A nurse is caring for a 4-year-old child who is hospitalized with a respiratory illness and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

"Why does it bother you that your child has wet the bed?"

"Your child did not seem upset, so I wouldn't worry about it if I were you."

"Is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better."

"I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."

Answer and Explanation

The Correct Answer is C

A. This response is confrontational and may make the parent feel defensive rather than supported. It does not address the parent’s concerns about their child's behavior.

B. While reassuring, this response downplays the parent's feelings and does not provide relevant information about why regression may occur during hospitalization.

C. This response normalizes the behavior and educates the parent that regression can happen during stressful events like hospitalization, providing reassurance that the child’s skills will return.

D. Although this response shows empathy, it may not provide the educational information that the parent needs to understand the situation.

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Free Nursing Study Resources

Correct Answer is ["D","E"]

Explanation

A. At 12 months, a child may begin using a spoon but will often spill, so independent spoon use without spilling is not expected at this stage.

B. Drawing a circle is a skill expected at a later age, typically around 3 years.

C. Climbing steps is usually observed in older toddlers, around 18 months.

D. A 12-month-old should be able to attempt to stack two blocks, demonstrating early fine motor skills.

E. At 12 months, a child typically can say simple words like "mama" and "dada" as part of early language development.

A. "The harness straps should be at or above the child's shoulders and snug enough that you cannot pinch any slack." B. The car seat should be placed in the middle of the back seat for optimal safety." C. "Always check that the car seat is properly secured before every trip. D. It's okay to place thick padding or blankets under the child in the car seat for extra comfort."

Correct Answer is D

Explanation

A. This statement is correct as the harness straps should fit snugly and be positioned at or above the child's shoulders for proper safety.

B. The middle of the back seat is indeed considered the safest position for a car seat.

C. Checking the security of the car seat before every trip is essential for ensuring the child’s safety.

D. Placing thick padding or blankets under the child is not recommended as it can interfere with the proper fit of the harness and increase the risk of injury in case of a collision.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following developmental milestones should the nurse expect to observe? Select all that apply.

Correct Answer is ["D","E"]

Explanation

A nurse is providing anticipatory instructions to the parents of a toddler regarding car seat safety. Which of the following statements suggest that the parents need more instruction?

Correct Answer is D

Explanation

A nurse is teaching a group of parents about accident prevention and safety precautions for preschoolers. Which of the following statements by a parent indicates a need for further teaching?

A pediatric nurse is explaining Erickson's stages to a nursing student. Which of the following behaviors would indicate a four-year-old has successfully mastered the initiative vs guilt stage?

Choose the correct immunization given to a child 12-18 months A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply).

The nurse is caring for a three year-old child on droplet precautions, Which developmentally appropriate toy should the nurse recommend for this child?

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

The parents of a toddler have been away from the bedside for much of the shift to care for siblings. The toddler is tearful and withdrawn. Which intervention should the nurse apply?

The nurse is assessing the vital signs of a 3-week-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/minute. On the basis of this finding, what is the most appropriate action?

A nurse is assessing a 3 year-old-child at a routine wellness checkup. Which of the following findings should the nurse expect?