NUR 471 EXAM 1 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+ NEWLY UPDATED 2025
A nurse is supporting a 14-year-old boy and his parents after a recent cancer
diagnosis that will require surgery. What is the most important action to
support family-centered care?
a) Schedule another consultation with the cancer specialist
b) Explain how to care for the child at home after surgery
c) Encourage the child and family to take part in making decisions ✔✔
d) Review treatment choices with both the child and parentsWhat are going to be
the pediatric assessment variances? - ANSWERS✔✔· Speech
· Skin easily burned and hurt - water should be slightly warmer than room temp
· Fontanels (until ~18 mos.) - if closed earlier than they can have neurologic
damage, may need to reopen to grow
· Eyes: Acuity tested after age 3: "Tumbling E" or "HOTV"
o Cover/uncover test for strabismus (eye muscles) eyes are blurry and fuzzy, black
and white
· Teething begins ~ 6 mos.
o ~ 6 teeth at age 1 begin teeth at 6 month,
o How much teeth - Age and month -6
o 9months - should have 3 teeths
o First dentist appointment - first 2 teeths
· Abdominal breathing normal til ~ 7 years → diaphragmatic breathing
· Cardiac: sinus arrhythmia common, murmurs common during ↑ metabolism
o Sinus arrhythmia is a normal physiological phenomenon, most commonly seen in
young, healthy people. The heart rate varies due to reflex changes in vagal tone
during the different stages of the respiratory cycle. Inspiration increases the heart
rate by decreasing vagal tone.
,· Abdomen-GENTLE palpation only
· Genitalia/Tanner (sexual maturity) staging
· M/S: spinal alignment a concern
What age should teeth begin? - ANSWERS✔✔6 montjhs
When should be the first dentist appontments? - ANSWERS✔✔When the first 2
teeths appear
At 9 mo, how many teeth should develop? - ANSWERS✔✔3
What type of breathing do pediatric patients have and when does it end? -
ANSWERS✔✔abdominal breathing till age 7
Stepping, rooting, palmar grasp, moro , tonic neck, plantar reflexes all appears
when? - ANSWERS✔✔birth
What should stepping reflexes disappear? - ANSWERS✔✔2mo
When should rooting reflexes disappear? - ANSWERS✔✔4mo
Wjen should palmar grasps disappear? - ANSWERS✔✔5-6mo
When should moro reflexes disappear? - ANSWERS✔✔5-7mo
,When should tonic neck reflex disappear? - ANSWERS✔✔5-7mo
When should plantar grasp reflex disappear? - ANSWERS✔✔9-12mo
What is a normal temperature for a 1yo? - ANSWERS✔✔36.5-37
Weight should ____ by 6mo? - ANSWERS✔✔double
Weight should ______ by 1 year/12mo? - ANSWERS✔✔triple
What age should teeth arrupt? - ANSWERS✔✔6mo
If pediatric patient is less than the 5th percentile for weight they are at risk for ..? -
ANSWERS✔✔malnutrition, withdrawal and developmental delay
Those who are Failure to Thrive are at risk for ..? - ANSWERS✔✔PKU
How do we manage those with FTT? - ANSWERS✔✔· Nutrition
o Increase calories (quality calories) formula, can add formula to breast milks, or
nurse and give formula
o Feed using consistent methods (place, time, environment)
o Gentle encouragement
· Assess parent/child interactions
o Eye contact, assessing cues rooting, eye contact,
, o Role modeling
o Realistic expectations
· Facilitate improved physical, developmental status
o Consistent caregiver
o Role modeling
What is the priority goal for the nurse caring for an infant diagnosed with
nonorganic/non-physiologic failure to thrive?
a. Praise positive parenting
b. The child receives adequate nutrition for growth
c. Document all feedings and the child's response to feedings
d. Teach the parent not to spoil the child - ANSWERS✔✔b. The child receives
adequate nutrition for grown
The RN is teaching parents about the nutritional needs of the 1-year-old. Which
type of milk is recommended?
a. 2% milk beginning at 1 year
b. 1% milk beginning at 1 year
c. Whole milk until the age of 2 years
d. Skim/fat free milk beginning at 18 mos. - ANSWERS✔✔c. Whole milk until
the age of 2 years
rational: Cows milk introduces after 1 year because their GI is not mature enough,
can get GI bleeds
Age to introduce peanut butter - 6 months
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+ NEWLY UPDATED 2025
A nurse is supporting a 14-year-old boy and his parents after a recent cancer
diagnosis that will require surgery. What is the most important action to
support family-centered care?
