Pediatric Physical ExamP a g e | 1
Pediatric Physical Pediatric Physical
Examination 1 & Health Assessment 1st Edition
by Sawyer Test Banknation & Health
Assessment 1st Edition by Sawyer Test
Bankination & Health Assessment 1st Edition
by Sawyer Test Bank
P a g e 1 | 355
, Pediatric Physical ExamP a g e | 2
A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To aid the child's
growth and development, which intervention is most important for the nurse to implement?
A. Encourage the parents to participate in a planned program of play with the infant.
B. Refer the parents for psychological counseling to identify parental detachment.
C. Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
D. Provide instructions about formula preparation and feeding schedules. –
Correct AnswerC. Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
The nurse is caring for a premature infant who needs an IV access restarted. What action should the
nurse take when using adhesive tape?
A. Remove adhesives with water, mineral oil, or petrolatum.
B. Avoid using tape and adhesives until skin is more mature.
C. Use scissors carefully to remove tape instead of pulling tape off.
D. Employ solvents to remove adhesives instead of pulling on skin. –
Correct AnswerA. Remove adhesives with water, mineral oil, or petrolatum.
The nurse is collecting a blood sample from a newborn for a screening test for phenylketonuria (PKU).
When should the nurse obtain the blood sample?
A. At birth from cord blood.
B. Fourteen days after birth.
C. Before oral feedings are initiated.
D. After ingestion of a source of protein. –
Correct AnswerD. After ingestion of a source of protein.
A mother brings her 6-month-old infant to the clinic for a well-baby routine exam. Which vaccine(s)
should the nurse verify the infant has received? (Select all that apply.)
Select all that apply
P a g e 2 | 355
, Pediatric Physical ExamP a g e | 3
A. Meningococcal polysaccharide vaccine (MPSV4).
B. Haemophilus influenzae type b conjugate vaccine (Hib).
C. Inactivated poliovirus vaccine (IPV).
D. Hepatitis B virus vaccine (HepB).
E. Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
F. Measles, mumps, and rubella vaccine (MMR).
- Correct AnswerB. Haemophilus influenzae type b conjugate vaccine (Hib).
C. Inactivated poliovirus vaccine (IPV).
D. Hepatitis B virus vaccine (HepB).
E. Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
A mother expresses concern to the nurse about the behavior of her 15-year-old adolescent who is
frequently finding fault and criticizing her. What information should the nurse provide?
A. The family value system may need to be changed to meet the teen's changing needs.
B. Teens create psychological distance from parents in order to separate from them.
C. Parents should relinquish their relationship with their teen to the teen's peers.
D. Conflicts in the parent-teen relationship are to be expected during adolescence. –
Correct AnswerB. Teens create psychological distance from parents in order to separate from them.
After discussing the introduction of solid foods with the mother of a 6-month-old infant, the nurse
determines that the mother understands the information when she states that the first food she gives
the infant is from which food group?
A. Fruits.
B. Egg yolks.
C. Rice cereal.
P a g e 3 | 355
, Pediatric Physical ExamP a g e | 4
D. Yellow vegetables. –
Correct AnswerC. Rice cereal.
When plotting a 20-week-old infant's weight on a standardized growth chart, the nurse determines
that the child's weight is between the 2nd and 3rd percentile. Based on this finding, which action
should the nurse take?
A. Teach the parents about interventions for failure to thrive syndrome.
B. Compare this weight with previous weights recorded in the child's record.
C. Evaluate the parent's body build in relation to the infant's weight.
D. Obtain a 24-hour nutritional history before making any conclusions. –
Correct AnswerB. Compare this weight with previous weights recorded in the child's record.
Which research finding provides evidence-based practice for an infant's risk for sudden infant death
syndrome (SIDS)?
A. Breastfeeding reduces the risk for and the incidence of SIDS.
B. Infants should be positioned supine or supported laterally to sleep.
C. The prone position should be used when an infant sleeps after feeding.
D. The peak incidence occurs between the ages of 1 and 2 months. –
Correct AnswerB. Infants should be positioned supine or supported laterally to sleep.
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones because now
he can expect to grow and be just as tall as all of his friends. What response is best for the nurse to
provide?
A. "You must remember that this treatment regimen is not always effective."
B. "Although being tall is important to you, remember there are far more important characteristics
than height."
