurse about starting solid foods. Which of the following is the most appropriate response by the nurse? |
|
Definition
| " The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods." |
|
|
Term
| A 6 year old boy has recently had survery for removal of tonsils and adenoids. His mother complains that he has begun sucking his thumb again. The nurse should assure the mother that this is a normal response for a child in the hospital, and that it is a coping mechanism that children may use. What is it called? |
|
Definition
|
|
Term
| Medication administration to children is different than in adults. In order to administer a medication safely to a child, what drug information is necessary that is not always needed when administering medication to an adult? |
|
Definition
| Recommended dose per kilogram of body weight |
|
|
Term
| Lucy is leading a class on breastfeeding. She begins with personal information about her difficulties in breastfeeding. The group seems interested at first, but she continues to talk about 10 minutes non stop. How would the nurse describe Lucy's communication? |
|
Definition
| Personal stories are a form of ineffective communication, and their use should be very limited. |
|
|
Term
| A 7 year old tells the nurse that "Grandpa, Mommy, Daddy, and my brother live at my house". The nurse identifies this family composition as: |
|
Definition
|
|
Term
| Student nurses are observing in the pediatric well child clinic. The students observe that prior to administering an immunization to a child, a nurse explains the reason for the immunization series to the mother. The students understand that this activity is |
|
Definition
|
|
Term
| The nurse is assessing parenting styles in a family with 2 children. The nurse asks how situations that require limit setting are handled. The parents report that limits are set consistently with an atmosphere of open discussion. This type of parenting style is identified as: |
|
Definition
|
|
Term
| The nurse is teaching a new mother developmental milestones. The nurse would expect the one month old infant to be able to do which of the following? (Select all that apply) |
|
Definition
3.
Attempt to lift head when prone.
4.
Move head from side to side when lying on abdomen.
5.
Bring hands and eyes to mouth |
|
|
Term
| The mother of a 2 year old is concerned because her child does not seem interested in eating. The child is drinking about 5-6 cups of whole milk per day and 1-2 cups of fruit juice. When the weight to height percentile is calculated on the growth chart, the child is in the 90th-95th percentile. What is the best advice for the nurse to give the mother? |
|
Definition
| Change from whole milk to 2% milk at 2 years of age and decrease milk consumption to 3-4 cups per day. Decrease the fruit juice to 1/2 cup per day and offer water if the child becomes thirsty. |
|
|
Term
| At what age is assent required? |
|
Definition
|
|
Term
| The nurse is assessing a family with a variety of tools. The family-assessment tool that identifies the degree of satisfaction with one’s family is the: |
|
Definition
3. Family Adaptability and Cohesion Evaluation Scales III (FACES III). |
|
|
