Essentials of Pediatric Nursing , (5th Edition,
Exam Questions) (Ch. 1–29)| Questions And
Answer With Rationales|Brand New And
New Edition.
_____________________________________________________________________________________
A new mother reports that she is exhausted and that the little sleep she gets is determined by her
baby. Which suggestion should the nurse prioritize to help the mother establish healthy sleeping
patterns in her infant?
Use the crib for sleeping only, not for play activities.
The nurse is conducting a class for new parents of infants. The nurse determines the session is
successful when the parents correctly choose which instruction concerning bathing their infant?
"When I bathe my baby, I shampoo his hair each time as well."
A nurse is talking to and making facial expressions at a 9-month-old baby girl during a routine office
visit. What is the most advanced milestone of language development that the nurse should expect to
see in this child?
The infant says "da-da" when looking at her father
The nurse is assessing the motor skills of an infant who is 9 months old. Which motor skills should the
nurse prepare to assess in an infant achieving normal growth and development milestones?
Is eating cereal using the thumb and index finger
A mother is discussing her 10-month-old boy with the nurse. Which comment indicates a need for
teaching?
"He loves being in his walker and 'zips' around the house."
The nurse is examining an 8-month-old girl for appropriate development during a regular check-up.
Which observation points to a developmental risk?
Uses only the left hand to grasp
The nurse is helping the mother of a 5-month-old boy understand the importance of developmentally
appropriate play. Which one of the toys best meets the needs of this child?
A yellow rubber duck for the bath
The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish-speaking
mother. The boy does not say specific words such as mama or dada yet. What is the priority
intervention?
,Asking the mother if the child uses Spanish words
The nurse is meeting with a group of new mothers of infants and is leading the discussion related to
weaning. Which suggestion should the nurse prioritize to this group of mothers concerning weaning
their infant?
"It is important to let the infant set the pace for weaning, no matter what age they are."
A new mother, when asked by a nurse, explains that her 4-month-old infant has been nursing
regularly every 3 to 4 hours and seems satisfied. However, the mother recently introduced solid food
in the form of unbuttered popcorn to the baby as a supplement, to "get her used to eating solid
food." She felt that the popcorn would be safe because it is soft on the baby's gums. What should be
the primary nursing diagnosis in this situation?
Risk for aspiration related to feeding the infant an inappropriate food
The nurse is reveiwing the diet of an 8-month-old infant with the mother who reveals she has been
using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she
is including in the formula?
Iron
A new mother tells the nurse that she a bought car seat for her infant at a garage sale when she was
pregnant but that a friend recently told her that she should buy a new one. Which instruction would
the nurse give initially?
Check the expiration date on the car seat
The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the
nurse that their daughter often speaks in this type of broken speech. What would be the nurse's
appropriate response to this concern?
"This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."
Which gross motor developmental milestone is least likely for a 2 year old?
Rides a tricycle
During a well-child visit, a mother tells the nurse that she uses timeout to discipline her 2 year old.
The nurse determines that the mother understands the concept of timeout when the mother states
that she keeps the toddler in time out for _______.
2
While awaiting an appointment at the doctor's office for his 20-month-old daughter, a young father is
astonished to see his daughter assume a proper stance and swing a toy golf club in the play area of
the waiting room. A nurse also observes the behavior, and the father recalls that his daughter saw
him practicing his golf swing in their back yard a few days ago. The nurse explains that this is an
instance of which of the following?
Deferred imitation
,When leaving a child who has separation anxiety, parents should say goodbye firmly, explain that
they will return, and then leave promptly.
True
The nurse is explaining safety precautions for toddlers to the mother of a normal 30-month-old boy.
Which activity might the nurse suggest may be done without supervision?
Undressing himself
When observing a group of toddlers playing in a child care setting, it is noted that the toddlers are all
playing with buckets and shovels but are not playing with each other. This type of play is referred to
as:
Parallel play
In discussing their 2-year-old's behavior with the nurse, which of the parents' statements suggests the
child may be ready for toilet teaching?
The child hides behind her bedroom door when defecating.
The nurse finds the diet of a 30-month-old girl to be low in calcium. What suggestion can significantly
increase this toddler's calcium intake?
Give her slices of cheddar cheese as a snack.
The nurse is watching toddlers at play. Which normal behavior would the nurse observe?
Toddlers engage in parallel play.
