VATI Nursing Care of Children Exam Questions and Answers

VATI Nursing Care of Children Exam Questions and Answers The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the child's desire to accomplish which of the following? - Answer- a. Increase their independence. CorrectCORRECT. The drive for independence is expressed by the toddler opposing the desires of those in authority (tantrums) and attempting to do everything for themselves. The Erickson developmental stage for this age is "Autonomy vs. Shame and Doubt." b. Develop their sense of trust. c. Finish a project they set out to do. d. Gratify their oral fixation. At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital area. The parents ask the nurse if this behavior is something to be concerned about. Which of the following is a correct response? - Answer- a. Your child is probably imitating behaviors that she has observed b. Awareness of body structures and sensations is normal and expected CorrectCORRECT. Genital self-stimulation by the toddler is normal and expected. It is a new area to explore, similar to exploring the toes at an earlier age, but it has pleasurable sensations too! It should be ignored unless the behavior becomes pervasive, and then it should still be ignored and the child should be distracted to come and do some fun and exciting activity c. This is a possible infection or irritation in the genital area d. This is an early emergence of sexual expression that should be discouraged A nurse is taking the health history of a school-age girl. Which statement by the client's mother indicates a need for further teaching regarding the client's nutritional status? - Answer- a. "She eats a large breakfast every morning." b. "We increase her protein intake when she's playing sports." c. "We allow her to pick out a treat at the grocery store for good behavior." CorrectCORRECT. This statement indicates a need for further teaching. This client's mother should be educated about the importance of praising the client's abilities and skills rather than using food as a reward, which may lead to an increased risk for obesity. d. "She enjoys helping to prepare her snacks in the kitchen." A nurse correctly understands which of the following characteristics is a possible developmental delay for a 3-month-old client? - Answer- a. The infant is unable to point to objects b. The infant is unable to sit with support c. The infant demonstrates stranger anxiety d. The infant does not raise his head when placed on his abdomen CorrectCORRECT. When placed on the abdomen the 3 month old should attempt to raise his head. Some sources refer to this as "tummy time" which provides the infant with the stimulation to strengthen upper body and neck muscles in preparation for good head control when sitting upright and the some of the muscles required for crawling. A nurse has administered the first DTaP (diphtheria toxoid, tetanus and pertussis) immunization to a two-month-old infant. For which of the following symptoms should the nurse teach the parents to seek immediate medical attention? - Answer- a. The baby develops swelling or redness at the injection site b. The baby is crying inconsolably for more than three hours CorrectCORRECT. Inconsolable crying lasting more than three hours and/or seizures within 48 hours of vaccination is a sign of encephalopathy that must be treated immediately. c. The baby has an axillary temperature of 100.4o F. (38o C)