a) Schedule another consultation with the cancer specialist
b) Explain how to care for the child at home after surgery
c) Encourage the child and family to take part in making decisions ✔✔
d) Review treatment choices with both the child and parentsWhat are going to be
the pediatric assessment variances? - ANSWERS✔✔· Speech
· Skin easily burned and hurt - water should be slightly warmer than room temp
· Fontanels (until ~18 mos.) - if closed earlier than they can have neurologic
damage, may need to reopen to grow
· Eyes: Acuity tested after age 3: "Tumbling E" or "HOTV"
o Cover/uncover test for strabismus (eye muscles) eyes are blurry and fuzzy, black
and white
· Teething begins ~ 6 mos.
o ~ 6 teeth at age 1 begin teeth at 6 month,
o How much teeth - Age and month -6
o 9months - should have 3 teeths
o First dentist appointment - first 2 teeths
· Abdominal breathing normal til ~ 7 years → diaphragmatic breathing
· Cardiac: sinus arrhythmia common, murmurs common during ↑ metabolism
o Sinus arrhythmia is a normal physiological phenomenon, most commonly seen in
young, healthy people. The heart rate varies due to reflex changes in vagal tone
during the different stages of the respiratory cycle. Inspiration increases the heart
rate by decreasing vagal tone.
,· Abdomen-GENTLE palpation only
· Genitalia/Tanner (sexual maturity) staging
· M/S: spinal alignment a concern
What age should teeth begin? - ANSWERS✔✔6 montjhs
When should be the first dentist appontments? - ANSWERS✔✔When the first 2
teeths appear
At 9 mo, how many teeth should develop? - ANSWERS✔✔3
What type of breathing do pediatric patients have and when does it end? -
ANSWERS✔✔abdominal breathing till age 7
Stepping, rooting, palmar grasp, moro , tonic neck, plantar reflexes all appears
when? - ANSWERS✔✔birth
What should stepping reflexes disappear? - ANSWERS✔✔2mo
When should rooting reflexes disappear? - ANSWERS✔✔4mo
Wjen should palmar grasps disappear? - ANSWERS✔✔5-6mo
When should moro reflexes disappear? - ANSWERS✔✔5-7mo
,When should tonic neck reflex disappear? - ANSWERS✔✔5-7mo
When should plantar grasp reflex disappear? - ANSWERS✔✔9-12mo
What is a normal temperature for a 1yo? - ANSWERS✔✔36.5-37
Weight should ____ by 6mo? - ANSWERS✔✔double
Weight should ______ by 1 year/12mo? - ANSWERS✔✔triple
What age should teeth arrupt? - ANSWERS✔✔6mo
If pediatric patient is less than the 5th percentile for weight they are at risk for ..? -
ANSWERS✔✔malnutrition, withdrawal and developmental delay
Those who are Failure to Thrive are at risk for ..? - ANSWERS✔✔PKU
How do we manage those with FTT? - ANSWERS✔✔· Nutrition
o Increase calories (quality calories) formula, can add formula to breast milks, or
nurse and give formula
o Feed using consistent methods (place, time, environment)
o Gentle encouragement
· Assess parent/child interactions
o Eye contact, assessing cues rooting, eye contact,
, o Role modeling
o Realistic expectations
· Facilitate improved physical, developmental status
o Consistent caregiver
o Role modeling
What is the priority goal for the nurse caring for an infant diagnosed with
nonorganic/non-physiologic failure to thrive?
a. Praise positive parenting
b. The child receives adequate nutrition for growth
c. Document all feedings and the child's response to feedings
d. Teach the parent not to spoil the child - ANSWERS✔✔b. The child receives
adequate nutrition for grown
The RN is teaching parents about the nutritional needs of the 1-year-old. Which
type of milk is recommended?
a. 2% milk beginning at 1 year
b. 1% milk beginning at 1 year
c. Whole milk until the age of 2 years
d. Skim/fat free milk beginning at 18 mos. - ANSWERS✔✔c. Whole milk until
the age of 2 years
rational: Cows milk introduces after 1 year because their GI is not mature enough,
can get GI bleeds
Age to introduce peanut butter - 6 months