C. "You will grow with this medicine, and are likely to be taller than anyone in your family."
P a g e 4 | 355
Pediatric Physical Pediatric Physical
Examination 1 & Health Assessment 1st Edition
by Sawyer Test Banknation & Health
Assessment 1st Edition by Sawyer Test
Bankination & Health Assessment 1st Edition
by Sawyer Test Bank
P a g e 1 | 355
, Pediatric Physical ExamP a g e | 2
A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To aid the child's
growth and development, which intervention is most important for the nurse to implement?
A. Encourage the parents to participate in a planned program of play with the infant.
B. Refer the parents for psychological counseling to identify parental detachment.
C. Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
D. Provide instructions about formula preparation and feeding schedules. –
Correct AnswerC. Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
The nurse is caring for a premature infant who needs an IV access restarted. What action should the
nurse take when using adhesive tape?
A. Remove adhesives with water, mineral oil, or petrolatum.
B. Avoid using tape and adhesives until skin is more mature.
C. Use scissors carefully to remove tape instead of pulling tape off.
D. Employ solvents to remove adhesives instead of pulling on skin. –
Correct AnswerA. Remove adhesives with water, mineral oil, or petrolatum.
The nurse is collecting a blood sample from a newborn for a screening test for phenylketonuria (PKU).
When should the nurse obtain the blood sample?
A. At birth from cord blood.
B. Fourteen days after birth.
C. Before oral feedings are initiated.
D. After ingestion of a source of protein. –
Correct AnswerD. After ingestion of a source of protein.
A mother brings her 6-month-old infant to the clinic for a well-baby routine exam. Which vaccine(s)
should the nurse verify the infant has received? (Select all that apply.)
Select all that apply
P a g e 2 | 355
, Pediatric Physical ExamP a g e | 3
A. Meningococcal polysaccharide vaccine (MPSV4).
B. Haemophilus influenzae type b conjugate vaccine (Hib).
C. Inactivated poliovirus vaccine (IPV).
D. Hepatitis B virus vaccine (HepB).
E. Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
F. Measles, mumps, and rubella vaccine (MMR).
- Correct AnswerB. Haemophilus influenzae type b conjugate vaccine (Hib).
C. Inactivated poliovirus vaccine (IPV).
D. Hepatitis B virus vaccine (HepB).
E. Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
A mother expresses concern to the nurse about the behavior of her 15-year-old adolescent who is
frequently finding fault and criticizing her. What information should the nurse provide?
A. The family value system may need to be changed to meet the teen's changing needs.
B. Teens create psychological distance from parents in order to separate from them.
C. Parents should relinquish their relationship with their teen to the teen's peers.
D. Conflicts in the parent-teen relationship are to be expected during adolescence. –
Correct AnswerB. Teens create psychological distance from parents in order to separate from them.
After discussing the introduction of solid foods with the mother of a 6-month-old infant, the nurse
determines that the mother understands the information when she states that the first food she gives
the infant is from which food group?
A. Fruits.
B. Egg yolks.
C. Rice cereal.
P a g e 3 | 355
, Pediatric Physical ExamP a g e | 4
D. Yellow vegetables. –
Correct AnswerC. Rice cereal.
When plotting a 20-week-old infant's weight on a standardized growth chart, the nurse determines
that the child's weight is between the 2nd and 3rd percentile. Based on this finding, which action
should the nurse take?
A. Teach the parents about interventions for failure to thrive syndrome.
B. Compare this weight with previous weights recorded in the child's record.
C. Evaluate the parent's body build in relation to the infant's weight.
D. Obtain a 24-hour nutritional history before making any conclusions. –
Correct AnswerB. Compare this weight with previous weights recorded in the child's record.
Which research finding provides evidence-based practice for an infant's risk for sudden infant death
syndrome (SIDS)?
A. Breastfeeding reduces the risk for and the incidence of SIDS.
B. Infants should be positioned supine or supported laterally to sleep.
C. The prone position should be used when an infant sleeps after feeding.
D. The peak incidence occurs between the ages of 1 and 2 months. –
Correct AnswerB. Infants should be positioned supine or supported laterally to sleep.
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones because now
he can expect to grow and be just as tall as all of his friends. What response is best for the nurse to
provide?
A. "You must remember that this treatment regimen is not always effective."
B. "Although being tall is important to you, remember there are far more important characteristics
than height."
C. "You will grow with this medicine, and are likely to be taller than anyone in your family."
P a g e 4 | 355
