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Test Bank Safe Maternity & Pediatric Nursing Care Second Edition by Luanne Linnard Palmer
Typology: Exams
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300 - ✔✔ANSWER✔✔-The number of words mastered by a toddler third birthday is The fear from separation at bedtime - ✔✔ANSWER✔✔- Bedtime fears are very real experiences for the toddler which of the following creates the greatest fear?
This is normal and foods lags should be expected during this time of slowed growth. - ✔✔ANSWER✔✔-A parent comes into the clinic with a toddler for a well child appointment. The topic of food preferences and refusal has been brought up as a concern that the child is not eating enough and is refusing to consume what the rest of the family eats for dinner. The nurse best repose is Decreased urine output - ✔✔ANSWER✔✔-While assessing an infant with moderate dehydration demonstrating a 10% body weight loss which of the following would the nurse expect to fine? 6 months of age - ✔✔ANSWER✔✔-While reinforcing a teaching session between the nutritionist and a mother of a 5 month old infant who has stopped breast feeding you explain that the maternal iron stores are present in the infant's bodies until what time frame? Trust - ✔✔ANSWER✔✔-The most important aspect of care of an infant according to Erickson is to develop a sense of what At 12 Months - ✔✔ANSWER✔✔-At what point in an infant's development would you expect the birth weight to triple?
Trust vs. Mistrust - ✔✔ANSWER✔✔-While providing anticipatory guidance to the parent of a 4 month old during a routine scheduled well-child visit, the nurse would explain. which psychological stage is the infant expected to accomplish during the first year of life? Iron-fortified cereal - ✔✔ANSWER✔✔-Which of the following foods should the nurse teach the parents to introduce to their infant's diet first? Rotavirus Vaccine Hib Vaccine PCV Polio Vaccine IVP DTaP - ✔✔ANSWER✔✔-Which of the following immunizations would be given to a 4 month old infant? Watching roommate being placed on a gurney to go to surgery - ✔✔ANSWER✔✔-Which of the following activities within the hospital environment is the child in the toddler development stage most likely to be fearful of?
Establish a positive rapport with the parents before approaching the child - ✔✔ANSWER✔✔-Stranger anxiety is a common experience for the toddler. The nurse should practice which of the following to assist in the minimization of stranger anxiety in the hospital? Transition to a convertible seat and place it facing forward - ✔✔ANSWER✔✔-Car seat safety for the toddler includes the following This is the most common age of chid abuse in the nation - ✔✔ANSWER✔✔-The prevention and identification of a child abuse is important during the toddlers because Too much milk in the Diet prevents the toddler from consuming enough iron rich foods - ✔✔ANSWER✔✔-Iron deficiency anemia is a common toddler nutritional problem. While teaching a parent about the greatest influence to the development of this disorder the nurse explains that Ride a tricycle - ✔✔ANSWER✔✔-The pediatric nurse should explain to the parents of a preschooler that they can expect their 3 year old child to be able to accomplish which of the following skills?
lunch for school everyday an appropriate response to the parent would be Magical thinking - ✔✔ANSWER✔✔-Which of the following would the pediatric nurse see as a reason for a preschooler describing her teddy bear as being in the hospital because she was naughty 90 to 115 - ✔✔ANSWER✔✔-What heart rate would a pediatric nurse expect to find in a preschooler who is 4 years old? A video game for 2 on the large screen in the playroom - ✔✔ANSWER✔✔-Evan an 11 year old child has been hospitalized for a fractured femur by an all terrain vehicle The injury requires 2 weeks of traction and the nurse notes boredom is setting in and making Evan restless. B y understating developmental theory the nurse selects which of the following forms of play or distraction for this child Preschool age child starting a five years - ✔✔ANSWER✔✔-But what age can most children answer specific questions about location in severity of their presenting symptoms
Wong baker face pain rating scale - ✔✔ANSWER✔✔-Oral morphine sulfate has just been administered to a six year in severe pain after surgical appendectomy according to the child's age and developmental level which Pain tool will the nurse use to asses this child's level of pain relief Display of early developmental behaviors - ✔✔ANSWER✔✔- Regression is a common response of the young child to the stresses of hospitalization regression can be defined as Fear guilt frustration loss of control financial concerns - ✔✔ANSWER✔✔-Children experience negative consequences to hospitalization including fear anxiety and pain and discomfort parents also experience consequences potential responses families may have to experience at the hospitalized child include Describe the importance of not sharing costumes with others and keep personal items in a plastic bin away from other performing children. - ✔✔ANSWER✔✔-Parents of 7 year old
accomplishments or industry vs inferior a school aged child feelings of inferiority According to Erinkson the greatest influence to a school aged Childs success during this stage is central incisor - ✔✔ANSWER✔✔-The loss of primary (deciduous teeth ) and the eruption of permanent teeth (secondary) teeth take place during the early school age children The pediatric nurse explains to the family that although shedding of teeth can be quite variable they can expect child to loose The time before sexual maturity - ✔✔ANSWER✔✔-While providing care at a summer camp for children the nurse is approached by a counselor who asks about the process of puberty. The nurse explains that while puberty is considered the time when a child's sexual development is complete and the child is now available reproduce prepubescence is considered True - ✔✔ANSWER✔✔-Precious puberty is the process of puberty that begins before the age of 8 for girls and before the age of 9 for boys True - ✔✔ANSWER✔✔-According to Kholberg theory of moral development the young school aged child sees rules and
