THIS DOCUMENT BELONGS TO TESTBANKSPROF
Test Bank for Pediatric Primary Care: Practice Guidelines for Nurses 5th Edition
By Beth Richardson
All Chapters (1-36) | Q&As Verified | Grade A+ Assured
ISBN 9781284248302
~1~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
TABLE OF CONTENTS
Chapter 1 Obtaining an Initial History ...................................................................................................................................................................................................... 3
Chapter 2 Obtaining an Interval History ............................................................................................................................................................................................... 14
Chapter 3 Performing a Physical Examination ................................................................................................................................................................................... 22
Chapter 4 Making Newborn Rounds ....................................................................................................................................................................................................... 34
Chapter 5 Guidelines for Breastfeeding ................................................................................................................................................................................................. 51
Chapter 6 Common Genetic Disorders ................................................................................................................................................................................................... 70
Chapter 7 Two-Week Visit .......................................................................................................................................................................................................................... 78
Chapter 8 One-Month Visit.......................................................................................................................................................................................................................... 84
Chapter 9 Two-Month Visit......................................................................................................................................................................................................................... 88
Chapter 10 Four-Month Visit ..................................................................................................................................................................................................................... 90
Chapter 11 Six-Month Visit ......................................................................................................................................................................................................................... 92
Chapter 12 Nine-Month Visit ..................................................................................................................................................................................................................... 93
Chapter 13 Twelve-Month Visit ................................................................................................................................................................................................................ 94
Chapter 14 - Fifteen- to Eighteen-Month Visit .................................................................................................................................................................................. 102
Chapter 15 Two-Year Visit ........................................................................................................................................................................................................................ 104
Chapter 16 Three-Year Visit (Preschool) ............................................................................................................................................................................................ 105
Chapter 17 Six-Year Visit (School Readiness) ................................................................................................................................................................................... 113
Chapter 18 Seven- to Ten-Year Visit (School Age)........................................................................................................................................................................... 122
Chapter 19 Eleven- to Thirteen-Year Visit (Preadolescent) ........................................................................................................................................................ 123
Chapter 20 Fourteen- to Eighteen-Year Visit (Adolescent) ......................................................................................................................................................... 126
Chapter 21 Dermatological Problems................................................................................................................................................................................................... 133
Chapter 22 Eyex Disorders ....................................................................................................................................................................................................................... 142
Chapter 23 Ear Disorders .......................................................................................................................................................................................................................... 157
Chapter 24 Sinus, Mouth, Throat, and Neck Disorders .................................................................................................................................................................. 173
Chapter 25 Respiratory Disorders ......................................................................................................................................................................................................... 191
Chapter 26 Cardiovascular Disorders................................................................................................................................................................................................... 198
Chapter 27 Gastrointestinal Disorders ................................................................................................................................................................................................ 202
Chapter 28 Genitourinary Disorders. ................................................................................................................................................................................................... 212
Chapter 29 Gynecologic Disorders......................................................................................................................................................................................................... 220
Chapter 30 Endocrine Disorders ............................................................................................................................................................................................................ 229
Chapter 31 Musculoskeletal Disorders ................................................................................................................................................................................................ 238
Chapter 32 Neurologic Disorders ........................................................................................................................................................................................................... 246
Chapter 33 Hematologic Disorders ....................................................................................................................................................................................................... 266
Chapter 34 Pediatric Obesity and Comorbidities ............................................................................................................................................................................. 275
Chapter 35 Behavioral Disorders ........................................................................................................................................................................................................... 284
Chapter 36 Mental Health Disorders .................................................................................................................................................................................................... 292
~2~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 1 Obtaining an Initial History
MULTIPLE CHOICE
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which
should the nurse do first?
a. Introduce him- or herself.
b. Make the family comfortable.
c. Give assurance of privacy.
d. Explain the purpose of the interview.
CORRECT ANSWER: A
The first thing that nurses must do is to introduce themselves to the patient and family. Parents
and other adults should be addressed with appropriate titles unless they specify a preferred name.
Clarification of the purpose of the interview and the nurses role is the second thing that should be
done. During the initial part of the interview, the nurse should include general conversation to help
make the family feel at ease. The interview also should take place in an environment as free of
distraction as possible. In addition, the nurse should clarify which information will be shared with
other members of the health care team and any limits to the confidentiality.
