unit one textbook questions peds

The number of deaths of infants younger than age 28 days per 100 live births is termed the:
1. birth rate
2. neonatal birth rate
3. neonatal morbidity rate
4. neonatal mortality rate

Which nursing action is the priority when a patient arrives at the clinic?
1. prepare a plan of care
2. select the appropriate NANDA-I diagnosis(es)
3. Administer medications as ordered
4. Determine and document history and vital signs

An organization that sets standards of practice for nursing is the:
1. American Medical Association (AMA)
2. American Nurses Association (ANA)
3. utilization reiew committee
4. American Academy of Pediatrifs (AAP)

One advantage of electronic charting, which is used in most hospitals, is that it:
1. relieves the nurse of responsibilities to write
2. enables many caregivers to access the chart at the same time
3. Prevents all medication errors
4. can be accessed from the nurse's home

Which source would then nurse use to determine if a specific nursing activity is within the scope of practice of an LPN/LVN?
1. doctor's prescription record
2. nursing precedure manual
3. head nurse or nurse manager
4. the  Nurse Practice Act

How many erupted teeth would the nurse expect a healthy 8-month-old infant to have?
1. 2
2. 4
3. 6
4. 8

During the first week of life, the newborn's weight:
1. increases about 5% to 10%
2. decreases about 5% to 10%
3. stabilizes
4. fluctuates widely

The nurse should encourage the parent to introduce toothbrushing to her child by age:
1. 6months
2. 1year
3. 3years
4. 7years

To meet the needs (as described by Erikson) of a school-age child diagnosed with diabetes, the nurse should:
1. explain carefully to the mother the need to rigidly adhere to dietary modifications
2. allow the child to eat whatever he or she wants and administer insulin to maintain optimum glucose levels
3. allow the child to perform his own Accuchecks and administer his own insulin
4. perform Accuchecks four times a day and at bedtime

It is most appropriate to first introduce competitive games at age:
1. 3-5years
2. 5-6years
3. 7-9years
4. 12-15years

The startle reflex is also know as the:
1. Moro reflex
2. rooting reflex
3. pincer reflex
4. grasp reflex

A car seat for an infant under age 1 year:
1. is not needed if the infant is held securely in the lap of an adult
2. should be placed close to the driver in the front passenger seat
3. should face the rear and be placed in the center of the back seat
4. should face forward and be placed on the driver's side of the back seat

To detect allergies when feeding new foods:
1. introduce single-ingredient foods
2. mix the food with one the infant likes
3. mix the food with formula
4. offer two new foods at a time

The nurse is discussing home safety with the mother of a 4-month-old infant.  Which of the following is a priority topic?
1. placing locks on cabinet doors that contain cleaning supplies
2. covering electrical outlets
3. raising and securing crib side rails
4. encouraging reading and talking to infant

A mother expresses concern that her 1-year-old infant is overweight.  She states that her family has a tendency to be overweight and wishes to discontinue formula feedings and start the infant on low-fat milk.  The nurse assesses that the present weight of the infant is 24lb.  The infant's birth weight was 8 lb 2 oz. The best response of thenurse would be:
1. to place the infant on low-fat milk because the infant is slightly overweight at this time
2. to place the infant on regular whole milk because the infant's weight is appropriate for his age
3. to indicate that the infant is underweight for his age and needs to have supplemental formula added to the diet
4. to note that infancy is a jperiod of rapid growth and weight loss will occur as the infant becomes more active

A parent states she is having a conflict with her toddler who seems to "always want to do things his way."  He insists on putting on his right sock and shoe before his left and has a tantrum if the parent tries to put on the left sock and shoe first. The parent asks the nurse why the child is acting this wya.  The best response of the nurse would be to:
1. explain to the child it really doesn't make a difference which sock and shoe is donned first
2. put the child in a "time-out" for the appropriate time
3. explain that this is normal ritualistic behavior at this age and should be respected
4. let the child walk barefoot and take the shoes away

The nurse assesses the vital signs of a 2-year-old.  A normal respiratory rate (per minute) would be:
1. 18 to 20
2. 25 to 30
3. 35 to 40
4. 45 to 50

Which statement by the parent would indicate a need for further guidance?
1. I use a car seat for my toddler whenever we are in the car, and he is right beside me as I drive so I can keep an eye on him
2. I use a car seat for my toddler whenever we are in the car and secure it onto the rear seat of the car
3. I use a car seat for my toddler that is designed to hold children up to 40 lb
4. I use a car seat for my toddler that is designed to fasten with the seat belt

