Pediatric Nursing Exam 1
____________ is no longer recommended for immediate treatment of poison ingestion. -
ANS Ipecac; it induces vomiting which could lead to aspiration
\A 2 year old cannot distinguish between intentional acts and _________ ? - ANS
mistakes
\A trend in the care of children with special needs is to focus on the child's ___________
rather than his or her chronological age or diagnosis.... thus stressing the child's
strengths rather than his disabilities - ANS Developmental level
\ABCs of Safe Sleep for infants - ANS - Alone
- on their Backs
- in the Crib
\According to Piaget, ________ becomes the child's way of understanding, adjusting to,
and working out life's experiences. - ANS Play
\According to the TN law there must be a rear facing car seat until the child is....? - ANS 1
year old or 20 lbs;
\Adolescent: Erikson Stage - ANS ego identity vs roll confusion
\An infant who is 6 months of age should have ________ his or her body weight - ANS
doubled
\At what age are children most at risk for anemia due to cows milk being a staple of their
diet? - ANS 12 - 36 months
\At what age can an infant ascribe meaning to a word? - ANS 10 or 11 months
\At what age can infants begin to trust that the parents will return? - ANS 18 months; due
to memory development
\At what age can infants skip nighttime feeding? - ANS 4 to 6 months
\At what age do infants begin cruising? - ANS 8-11 months
\At what age do infants establish object permanence? - ANS 7 months
\At what age should you begin starting whole milk? - ANS 12 months of age
\Blood-lead level > 70 - ANS IMMEDIATELY provide medical treatment and begin
coordination of care, clinical management, environmental investigation, and lead hazard
control
\Blood-lead level of < 5 - ANS reassess or rescreen 1 year, unless exposure status
changes
\By _________ to ______ months of age, head control is well established. - ANS 4 to 6
\Can infants retain memory of traumatic experiences? - ANS Yes
\Cephalocaudal growth - ANS the progression of the growth pattern that proceeds from
head to toe
ex. Infants are able to lift head -> sit -> walk
\Children should use specially designed restraints until they are ___________ tall or are
_________ to ________ years old. - ANS 4ft 9 in. ; 1 - 12 years old
, \Clinicians needs to know that siblings of children with chronic illness are at risk for
____________ - ANS fears, anger, embarrassment
\coping skill - ANS a behavior that helps an individual adapt or manage a stressful
situation
\defense mechanism - ANS a reaction that is protective to the individual or helps conceal
conflicts or anxiety
ex. denial
\Define emancipated minor - ANS One who is legally under the age of majority but is
recognized as having the legal capacity of an adult under circumstances determined by
law (Ex. marriage, pregnancy)
\Define empowerment. - ANS A process of recognizing, promoting, and enhancing
competence
\Define informed consent. - ANS the legal and ethical requirement that the patient or the
patient's legal guardian receive sufficient information on which to make an informed
health decision
\Describe the younger school age (6 or 7 year) child's perception of rules and judgement
actions. - ANS Interpret accidents and misfortunes as punishment for misdeeds
\Does the age of onset influence the impact of a chronic illness? - ANS yes
\Eruption of the first deciduous teeth occurs when? - ANS 5-7 months
\Feelings of immortality serve what important developmental function during
adolescence? - ANS Give them the courage to separate from their parents and become
independent
\For infants, stimulation (in the form of play) is as important for ___________ growth as
food is for biological growth. - ANS cognitive
\How are chelation agents administered? - ANS Deeply into large muscle mass
\How can a nurse decrease the amount of pain of chelation therapy (injections)? - ANS -
Distraction
- local anesthetic
-
\How can having a sense of hope help adolescent children with special needs? - ANS It
can increase participation in health-seeking behaviors and improve a sense of well being
\How can ordinal position influence development? - ANS may influence age and rapidity
of mastering developmental tasks
\How can you get verbal consent? - ANS 2 people witness conversation; second person
has to witness the ENTIRE conversation
- recap and double check the conversation is with the right person, right info. and
procedure
\How do you estimate the number of erupted primary teeth? - ANS Age in months - 6
\How is infant botulism treated? - ANS immediate IV admin of botulism immune globulin
\How is rickets prevented in exclusively breast fed infants? - ANS 400 IU of vit D daily
beginning shortly after birth and continued until infant is consuming 1 L a day of fortified
formula
\How long should solids be avoided? - ANS 1st 6months
