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Pediatric Nursing #1 Flashcards | StudBud
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Pediatric Nursing #1
Pediatric Nursing #1
71 terms
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StudBud Administration
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235 plays
To be done at the first check in, around end of week 4.
Flashcards
71 cards
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Practice quiz
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Host live
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Questions
71
Answers
1
All are associated with lower immunization rates except
clinic not open during hours parents are not working.
poor access to care
cultural or religious prohibitions
evidence based research proving vaccines are not safe
2
When talking with a toddler use simple words and give short clear instructions.
True
False
3
There is a increased number of parents choosing not to immunize, why?
all of the above
Concerns that vaccines are related to autism
The chemical and biologic content of the vaccines are poison.
Mistrust in healthcare provider recommendations
4
Infants and toddlers often feel more secure for abdominal assessment when lying on parents and provider lap.
False
True
5
The Pediatric Assessment Triangle includes all except___.
General appearence (SICK vs NOT SICK)
Stable vs not stable
skin circulation
work of breathing
6
What muscle do you use to administer a IM medication in a infant or toddler?
gluteus maximus
rectus femoris
deltoid
Vastus lateralis
7
What age group uses the NIPS pain scale?
preschooler
adolescent
Neonate
toddler
8
What is first physical assessment performed in pediatrics?
auscultation
palpation
inspection
percussion
9
What age to infants typically start walking while holding on to furniture?
8-10 months
10-12 months
12-15 months
6-8 month
10
Which is not a technique used when giving oral medication to a child under age 5 yrs.
Usually given liquid form
position child to avoid aspiration or choking.
use oral syringe to increase accuracy
Have the childs caregiver administer the medication.
11
You need to give acetaminophen 120mg. The label states it is 100mg/5ml, how many ml do you give?
6ml
5.5ml
6.5ml
5ml
12
According to Erikson, what age group experiences autonomy vs shame and doubt stage?
schoolage
Infant
Preschooler
Toddler
13
When do allergic reactions typically present after vaccine administration?
2 days later
12 hrs later
within hours to days.
within minutes to hours
14
What are examples of toy you can suggest for the parent of a 1 yr old?
bike
blocks
puzzle
jump rope
15
It is the nurses responsibility to ensure the dose ordered is safe?
False
True
16
Which theorist views the personality structure as 3 parts: id, ego, superego
Kohlberg
Freud
Piaget
Erikson
17
All are part of the birth history, except______.
Allergies, medications, last intake
Nursery course, Breast milk or formula, nursery course
Mothers age, health during pregnancy, prenatal care, use of drugs.
Birth weight, APGAR, interventions, abormalities
18
A 7 yr old child is scheduled to have an invasive procedure. Who obtains informed consent?
The Nurse
The translator
The charge nurse
The provider performing the procedure
19
Hep B is a _________ shot series; you can start the series as early as __________.
3; 6 weeks of age
3; birth
2; 6 months of age
2; 6 weeks of age
20
All are common local reactions after a vaccine except
pain
erythema at site
induration
laryngeal edema
21
The FLACC behavioral scale is used up to at least 3 yrs of age.
False
True
22
The newborn period begins at birth and ends_________.
none of the above.
at 1 yr of age.
at 6 months of age
at 1 month of age
23
Stridor is a pediatric emergency
False
True
24
You can obtain a lot of information when you observe the parents non verbal behavior.
False
True
25
All of the following are non pharmacologic methods for pain management, except__.
breathing techniques
sucrose solution
all of the above
distraction
26
What is the Scope of Practice?
minimum criteria for competent, proficient delivery of nursing care
comprehensive interdisciplinary care plans
legal concept that protects a persons right to autonomy
Limits of nursing practice set forth in the state statutes
27
What is the normal heart rate of infants to age 2 yrs?
60-100
80-130
70-120
100-170
28
Infants have more difficulty regulating their temperature due to large surface area for weight.
True
False
29
What temperament is a child displaying when they initially withdrawal, follow by gradual and quite slow interactions
slow to warm up
easy child
mixed
difficult child
30
Which 2 groups are at highest risk for iron deficiency anemia?
adolescent females
preschools
infants
toddlers
31
Who audits the operations of hospitals and healthcare facilities?
State government
Center for Disease Control
The federal government
The Joint Commission
32
What examines risk and protective factors that hinder or help children and families when dealing with life crisis?
None of the above
Theory of Chess and Thomas
Ecologic theory of Bronfenbrenner
Resiliency Theory
33
After a vaccine, a child has fever, fussiness irritability, malaise, this is consistent with what type of reaction?
Common local reaction
Systemic reaction
Anaphylaxis
Allergic reaction
34
When interviewing the adolescent, you should always do this in front of the parent.
True
False
35
When auscultating breath sounds encourage child to blow a pin wheel in to take deep breaths.
