Pediatrics Exam 1-Growth
A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones,
what should the nurse caring for the child calculate his current weight as?
1. Approximately 16 lb 4 oz
2. Approximately 20 lb 5 oz
3. Approximately 24 lb 6 oz
4. Approximately 32 lb 8 oz - ANS 3. Children should triple their birth weight by 12
months of age.
\A 13-year-old boy is hospitalized for a femur fracture. He was hit by a car while he and
his friends were racing bikes near a major intersection. The child's parents are
concerned about his judgment. What should the nurse understand?
1. The child's behavior is typical of young teens
2. The child's behavior is related to hormonal surges during adolescence
3. This was an isolated incident and will not likely happen again
4. The child's behavior is related to teen rebellion - ANS 1. The brains of young teens are
not completely developed, which often leads to poor judgment and low impulse control.
\A 13-year-old boy is visiting the pediatrician's office for his well-child checkup. The child
tells the nurse that he is worried because his breasts are growing and they hurt. He tells
the nurse he is afraid to take his shirt off in front of the other boys during gym class.
What should the nurse tell him?
1. "The pediatrician will draw some blood to find out why your breasts are growing"
2. "It is just a slight hormonal imbalance that can be easily corrected with medication"
3. "This is a normal condition of puberty that will resolve within a year or two"
4. "This is a rare finding that occurs in about 5% of boys during puberty" - ANS 3.
Gynecomastia and breast tenderness are common for about a third of boys during
middle puberty. Gynecomastia usually resolves in 2 years.
\A 16-year-old boy has a diagnosis of new onset diabetes. The child is meeting with the
nurse educator regarding changes that will need to be made in his diet. What would most
influence a teenager's food choices?
1. Parents and their dietary choices
2. Cultural background
3. Peers and their dietary choices
4. Television and other forms of media influence - ANS 3. As a teen, the child is most
influenced by his peers. Teens long to be like others around them.
\A 16-year-old girl is having a discussion with her nurse about her recent diagnosis of
lupus. The nurse understands how to best answer the young woman's questions about
her prognosis because she understands that cognitively:
1. Adolescents are preoccupied with thoughts of the here and now
2. Adolescents are able to understand and imagine possibilities for the future
3. Adolescents are capable of thinking only in concrete terms
, 4. Adolescents are overly concerned with past events and relationships - ANS 2.
Adolescents are becoming abstract thinkers and are able to imagine future possibilities.
\A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks
while he receives IV antibiotics. As the nurse caring for this patient, what action can you
take that will most enhance his psychosocial development?
1. Fax the teen's teacher, and have her send in his homework
2. Encourage the teen's friends to visit him in the hospital
3. Encourage the teen's grandparent's to visit frequently
4. Tell the teen he is free to use his phone to call friends - ANS 2. Teens are most
concerned about being like their peers. Having the teen's friends visit will help him feel
he is still part of the school and social environment.
\A 17-year-old male has had some recent behavioral changes. His mother calls the nurse
at the pediatrician's office and tells her that her son has been coming home from school
every day, closing his door, and refraining form integration with his parents. The child's
mother does not know what she should do about her son's unsociable behavior. The
nurse's best response to the child's mother is:
1. "You should go speak with your son and ask him directly what is wrong with him."
2. "You should set limits with your son and tell him that this is unacceptable behavior."
3. "Your son's behavior is abnormal, and he is going to need a psychiatric referral."
4. "Your son's behavior is normal. You should listen to him without being judgmental." -
ANS 4. The child's behavior is typical of a teen's response to developmental and
psychosocial changes of adolescence.
\A 17-year-old male is being seen in the E.R. In order to obtain the adolescent's health
information, his nurse should:
1. Interview the adolescent using direct questions
2. Gather information during a casual conversation
3. Interview the adolescent only in the presence of his parents
4. Gather information only from the parents - ANS 2. Frequently adolescents will share
more information when it is gathered during a casual conversation.
\A 2-day-old girl is being discharged from the hospital. Her mother asks the nurse when
she will receive her first hepatitis B immunization. Which is the nurse's best response?
1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-positive"
2. "She will receive her first dose of the hepatitis B vaccine prior to discharge today"
3. "She will receive her first hepatitis B vaccine when she is 1 year of age"
4. "She will receive her first hepatitis B vaccine at 6 months of age" - ANS 2. The first
dose of hepatitis B vaccine is recommended between birth and 2 months. Most hospitals
give the vaccine prior to discharge home.
\A 2-day-old girl is being discharged home. The nurse is working on discharge teaching
with her parents. They are asking the nurse about how to use the infant car seat and
where it should be placed in their vehicle. Which of the following should the nurse do?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car, and show them how to install the car seat
3. Contact the hospital's car-seat safety officer, and ask the officer to accompany the
parents to the care for car-seat installation
A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones,
what should the nurse caring for the child calculate his current weight as?