2. Which is considered a block to effective communication?
a. Using silence
b. Using clichs
c. Directing the focus
d. Defining the problem
CORRECT ANSWER: B
Using stereotyped comments or clichs can block effective communication. After the nurse uses
such trite phrases, parents often do not respond. Silence can be an effective interviewing tool.
Silence permits the interviewee to sort out thoughts and feelings and search for responses to
questions. To be effective, the nurse must be able to direct the focus of the interview while allowing
maximum freedom of expression. By using open-ended questions and guiding questions, the nurse
can obtain the necessary information and maintain a relationship with the family. The nurse and
parent must collaborate and define the problem that will be the focus of the nursing intervention.
3. Which is the single most important factor to consider when communicating with children?
a. Presence of the childs parent
~3~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
b. Childs physical condition
c. Childs developmental level
d. Childs nonverbal behaviors
CORRECT ANSWER: C
The nurse must be aware of the childs developmental stage to engage in effective communication.
The use of both verbal and nonverbal communication should be appropriate to the developmental
level. Nonverbal behaviors vary in importance based on the childs developmental level and physical
condition. Although the childs physical condition is a consideration, developmental level is much
more important. The presence of parents is important when communicating with young children
but may be detrimental when speaking with adolescents.
4. Because children younger than 5 years are egocentric, the nurse should do which when
communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private.
CORRECT ANSWER: A
Because children of this age are able to see things only in terms of themselves, the best approach
is to focus communication directly on them. Children should be provided with information about
what they can do and how they will feel. With children who are egocentric, analogies, experiences,
and assurances that communication is private will not be effective because the child is not capable
of understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who seems
afraid should be based on which principle?
a. The child may think the equipment is alive.
b. Explaining the equipment will only increase the childs fear.
c. One brief explanation will be enough to reduce the childs fear.
d. The child is too young to understand what the equipment does.
CORRECT ANSWER: A
Young children attribute human characteristics to inanimate objects. They often fear that the
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment should
~4~
Test Bank for Pediatric Primary Care: Practice Guidelines for Nurses 5th Edition
By Beth Richardson
All Chapters (1-36) | Q&As Verified | Grade A+ Assured
ISBN 9781284248302
~1~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
TABLE OF CONTENTS
Chapter 1 Obtaining an Initial History ...................................................................................................................................................................................................... 3
Chapter 2 Obtaining an Interval History ............................................................................................................................................................................................... 14
Chapter 3 Performing a Physical Examination ................................................................................................................................................................................... 22
Chapter 4 Making Newborn Rounds ....................................................................................................................................................................................................... 34
Chapter 5 Guidelines for Breastfeeding ................................................................................................................................................................................................. 51
Chapter 6 Common Genetic Disorders ................................................................................................................................................................................................... 70
Chapter 7 Two-Week Visit .......................................................................................................................................................................................................................... 78
Chapter 8 One-Month Visit.......................................................................................................................................................................................................................... 84
Chapter 9 Two-Month Visit......................................................................................................................................................................................................................... 88
Chapter 10 Four-Month Visit ..................................................................................................................................................................................................................... 90
Chapter 11 Six-Month Visit ......................................................................................................................................................................................................................... 92
Chapter 12 Nine-Month Visit ..................................................................................................................................................................................................................... 93
Chapter 13 Twelve-Month Visit ................................................................................................................................................................................................................ 94
Chapter 14 - Fifteen- to Eighteen-Month Visit .................................................................................................................................................................................. 102
Chapter 15 Two-Year Visit ........................................................................................................................................................................................................................ 104
Chapter 16 Three-Year Visit (Preschool) ............................................................................................................................................................................................ 105
Chapter 17 Six-Year Visit (School Readiness) ................................................................................................................................................................................... 113
Chapter 18 Seven- to Ten-Year Visit (School Age)........................................................................................................................................................................... 122
Chapter 19 Eleven- to Thirteen-Year Visit (Preadolescent) ........................................................................................................................................................ 123
Chapter 20 Fourteen- to Eighteen-Year Visit (Adolescent) ......................................................................................................................................................... 126
