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G&D Review - GSU
G&D Review - GSU
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G&D
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Questions
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Answers
1
Which research finding provides EBP for an
infant's
risk for sudden infant death syndrome?
Breastfeeding reduces the risk for & the incidence of SIDS.
The peak incidence occurs between the age of 1 and 2 months.
Position supine or support laterally to sleep.
Prone position should be used after feeding.
2
Adolescent girls-
what teaching is needed to help prevent toxic shock syndrome?
Wash your hands before inserting a tampon.
Wear cotton underwear.
Douche every month following menstruation.
Use super absorbent tampons.
3
7-month old
- with nonorganic failure to thrive. Which intervention should the nurse implement?
Encourage parents to participate & play with infant.
Refer parents for counseling to identify parental detachment
Discuss feeding strategies & infant cues for hunger.
Provide formula preparation & feeding schedules.
4
Dad wants
8-yr old
to succeed in soccer. Boy-wants to play chess, not soccer. Best response:
Encourage team sports, not less physical activities.
Decrease expectations to give the son a chance to succeed.
Give opportunities to achieve a sense of competency.
Due to being introverted-encouraged to play isolated games.
5
8-year-old
prior to procedure. Which action should the nurse take first?
Explain to child and parents that procedure needs to be done
Provide privacy by conducting procedure in treatment room.
After talking with parents, ask them to leave the room.
Obtain parent's cooperation before initiating the procedure.
6
Baby
looks for hidden block under blanket. Which normal G&D milestone is the baby developing?
Object prehension.
Associative play.
Object permanence.
Separation anxiety.
7
Infant
-when monitoring the effects of a topical medication-what should be considered?
A smaller percentage of muscle mass.
A lower sensitivity reactions to skin irritants.
A greater body surface area that requires larger dosages.
A thin stratum corneum that increases topical absorption.
8
2-year-old
in ED for laceration. How would the nurse facilitate the child's cooperation?
Let the child decide whether to sit up or lie down.
Direct the parents to remain outside the treatment room.
Allow the child to hold a favorite toy or blanket.
Keep the child physically restrained during nursing care.
9
4-year-old
in ED , points to stomach & says, "It hurts so bad." Which pain-assessment tool?
A numeric rating scale.
Brief Pain Inventory.
Wong-Baker FACES Scale.
Descriptor Scale.
10
14-yr-old
girl-tomboy & plays baseball & then girly clothes & drama queen. Best nurse response?
Teenagers try different roles while seeking their identity.
Such erratic behavior needs further investigation.
Teenagers need a strong role mode to emulate.
14 years-old try to please parents with their role choices.
11
Premature infant-
needs IV access restarted. What action to take when using adhesive tape?
Use scissors- to remove tape instead of pulling tape off.
Use solvents to remove adhesives instead of pulling on skin.
Remove adhesives with water, mineral oil, or petrolatum.
Avoid using tape and adhesives until skin is more mature.
12
Infant
-need 4 ml of a liquid antibiotic. Which statement by the mom needs further teaching?
"Using a teaspoon will help me measure this correctly."
"I will give this antibiotic until it is finished."
"I will call the clinic if a rash or itching develops."
"My baby should begin to feel better within a few days."
13
18 mos
-not walking, does crawl, rarely speaks, flat affect, & small for his age. Which nsg dx?
Delayed growth and development.
Alteration in parenting.
Alteration in nutrition.
Alteration in health maintenance.
14
4-year-old
-interrupts mom. Mom's irritated & wants to know if this is normal. Best response:
She is competing & wants to carry through with tasks.
Negative feelings of doubt and shame are normal.
Role conflict is a common problem of children this age.
Sense of initiative without impinging on rights of others.
15
20-wk-old infant-
weight is between 2 & 3% on chart. Based on this finding, best action to take:
Teach the parents about failure to thrive syndrome.
Compare this weight with previous recorded weights.
Evaluate the parent's body build in relation to the infant's
Obtain a 24-hour nutritional history.
16
To keep a
6-month-old
infant calm during a physical assessment? What should nurse do?
Encourage the parent to hold the infant.
Distract the infant with noise or bright lights.
Give the infant a soft cuddly toy to hold.
Remove the pacifier from the infant's mouth.