Parents of a 2-year-old girl are having a conversation with the nurse about tantrums. Which technique
would the nurse most likely suggest?
Use short "time-outs" and remain calm.
A group of caregivers of toddlers are discussing the form of discipline in which the child is placed in a
"time-out" chair. Which statement made by these caregivers is most appropriate related to this form
of discipline?
"When my son starts getting frustrated and aggressive, I remind him that if he throws a fit he will have
to go to time out."
Parents and their 35-month-old child have returned to the clinic for a follow-up appointment. Which
of the findings may signal a speech delay?
Uses two-word sentences or phrases
What statement by the mother of a 20-month-old indicates a need for further teaching about
nutrition?
"I give my daughter juice at breakfast and when she is thirsty during the day."
, The nurse is providing parental anticipatory guidance to promote healthy emotional development in a
12-month-old boy. Which statement best accomplishes this?
A regular routine and rituals will provide stability and security.
The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor
development?
The child is unable to push a toy lawnmower.
The nurse observing toddlers in a day care center notes that they may be happy and pleasant one
moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of
the toddler's developmental task that is driving this behavior?
The need for separation and control
During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his
parents. Which statement from the parents reflects a recommended guideline for promoting healthy
sleep in this age group?
We keep a strict bedtime ritual for our son, which includes a bath and bedtime story."
The 18-month-old has most likely attained which gross motor skill?
The ability to walk independently.
A mother is concerned because her 14-month-old son, who had a big appetite when breast-feeding a
few months ago, seems uninterested in eating solid food. She still breast-feeds him daily, but is
thinking of weaning him soon. How should the nurse respond to this mother?
"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his
plate."
The nurse has completed an examination of a 32-month-old girl with normal gross and fine motor
skills. Which observation would suggest the child is experiencing a problem with language
development?
Her vocabulary is between 10 and 15 words.
Parents of a toddler describe how they handled their child's temper tantrum in a shopping mall. What
action of the parents indicates need for additional teaching?
Reasoned with the child to stop the behavior
The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the
nurse that their daughter often speaks in this type of broken speech. What would be the nurse's
appropriate response to this concern
"This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."
A nurse is presenting a class on toilet training to a group of parents with toddlers. Which information
would the nurse include in the class? Select all that apply.
Exam Questions) (Ch. 1–29)| Questions And
Answer With Rationales|Brand New And
New Edition.
_____________________________________________________________________________________
A new mother reports that she is exhausted and that the little sleep she gets is determined by her
baby. Which suggestion should the nurse prioritize to help the mother establish healthy sleeping
patterns in her infant?
Use the crib for sleeping only, not for play activities.
The nurse is conducting a class for new parents of infants. The nurse determines the session is
successful when the parents correctly choose which instruction concerning bathing their infant?
"When I bathe my baby, I shampoo his hair each time as well."
A nurse is talking to and making facial expressions at a 9-month-old baby girl during a routine office
visit. What is the most advanced milestone of language development that the nurse should expect to
see in this child?
The infant says "da-da" when looking at her father
The nurse is assessing the motor skills of an infant who is 9 months old. Which motor skills should the
nurse prepare to assess in an infant achieving normal growth and development milestones?
Is eating cereal using the thumb and index finger
A mother is discussing her 10-month-old boy with the nurse. Which comment indicates a need for
teaching?
"He loves being in his walker and 'zips' around the house."
The nurse is examining an 8-month-old girl for appropriate development during a regular check-up.
Which observation points to a developmental risk?
Uses only the left hand to grasp
The nurse is helping the mother of a 5-month-old boy understand the importance of developmentally
appropriate play. Which one of the toys best meets the needs of this child?
A yellow rubber duck for the bath
The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish-speaking
mother. The boy does not say specific words such as mama or dada yet. What is the priority
intervention?
,Asking the mother if the child uses Spanish words
The nurse is meeting with a group of new mothers of infants and is leading the discussion related to
weaning. Which suggestion should the nurse prioritize to this group of mothers concerning weaning
their infant?
"It is important to let the infant set the pace for weaning, no matter what age they are."
A new mother, when asked by a nurse, explains that her 4-month-old infant has been nursing
regularly every 3 to 4 hours and seems satisfied. However, the mother recently introduced solid food
in the form of unbuttered popcorn to the baby as a supplement, to "get her used to eating solid
food." She felt that the popcorn would be safe because it is soft on the baby's gums. What should be
the primary nursing diagnosis in this situation?
