Development
Pharmacology
Pediatric Emergencies!!
Nutrition
Health Promotions
100

At ___________ months old, I can stand alone, walk while holding on to furnitures, play peek-a-boo, and place objects into containers through holes.

A) 2-4 months

B) 6-8 months

C) 10-12 months

D) 14-16 months

What is C?

10–12 months

Gains 85–140 g (3–5 oz)/week

Grows 1 cm (3/8 in.)/month

Head circumference equals chest circumference

Triples birth weight by 1 year

May hold crayon or pencil and make mark on paper

Places objects into containers through holes (O)

Stands alone (P)

Walks holding onto furniture

Sits down from standing (Q)

Plays peek-a-boo and patty cake

100

True or False: If an infant is sleeping, a nurse may ask the parents at the bedside to verify his name.

What is FALSE

100

What does SIDS stand for? 

What is Sudden Infant Death Syndrome.

100

A nurse is providing nutritional teaching to a group of parents whose children attend a local day care. Which of the following is the most effective way to encourage good nutritional habits for preschool children? 

A: Offer snacks if the child does not like what is served 

B: Serve nutritious foods that all family members will eat 

C: Allow the child to eat only what she asks for 

D: Insists that the child eat all of the food that is served to her

What is B: Serve nutritious foods that all family members will eat

100

A nursery nurse is planning care for the newborns currently in the newborn nursery. Which activities does the nurse plan for the first 48 hours of life? Select all that apply.

1. Monitor feeding behaviors

2. Perform a hearing screening

3. Perform a heel stick to obtain blood for the newborn screen

4. Monitor the mother as she performs the first newborn bath to remove blood and amniotic fluids

5. Administer folic-acid injection to the infant to prevent bleeding

What is 1, 2, and 3

Monitor feeding behaviors

Perform a hearing screening

Perform a heel stick to obtain blood for the newborn screen

200

The parent of a 2-year old toddler tells the nurse that she is frustrated with her child's behaviors. The child throws temper tantrums and says "No!" every time she tries to help her. Although the parent knows toddlers do this, she cannot understand why. The nurse explains that toddlers are often negative, which is the normal expression of their desire to: A: Increase their Independance B: Develop their sense of trust C: Gratify their oral fixation D. Finish a project they set out to do

A: Increase their independance

200

When instilling an otic solution into a child's ear, the nurse should pull the auricle...

What is BACK.

200

The parents tell the nurse they found their infant in the corner of the crib blue and not breathing. Which of the following questions should the nurse ask the parents. A. What did you do when you put her down for the evening B. Why did you put the blanket in the bed with her C. Could you tell me more about how you found her? D. Didn't you know how to do CPR?

What is C. Could you tell me how you found her?

200

Which foods increase the risk of aspiration or are choking hazards for toddlers? Select all that apply.

A) Peas

B) Nuts

C) Cheese

D) Noodles

E) Hot dogs

What is Peas, nuts, and hot dogs?

200

A  nurse is preparing to perform a physical assessment on a toddler. Which action is most appropriate for the nurse to take?

1. Perform the assessment from head to toe.

2. Leave intrusive procedures such as ear and eye examinations until the end.

3. Explain each part of the examination to the child before performing it.

4. Ask the mother to tell the child not to be afraid.

What is 2.

Leave intrusive procedures such as ear and eye examinations until the end.

300

According to Erikson, which would the nurse anticipate when assessing an adolescent?

A) Being engaged in tasks

B) Questioning sexual identity 

C) Having highly imaginative thoughts

D) Wanting to participate in organized activities

What is B?

300

Which of the following sites is the most appropriate for administering an immunization to an infant? A: Deltoid B: Ventrogluteal C: Vastus Lateralis D: Dorsogluteal

What is Vastus Lateralis.

300

Abnormal twisting of the intestine

Disrupts blood flow and lead to necrosis of bowel

Surgical emergency

Symptoms: bilious vomiting, pain, and abdominal distention

What is Volvulus?

300

What is the primary food description for Toddlers (1-3 years)?

What is FINGER foods!

