Growth and Development
At what age should an infant be able to roll from back to front?
4–6 months
Which vaccine is contraindicated in a child with a severe egg allergy?
MMR (and possibly influenza if live attenuated)
A child with varicella (chickenpox) should be on which precautions?
Airborne and contact
What tool is commonly used to ensure safe medication dosing in pediatrics?
Weight-based dosing (mg/kg)
What is the normal urine output for a child?
1–2 mL/kg/hr
What is the expected language development by 2 years old?
2–3 word phrases, ~300-word vocabulary
At what ages is the DTaP vaccine given?
What is the priority nursing action for a child with epiglottitis?
Do not inspect throat; prepare for airway management
What should the nurse monitor for in a child taking digoxin?
Bradycardia, nausea, vomiting, vision changes
Which lab result is expected in iron deficiency anemia?
Decreased hemoglobin, hematocrit, and ferritin
A nurse is assessing a 4-month-old. Which finding should be reported to the provider?
Head lag when pulled to sit
A 12-month-old arrives for immunizations. Which vaccines are appropriate to administer?
MMR, varicella, Hib, PCV, Hep A
A child has Koplik spots and a high fever. What illness do you suspect?
A: Measles (Rubeola)
Which medication is contraindicated in children under 8 due to risk of tooth discoloration?
Tetracycline
After a lumbar puncture, what position should a child remain in?
A: Supine (flat) to prevent headache
Which gross motor skill is expected at 12 months?
Cruises or walks holding onto furniture
What should the nurse do if a parent refuses vaccines for their child?
Document refusal and provide education on risks
A child is diagnosed with rheumatic fever. What medication is prescribed long term to prevent recurrence?
Penicillin
How is IM medication administered to infants?
In the vastus lateralis with a 22–25 gauge, ⅝–1 inch needle
What action should the nurse take before administering a blood transfusion to a child?
Verify identity with another RN and double-check the blood type
Which age group is most at risk for separation anxiety and what is a nursing intervention?
Toddlers; keep routines and involve parents
Which vaccine is given before age 1 and again during adolescence to prevent bacterial meningitis?
Meningococcal (MenACWY)
What are signs of dehydration in infants with acute gastroenteritis?
Sunken fontanel, dry mucous membranes, decreased urine output
A child weighing 20 kg is prescribed amoxicillin 25 mg/kg/day divided into two doses. What is the correct single dose?
250 mg per dose
A child is receiving IV fluids for dehydration. Which finding indicates improvement?
Moist mucous membranes and increased urine output