Click on the comments section to take a pediatric development quiz.
The answers are also in the comments section.
good luck!
Sunday, October 26, 2008
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5 comments:
1. mother brings 4month old to clinic for check up & is concerned that infant is not developing appropriately. When assessing infant, which would the nurse expect to find?
a. Sitting up c support
b. Finger to thumb grasping
c. Reaching for a toy
d. Saying mama or dada
2. in addition to immunizing for diphtheria, tetanus and pertussis during the first 6 months, the nurse should administer which immunization?
a. Mumps
b. Measles
c. Tb
d. Hep b
3. parents of a 9mo bring the infant to the clinic for checkup. The infant has received no immunizations. Which would be appropriate for the nurse to administer at this visit?
a. DTaP, Hib, IPV, PPD
b. DTap, Hib, OPV, MMR
c. PPD, MMR, hepB, OPV
d. Hepb, IPV, Hib, varicella
4. the mother of a 1mo states she is curious as to whether her infant is developing normally. Which milestone would the nurse expect the infant to perform?
a. Smiling and laughing out loud
b. Rolling from back to side
c. Holding a rattle briefly
d. Turing the head from side to side
5. the nurse notes that an infant stares at an object placed in her hand and takes it to her mouth, coos and gurgles when talked to, and sustains part of her own weight when held in a standing position. The nurse correctly interprets these findings as characteristic of an infant in which age group?
a. 2mo
b. 4mo
c. 7mo
d. 9mo
6. an 8mo is seen in the well child clinic for a routine checkup. The nurse would expect the infant to be able to do which? Select all that apply.
a. Say mama and dada
b. Feed self c spoon
c. Play peek a boo
d. Walk independently
e. Stack 2 blocks
f. Transfer object from hand to hand
7. a parent seems concerned about the fact that the infant’s soft spot is still open. Which would the nurse include when explaining the usual age for closure of the soft sport near the front of the infant’s head?
a. 2-4mo
b. 5-8
c. 9-11
d. 12-18
8. a mother states that she thinks her 9mo is developing slowly. When assessing the infants development, the nurse is also concerned bc the infant should be demonstrating which characteristics?
a. Vocalizing single syllables
b. Standing alone
c. Building a tower of 2 cubes
d. Drinking from cup c little spilling
9. a mother brings her 18mo to the clinic bc he eats ashes, crayons and paper. Which about the toddler would the nurse assess 1st?
a. evidence of eruption of large teeth
b. amount of attn from the mother
c. any changes in the home environment
d. intake of a soft, low roughage diet
10. when assessing a 2yo brought by his mother to the clinic for a routine checkup, which would the nurse expect the child to be able to do?
a. Ride tricycle
b. Tie shoelaces
c. Kick a ball forward
d. Use blunt scissors
11. a 2 ½ yo brought to the clinic is uncooperative when the nurse tries to look in her ears. Which of the following would the nurse try first?
a. Ask another nurse to assist
b. Allow parent to assist
c. Wait until child calms down
d. Restrain childs arms
12. when observing the parent instilling prescribed ear drops ordered twice/day for a toddler, the nurse decides that teaching positioning of pinna for instillation of drops is effective when parent pulls ear:
a. up and forward
b. up and backward
c. down and forward
d. down and backward
13. the mother asks the nurse for advice about discipline for her 18mo. Which would the nurse suggest that the mother use first?
a. Structured interaxns
b. Spanking
c. Reasoning
d. Time out
14. when assessing for pain in a toddler, which methods would be the most appropriate?
a. Ask child
b. Observe child for restlessness
c. Use a numeric pain scale
d. Assess for changes in VS
15. when planning a 15mo’s daily diet c the parents, which amount of milk would the nurse include?
a. ½-1 cup
b. 2-3
c. 3-4
d. 4-5
16. the mother of a 4yo expresses concern that her child may be hyperactive. She describes the child as always in motion, constantly dropping and spilling things. Which axn would be most appropriate.
a. Determine whether there have been any changes at home
b. Explain that this is onto unusual behavior
c. Explore the possibility that the child is being abused
d. Suggest that the child be seen by a pediatric neurologist
17. the mother of a preschooler reports that her child creates a scene every night at bedtime. The nurse and the mother decide that the best course of axn would be to do which?
