Pediatric Success Growth and Development Exam 2023

1. A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is: 1. "At 6 months his weight should be approximately three times his birth weight." 2. "Each child gains weight at his or her own pace." 3. "At 6 months his weight should be approximately twice his birth weight." 4. "At 6 months a child should weigh about 10 lb more than his or her birth weight." - ANS-1. 1. At 6 months the weight should be approximately two times the birth weight. 2. Infants gain weight at their own pace but should double the birth weight by 4 to 6 months. *3. Infants should double their birth weight by 4 to 6 months of age.* 4. By 6 months an infant should have doubled the birth weight; 10 lb is a lot of weight to gain in 4 to 6 months. 2. How can the nurse best facilitate the trust relationship between infant and parents while the infant is hospitalized? The nurse should: 1. Encourage the parents to remain at their child's bedside as much as possible. 2. Keep parents informed about all aspects of their child's condition. 3. Encourage the parents to hold their child as much as possible. 4. Advise the parents to participate actively in their child's care. - ANS-1. Having parents close to the child is important, but infants are most secure when they are being held, patted, and talked to. 2. It is important that the nurse keep the parents informed about their child's condition, but it does not have any impact on the child's trustversus-mistrust relationship with the parents. *3. Having parents hold their child while in the hospital is an excellent means of building the trust relationship. Infants are most secure when they are being held, patted, and spoken to.* 4. Parents should be encouraged to learn their child's care, but it is not the best means of enhancing the trust relationship. 3. The nurse is going to give a 6-month-old a dose of Rocephin IM. What must the nurse do when the 1.5-mL dose arrives from the pharmacy? 1. Administer the injection into the deltoid muscle. 2. Divide the dose into two injections. 3. Administer the injection into the dorsogluteal muscle... 29. A 3-year-old is hospitalized for an ASD repair. The parents have decided to go home for a few hours to spend time with her siblings. The child asks when her mommy and daddy will be back. The nurse's best response is: 1. "Your mommy and daddy will be back after your nap." 2. "Your mommy and daddy will be back at 6:00 p.m." 3. "Your mommy and daddy will be back later this evening." 4. "Your mommy and daddy will be back in 3 hours." - ANS-*1. Preschoolers understand time in relation to events.* 2. Preschoolers cannot tell time. 3. Preschoolers want concrete information, and the words "this evening" are not meaningful to them. 4. Preschoolers have no concept how long an hour is. 30. Which approach should the nurse use to gather information from a child brought to the ED for suspected child abuse? 1. Promise the child that her parents will not know what she tells the nurse. 2. Promise the child that she will not have to see the suspected abuser again. 3. Use correct anatomical terms to discuss body parts. 4. Tell the child that the abuse is not her fault and that she is a good person. - ANS-1. The nurse should always be honest with the child to develop a level of trust. The nurse should not promise not to tell. 2. The nurse should not make a promise that cannot be kept. Once again, the trust relationship could be jeopardized if the child feels the nurse lied. 3. The nurse should discuss body parts in relation to the child's vocabulary. *4. Many young children believe abuse or illness is their fault, and they should be reminded they are not to blame. Many children this age believe they have acquired a disease or have been abused because they are bad people.* 31. Which reaction would a nurse expect when giving a preschooler immunizations?... 55. A 16-year-old is having a discussion with the nurse about the teen's recent diagnosis of lupus. In explaining the child's prognosis, the nurse uses the knowledge that adolescents are: 1. Preoccupied with thoughts of the here and now. 2. Able to understand and imagine possibilities for the future. 3. Capable of thinking only in concrete terms. 4. Overly concerned with past events and relationships. - ANS-1. Adolescents are becoming abstract thinkers and are able to imagine possibilities for the future. *2. Adolescents are becoming abstract thinkers and are able to imagine possibilities for the future.* 3. Preschool and school-age children think in concrete terms. Adolescents are beginning to think in abstract terms. 4. Adolescents are becoming abstract thinkers and are able to imagine possibilities for the future. They are not preoccupied with past events. 56. The mother of a 13-year-old girl tells the nurse that she is concerned because her daughter has gained 10 lb since she began puberty. The child's mother asks the nurse for advice about what to do about her daughter's weight gain. Which should the nurse do? 1. Provide the child's mother with some pamphlets on nutrition and healthy eating. 2. Provide the child's mother with information about a new exercise program for teens. 3. Inform the child's mother that it is common for teen girls to gain weight during puberty. 4. Inform the child's mother that her daughter will likely gain another 5 to 10 lb in the next year. - ANS-1. The child's mother may be interested in information relating to proper nutrition and exercise. However, the most important thing is for the nurse to let the child's mother know that this is a normal finding in teenage girls as they enter puberty. 2. The child's mother may be interested in information relating to proper nutrition and exercise. However, the most important thing is for the nurse to let the mother know that this is a normal finding in teenage girls as they enter puberty. *3. The nurse should tell the child's mother that this is a normal finding in teenage girls as they enter puberty.* 4. The nurse knows that it is normal for girls to gain weight during puberty but has no idea how much weight the child will gain or if she will gain any more. 57. A 13-year-old tells the nurse that he is worried because his breasts are growing. They hurt, and he is embarrassed to take his shirt off during gym class. What should the nurse tell him? 1. "The pediatrician will draw some blood to find out why your breasts are growing." 2. "It is just a slight hormonal imbalance that can be easily corrected with medication." 3. "This is a normal condition of puberty that will resolve within a year or two." 4. "This is a rare finding that occurs in about 5% of boys during puberty." - ANS-1. Gynecomastia and breast tenderness are common for about a third of boys during middle puberty. Gynecomastia usually resolves in 2 years. 2. Gynecomastia and breast tenderness are common for about a third of boys during middle puberty. Gynecomastia usually resolves in 2 years. *3. Gynecomastia and breast tenderness are common for about a third of boys during middle puberty. Gynecomastia usually resolves in 2 years.* 4. Gynecomastia and breast tenderness are common for about a third of boys during middle puberty. Gynecomastia usually resolves in 2 years. 58. An adolescent has a diagnosis of new-onset diabetes. What would most influence a teenager's food choices as he begins to make changes in his diet?... CONTINUES...