Kids Flashcards
The nurse is ready to begin the physical examination of an 8-month-old infant. The child is sitting contentedly on his mother’s lap, chewing on a toy. What should the nurse do first
A Elicit reflexes
B Auscultate heart and lungs
C Examine eyes, ears, and mouth
D Examine head, systematically moving toward feet
B Auscultate heart and lungs
quietest assessment first
Place in order how you would take vital signs on a sleeping 8-month-old.
Apical
BP
Rectal Temp
RR
- RR
- Apical
- BP
- Rectal Temp
When would be the most appropriate time to inspect the genital area during a well-child examination of a 14-year-old girl?
A It is not necessary to inspect the genital area
B Examine the genital area first
C After the abdominal assessment
D Do the genital inspection last
C After the abdominal assessment
its a natural progression
Doing it last is not right because you dont know what they were doing before
Which is the most accurate method of determining the length of a child under 12 months of age?
A Use the standiometer to measure the child’s standing height.
B Use the estimation method to measure the child’s actual height.
C Use a recumbent length board with the child measured in the prone position.
D Use a recumbent length board with the child measured in the supine position.
D Use a recumbent length board with the child measured in the supine position.
What is the most appropriate action for the nurse to take when a crying infant has a blood pressure measurement of 120/70 mm Hg?
A Notify the physician of the measurement.
B Document the blood pressure reading and check it again in 4 hours.
C Quiet the child and retake the blood pressure.
D Ask the parent if the child has a history of hypertension.
C Quiet the child and retake the blood pressure.
The mother of a 2 year old asks the nurse what type of physical therapy her child will need for bow legs. The most appropriate response by the nurse is:
A “Your child will need physical therapy for 30 minutes 3 times per week at a PT center”.
B “Your child will need stretching exercises that can be done at home for 30 minutes 3 times per week.”
C “Your child does not need physical therapy because there is no cure for bow legs.”
D “Your child does not need physical therapy because this is a normal finding in very young children.”
D “Your child does not need physical therapy because this is a normal finding in very young children.”
Key principles about the measurements obtained from pediatric growth charts include:
A
Rapid increases or decreases or a flat line on the growth chart suggest a growth problem.
B
Steady increases in growth curves suggest growth problems.
C
Plateaued growth indicates the need to introduce new dietary options.
D
Changes in growth patterns generally indicate genetic differences in stature.
A
Rapid increases or decreases or a flat line on the growth chart suggest a growth problem.
A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child’s vital signs?
A "I am going to take your blood pressure now." B "Can you stand very still while I feel how warm you are?" C "Can I listen to your lungs?" D "I am going to listen to your heart."
D
“I am going to listen to your heart.”
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client’s psychosocial needs according to Erikson?
A
Arrange for a teacher to provide lesson plans.
B
Allow the client to select his own food from the menu.
C
Discourage visits from the client’s friends.
D
Provide a daily session with a play therapist
A
Arrange for a teacher to provide lesson plans.
A nursing student understands the age that most infants can steadily sit unsupported as A 4 months B 6 months C 8 months D 10 months
C
8 months
What should the nurse emphasize when guiding parents about teething of their 6 month-old infant?
A
Drooling is not normal and indicates that something is wrong
B
Most infants will have a high fever and will be irritable and refuse to eat
C
The use of teething powders and hard candy is encouraged
D
Providing a frozen teething ring helps relieve the inflammation
D
Providing a frozen teething ring helps relieve the inflammation
In a clinic, the mother of an 8 month old asks the nurse what to feed her infant because she wants to stop breastfeeding. The nurse recommends:
A Formula B 2% milk C Whole milk D Apple juice
A
Formula
The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. The nurse should interpret this as a(n) A normal finding. B finding requiring a referral. C abnormal finding. D normal finding, but requires rechecking in 1 month.
A
normal finding.
The child realizes that the object remains even after it no longer can actually visualize it.
A Object permanence B Proximity Play C Positional Play D Hide and see
A
Object permanence
A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?
A
“You should leave the room while the tantrum is happening.”
B
“Temper tantrums are the toddler’s attempt to gain control of a situation.”
C
“You should get a psychological consult for the temper tantrums.”
D
“Temper tantrums are a type of learning disability.”
B
“Temper tantrums are the toddler’s attempt to gain control of a situation.”
