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Pediatrics Unit 1 study guide Flashcards | StudBud
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Pediatrics Unit 1 study guide
Pediatrics Unit 1 study guide
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1
Prior to surgery, infants should not e maintained on NPO status longer than _to _ hours because of risk of dehydration.
1 to 2
2 to 3
4 to 6
7 to 8
2
In most instances unpleasant treatment on children should take place in the :
Emergency department
Child’ room
Play room
Treatment room
3
Nurse can reassure parents that their infant's colic will probably not last beyond the age of :
6 months
3 months
9 months
1 month
4
The nurse assessing a child's vital signs would count both the pulse and respirations for
45 seconds
15 seconds
60 seconds
30 seconds
5
Infant should have first diphtheria, tetanus, pertussis (DTP) immunizations at age
5 months
2 months
4 months
1 month
6
What is the best nursing approach to decrease the preschoolers anxiety about having his blood pressure measured?
Tell child that big boys/girls don’t cry when getting BP taken
As the child’s mother to take the blood pressure
Take the blood pressure while the child is sleeping
Demonstrate the procedure on a doll prior to performing it on the child
7
And infants diaper weighs 30g. How many mL with the nurse record on the intake and output sheet?
60
15
30
45
8
The best position for a newborn to sleep is:
Supine
On the abdomen
In an infant seat
With the caregiver
9
Mother of a hospitalized toddler could best explain when she will return by saying, “I will be back:
Before 6 o’clock”
After your nap”
In 3 hours”
Before you know it”
10
The preferred intramuscular injection site for infants is the:
Dorsogluteal
Ventrogluteal
Vastus lateralis
Deltoid
11
Which child is most likely to feel his/her illness is punishment for something he/she has done wrong?
Preschool
Adolescent
Toddler
School aged
12
A good initial method to deal with a 9 month old infant who is attracted to a dangerous situation is to:
Take his favorite toys away
Distract him from the situation
Shout a quick, loud “no”
Spank him with one light blow
13
When caring for a tracheotomy patient, the nurse would:
Apply suction as the catheter is being inserted
Use a suction catheter to approximate the diameter on the tube
Replace the suction cath and water used to clear the cath
Limit suctioning to no more than 15 seconds
14
Social development that is common for the two month old infant is:
Laughing out loud
Recognizing his/her own name
Anxiety around strangers
Responsive smiling
15
Minor head lag when pulling a 1- month old infant to the sitting position:
Identifies poor nutrition
Suggest developmental delay
Is an expected finding
Demonstrates prematurity
16
The primary focus of regular infant health care is to:
Excess growth rate
Accelerated development
Delay onset of allergies
Prevent disease
17
The nurse planning to measure a child’s blood pressure would use a coat that covers:
1/2 of the upper arm
1/3 of the upper arm
2/3 of the upper arm
The entire upper arm
18
What is the most appropriate nursing intervention to prepare a 4-year-old child for placement of an IV line?
Let the child know that crying is OK when something hurts
Tell the child that he needs the IV a few hours before the procedure
Provide an explanation for why he needs an IV
Show the child the money restraint that will be used
19
An infant can feed itself finger foods at what age
One year
24 months
11 months
Seven months
20
Parental consent for minors is not always necessary for treatment in which situation?
Communicable diseases
Minor cuts and abrasions
Psychologic disorders
Sexually transmitted infections
21
Hypotension is an early sign of shock in children.
True
False
22
An infant can briefly hold its head erect and in the middle of body at what age
2 months
2 weeks
5 months
3 months
23
What action with the nurse take when a hospitalized school age child begins to act out?
Ignore the behavior because this is an expected reaction
Discipline the child by having restrictions put in place
Place the child in a private room
Provide positive direction and consistency
24
The nurse explains oral antibiotics given to infants. This statement indicates correct understanding by parent.
“Use an oral syringe to place the medicine in the side of the mouth“
“I should use a syringe with a short, thin needle”
“Bring the medicine cup to the babies lips to drink slowly“
“Put the medicine in a bottle with a small amount of water“
25
Infant's birth weight is tripled by age
12 months
6 months
3 months
5 months
26
The nurse's best approach to prepare a toddler for a painful procedure is to:
Avoid telling him it might hurt
Have his mother explain what will happen
Prepare early so he can ask questions
Be truthful if it will be painful
27
Which developmental milestones is appropriate for each child age in the selection below?
Sits steadily alone with a straight back at six months
Pull itself to standing position at 10 months
Uses the root reflex to seek the nipple at five months
Passes a toy from one hand to the other at three months
28
The nurse would expect a common reaction to hospitalization for a 4-year-old child to be :
Anger
Guilt
Fear
Depression
29
The maximum volume that can be given by IM injection at one time to a 3 week old infant is:
0.1 mL
1.0 mL
0.5 mL
1.5 mL
30
Infant can briefly hold head erect and in the midline of body at age
3 months
2 months
8 months
6 months
31
The priority need in personality development during the first year is to acquire:
mastering self feeding
trust in the primary caregivers
regular sleeping, waking, and feedings
fear when meeting strangers
32
What is the best way for the nurse to wait an infant?