behavioral standards as coming from the expectations of those around them rules are not established from within rather are created established and enforced by others false 7 Caucasians 6 African Americans - ✔✔ANSWER✔✔-Precocious puberty can be specially defined as breast development in girls before the age of 6 in Caucasians and 5 in African Americans Having the child stand on the unit scale and using measure arm
Commercially used substance Heavy soft and gray blue metal substance Naturally occurring substance - ✔✔ANSWER✔✔-Lead is a V11 - ✔✔ANSWER✔✔-Which cranial nerve will be assessed of a child who is in an MVA was brought in with the facial droop Treated building construction lumber - ✔✔ANSWER✔✔-Of all of the following listed below which is not considered a potential source of lead exposure to children Toddler hood - ✔✔ANSWER✔✔-The development time period When a nurse should be concerned about the development of anemia associated with two large quantities of milk Restrict oral fluids - ✔✔ANSWER✔✔-The nurse is caring for a preschool age child with this sickle cell vaso-occlusive crisis which of the following physician orders shit the nurse question Elevated liver enzymes - ✔✔ANSWER✔✔-While discussing the potential complications of chemotherapy treatment for a child
with ALL the nurse would expect the family to describe all of the following except A bone marrow aspiration - ✔✔ANSWER✔✔-Which test will be performed to demonstrate a Definitive diagnosis of childhood leukemia It relates to how rapidly the child's fever rises doing an infectious process - ✔✔ANSWER✔✔-When reinforcing parental teaching about ferbal seizures the pediatric nurse include the following 10 MCG/DL - ✔✔ANSWER✔✔-What is the current CDC guidelines from recognizing when is Serum lead value shows potential toxicity in children Gum hyperplasia Ataxia Gastric distress Anemia Sedation Nystagmus
Hemoptysis Collapsed lung Apnea - ✔✔ANSWER✔✔-Which of the following May occur in a child with cystic fibrosis Strider - ✔✔ANSWER✔✔-What physical examination signs and symptoms is most worry-some in terms of degree airway compromise Inspecting the child's mouth and throat with the tongue blade - ✔✔ANSWER✔✔-A 3 old presents to the emergency department with the sign of respiratory distress the child has epiglottis associated with high fever apprehensive and is drooling it is imperative that the nurse avoid which of the following I should call my doctor if my newborn breathes fast when he is sleeping - ✔✔ANSWER✔✔-Which statement by the mother indicates an understanding of the nurses teaching related to the newborn Cystic fibrosis is an autosomal recessive trait from both parents genes - ✔✔ANSWER✔✔-Why the pediatric healthcare team is
teaching parents of a child who has just been diagnosed with cystic fibrosis the mother asked if there was something she did to cause this illness the team would be correct in responding that 24 hours after the last fever 24 hours after the first dose of oral anabiotic's - ✔✔ANSWER✔✔-While discharging a family from the pediatric clinic the mother of a young child with strep throat when child can return to preschool the nurse will be correct in saying Inhaled beta agonist - ✔✔ANSWER✔✔-Why at school a school- age child with a history of asthma has developed feelings of tight chest and cough the nurse would be correct in administerin which of the following Sectioning oxygen and rest - ✔✔ANSWER✔✔-The child presents with RSV bronchiolitis the team provide treatment comfort measures to the child what treatments are included TOF - ✔✔ANSWER✔✔-A 22 month old toddler squats intermittently when walking she's irritable cyanotic is now
Assessing for the pain level using a developmentally appropriate tool for the age of the child - ✔✔ANSWER✔✔-A seven-year-old boy has returned from cardiaccatherzation post operative nursing interventions include Adolescence - ✔✔ANSWER✔✔-Which developmental stage would be most affected With alopecia associated with chemotherapy treatments Brushing teeth regularly with the hard toothbrush - ✔✔ANSWER✔✔-A registered nurse instruct a license practical nurse to report which of the following behaviors of a preschool child doing chemotherapy treatments Positive air pressure isolation room No fresh flowers are standing water in room Strict handwashing techniques for visitors and caregivers No acetaminophen containing pain medications Mask on child when required to leave room Daily bathing and complete oral hygiene - ✔✔ANSWER✔✔- Neutropenic precautions protect and immunosuppressed child during chemotherapy treatments the following list contains specific precautions for patients with neutropenia
Swimming fishing golfing hiking - ✔✔ANSWER✔✔-Which of the following activities would the nurse recommends for the family of a young child with hemophilia Establishing IV access and initiating PGE1 drip - ✔✔ANSWER✔✔-A term newborn is diagnosed with TGA which priority nursing invention should be instituted immediately SA node - ✔✔ANSWER✔✔-When assessing the conduction system of the heart by looking at a EKG strip the P-wave indicates that which of the following areas in the heart has fired an electrical impulse Myocarditis - ✔✔ANSWER✔✔-Pediatric heart failure is most common in infants with congenital heart disease but can present in older children because of which of the following
