A
A nurse is assisting with collecting data from 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increase by 50%
What is birth weight doubled
Rational: By age of 12 months, the infant's birth weight should have tripled. Therefore, report this findings to the provider.
A nurse is collecting data from a 2.5 year old toddler at a well-child visit. Which of the following findings should the nurse report to the provider?
A. Height increased by 7.5 cm (3 in) in the past year.
B. Head circumference exceeds chest circumference.
C. Anterior and posterior fontanels are closed.
D. Current weight equals four times the birth weight.
What is Head circumference exceeds chest circumference.
Rational: The head and chest circumference should be egual by 2 years of age, with the chest circumference continuing to increase in size until it exceeds the head circumference. Therefore, report this finding to the provider.
A nurse is reinforcing teaching to the guardian of a preschooler about methods to promote sleep. Which of the following statements by the guardian indicates an understanding of the teaching?
A. "I will sleep in the bed with my child if she wakes up during the night."
B. "I will let my child stay up an additional 2 hours on the weekend nights."
C. "I will let my child watch television for 30 minutes just before bedtime each night."
D. "I will keep a dim lamp on in my child's room during the night."
What is "I will keep a dim lamp on in my child's room during the night."
Rationale: Leaving a light on in the child's room is an appropriate method to promote sleep for a preschool-age child.
What age would you expect to see a child running with improved coordination?
What is 2 years old?
A nurse is assisting in teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation?
A. Pubic hair growth
B. Vocal changes
C. Testicular enlargement
D. Facial hair growth
What is Testicular enlargement
Rationale:Testicular enlargement is the first manifestation of sexual maturation in males.
A nurse is collecting data during a developmental screening on a 10-month old infant. Which of the following fine motor skills should the nurse expect the infant to perform? (SATA)
A. Grasp a rattle by the handle
B. Try building a two block tower
C. Use a crude pincer grasp
D. Place objects into a container
E. Walks with one hand held
What is grasp a rattle by the handle,
Use a crude pincer grasp
Rationale: The infant should be able to grasp a rattle by the handle at the age of 10 months. The infant should be able to use a crude pincer grasp at the age of 9 months.
Purpose of using growth charts.
What is to compare growth to standardized patterns and assure child is growing properly?
A nurse is collecting data from a 3-year-old child during a well-child visit. Which of the following gross motor skills should the nurse expect the child to perform?
A. Ride a tricycle
B. Hop on one foot
C. Jump rope
D. Read a book
What is Ride a tricycle
Rationale: A 3 year old child should be able to ride a tricycle.
A nurse is assisting with providing education about age-appropriate activities for the caregivers of a 6-year-old child. Which of the following activities should the nurse include in the teaching? SATA
A. Jumping rope
B. Playing games
C. Puzzles
D. Joining organized sports
What is all of the above?
Nursing interventions for measles.
What are encouraging fluids, administering Tylenol, initiating airborne precautions, administering 2 doses of Vit A given 24 hours apart?
A nurse is collecting data during a well-baby visit with 4-month old infant. Which of the following immunizations should the nurse plan to administer to the infant?
A. Dtap
B. Rotavirus vaccine (RV)
C. HiB
D. IPV (Polio)
E. Pneumococcal vaccine (PCV)
F. Varicella
G. Measles, mumps, rubella (MMR)
Dtap
Rotatvirus vaccine (RV)
HiB
IPV (Polio)
Pneumococcal vaccine (PCV),
The nurse in the pediatric clinic is planning care for a 2-month-old client who has been brought to the clinic for a well-child exam and 2-month immunizations. Which vaccine is missing? (SATA)
Diphtheria, tetanus, pertussis (DTaP)
Haemophilus influenzae type b
IPV (inactivated polio vaccine)
Pneumococcal (PCV)
Hepatitis B (Hib)
What is Rotavirus?
Lymph node enlargement due to filtering out bacteria and tea colored urine r/t Glomerulonephritis.
What are complications of Impetigo?
True or False: A child should automatically be changed to forward facing at 2 years of age.
What is false?
The child's height and weight should also be considered.
Medication that treats lice and scabies
What is permethrin?
A nurse is reinforcing teaching about when introducing new foods to the guardians of a 4 month old infant. The nurse should recommend that the caregiver introduce which of the following foods first?
A. Strained yellow vegetables
B. Iron-fortified cereals
C. Pureed fruits
D. Whole milk
What is Iron-Fortified cereals
Rationale: Iron-fortified cereals are the first solid food introduced due to the high iron content. The order of introducing solid foods after this is variable.
A nurse is reinforcing teaching about growth and development characteristics to the guardian of a 2-year old toddler. Which of the following statements by the guardian indicates an understanding of the teaching?
A. "My child should be able to turn the pages of a book one at a time."
B. "My child should be able to walk on their tiptoes for several steps."
C. "My child should be able to cut out an outline using scissors."
D. "My child should be able to put the toys away after using them."
What is "My child should be able to turn the pages of a book one at a time."
Rational: The statement by the guardian indicates an understanding of the expected growth and development information provided by the nurse. A 2 year old toddler should be able to turn pages in a book one at a time.
A nurse is caring for a preschooler who expresses the need to leave because their doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting?
A. Egocentrism
B. Centration
C. Animism
D. Magical thinking
Wha is Animism
Rationale: Animism occurs when the child gives living qualities to inanimate objects (a doll feeling scared).
A nurse is assisting with conducting a well chlid visit with a child who is scheduled to receive the recommended immunizations for 11 to 12 year olds. Which immunization should the nurse administer?
What is yearly Inactivated influenza (IIV) if indicated, Meningococcal (MenB-4C), Tetanus and diphtheria toxoids and pertussis (Tdap) and HPV?
Pain scale for 5-year-old.
What is the Wong-Baker Faces scale?
A nurse is reinforcing teaching about dental care and teething to the caregiver of a 9-month old infant. Which of the following statements by the caregiver suggests an understanding of the teaching?
A. "I can give my baby a warm teething ring to relieve discomfort."
B. "I should clean my baby's teeth with a cool, wet wash cloth."
C. "I can give Advil for up to 5 days while my baby is teething."
D. "I should place diluted juice in the bottle my baby drinks while falling asleep."
What is "I should clean my baby's teeth with a cool, wet wash cloth"
Rationale: It is appropraite to use a cool, wet wash cloth for cleaning the infant's teeth.
Ways to help with atraumatic care or managing pain in preschool child.
What are parental presence, distraction techniques, no painful procedures at bedside, use of toys,administering Children's Tylenol?
A nurse is conducting a well-child visit with a 4 year old child. Which of the following immunizations should the nurse plan to administer to the child? (SATA)
What is Varicella Zoster, (DTaP), (IPV) and (MMR)?
A nurse is assisting with teaching a course about safety during the school age. Which of the following information should the nurse include in the course? (SATA)
A. Gating stairs at the top and bottom
B. Wearing helmets when riding bicycles or skateboarding
C. Riding safety in bed of pickup trucks
D. Implementing firearm safety
E. Wearing seat belts
What is?
Wearing helmets when riding bicycles or skateboarding
Implementing firearm safety
Wearing seat belts
Physical, sexual, verbal, mental, neglect.
What are types of abuse?