False
True
36
A 6 yr old comes with with pain level after twisting ankle of 3 on Faces scale, which medication is NOT appropriate?
ketorolac (toradol)
acetaminophen
morphine sulfate
ibuprofen
37
One sign of sexual abuse in young children is an enlarged opening of vagina.
True
False
38
What is the normal heart rate for a 10-16 yr old?
70-120
70-100
80-100
60-100
39
Which is NOT a misconception about pain in infants and children?
Children tell you if they are in pain
infants are incapable of expressing pain
Parent know their child are able to identify behaviors associated with pain
40
First dose of MMR is typically given_________.
2 months
12-15 months of age
11 years old
6 months
41
What is the normal respiratory rate in a newborn?
20-24
16-22
20-30
30-50
42
What is the normal respiratory rate in a 3 year old?
16-20
20-30
40-50
12-16
43
What is the most common eating disorders of adolescents? (2 answers)
restrictive /avoident food intake
bulimia nervosa
anorexia nervosa
pica
44
When seeing a 4 yr old for a check up with vaccines, it is best to lie to the child if he asks if he will have shots.
False
True
45
All of the following are part of the past health history except____.
childhood illnesses
Hospitalization
Surgeries
cardiac disease in family
46
When performing a ROS in ped patient, how do you assess hearing?
Ask if the child has hx of ear infections or tubes in the ears.
Ask mom if the child hears
Ask if he talks loudly.
Ask if he can whisper
47
High-pitched, piercing sound most often heard during inspiration without a stethoscope.
stridor
rhonichi
wheezing
crackles
48
It is not normal for a pediatric patient to have a heart rate less than 60.
False
True
49
According to Piaget, what age group in the the concrete operational stage?
adult
adolescent
school age
Preschooler
50
The childs heart rate varies with all of the following except____.
age
fever
moderate changes in temperature
anxiety
51
Why do newborns receive a vitamin K injection after birth?
protect them from illnesses
helps with vision development
boost their iron
promote adequate blood clotting.
52
A 18 month old well child has dropped from the 60% for weight to the 10%, mom is concerned, what do you say?
You need to feed your child more food
You child needs more high calorie foods.
This is a growth failure.
This is not typical for a child of this age, I will notify the provider.
53
The best way to learn the REVIEW OF SYSTEMS is from head to toe
True
False
54
When administering liquid medication to an infant, where do you place the tips of the syringe?
In front of the teeth
directly on the tounge
the cheek pouch
back of the throat
55
What is the minimum criteria for competent, proficient delivery of nursing care?
informed concent
Clinical practice guidelines
Standards of Care
Scope of practice
56
A mother of 1 month old expresses she is not going to vaccinate her baby, what is your best response?
Thats your choice, but youre going to kill your baby.
Tell mom that there are NO risks associated with giving vaccines
Explain benefits and risk of vaccines; Provide mom with VIS for vaccines.
Tell mother that the child wont be allowed in school without vaccines.
57
It is recommended for infants to be exclusively breast fed or bottle fed until 6 months of age.
True
False
58
When does the anterior fontanelle close?
by 12 months of age
by 2 months of age
by 24 months of age
by 18 months of age
59
The best site for an IV for children is the antecubital.
True
False
60
Which is the best way to ask a family why they brought their child to the office?
Did you come in because your child has a cold?
I see your child has red eyes, that must be why you are here.
What brings you to our office today?
Dont ask anything, the provider will do that.
61
All are common defense mechanisms used by children, except_________.
all of the above
Fantasy
Regression
Repression
62
A childs responses to and understanding pain depend on age, development, culture and prior experiences.
False
True
63
What distraction activities can a parent do with an infant after having surgery?
pacifier
all of the above
music, soft toys, mobiles
Holding and rocking
64
You have a 8 year old male that weighs 22kg, you are to give ibuprofen 10mg/kg, what is his dose in mg?
100mg
220mg
2220mg
22mg
65
When administering IM medication, what is the benifit of using z-track technique?
None of the above
less pain
Prevents medication from leaking back out
Quicker delivery of medication
66
In cardiac exam, the S1 is heard best here, except____.
mitral area
Apex o f the heart
aortic area
tricuspid area
67
The faces pain scale can be used on children 3 yrs through adolescents.
True
False
68
What method helps individuals learn to control their physiologic responses based on concept the mind controls the body?
biofeedback
hypnosis
guided imagry
therapeutic touch
69
All are ways to increase comfort during painful procedures, except_____.
EMLA or LMAX
having parents leave the room
Vapocoolant spray
Buzzy decive for shots
70
How many meals/snacks do toddlers typically eat per day?
3 meals with 2 snack
3 meals with 2-3 snacks
2 meals and 2 snack
they graze through the day with no scheduled meal times
71
When performing cardiac exam, have an S3 is normal.
False
True