17
2-year-old -
increased temper tantrums. Mom wants to know what she can do. Best response:
Immediately put him in "time-out."
Paddle him gently as soon as the behavior is initiated.
Walk away from him and ignore the behavior.
Quietly remind him that others are watching him.
18
6-year-old
squirms and giggles during palpation of abdomen. What action by nurse is best?
Press abdomen with child bearing down & holding the breath.
Place child's hand under the nurse's hand while palpating.
Touch abdomen firmly as child takes short, quick breaths.
Postpone the abdominal palpation until the next examination.
19
Mother lets the
2-month-old
cry during the night-not picked up or soothed. Best response:
Infant who doesn't sleep through the night needs evaluation.
Sense of trust is developed by response to infant's cry.
Infant is manipulating others when picked up unnecessarily.
Picking up infant in the night fosters dependency on the mom
20
Age group most likely to
experience feelings of punishment/responsibility
for parents' divorce?
1 year
13 years
4 years
8 years
21
What should the nurse assess last when examining a
5-year-old child
?
Heart.
Lungs.
Abdomen.
Throat.
22
4-year-old
- assess the effectiveness of an analgesic administered. What intervention is best?
Assess for changes in the child's vital signs.
Use a happy-face/sad-face pain scale.
Ask the mother if she thinks the analgesic is working.
Teach the child to point to a numeric pain scale.
23
3-year-old
-scheduled for a cardiac catheterization. Decrease anxiety by which intervention.
Give the child a ride on a gurney to visit the cardiac lab.
No problem, 3-year-olds are cooperative.
Have child view a video on cardiac catheterization.
Demonstrate procedure on a doll or stuffed animal.
24
Mom with
6-month-old
infant's wants to go back to work, but has concerns. Best response:
Let's talk about childcare options-that's best for the child
Stay home until the child starts school.
Find a good baby-sitter close to the house.
Go to work now so infant will get used to being with others.
25
14-year-old
in ED after a biking accident. How should the nurse interact with the adolescent?
Furnish rewards for cooperation during procedures.
Provide clear explanations while encouraging questions.
Limit the number of choices to be made by the adolescent.
Have the parents remain with the adolescent at all times.
26
Toddler
becomes upset if even the smallest things change. Best response by nurse:
Expose to different routines-to adapt to new experiences.
Child comfortable with ritualism & display global thinking.
Objects should be moved for child to acclimate to change.
Insecure- trust was not fostered & developed during infancy.
27
Care for
school-aged
children at a community care center. Which activity is best?
Playing with Playdough and clay.
Playing follow-the-leader.
Stringing large and small beads.
Building model airplanes.
28
18 m/o
- pot-belly, lordosis/swayback, bowed legs, & large head. Best response for findings:
Refer findings- for diagnostic studies for hydrocephalus.
Document general physical appearance as normal for toddler.
Review dietary intake for vitamin deficiency/malnutrition.
Check chart for parameters of delayed physical maturation.
29
6-month-old
- 1st measles, mumps, and rubella (MMR) shot. CDC schedule recommends it at age?
4 to 6 years.
12 to 15 months.
3 to 6 months
18 to 24 months.
30
4-year-old -
in ED for a laceration on the right foot. How should nurse implement coping?
Remind the preschooler how big children should act.
Avoid the use of bandages to keep wounds open to air.
Give the child sometime after explaining procedures.
Avoid using jargon, such as "shot," when giving care.
31
Which
child
's fontanel finding should be reported to the healthcare provider?
2-month-old with chickenpox & an open posterior fontanel
6-month-old - failure to thrive & closed anterior fontanel.
24-month-old - gastroenteritis & closed posterior fontanel.
28-month-old with hydrocephalus & an open anterior fontanel.
32
What should a nurse tell parents of an
8-month-old
child about health and safety?
Start toilet training with a child-sized potty.
Install stair guards or gates in the home.
Give syrup of ipecac for accidental ingestion or poisoning.
Car seat is optional if a lap/shoulder belt is in place.
33
4-year-old
in daycare setting. Which behavior should the nurse consider normal for this child?
Begins to cry & is fearful when separated from his parents.
Plays by himself most of the day.
Has a temper tantrum when told he must share his toys.