Lightly dressed
Wrapped in a receiving blanket
Completely naked
Wearing a dry diaper
33
Parents should make safety preparation prior to the time their infant crawls, usually about age:
12 month
7 months
4 months
10 months
34
The primary use of growth and development guidelines is to:
help parents anticipate their child's changing needs
Identify the child who may have an intellectual disability
compare children of similar ages with each other
predict general intelligence and school performance
35
Which is the preferred way to counteract the effects of an unpleasant tasting medication?
Makes the medicine with formula or milk only so that it isn’t skipped
Let the child choose whether to mix it with food or not
Follow with an “ice pop” chaser
Mix with something thick like applesauce
36
How frequently does the nurse assess a child's IV infusion?
q3h
hourly
q30min
q2h
37
Bradycardia is often the first sign of shock in infants and children.
True
False
38
Formula often prescribed for the infant with Galactosemia is based on:
Artificial protein
Goats milk
Rice
Soy
39
Child weighs 35.5 lbs has an oral medication ordered at 8 AM. Recommended dose is 3-5mg/ kg for ordered drug. Safe dose?
150 mg
75 mg
105 mg
200mg
40
Which intervention is most appropriate to reduce a 5 year old's anxiety related to upcoming surgery?
Give the child a ride on the stretcher before surgery
Arrange for the child to meet the surgeon
Do not tell the child that he/she is having surgery
Schedule a visit to the surgical area preoperatively
41
After administrating a gastrostomy tube feeding, how would the nurse position an infant?
Prone
Right side
Supine
Left side
42
The neonate exposed to prolonged high oxygen concentration is at risk for damage to which part of the body?
Eyes
Heart
Kidneys
Brain
43
The nurse is aware of which variation in pulse and respiration rate of children as compared to adults?
Lower than adults
Same rate as adults
Lower at birth, but higher by age 3
Higher than adults
44
Which is most important teaching about use of microwave for heating infant food?
Rotate food two or more times while warming
Use less time than what is needed for larger pieces of food
Avoid heating foods higher in fat such as meat
Test temperature of any warm food on inner wrist
45
Mother is concerned 3yo child has returned to diapers since hospitalization. What’s the best nurse response?
"This is unusual and probably temporary"
"Perhaps he has some type of urinary infection"
"Regression is normal in a sick child"
"Keep him in his training pants and don’t give in to him"
46
Separation anxiety is most pronounced in which age group?
Adolescents
Preschool children
Infant
Toddlers
47
1 year old infant weighed 7 pounds at birth. Now weighs 21 pounds. What should a nurse tell mom about baby’s weight?
Wait at 12 months is about twice the birthweight
Baby’s weight gain is what is expected at this age
Low fat diet helps avoid being overweight later in life
Infants normally weigh about 25 pounds by one year
48
A mother wants to know if she can keep leftover baby food in a jar. Choodr the best nurse action.
if pop is heard when opening jar, leftovers are safe
Once baby eats all she can, refrigerate the remainder
Remove amount of food you think baby will eat, refrigerate the rest
Refrigerate the leftover food within two hours after opening it
49
Expectant parent tells the nurse, “I am planning to put the baby in an antique crib. What advice should the nurse offer?
The crib slats should be no more than 2 and 3/8 inches apart
There should be 2 and 3/8 inches between the mattress and the side rail
50
Administration of acetaminophen in quantities exceeding the recommended maximum daily dose can cause damage to the____?
heart
liver
brain
lungs
51
Infant can feed self finger-foods at age
2 months
11 months
5 months
10 months
52
Considering safety when choosing toys for a 5 month old. One should assume that all of them will go into baby’s:
Bed
Food
Tub
Mouth
53
A baby is usually offered finger foods like Zwieback crackers beginning at about age:
7 months
9 months
5 months
3 months
54
Addiction occurs quickly in children receiving opioids for severe pain.
False
True
55
If a parent wants to microwave formula before feeding the nurse should:
cold formula preserves the nutrients better than heating it
Wait until the infant takes at least 8 ounces of formula each feeding
Explain the microwave heat formula unevenly and can cause severe burns
formula heats less evenly than breastmilk; mix and test carefully
56
A fruit that should be delayed until after the infants first birthday is:
Applesauce
Strawberries
Pears
Apricots
57
A four month old infant pulse rate is 140 bpm. How would the nurse interpret this assessment finding?
Within normal limits
Life-threatening situation
Tachycardia
Bradycardia
58
After performing a painful procedure on an infant the nurse should:
Return the infant to the parent
Feed the infant
Change the infant diaper
Swaddle the infant
59
The nurse approximately positions a 7-year-old child for a lumbar puncture:
Supine with the head flex to the chest
Prone with knees flexed to chest
Sitting up and hugging the nurse
Lying on the side in a fetal position
60
Bradycardia is considered a medical emergency in infants and young children.
False
True
61
Nurse counsel’s mother who is starting baby on solid foods that she should wait how many days before giving new food?
7-14
2-3
1-2
4-7