COMPLETE DETAILED ACTUAL
ANSWERS
a. Axillary thermometer
An axillary thermometer can be used to measure the temperature of any child. This is an appropriate
method of measuring the temperature of a toddler - answer ✔✔-A nurse is caring for a toddler on a
pediatric unit. Which of the following methods should the nurse use to assess the toddler's
temperature?
a. Axillary thermometer
b. Oral thermometer
c. Glass thermometer
d. Strip thermometer
c. Menarche begins about 2 years after breast budding in females.
Menarche, the first menstrual period, typically begins approximately 2 years after the presence of breast
budding in females - answer ✔✔-A nurse is preparing a presentation for a group of newly hired pediatric
nurses on expected pubertal changes during adolescence. Which of the following statements should the
nurse include in the presentation?
a. Males begin puberty earlier than females.
b. Enlargement of the penis is the first pubertal change in males.
c. Menarche begins about 2 years after breast budding in females.
, d. Pubic hair is the first pubertal change in females.
a. Teach the guardians to discard formula that was heated and has been sitting out for 1 hr or more is
correct. The nurse should teach the guardians of bottle feeding newborns to discard formula that has
been sitting out for 1 hr or more to prevent bacterial contamination.
Teach the guardians to place the newborn's car seat in a rear-facing position is correct. The nurse should
teach the guardians that the newborn should be appropriately secured in an approved car seat that is
rear-facing in the middle of the back seat. - answer ✔✔-A nurse is providing anticipatory guidance to the
guardians of a 7-day-old newborn who is bottle feeding. Which of the following should the nurse include
in the teaching? (Select All that Apply.)
a. Teach the guardians to place the newborn's car seat in a rear-facing position.
b. Teach the guardians to discard formula that was heated and has been sitting out for 1 hr or more.
c. Encourage the parents to place the newborn to sleep on a soft sleep surface.
d. Encourage the guardians to prop the newborn's botttle
a. Dehydration
The nurse should recognize a sunken fontanel as an unexpected finding. A sunken fontanel can indicate
the newborn is dehydrated - answer ✔✔-A nurse is assessing a newborn while they are being held
upright in their parent's arms. The nurse notes that the newborn's anterior fontanel is sunken. The
nurse should identify this finding as a possible manifestation of which of the following conditions?
a. Dehydration
b. Neural tube defect
c. Traumatic brain injury
d. Meningitis
a. Riley Infant Pain Scale