Pediatric Nursing Exam 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." correct answers3. "At 6 months his weight should be
approximately twice his birth weight."
Rationale: Infants should double their weight by 4-6-months of age.
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.
correct answers3. Encourage the parents to hold their child as much as
possible.
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?
5. Administer the injection into the deltoid muscle.
6. Divide the dose into two injections.
7. Administer the injection into the dorsogluteal muscle.
8.Give dose as a single injection into the vastus lateralis muscle.
correct answers2. Divide the dose into two injections.
Rationale: A nurse should not deliver more than 1 mL per IM injection to
a 6-month old.
Which statement by an infant's mother leads the nurse to believe she
needs further education about the nutritional needs of a 6-month-old?
9. "I will continue to breastfeed my son and will give him rice cereal
three times a day."
10."I will start my son on fruits and gradually introduce vegetables."
11."I will start my son on carrots and will introduce one new vegetable
every few days."
12."I will not give my son any more than 8 ounces of baby juice per
day." correct answers2. "I will start my son on fruits and gradually
introduce vegetables."
Rationale: Infants should be started on vegetables prior to fruits. The
sweetness of fruits may inhibit infants from taking vegetables.
** As a parent, this is true! Trust me 😂
Which statement accurately describes the best method for assessing a 12-
month old?
,1. The nurse should assess the child on the examining table.
2. The nurse should assess the child in a head-to-toe sequence.
3. The nurse should have the child's mother assist in holding her down.
4.The nurse should assess the child while she is in her mother's lap.
correct answers4. The nurse should assess the child while she is in her
mother's lap.
The nurse is instructing a new breastfeeding mother in the need to provide
her premature infant with an adequate source of iron in her diet. Which
statement reflects a need for further education of the new mother?
5."I will use only breast milk or an iron-fortified formula as a source of
milk for my baby until she is at least 12 months old."
6. "My baby will need to have iron supplements introduce when she is 4
months old."
7. "I will need to add iron supplements to my baby's diet when she is 2
months old."
8.:When my baby begins to eat solid foods, I should introduce iron-fortified
cereals to her diet." correct answers3. "I will need to add iron supplements
to my baby's diet when she is 2 months old."
Rationale: Premature infants have iron stores from the mother that last
approximately 2 months, so it is important to introduce iron supplement by
2 months of age. Full-term infants have iron stores that last approximately 4-
6 months.
A first-time mother brings in her 5-day-old baby for a well-child visit. The
nurse weighs the infant and reports a weight of 7 lbs 5 oz to the mother. The
mother looks concerned and tells the nurse that her baby weighed 7 lb 10
oz when she was discharged 4 days ago. The nurse's best response to the
mother is:
1."I will let the doctor the doctor know, and he will talk with you
about the possible causes of our infant's weigh loss."
2."A weight loss of a few ounces is common among newborns,
especially for breastfeeding mothers."
3.I can tell you are a first-time mother. Don't worry; we will find out why
she is losing weight."
4."Maybe she isn't getting enough milk. How often are you breastfeeding
her?" correct answers2. "A weight loss of a few ounces is common among
newborns, especially for breastfeeding mothers."
Which toy is the best choice for a 12-month-old?
9. Baby doll
10.Musical rattle
11.Board book
12.Colorful beads correct answers2. Musical rattle
Rationale: A musical rattle is the perfect toy for this child. Infants have
short attention spans and enjoy auditory and visual stimulation.
** 1 and 3 are good options, but they will likely just put them in their
mouth, so they're not the best option. 4 is a choking hazard.
, The parents of a newborn are asking the nurse how to use the infant car
seat and where it should be placed in their vehicle. Which is the next most
appropriate action by the nurse?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car, and show them how to install the car
seat.
3.Contact the hospital's car seat safety officer, and ask the officer to
accompany the parents to the car for car seat installations.
4.Show the parents a video on car seat installation and safety, and
ask if they are comfortable with the information. correct answers3.
Contact the hospital's car seat safety officer, and ask the officer to
accompany the parents to the car for car seat installations.
Rationale: The car seat safety officer is the best choice, as that individual
would have the needed information and certification to help the family.
The mother of a newborn asks the nurse when the infant will receive the first
hepatitis B immunization. Which is the nurse's best response?
5. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-
positive."
6. "The first dose of hepatitis B vaccine will be given prior to discharge
today."
7. "The first dose of hepatitis B vaccine is given at 1 year of age."
8."Babies receive their first hepatitis B vaccine at 6-months of age."
correct answers2. "The first dose of hepatitis B vaccine will be given prior to
discharge today."
Which finding would the nurse consider abnormal when performing
a physical assessment on a 6-month-old?
9. The posterior fontanel is open.
10.The anterior fontanel is open.
11.Beginning signs of tooth eruption.
12.Able to track and follow objects. correct answers1. The posterior
fontanel is open. Rationale: The posterior fontanel should close between 6
and 8 weeks of age. The anterior fontanel should close between 12 and 18
months of age. The other two options are normal.
A mother requests that her child receive the varicella vaccine at the 9-
month well-child checkup. The nurse tells the mother that:
1. Children who are vaccinated will likely develop a mild case of the
disease.
2. The vaccine cannot be given at that visit.
3. The vaccine will be administered after the physician examines the child.
4.A booster vaccination will be needed at 18 months of age. correct
answers2. The vaccine cannot be given at that visit.
Rationale: The nurse should not give the vaccine. The varicella vaccine is
usually not administered prior to 1 year of age.
What should parents understand is one of the most common causes of injury
and death for a 7-month-old infant?
13.Poisoning.
