Growing Up
During a well-child visit, the nurse explains that an infant’s birth weight is expected to reach approximately three times its original weight by this age.
What is 12 months of age?
Parents of a young infant ask which position should be used for routine sleep to reduce the risk of SIDS.
What is supine/ on the back?
Because infants explore their environment orally and develop increasing mobility, parents should eliminate small objects primarily to prevent this emergency.
What is choking?
Before performing a procedure on a young child, the nurse demonstrates the procedure on a doll. This technique is an example of this type of care.
What is atraumatic care?
Because infants have thinner skin and greater skin permeability, medications given by this route may have increased absorption.
What is the topical route?
A hospitalized 2-year-old repeatedly says “No!” and insists on feeding themself despite spilling food. According to Erikson, these behaviors reflect this developmental task.
What is autonomy vs. shame and doubt?
The parents of a 6-month-old are beginning solid foods. The nurse recommends introducing foods individually at this interval so potential food reactions can be identified.
What is every 3-4 days?
A toddler has increasing mobility, little awareness of danger, and the ability to reach higher surfaces. These characteristics make this nursing intervention especially important.
What is providing a childproof environment with close supervision?
A hospitalized child is anxious about an upcoming procedure. The nurse uses bubbles, music, or an electronic device during the procedure. These interventions use this coping strategy.
What is distraction?
An infant is at increased risk for dehydration compared with an adult because of immature renal function and a greater proportion of this substance relative to body weight.
What is total body water?
A 4-year-old believes that getting sick occurred because they were angry with their sibling. The nurse recognizes this reasoning as this characteristic of preschool cognitive development.
What is magical thinking?
The parent of a 2-year-old reports that the child has begun climbing over the crib rails. The nurse should recommend this change to the child’s sleep environment.
What is transition the child from the crib to a toddler bed?
The nurse learns that a preschooler has begun riding a bicycle independently. In addition to supervision, this intervention should be emphasized to reduce the risk of serious injury.
What is use of appropriate protective safety equipment, including a helmet?
A hospitalized child uses dolls and medical equipment to act out a recent procedure. The nurse recognizes this activity as this intervention that provides an emotional outlet and improves coping.
What is therapeutic play?
A prescription is written for 15 mg/kg/dose for a child weighing 22 lb. The nurse calculates this amount for one dose.
What is 150 mg?
(22 ÷ 2.2 = 10 kg; 10 × 15 = 150 mg)
A 9-year-old is proud of mastering a new skill and becomes discouraged after comparing their performance with classmates. According to Erikson, nursing interventions should support development of this psychosocial task.
What is industry vs. inferiority?
A parent asks how to appropriately discipline a 3-year-old who repeatedly hits a sibling after being told to stop. The nurse recommends calmly setting a limit and using this consequence for this length of time.
What is a time-out for approximately 3 minutes?
The parent of a school-age child allows unlimited internet and video-game access because “he stays inside where he is safe.” Which health-promotion strategy from the lecture should the nurse emphasize instead?
What is establishing screen-time limits, monitoring activity, teaching internet safety, and encouraging physical activity?
The parents of a hospitalized child ask to remain involved in decisions and daily care. The nurse should support their participation based on this pediatric care philosophy.
What is family-centered care?
A child weighs 18 kg. The nurse calculates this total daily maintenance fluid volume.
What is 1,400 mL/day?
(1,000 + 400)
An adolescent can consider hypothetical outcomes, think about future consequences, and debate multiple solutions to a problem. According to Piaget, the nurse recognizes this cognitive ability as characteristic of this stage.
What is formal operational thought?
Parents are preparing their toddler for the arrival of a new sibling. The nurse recommends maintaining the child’s usual routine, spending individual time with the toddler, and involving the toddler in the baby’s care. These interventions are intended to prevent or minimize this developmental concern.
What is sibling riarly?
A 16-year-old tells the nurse, “I know I shouldn’t text while driving, but all of my friends do it.” The nurse recognizes that adolescent safety teaching should specifically address this developmental factor that can increase risk-taking behavior.
What is impulsivity or peer pressure?
A hospitalized toddler begins crying, screaming, and searching for the parent immediately after the parent leaves. The nurse identifies this behavior as the first stage of separation anxiety.
What is protest?
A medication has a safe range of 10–20 mg/kg/dose. A child weighs 40 kg, and the provider orders 900 mg per dose. The nurse should take this action.
What is hold the medication and question/clarify the order?
(Safe range = 400–800 mg/dose; 900 mg exceeds the safe range.)