Development
A 3 year old is acting egocentric and is using magical thinking while playing.
The parents are concerned.
What should the RN say?
What is: this is a normal developmental stage for a preschooler. Egocentric behavior and magical thinking is common and normal. Preschoolers also take things literally, so being careful of describing treatments is key.
True or False: If an infant is sleeping, a nurse may ask the parents first at the bedside to verify his name before giving a medication.
What is FALSE.
The RN needs to check the ID band first of the infant and then ask the parents.
What does SIDS stand for?
What is Sudden Infant Death Syndrome.
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
An infant is brought into the ER with the following signs and symptoms: nasal flaring, copious nasal secretions, sunken fontanels, and decreased feeding according to the parents.
What diagnosis are you expecting and what are the nursing actions?
What is RSV.
Admit to the Peds unit with Contact and Droplet precautions as it's suspected.
RSV test will be done (rapid antigen test).
Infant will be given oxygen, IV access (due to dehydration), (And IVF) and suctioning. Other orders could be blood work, CXR (to rule out Pneumonia)
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. The nurse explains that toddlers are often negative, which is the normal expression of their desire to: A: Increase their Independence B: Develop their sense of trust C: Gratify their oral fixation D. Finish a project they set out to do
A: Increase their independence
When examining an infant's ear, the nurse should pull the pinna...
What is down and back.
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?
A parent wants to know how long she should plan to breastfeed her baby.
What would be the best education?
What is plan to breastfeed at least for 6 months exclusively (And longer at least 12 months if possible).
A 2-year-old child has had three ear infections in the past 5 months. For which of the following long-term complications of OM media should the nurse screen the child? A. Balance difficulties B. Asthma C. Speech delays and hearing loss D. Pneumonia
What are C. Speech delays & hearing loss
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. Insist 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
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 C. Vastus Lateralis.
A child who has swallowed paint thinner is brought the ED by her parent. The child is lethargic, gagging, and cyanotic. Which of the following emergency interventions should the nurse implement? A. Induce vomiting with syrup of ipecac B. Insert gastric tube and give activated charcoal C. Prepare for intubation with cuffed endotracheal tube D. Administer chelation therapy using deferoxamine mesylate
What is C. Prepare for intubation with cuffed endotracheal tube
What is the primary food description for Toddlers (1-3 years)?
What are FINGER foods!
A mother calls the Peds unit discussing her son's asthma. He has been wheezing and she had him use his rescue inhaler (Albuterol). However, he has not improved following the inhaler. She has also noticed he is having trouble speaking, and his lips are blue around his mouth and fingernails. She's asking you what to do.
What is you will need to tell her to bring him to the nearest ER or call 911. Instruct her stay as calm as possible.
Each family with a child who has Asthma needs to have the Asthma Action Plan and understand the Zones (Green is OK, Yellow is caution/worsening, and Red is medical emergency). Since he did use the inhaler and then worsened, it's time to seek medical help.
Which of the following activities demonstrates that a school-age child is working toward a healthy achievement of Erikson's Developmental task of industry? A: The child brings home completed school work to show parents B: The child prefers to watch cartoons on TV rather than practicing the piano C: The child depends on older siblings to tell him what to wear to school D: The child refuses to play by the rules of a board game.
What is A: The child brings home completed school work to show parents.
A child weighs 20 lb. The primary care provider prescribes cefazolin (Ancef) 30 mg/kg in 2 divided doses per day. Available is cefazolin oral suspension 125mg/5 mL. How many mL per dose should this child receive?
What is 5.5 mL
Name 4 preventative ways to prevent SIDS.
What is: 1) infant sleeping position should be on back for sleep 2) prevent exposure to tobacco smoke 3) prevent overheating 4) use a firm, tight-fitting mattress in the crib 5) remove pillows, quilts, and sheepskins from the crip during sleep 6) ensure that the infant's head is kept uncovered during sleep and 7) avoid co-sleeping
True or False: Toddlers should have their fruit juice limited to 4-6 oz/day
What is TRUE! WHY?
Having too much fruit juice may distract them from other good sources of liquids (milk, water etc) as fruit juice is filling and not entirely nutritious. (Some are very sugar concentrated as well).
A four year old is brought into the doctor's office with the following signs/symptoms.
The parent notes he has had "Salty-tasting" skin, poor weight gain, persistent cough. and loose stools that are foul-smelling stools.
What are your suspicions of the diagnosis?
What are the next steps and what is the general life expectancy for these kiddos?
What is Cystic Fibrosis (CF)
A sweat chloride test will need to be done to diagnosis CF and further genetic testing.
Life expectancy is in the 50's (depending on their condition).
Identify vs. Role Confusion
What is Erickson's Developmental Theory for a Teen/Adolescent
Match the IM injection with its correct information. Each choice may be used more than once. __ Vastus Lateralis __ Ventrogluteal __ Deltoid A. May be used for toddlers and older children B. Recommended site for infants <2 years C. Less local side effects than with vastus lateralis D. May use the prone position E. May use the sitting position
Vastus Lateralis- A,B,E Ventrogluteal- A,D Deltoid- A,C,E
A child comes into the ER with a panic stricken facial expression. You notice he is having a difficult time breathing and he is drooling.
What diagnosis are you expecting and what would you do first?
What is Epiglottitis
1) Droplet precautions
2) Prepare to Intubate
Which of the following foods are usually introduced into an infant's diet after 1 year? ___ Iron Fortified oatmeal/ __ Whole Milk/ __ Peas/__ Eggs/ ___Applesauce/___ Peanuts/___ Chicken/___ Sweet Potatoes
What is whole milk, eggs, and peanuts
Infants are not allowed to consume cow's milk until after 12 months of age. (Breast milk or formula before this time frame)
A 8 year old is brought into the ER with a sore throat, "grape fermented" smelling breath, pain and difficulty swallowing, and a fever.
What is your suspicion of the diagnosis and the next steps?
What is strep throat
A rapid strep test or throat culture needs to be done to properly diagnose and treat strep throat.
There are future complications of untreated strep including rheumatic fever and kidney inflammation.