14.Child abuse.
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." correct answers3. "At 6 months his weight should be
approximately twice his birth weight."
Rationale: Infants should double their weight by 4-6-months of age.
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.
correct answers3. Encourage the parents to hold their child as much as
possible.
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?
5. Administer the injection into the deltoid muscle.
6. Divide the dose into two injections.
7. Administer the injection into the dorsogluteal muscle.
8.Give dose as a single injection into the vastus lateralis muscle.
correct answers2. Divide the dose into two injections.
Rationale: A nurse should not deliver more than 1 mL per IM injection to
a 6-month old.
Which statement by an infant's mother leads the nurse to believe she
needs further education about the nutritional needs of a 6-month-old?
9. "I will continue to breastfeed my son and will give him rice cereal
three times a day."
10."I will start my son on fruits and gradually introduce vegetables."
11."I will start my son on carrots and will introduce one new vegetable
every few days."
12."I will not give my son any more than 8 ounces of baby juice per
day." correct answers2. "I will start my son on fruits and gradually
introduce vegetables."
Rationale: Infants should be started on vegetables prior to fruits. The
sweetness of fruits may inhibit infants from taking vegetables.
** As a parent, this is true! Trust me 😂
Which statement accurately describes the best method for assessing a 12-
month old?
,1. The nurse should assess the child on the examining table.
2. The nurse should assess the child in a head-to-toe sequence.
3. The nurse should have the child's mother assist in holding her down.
4.The nurse should assess the child while she is in her mother's lap.
correct answers4. The nurse should assess the child while she is in her
mother's lap.
The nurse is instructing a new breastfeeding mother in the need to provide
her premature infant with an adequate source of iron in her diet. Which
statement reflects a need for further education of the new mother?
5."I will use only breast milk or an iron-fortified formula as a source of
milk for my baby until she is at least 12 months old."
6. "My baby will need to have iron supplements introduce when she is 4
months old."
7. "I will need to add iron supplements to my baby's diet when she is 2
months old."
8.:When my baby begins to eat solid foods, I should introduce iron-fortified
cereals to her diet." correct answers3. "I will need to add iron supplements
to my baby's diet when she is 2 months old."
Rationale: Premature infants have iron stores from the mother that last
approximately 2 months, so it is important to introduce iron supplement by
2 months of age. Full-term infants have iron stores that last approximately 4-
6 months.
A first-time mother brings in her 5-day-old baby for a well-child visit. The
nurse weighs the infant and reports a weight of 7 lbs 5 oz to the mother. The
mother looks concerned and tells the nurse that her baby weighed 7 lb 10
oz when she was discharged 4 days ago. The nurse's best response to the
mother is:
1."I will let the doctor the doctor know, and he will talk with you
about the possible causes of our infant's weigh loss."
2."A weight loss of a few ounces is common among newborns,
especially for breastfeeding mothers."
3.I can tell you are a first-time mother. Don't worry; we will find out why
she is losing weight."
4."Maybe she isn't getting enough milk. How often are you breastfeeding
her?" correct answers2. "A weight loss of a few ounces is common among
newborns, especially for breastfeeding mothers."
Which toy is the best choice for a 12-month-old?
9. Baby doll
10.Musical rattle
11.Board book
12.Colorful beads correct answers2. Musical rattle
Rationale: A musical rattle is the perfect toy for this child. Infants have
short attention spans and enjoy auditory and visual stimulation.
** 1 and 3 are good options, but they will likely just put them in their
mouth, so they're not the best option. 4 is a choking hazard.
, The parents of a newborn are asking the nurse how to use the infant car
seat and where it should be placed in their vehicle. Which is the next most
appropriate action by the nurse?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car, and show them how to install the car
seat.
3.Contact the hospital's car seat safety officer, and ask the officer to
accompany the parents to the car for car seat installations.
4.Show the parents a video on car seat installation and safety, and
ask if they are comfortable with the information. correct answers3.
Contact the hospital's car seat safety officer, and ask the officer to
accompany the parents to the car for car seat installations.
Rationale: The car seat safety officer is the best choice, as that individual
would have the needed information and certification to help the family.
The mother of a newborn asks the nurse when the infant will receive the first
hepatitis B immunization. Which is the nurse's best response?
5. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-
positive."
6. "The first dose of hepatitis B vaccine will be given prior to discharge
today."
7. "The first dose of hepatitis B vaccine is given at 1 year of age."
8."Babies receive their first hepatitis B vaccine at 6-months of age."
correct answers2. "The first dose of hepatitis B vaccine will be given prior to
discharge today."
Which finding would the nurse consider abnormal when performing
a physical assessment on a 6-month-old?
9. The posterior fontanel is open.
10.The anterior fontanel is open.
11.Beginning signs of tooth eruption.
12.Able to track and follow objects. correct answers1. The posterior
fontanel is open. Rationale: The posterior fontanel should close between 6
and 8 weeks of age. The anterior fontanel should close between 12 and 18
months of age. The other two options are normal.
A mother requests that her child receive the varicella vaccine at the 9-
month well-child checkup. The nurse tells the mother that:
1. Children who are vaccinated will likely develop a mild case of the
disease.
2. The vaccine cannot be given at that visit.
3. The vaccine will be administered after the physician examines the child.
4.A booster vaccination will be needed at 18 months of age. correct
answers2. The vaccine cannot be given at that visit.
Rationale: The nurse should not give the vaccine. The varicella vaccine is
usually not administered prior to 1 year of age.
What should parents understand is one of the most common causes of injury
and death for a 7-month-old infant?
13.Poisoning.
14.Child abuse.
