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Exam (elaborations)

PEDS FINAL EXAM| 100 QUESTIONS | WITH COMPLETE SOLUTIONS

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The nurse is educating a first-time mother who has a 1-week-old infant. Which anticipatory guidance is accurate? correct 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? correct 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? correct 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? correct 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? correct 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? correct 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? correct 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? correct 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? correct answer: step A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate? correct 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? correct 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? correct 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? correct answer: A boy sitting beside a girl in the floor, each playing independently with

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