a. Allow the child to stay up later one or two nights a week
b. Establish a set bedtime and follow a routine
c. Encourage active play before bedtime
d. Give the child a cookie if bedtime is pleasant
18. the parents of a preschooler ask the nurse how to handle their child’s temper tantrums. Which would the nurse include in the teaching plan? select all
a. putting child in time out
b. telling the child to go to the bedroom
c. ignoring the child
d. putting the child to bed
e. spanking the child
f. trying to reason with the child
19. after teaching a group of parents of preschoolers attending a well child clinic about oral hygiene and teeth brushing, the nurse determines that the teaching has been successful when the parents state that children can begin to brush their teeth without help at which age?
a. 3yo
b. 5yo
c. 7yo
d. 9yo
20. after having a blood sample drawn, a 5yo insists that the site be covered c a bandaid. When the mother tries to remove the bandage before laving the office, the child screams that all the blood will come out. The nurse interprets this behavior as indicating fear of. . .
a. injury
b. compromised body integrity
c. pain
d. loss of control
21. a mother is concerned bc her 5yo seems prone to accidents like skinning elbows and knees. The nurse explains to the mother that childhood accidents are more likely to occur in which situation?
a. Only child
b. Family c limited formal education
c. Family is experiencing changes
d. Child and family live in suburbs
22. when developing the teaching plan fo the mother of a preschooler about illness, which would the nurse expect to include about how a preschooler perceives illness?
a. Necessary part of life
b. Test of self worth
c. Punishment for wrongdoing
d. The will of God
23. the nurse asks a 9yo and mother about he child’s best friend to assess which of the following about the child?
a. Language development
b. Motor development
c. Neurologic development
d. Social development
24. a 10yo proudly tells the nurse that brushing and flossing her teeth is her responsibility. The nurse interprets this statement as indicating which about the child?
a. She is too young for this responsibility
b. She is most likely capable of this
c. She should have assumed this responsibility much sooner
d. She is probably just exaggerating the responsibility
25. the mother tells the nurse that her 8yo is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse explains that this behavior is a sign of which?
a. Inadequate parental attn
b. Master of language ambiguities
c. Inappropriate peer influence
d. Excessive tv watching
26. the mother asks the nurse about her 9yo’s need for between meal snacks, especially after school. When developing a nutritional plan for the child, which should the nurse keep in mind?
a. The child does not need between meal snacks
b. The child should eat snacks the mother thinks is appropriate
c. The child should help c preparing his own snacks
d. The child will instinctively choose nutritious snacks.
27. when a child’s height and weight are compared c standard growth charts, the child is found to be in the 85th percentile for weight. The nurse interprets these findings as
a. average height and weight
b. overweight for height
c. underweight for height
d. abnormal in height
28. when preparing a teaching plan for the parents of a group of 4-6 yo children about recommended immunizations of school entrance, the nurse would include
a. diphtheria, tetanus, pertussis and polio
b. measles, mumps, rubella and polio
c. polio, measles, and pertussis
d. tetanus, diphtheria and rubella
29. the school nurse develops a plan c an adolescent to provide relief of dysmenorrhea to aid in her development of which?
a. Positive peer relations
b. Positive self identity
c. A sense of autonomy
d. A sense of independence
30. an adolescent tells the school nurse she would like to se tampons during her period. Which would be the most appropriate for the nurse to do?
a. Assess her usual menstrual flow pattern
b. Determine whether she is sexually active
c. Provide info about preventing toxic shock syndrome
d. Refer her to a specialist in adolescent gynecology
31. the school nurse is invited to attend a meeting c several parents who express frustration c the amount of time their adolescents spend in front of the mirror and the length of time it takes them to get dressed. This behavior is indicative of the following?
a. Abnormal narcissism
b. Method of procrastination
c. A way of testing the parents limit setting
d. A result of developing self concept
32. several high school seniors are referred to the school nurse bc of suspected alcohol misuse. When the nurse assesses the situation, which would be most important to determine?
a. What they know about he legal implications of drinking
b. The type of alcohol they usually drink
c. The reasons they choose to use alcohol
d. When and with whom they use alcohol
Answers.
1a (b – 9 months, c – 8 months, d – 7 months)
2d (a&b – 12-15months, no tb immunz)
3a
4d (a – 2-3 months, b&c – 4months)
5b
6cf (a-10mo, d-12mo, be-15mo)
7d (posterior fontanel closes at 2 months)
8a, this should start at 6mo (b-10mo, c&d-15mo OR after sobering up)
9c (pica can be caused by anxiety)
10c (ad-3yo, b-5yo)
11b
12d (adult would be up and backward)
13d (a-3yo, c-preschool and above)
14b
15b
16b
17b
18ac
19c
20b
21c (parents distracted)
22c
23d
24b
25b
26c
27a
28a
29b
30c
31d
32c
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