300

A parent questions how her toddler plays with other toddlers. Which response by the nurse displays the best description of the differences in play between the toddler and the preschool-age child?

1. Toddlers play side by side, while preschool-age children play cooperatively.

2. Toddlers play house and imitate adult roles, while preschool-age children become the Mom or Dad while playing house.

3. Toddlers play cooperatively, while preschool-age children play interactive games.

4. There are no differences between toddlers and preschool-age children because both groups play cooperatively.

What is 1

Toddlers play side by side, while preschool-age children play cooperatively.

400

Which component of the human personality, according to Freud, allows an individual to judge reality accurately?

A) Id

B) Ego

C) Super ego

D) Opedipus complex

What is Ego?

400

A nurse is reviewing a new prescription for a child that reads "MSO4   2mg IM q4 PRN severe pain" which of the following information should the nurse question the provider? 

A) The name of the medication to be administer

B) The route by which the medication should be administer

C) The frequency in which the medication should be administer

D) The dose of the medication to be administer 

What is the name of the medication to be administer?

The abbreviation MSO4 is refer to as morphine sulfate and is on the DO NOT USE list of abbreviation because it can misread as MgSO4 which refers to as magnesium sulfate.

400

Causes pain the lower right quadrant (McBurney Point)

Most common cause of emergency surgeries in children

Onset symptoms: periumbilical cramps, tenderness, nausea, fever, and anorexia

What is Appendicitis?

400

True or False: Toddlers should have their fruits limited to 4-6 oz/day

What is TRUE!

Fruit and Vegetable Group: at least 5 servings each day

  • 1/4 - 1/3 cup cooked, canned, or chopped raw
  • 1/4 - 1/2 small fruit/vegetable
  • 1/4 - 1/3 cup juice (limit fruit juice intake to no more than 4 ounces per day)
400

A school-age client who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school and I no longer want to play soccer. I know I will be lonely there, too." Which of these takes priority when speaking with the school-age client?

1. Helping the school-age client realize the value of soccer

2. Promoting healthy mental-health outcomes

3. Acknowledging the fact that it takes several months to make new friends at a new school

4. Stressing the importance of remaining in a close parent-child relationship during these stressful times

What is 2


Promoting healthy mental-health outcomes

500

According to the Erikson’s theory, which stage in a young adult describes the development of the sense of caring for others?

A) Initiative vs guilt

B) Integrity vs despair

C) Intimacy vs isolation 

D) Identity vs role confusion

What is Intimacy vs Isolation?

500

A nurse is preparing to administer epoetin alfa 50 units/kg subcutaneous to an adolescent who weights 110lbs. Availible is epoetin alfa 2000 units/mL injection. How many mL should the nurse administer? Round to the nearest tenth, use a leading zero if it applies, do not use a trailing zero.  

What is 1.3mL?


500

Organs in the abdomen moves into the chest causing the newborn to become dyspneic and cyanotic.

What is Congenital Diaphragmatic Hernia?

500

Picks and chooses foods

Only eats certain food groups

Unwillingness to try new foods

What is a picky eater?

What do I do if my child is a picky eater?

  • Offer new foods one at a time, and remember that children may need to try a new food 10 or more times before they accept it.
  • Avoid "short order cooking." Serve at least 1 food you know your child will like, but then expect him or her to eat the same foods as the rest of the family.
  • Make food simple, plain, and recognizable. Some kids don't like food that is mixed (like a casserole) or food that is touching.
  • Never force your child to eat a food he or she doesn't like. Offer multiple choices so that he or she can choose something he or she does like.
500

The school health nurse recognizes that children who display certain characteristics are at risk for poor school performance. The nurse will, therefore, observe each school-age child for which characteristics? Select all that apply.

1. Decreased ability to perform visual tracking.

2. Decreased auditory stimulation.

3. Decreased muscle tone.

4. Multiple dental caries.

5. Chronic tonsillitis.

What is 1, 2, 3

1. Decreased ability to perform visual tracking.

2. Decreased auditory stimulation.

3. Decreased muscle tone.