Demonstrates aggressiveness by boasting when telling a story
34
To take the vital signs of a
4-month-old
, which order will give the most accurate results?
Rectal temperature, heart rate, then respiratory rate.
Respiratory rate, heart rate, then rectal temperature.
Heart rate, rectal temperature, then respiratory rate.
Rectal temperature, respiratory rate, then heart rate.
35
Infant weights 7 lbs at birth. How much should the infant weigh at age
6-months
?
21 lb.
17 lb.
12 lb.
14 lb.
36
How should the nurse measure the length of a
14-month-old
child?
Prone recumbent position
Standing height.
Side-lying position.
Supine recumbent position.
37
6-month-old
-introduction of solid foods. Mom understands when she says the 1st food is?
Egg yolks.
Yellow vegetables.
Rice cereal.
Fruits.
38
Assessing breath sounds of
18-month-old
child who is crying, what action should the nurse take?
Ask the parent to quiet the child.
Document assessment is not available b/c child is crying.
Document breath sounds, noting that the child was crying.
Allow child to play with stethoscope & distract.
39
School-aged-
chronic disability. Not same as siblings & wants things done for him. Best response
Need parents to role model ways to act when disappointed.
Need consistent discipline & reward for acceptable behavior.
All children should be included in family decision making.
Evaluate the equipment that improve the child's lifestyle.
40
Hospitalized
16-yr-old
-refuse peers to visit because of appearance. Best response:
Encourage hand-held video game to occupy time.
Arrange for an Internet in room for email communication.
Assign 25-yr-old female nursing student to offer support.
Mother arranged a surprise get together in the cafeteria.
41
4-year-old
chatters while playing alone. Parents concerned. What response by nurse is best ?
Child is attempting to formulate a secondary language.
Private speech is normal & serves as a problem-solving tool.
Child is forming an imaginary social base.
Psychological development needs further testing.
42
Preschooler
-hospitalized for hypospadias repair is most influenced by which behavior?
Socialization with other children.
Response to separation from family.
Concern for body integrity.
Ability to communicate verbally.
43
9-year-old
speaks about sex and uses correct sexual vocabulary. How should nurse respond?
Involve the child in teaching sex information to peers.
Inquire where the child got this important information.
Ascertain what the child understands about sex.
Ask the child whether he was sexually abused.
44
Which site should the nurse assess to obtain the pulse rate for a
1-year-old
child?
Apical.
Carotid.
Radial.
Femoral.
45
To make medication taste better for a
child,
which food should the nurse choose?
Applesauce.
Syrup.
Formula or milk.
Orange juice.
46
2-year-old
-what behavior indicates that the child's language development is in normal limits?
Is able to name four colors.
Can count five blocks.
Is capable of making a three word sentence.
Half of child's speech is understandable.
47
Best action for the nurse to take when initiating contact with a
toddler
for the first time?
Kneel in front of the toddler and speak softly to the child.
Ask the toddler to point to where it hurts.
Call the child by name while picking up the toddler.
Tell the child your name and that you are the nurse.
48
15-year-old
frequently finds fault and criticizes mother's behavior. How should nurse respond?
Psychological distance is a way to separate from parents.
Conflicts in parent-teen relationship are to be expected.
Family value system needs to be change to meet teen's needs.
Parents should relinquish their relationship with their teen
49
Why is a
2-year old
child so negative? How should the nurse respond?
The child is testing the limits of the parent's patience.
2-year-old often acts in the opposite way to get attention.
The child is trying to assert autonomy through negativism.
Toddler is exhibiting an example of ritualistic behavior.
50
Crying
toddler
has a BP of 120/70 mm Hg. What action should the nurse implement?
Notify the healthcare provider of the measurement.
Document the finding and recheck in 4 hours.
Quiet the child and retake the blood pressure.
Ask the parent if the child has a history of hypertension.
51
15-year-old
girl tells the school nurse that she wants to have a baby. Best response by nurse:
"Will you be able to support the baby?"
"Have you talked with your parents about this?"
"Can you tell me how life will be if you have an infant?"
"Do you have plans to continue school?"
52
When assessing a
preschooler
, which finding warrants further assessment by the nurse?
Gains 2 pounds in 12 months.
Dresses independently.
Able to ride a tricycle.
Talks about an imaginary friend.
