Pediatrics AT1 practice Q's & A’s 2024 with 100% Verified & Updated

Pediatrics AT1 practice Q's & A’s 2024 with 100% Verified & Updated Priority finding to report for a brain tumor= -Answer-Increased intracranial pressure (ICP) A nurse is caring for an adolescent who has sustained a closed head injury. Which of the following are clinical manifestations of increased intracranial pressure (ICP)? Select all. A. Report of headache B. Alteration in pupillary response C. Increased motor response D. Increased sleeping E. Increased sensory response -Answer-A, B, D Not C-decreased motor response is a sign of ICP, Not E-decreased sensory response is a sign of ICP What are the clinical manifestations of ICP in infants? -Answer-Bulging fontanel, separation of cranial sutures, irritability, increased sleeping, high-pitched cry, poor feeding & setting-sun sign What are the clinical manifestations of ICP in children? -Answer-nausea, vomiting, headache, blurred vision, increased sleeping, inability to follow simple commands, & seizures Home safety for infants: hot water thermostats should be set at or below= -Answer-49 C (120 F) Home safety for infants: crib slats should be no farther apart than= -Answer-6 cm (2.375 in) Home safety for infants: Crib mobiles or crib gyms should be removed by= -Answer-4 to 5 months of age What is Pediculosis capitis? -Answer-head lice What are the clinical manifestations of pediculosis capitis? -Answer--small red bumps on the scalp -intense itching -nits (white specks) on the hair shaft A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following should the nurse include in the teaching? A. Apply mayonnaise to the affected area at night B. Treat all household pets C. Use an over-the-counter medication containing 1% permethrin D. Discard the child's stuffed animals -Answer-C. Pediculosis capitis is treated w/1% permethrin, which can be purchased over the counter It does not affect pets, it is transmitted person to person. Home remedies like mayo increase the risk of infection & should be avoided. Items such as stuffed animals that cannot be placed in the laundry can be sealed in a bag for 14 days to kill the lice. Restraining methods for an infant include... -Answer--non-nutritive sucking (sugar pacifier) prior, during, & after procedure -allow the parents to stay -swaddle -therapeutic holding -use a 24-29 gauge catheter -apply EMLA topical to multiple sites prior to injection A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include? Select all. A. Develop food habits that will prevent dental caries B. Meeting caloric needs results in an increased appetite C. Expression of bedtime fears is common D. Expect behaviors associated w/negativism & ritualism E. Annual screenings for phenylketouria are important -Answer-A, C, D Not B because toddlers often experience physiologic anorexia & become fussy eaters because of a decreased appetite Not E because screening for this is for the newborn. Anterior fontanels close by= -Answer-18 months of age At 30 mos, toddlers should weigh _______their birth weights. -Answer-4 times Head & chest circumference are usually equal by what age? -Answer-1 to 2 yrs By 2 years, the toddler can make _____sentences by combing ______to _____words - Answer-multiword 2 to 3 words What Erikson stage is the toddler (1-3 yrs)? -Answer-Autonomy vs. shame & doubt Toddlers are __________. Meaning they are unable to see the perspectives of others and can only view things from their point of view. -Answer-egocentric Toddlers develop gender identity by what age? -Answer-3 years What type of play do toddlers start to do? -Answer-parallel play A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform? Select all. A. Build a tower w/6 blocks B. Throw a ball overhand C. Walk up & down stairs D. Draw circles E. Use a spoon w/out rotation -Answer-B, E A-the toddler should be able to build a tower w/6 blocks by 2 yrs C-also at 2 years D-this is done at 2 1/2 yrs Immunizations: Hepatitis B (HepB) # of doses= schedule of doses= -Answer-# of doses=3 schedule: -birth -1 to 2 mos -6 to 18 mos Immunizations: Rotavirus (RV) minimum age= # of doses= schedule of doses= -Answer-min age=16 wks # of doses=2 schedule= -2 mos -4 mos The Rotavirus (RV) series should not be initiated for children older than... -Answer-15 wks Immunizations: DTaP