BURNS PEDIATRIC FINAL EXAM SOLVED 100%

The nurse is educating a first-time mother who has a 1-week-old infant. Which anticipatory guidance is accurate? - Answer Explaining that the child will need frequent feedings every 2 to 3 hours While evaluating the development of a 10-month-old boy, a nurse hides the boy's stuffed animal behind her back. The boy crawls around the examination table to look behind the nurse's back for the stuffed animal. Which developmental phenomena has this infant demonstrated? - Answer Object permanence A nurse is reviewing the health records of several 4-month-old infants who were seen in the pediatric office today. Which infant behavior will require referral for further evaluation of growth and development? - Answer Unable to support head 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? - Answer Risk for aspiration related to feeding the infant an inappropriate food The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child? - Answer The newborn does not respond to a loud noise The nurse is assessing an 6-month-old infant at a well-baby visit and is answering questions from the new mother. Which response should the nurse prioritize when addressing the mother's question concerning what the infant should be learning at this point in life? - Answer Trust The nurse is teaching the parents of a 6-month-old infant about proper dental care. Which action will the nurse indicate as most likely to cause dental caries in this infant? - Answer Putting the infant to bed with a bottle of milk or juice A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information? - Answer "This is a primitive reflex known as the palmar grasp." Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned? - Answer step A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate? - Answer 1. "Keep the baby sitting up for about 30 minutes afterward." The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse? - Answer The toddler's anterior fontanel (fontanelle) is not fully closed The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction? - Answer Developing a trusting relationship with the nurse A nurse observes a child engaged in parallel play in a nursery. What is an example of parallel play? - Answer A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks The parent of a toddler notices the child plays nicely next to another toddler but does not play with that child. The parent expresses concern about this behavior to the nurse during an examination. Which response by the nurse is appropriate? - Answer "This is called parallel play and is normal for this age group." Once a temper tantrum has started, which intervention is appropriate? - Answer Move objects out of the way or move the toddler to prevent injury. The nurse is assessing a 3-year-old child. The nurse notes the child is able to understand that objects hidden from sight still exist. The nurse correctly documents that the child is displaying: - Answer object permanence The nurse is watching toddlers at play. Which normal behavior would the nurse observe? - Answer Toddlers engage in parallel play A mother reports to the nurse that her 4-year-old does everything that she does. She says she is becoming somewhat frustrated with these actions. What would be the best response by the nurse to this mother? - Answer "Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond? - Answer "This is normal; children his age do not understand the permanence of death." A 3½-year-old shouts, "Look out for Boo-ga-loo!" as the nurse enters the exam room. The father explains Boo-ga-loo is his daughter's imaginary friend. How should the nurse respond? - Answer "Tell me about Boo-ga-loo." The nurse and a client are discussing the client's preschool child. The client states, "When I tell my child it's time for bed, he/she screams and cries for almost an hour each night before going to sleep." The client and the nurse decide that the next course of action is: - Answer follow a routine and set a bedtime The nurse is speaking to a parent of a 4-year-old. The parent states that she has trouble getting her child to go to bed at night. Which is the best response by the nurse? - Answer "It's just as important to establish a morning wake-up time as it is as establishing a bedtime. Children tend to do better when they have a normal routine to follow." Parents of a preschool child are discussing a recent story in the local news about a child being abducted. The parents are concerned about the safety of their child and wonder what to tell the child to keep the child safe but without frightening the child. Which would be the best recommendation for the nurse to give these parents? - Answer Explain in a calm and everyday manner how the child should stay away from strangers in cars