____________ is no longer recommended for immediate treatment of poison ingestion. -
ANS Ipecac; it induces vomiting which could lead to aspiration
\A 2 year old cannot distinguish between intentional acts and _________ ? - ANS
mistakes
\A trend in the care of children with special needs is to focus on the child's ___________
rather than his or her chronological age or diagnosis.... thus stressing the child's
strengths rather than his disabilities - ANS Developmental level
\ABCs of Safe Sleep for infants - ANS - Alone
- on their Backs
- in the Crib
\According to Piaget, ________ becomes the child's way of understanding, adjusting to,
and working out life's experiences. - ANS Play
\According to the TN law there must be a rear facing car seat until the child is....? - ANS 1
year old or 20 lbs;
\Adolescent: Erikson Stage - ANS ego identity vs roll confusion
\An infant who is 6 months of age should have ________ his or her body weight - ANS
doubled
\At what age are children most at risk for anemia due to cows milk being a staple of their
diet? - ANS 12 - 36 months
\At what age can an infant ascribe meaning to a word? - ANS 10 or 11 months
\At what age can infants begin to trust that the parents will return? - ANS 18 months; due
to memory development
\At what age can infants skip nighttime feeding? - ANS 4 to 6 months
\At what age do infants begin cruising? - ANS 8-11 months
\At what age do infants establish object permanence? - ANS 7 months
\At what age should you begin starting whole milk? - ANS 12 months of age
\Blood-lead level > 70 - ANS IMMEDIATELY provide medical treatment and begin
coordination of care, clinical management, environmental investigation, and lead hazard
control
\Blood-lead level of < 5 - ANS reassess or rescreen 1 year, unless exposure status
changes
\By _________ to ______ months of age, head control is well established. - ANS 4 to 6
\Can infants retain memory of traumatic experiences? - ANS Yes
\Cephalocaudal growth - ANS the progression of the growth pattern that proceeds from
head to toe
ex. Infants are able to lift head -> sit -> walk
\Children should use specially designed restraints until they are ___________ tall or are
_________ to ________ years old. - ANS 4ft 9 in. ; 1 - 12 years old
, \Clinicians needs to know that siblings of children with chronic illness are at risk for
____________ - ANS fears, anger, embarrassment
\coping skill - ANS a behavior that helps an individual adapt or manage a stressful
situation
\defense mechanism - ANS a reaction that is protective to the individual or helps conceal
conflicts or anxiety
ex. denial
\Define emancipated minor - ANS One who is legally under the age of majority but is
recognized as having the legal capacity of an adult under circumstances determined by
law (Ex. marriage, pregnancy)
\Define empowerment. - ANS A process of recognizing, promoting, and enhancing
competence
\Define informed consent. - ANS the legal and ethical requirement that the patient or the
patient's legal guardian receive sufficient information on which to make an informed
health decision
\Describe the younger school age (6 or 7 year) child's perception of rules and judgement
actions. - ANS Interpret accidents and misfortunes as punishment for misdeeds
\Does the age of onset influence the impact of a chronic illness? - ANS yes
\Eruption of the first deciduous teeth occurs when? - ANS 5-7 months
\Feelings of immortality serve what important developmental function during
adolescence? - ANS Give them the courage to separate from their parents and become
independent
\For infants, stimulation (in the form of play) is as important for ___________ growth as
food is for biological growth. - ANS cognitive
\How are chelation agents administered? - ANS Deeply into large muscle mass
\How can a nurse decrease the amount of pain of chelation therapy (injections)? - ANS -
Distraction
- local anesthetic
-
\How can having a sense of hope help adolescent children with special needs? - ANS It
can increase participation in health-seeking behaviors and improve a sense of well being
\How can ordinal position influence development? - ANS may influence age and rapidity
of mastering developmental tasks
\How can you get verbal consent? - ANS 2 people witness conversation; second person
has to witness the ENTIRE conversation
- recap and double check the conversation is with the right person, right info. and
procedure
\How do you estimate the number of erupted primary teeth? - ANS Age in months - 6
\How is infant botulism treated? - ANS immediate IV admin of botulism immune globulin
\How is rickets prevented in exclusively breast fed infants? - ANS 400 IU of vit D daily
beginning shortly after birth and continued until infant is consuming 1 L a day of fortified
formula
\How long should solids be avoided? - ANS 1st 6months