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PEDIATRIC EXAM ACTUAL QUESTIONS WITH COMPLETE
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Terms in this set (122)
Myringotomy is a surgical opening into the eardrum to permit drainage of
A 2-year-old toddler has hearing loss
accumulated fluid associated with otitis media. Ear drops are not used because they
caused by recurrent otitis media.
will obscure the view of the tympanic membrane. Removal of the mastoid will
What
not
treatment does the nurse anticipate that
relieve pressure within inflamed ears. Antibiotics, not steroids, are used for an
the practitioner will recommend?
infectious process.
What does the nurse state is the cause of Immature immune system
frequent upper respiratory tract infections
in toddlers?
A toddler on the pediatric unit is Toddlers are ritualistic and do not tolerate change well; any change in diet should
required to have temporary dietary be done matter of factly.
restrictions after colorectal surgery. What
is the best way for the nurse to promote
adherence to the restrictions?
age range for toddler years 12-36mos
While in the playroom of a pediatric It is a typical expression of toddlers' social development. As part of the socialization
unit the nurse sees several toddlers process, toddlers enjoy playing beside other children (parallel play).
seated at a table trying to copy the same
picture from a book. They are not talking
to each other or sharing their crayons.
What does the
nurse conclude about this behavioral
interaction?
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AM
A nurse is obtaining a health history from Steatorrhea (fatty, foul-smelling, frothy, bulky stools) occurs with celiac disease
the mother of a 15-month-old toddler with because of an intolerance to gluten; toxic substances, which can damage the
celiac disease. The nurse expects the intestinal mucosal cells, accumulate and cause diarrhea.
mother to indicate what about her toddler?
What is the priority nursing care in the Checking the toddler's peripheral circulation. Priority nursing care for any cast
immediate postoperative period for a application includes checking the color and temperature of the area surrounding
toddler with a newly applied hip spica the cast to ensure that the cast is not too tight. A tight cast compresses arteries
cast? and veins, thereby impairing circulation.
"Call the Poison Control Center."
The parent of a 2-year-old calls a nurse
The Poison Control Center will provide the best guidance for treatment of excess
who is a neighbor and reports that the
ingestion of a substance; enemas, lavage, or chelation therapy with deferoxamine
child just ate several multivitamins with iron.
(Desferal), a heavy metal antagonist, may be recommended, depending on the
What should the nurse say to the parent?
amount ingested and the child's age and response.
A nurse in the daycare center is Parallel: Toddlers play independently but beside other children; they are aware
teaching several aides about the play of the other children, often grabbing toys from them, but do not socially interact
behavior of 2- year-old toddlers. What is with them.
this type of play
called?
Elbow restraints are prescribed for an 18- The suture lines in the mouth must be protected. Because the toddler uses the
month-old toddler who just had surgery for mouth to explore the environment, elbow restraints are needed to keep the child
a cleft palate. The nurse explains to the from placing fingers or objects in the mouth.
parents that the restraints are used to keep
the child from doing what?
During which health maintenance visit for a 18mos
toddler-age client should the nurse assess
the ability to throw a ball overhand
without
losing balance?
While obtaining the health history of a 15- White spots in the mouth (Koplik spots) and the rash, combined with increased
month-old toddler, the child of a migrant mucus secretions (coryza), are indicative of measles (rubeola).
worker, a nurse learns that the infant
recently had a fever, runny nose, cough,
and white spots in the mouth lasting 3 days.
A rash started on the face and spread
to the whole body. What communicable
disease does the nurse suspect the
infant suffered from?
The nurse discusses discipline with Explaining the reason for the time-out before and after reinforces the child's
parents of a 4-year-old child. Which association of the time-out with the undesirable behavior, allowing the child to work
parental to control those behaviors.
statement regarding time-out reflects an
appropriate application of this method of
discipline?
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