Risk for aspiration related to feeding the infant an inappropriate food
The nurse is reveiwing the diet of an 8-month-old infant with the mother who reveals she has been
using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she
is including in the formula?
Iron
A new mother tells the nurse that she a bought car seat for her infant at a garage sale when she was
pregnant but that a friend recently told her that she should buy a new one. Which instruction would
the nurse give initially?
Check the expiration date on the car seat
The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the
nurse that their daughter often speaks in this type of broken speech. What would be the nurse's
appropriate response to this concern?
"This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."
Which gross motor developmental milestone is least likely for a 2 year old?
Rides a tricycle
During a well-child visit, a mother tells the nurse that she uses timeout to discipline her 2 year old.
The nurse determines that the mother understands the concept of timeout when the mother states
that she keeps the toddler in time out for _______.
2
While awaiting an appointment at the doctor's office for his 20-month-old daughter, a young father is
astonished to see his daughter assume a proper stance and swing a toy golf club in the play area of
the waiting room. A nurse also observes the behavior, and the father recalls that his daughter saw
him practicing his golf swing in their back yard a few days ago. The nurse explains that this is an
instance of which of the following?
Deferred imitation
,When leaving a child who has separation anxiety, parents should say goodbye firmly, explain that
they will return, and then leave promptly.
True
The nurse is explaining safety precautions for toddlers to the mother of a normal 30-month-old boy.
Which activity might the nurse suggest may be done without supervision?
Undressing himself
When observing a group of toddlers playing in a child care setting, it is noted that the toddlers are all
playing with buckets and shovels but are not playing with each other. This type of play is referred to
as:
Parallel play
In discussing their 2-year-old's behavior with the nurse, which of the parents' statements suggests the
child may be ready for toilet teaching?
The child hides behind her bedroom door when defecating.
The nurse finds the diet of a 30-month-old girl to be low in calcium. What suggestion can significantly
increase this toddler's calcium intake?
Give her slices of cheddar cheese as a snack.
The nurse is watching toddlers at play. Which normal behavior would the nurse observe?
Toddlers engage in parallel play.
Parents of a 2-year-old girl are having a conversation with the nurse about tantrums. Which technique
would the nurse most likely suggest?
Use short "time-outs" and remain calm.
A group of caregivers of toddlers are discussing the form of discipline in which the child is placed in a
"time-out" chair. Which statement made by these caregivers is most appropriate related to this form
of discipline?
"When my son starts getting frustrated and aggressive, I remind him that if he throws a fit he will have
to go to time out."
Parents and their 35-month-old child have returned to the clinic for a follow-up appointment. Which
of the findings may signal a speech delay?
Uses two-word sentences or phrases
What statement by the mother of a 20-month-old indicates a need for further teaching about
nutrition?
"I give my daughter juice at breakfast and when she is thirsty during the day."
, The nurse is providing parental anticipatory guidance to promote healthy emotional development in a
12-month-old boy. Which statement best accomplishes this?
A regular routine and rituals will provide stability and security.
The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor
development?
The child is unable to push a toy lawnmower.
The nurse observing toddlers in a day care center notes that they may be happy and pleasant one
moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of
the toddler's developmental task that is driving this behavior?
The need for separation and control
During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his
parents. Which statement from the parents reflects a recommended guideline for promoting healthy
sleep in this age group?
We keep a strict bedtime ritual for our son, which includes a bath and bedtime story."
The 18-month-old has most likely attained which gross motor skill?
The ability to walk independently.
A mother is concerned because her 14-month-old son, who had a big appetite when breast-feeding a
few months ago, seems uninterested in eating solid food. She still breast-feeds him daily, but is
thinking of weaning him soon. How should the nurse respond to this mother?
"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his
plate."
The nurse has completed an examination of a 32-month-old girl with normal gross and fine motor
skills. Which observation would suggest the child is experiencing a problem with language
development?
Her vocabulary is between 10 and 15 words.
Parents of a toddler describe how they handled their child's temper tantrum in a shopping mall. What
action of the parents indicates need for additional teaching?
Reasoned with the child to stop the behavior
The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the
nurse that their daughter often speaks in this type of broken speech. What would be the nurse's
appropriate response to this concern
"This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."
A nurse is presenting a class on toilet training to a group of parents with toddlers. Which information
would the nurse include in the class? Select all that apply.