A mother tells the nurse that her 2-year-old toddler often has temper tantrums at the family dinner table and asks how to handle the behavior.  The best response of the nurse would be:
1. temper tantrums are normal for a 2-year-old, and the child will grow out of it
2. the toddler whould be removed from the family dinner table until he or she is old enough to behave
3. strict discipline and corporal punishment are appropriate to help the child to gain self-control
4. parents should agree on a method of discipline, such as time-out, and use it when the child misbehaves

On of the developmentalhallmarks of the toddler that most gives rise to safety hazards is:
1. brief attention spans
2. need for ritual
3. fluctuating appetite
4. need to explore

Whenselecting play activities for a healthy 4-year-old, the parent should be guided tounderstand that the 4-year-old enjoys:
1. solitary play, sitting next to a friend
2. cooperative play with friends
3. competitive play with teams
4. observing rather than participating

An example of a therapeutic play activity for a preschool child who is recovering from an appendectomy would be:
1. a Wii game of bowling
2. blowing bubbles
3. reading a storybook
4. coloring with crayons

The nurse is guiding a parent concerning techniques of dealing with a child win enuresis.  The most appropriate suggestion by the nurse would be to:
1. wake the child often during the night and take him to the bathroom to void
2. limit liquids after dinner and have the child void before going to bed
3. use a consistent technique of discipline whenever the bed is wet
4. keep the child in diapers until bed wetting is no longer a problem

The appropriate amount of time to use in a time-out period for a 3-year-old child is:
1. 1 minute
2. 3 minutes
3. 5 minutes
4. 10 minutes

A 4-year-old child is in Erikson's stage of:
1. autonomy
2. industry
3. initiative
4. identity

The pulse of the school-age child is appoximately:
1. 100 to 120 beats/min
2. 95 to 120 beats/min
3. 85 to 100 beats/min
4. 60 to 80 beats/min

A parent asks the nurse if it is healthy to allow her school-age child to play computer games after school every day.  The best response of the nures woudl be that computer and video games:
1. interest the school-age child and it will keep him off the streets
2. can challenge the intellect but should be balanced with active play activities
3. should only be played on weekends and not on school days
4. can teach new skills and are appropriate for school-age children

While playing in shcool, a 9-year-old child suffers an injury that knocks his tooth out of his mouth.  What should the teacher or school nurse do?
1. place the tooth in a cup of clean water, and send the child home
2. place the tooth in a cup of milk, and call the parent to take the child to the dentist
3. wrap the tooth in a clean cloth, and call the parent to take the child to the dentist
4. rinse the childs mouth, and place the tooth in an envelope for the child to show his parent

The parent of an 8-year-old child seeks advice from the nurse because her child is overweight.  What would the nurse advise the parent to do?
1. provide a reward for the child when he avoids between-meal snacks for a full week
2. limit privileges when the child eats sweets or junk food
3. include the child in meal planning and preparation
4. limit party-going activities where sweets will be served

A 9-year-old practicing the piano continues to have difficulty in playing the theme song from a particular movie.  She starts to pound on the piano keys in frustration.  The best response would be to enter the room and say:
1. Just what do you think you're doing? That piano cost money!
2. That's not difficult.  Pull yourself together or you'll never amount to anything.
3. That piece sounds hard.  I can see how you coulde be discouraged.
4. Here, let me show you how to play that.

One of the tasks of adolescence as defined by Erikson is:
1. finding an identity
2. sexual latency
3. heterosexuality
4. concrete operations

When communicating with an adolescent about safety concerns, which concept of adolescent behavior should be considered?
1. the typical adolescent understands teaching and respects and usually follows the advice of adults
2. growth and development are complete in the adolescent, and muscle coordination and skills lessens the risk for injury
3. safety concerns at this age mostly focus on sports injuries
4. adolescents are risk takers and tend to experiment with potentially dangerous outcomes

Puberty can most accurately be defined as the period of life characterized by the:
1. occurrence of sexual maturity and appearance of secondary sex characteristics
2. substitution of adult interests and value systems for child interests
3. moswt rapid rate of physical and mental growth and development
4. awakening of sexual feelings and the initiation of sexual experience

A 16-year-old female towers over her comanions, which bother her.  She confides in the nurse and says, "I just hate school--everyone is always staring at me."  The nurse's best response would be:
1. Don't pay any attention to it
2. You just don't know how lucky you are to be tall
3. This will resolve itself in time. Don't worry
4. Tell me more about how this embarrasses you

Which action is most important when planning nutrition management for the adolescent?
1. planning a low-calorie diet
2. incorporating favorite or fad foods into the diet
3. encouraging a positive attitude toward obesity
4. skipping a meal to reduce caloric intake