Chapter 21 Dermatological Problems................................................................................................................................................................................................... 133
Chapter 22 Eyex Disorders ....................................................................................................................................................................................................................... 142
Chapter 23 Ear Disorders .......................................................................................................................................................................................................................... 157
Chapter 24 Sinus, Mouth, Throat, and Neck Disorders .................................................................................................................................................................. 173
Chapter 25 Respiratory Disorders ......................................................................................................................................................................................................... 191
Chapter 26 Cardiovascular Disorders................................................................................................................................................................................................... 198
Chapter 27 Gastrointestinal Disorders ................................................................................................................................................................................................ 202
Chapter 28 Genitourinary Disorders. ................................................................................................................................................................................................... 212
Chapter 29 Gynecologic Disorders......................................................................................................................................................................................................... 220
Chapter 30 Endocrine Disorders ............................................................................................................................................................................................................ 229
Chapter 31 Musculoskeletal Disorders ................................................................................................................................................................................................ 238
Chapter 32 Neurologic Disorders ........................................................................................................................................................................................................... 246
Chapter 33 Hematologic Disorders ....................................................................................................................................................................................................... 266
Chapter 34 Pediatric Obesity and Comorbidities ............................................................................................................................................................................. 275
Chapter 35 Behavioral Disorders ........................................................................................................................................................................................................... 284
Chapter 36 Mental Health Disorders .................................................................................................................................................................................................... 292
~2~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 1 Obtaining an Initial History
MULTIPLE CHOICE
1. The nurse is seeing an adolescent and the parents in the clinic for the first time. Which
should the nurse do first?
a. Introduce him- or herself.
b. Make the family comfortable.
c. Give assurance of privacy.
d. Explain the purpose of the interview.
CORRECT ANSWER: A
The first thing that nurses must do is to introduce themselves to the patient and family. Parents
and other adults should be addressed with appropriate titles unless they specify a preferred name.
Clarification of the purpose of the interview and the nurses role is the second thing that should be
done. During the initial part of the interview, the nurse should include general conversation to help
make the family feel at ease. The interview also should take place in an environment as free of
distraction as possible. In addition, the nurse should clarify which information will be shared with
other members of the health care team and any limits to the confidentiality.
2. Which is considered a block to effective communication?
a. Using silence
b. Using clichs
c. Directing the focus
d. Defining the problem
CORRECT ANSWER: B
Using stereotyped comments or clichs can block effective communication. After the nurse uses
such trite phrases, parents often do not respond. Silence can be an effective interviewing tool.
Silence permits the interviewee to sort out thoughts and feelings and search for responses to
questions. To be effective, the nurse must be able to direct the focus of the interview while allowing
maximum freedom of expression. By using open-ended questions and guiding questions, the nurse
can obtain the necessary information and maintain a relationship with the family. The nurse and
parent must collaborate and define the problem that will be the focus of the nursing intervention.
3. Which is the single most important factor to consider when communicating with children?
a. Presence of the childs parent
~3~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
b. Childs physical condition
c. Childs developmental level
d. Childs nonverbal behaviors
CORRECT ANSWER: C
The nurse must be aware of the childs developmental stage to engage in effective communication.
The use of both verbal and nonverbal communication should be appropriate to the developmental
level. Nonverbal behaviors vary in importance based on the childs developmental level and physical
condition. Although the childs physical condition is a consideration, developmental level is much
more important. The presence of parents is important when communicating with young children
but may be detrimental when speaking with adolescents.
4. Because children younger than 5 years are egocentric, the nurse should do which when
communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private.
CORRECT ANSWER: A
Because children of this age are able to see things only in terms of themselves, the best approach
is to focus communication directly on them. Children should be provided with information about
what they can do and how they will feel. With children who are egocentric, analogies, experiences,
and assurances that communication is private will not be effective because the child is not capable
of understanding.
5. The nurses approach when introducing hospital equipment to a preschooler who seems
afraid should be based on which principle?
a. The child may think the equipment is alive.
b. Explaining the equipment will only increase the childs fear.
c. One brief explanation will be enough to reduce the childs fear.
d. The child is too young to understand what the equipment does.
CORRECT ANSWER: A
Young children attribute human characteristics to inanimate objects. They often fear that the
objects may jump, bite, cut, or pinch all by themselves without human direction. Equipment should
~4~