1. Approximately 16 lb 4 oz
2. Approximately 20 lb 5 oz
3. Approximately 24 lb 6 oz
4. Approximately 32 lb 8 oz - ANS 3. Children should triple their birth weight by 12
months of age.
\A 13-year-old boy is hospitalized for a femur fracture. He was hit by a car while he and
his friends were racing bikes near a major intersection. The child's parents are
concerned about his judgment. What should the nurse understand?
1. The child's behavior is typical of young teens
2. The child's behavior is related to hormonal surges during adolescence
3. This was an isolated incident and will not likely happen again
4. The child's behavior is related to teen rebellion - ANS 1. The brains of young teens are
not completely developed, which often leads to poor judgment and low impulse control.
\A 13-year-old boy is visiting the pediatrician's office for his well-child checkup. The child
tells the nurse that he is worried because his breasts are growing and they hurt. He tells
the nurse he is afraid to take his shirt off in front of the other boys during gym class.
What should the nurse tell him?
1. "The pediatrician will draw some blood to find out why your breasts are growing"
2. "It is just a slight hormonal imbalance that can be easily corrected with medication"
3. "This is a normal condition of puberty that will resolve within a year or two"
4. "This is a rare finding that occurs in about 5% of boys during puberty" - ANS 3.
Gynecomastia and breast tenderness are common for about a third of boys during
middle puberty. Gynecomastia usually resolves in 2 years.
\A 16-year-old boy has a diagnosis of new onset diabetes. The child is meeting with the
nurse educator regarding changes that will need to be made in his diet. What would most
influence a teenager's food choices?
1. Parents and their dietary choices
2. Cultural background
3. Peers and their dietary choices
4. Television and other forms of media influence - ANS 3. As a teen, the child is most
influenced by his peers. Teens long to be like others around them.
\A 16-year-old girl is having a discussion with her nurse about her recent diagnosis of
lupus. The nurse understands how to best answer the young woman's questions about
her prognosis because she understands that cognitively:
1. Adolescents are preoccupied with thoughts of the here and now
2. Adolescents are able to understand and imagine possibilities for the future
3. Adolescents are capable of thinking only in concrete terms
, 4. Adolescents are overly concerned with past events and relationships - ANS 2.
Adolescents are becoming abstract thinkers and are able to imagine future possibilities.
\A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks
while he receives IV antibiotics. As the nurse caring for this patient, what action can you
take that will most enhance his psychosocial development?
1. Fax the teen's teacher, and have her send in his homework
2. Encourage the teen's friends to visit him in the hospital
3. Encourage the teen's grandparent's to visit frequently
4. Tell the teen he is free to use his phone to call friends - ANS 2. Teens are most
concerned about being like their peers. Having the teen's friends visit will help him feel
he is still part of the school and social environment.
\A 17-year-old male has had some recent behavioral changes. His mother calls the nurse
at the pediatrician's office and tells her that her son has been coming home from school
every day, closing his door, and refraining form integration with his parents. The child's
mother does not know what she should do about her son's unsociable behavior. The
nurse's best response to the child's mother is:
1. "You should go speak with your son and ask him directly what is wrong with him."
2. "You should set limits with your son and tell him that this is unacceptable behavior."
3. "Your son's behavior is abnormal, and he is going to need a psychiatric referral."
4. "Your son's behavior is normal. You should listen to him without being judgmental." -
ANS 4. The child's behavior is typical of a teen's response to developmental and
psychosocial changes of adolescence.
\A 17-year-old male is being seen in the E.R. In order to obtain the adolescent's health
information, his nurse should:
1. Interview the adolescent using direct questions
2. Gather information during a casual conversation
3. Interview the adolescent only in the presence of his parents
4. Gather information only from the parents - ANS 2. Frequently adolescents will share
more information when it is gathered during a casual conversation.
\A 2-day-old girl is being discharged from the hospital. Her mother asks the nurse when
she will receive her first hepatitis B immunization. Which is the nurse's best response?
1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-positive"
2. "She will receive her first dose of the hepatitis B vaccine prior to discharge today"
3. "She will receive her first hepatitis B vaccine when she is 1 year of age"
4. "She will receive her first hepatitis B vaccine at 6 months of age" - ANS 2. The first
dose of hepatitis B vaccine is recommended between birth and 2 months. Most hospitals
give the vaccine prior to discharge home.
\A 2-day-old girl is being discharged home. The nurse is working on discharge teaching
with her parents. They are asking the nurse about how to use the infant car seat and
where it should be placed in their vehicle. Which of the following should the nurse do?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car, and show them how to install the car seat
3. Contact the hospital's car-seat safety officer, and ask the officer to accompany the
parents to the care for car-seat installation
