The nurse is teaching a group of first-time parents who are being discharged with their newborns. One parent asks the nurse what to do if the child has a temperature. After conducting teaching regarding how to care for a child with an elevated temperature, the caregivers make the following statements. Which statement would indicate a need for further teaching?

“A rectal temperature above 102.5 °F (39.1 °C) should be lowered.”

“I don’t plan to give my child medications, but the pediatrician might tell us to give our child acetaminophen every 4 to 6 hours if she has a fever.”

“If my child starts to shiver I will know that what I am doing is working and that her fever will soon come down.”

“Giving extra fluids is the way I have always heard to lower a temperature.”

Answer and Explanation

The Correct Answer is C

Choice A reason: A rectal temperature above 102.5 °F (39.1 °C) warrants intervention to lower fever, aligning with pediatric guidelines. This statement reflects correct understanding of fever management, making it accurate and not indicative of a need for further teaching compared to the shivering misconception in infants.

Choice B reason: Considering acetaminophen per pediatrician guidance shows understanding of safe fever management, even if avoiding medications initially. This reflects appropriate knowledge of consulting professionals, making it correct and not requiring further teaching, unlike the incorrect shivering interpretation needing clarification for parents.

Choice C reason: Shivering during fever indicates the body raising its temperature set point, not fever reduction. This misconception suggests the fever is worsening, not improving, requiring further teaching to clarify fever physiology, aligning with pediatric nursing education, making it the correct choice for additional instruction.

Choice D reason: Giving extra fluids is a standard recommendation to prevent dehydration during fever, reflecting correct knowledge. This statement aligns with fever management guidelines, making it accurate and not needing further teaching, unlike the shivering statement, which misinterprets a critical fever response in children.

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Correct Answer is B

Explanation

Choice A reason: Frequent bladder urges relate to bladder size and neurological maturation, not kidney location. Children’s higher kidney position increases trauma risk, making this unrelated and incorrect for the anatomical difference in kidney placement between children and adults in the context of injury risk.

Choice B reason: Children’s kidneys are proportionally larger and higher (near T12-L3) with less protective fat, increasing trauma risk from blunt injury. This anatomical difference aligns with pediatric urology evidence, making it the correct fact related to kidney location in children compared to adults.

Choice C reason: Fluid retention is a physiological process, not directly tied to kidney location. Children’s higher kidney placement increases trauma susceptibility, making this irrelevant and incorrect for the anatomical comparison of kidney position between children and adults in terms of health risks.

Choice D reason: Adults may have less fat, but children’s kidneys are less protected due to higher positioning and thinner fat layers. Trauma risk is the primary concern, making this partially correct but incorrect compared to the direct consequence of kidney trauma in children due to location.

A. Fluoride should not be used on a child’s teeth before 4 or 5 years of age. B. Swollen or inflamed gums during teething indicate a serious concern. C. The first tooth usually erupts by 6 months. D. The upper incisors are most often the first teeth to erupt.

Correct Answer is C

Explanation

Choice A reason: Fluoride is safe from 6 months in appropriate amounts, not delayed until 4-5 years. The first tooth’s eruption at 6 months is a key milestone, making this incorrect, as it misstates fluoride use in the context of infant dental development for the health fair.

Choice B reason: Swollen or inflamed gums are normal during teething, not a serious concern. The first tooth erupting at 6 months is a standard milestone, making this incorrect, as it misrepresents a common teething symptom as problematic in the nurse’s health fair presentation.

Choice C reason: The first tooth typically erupts by 6 months, marking the start of dental growth, a significant infant milestone. This aligns with pediatric dental guidelines, making it the correct fact for the nurse to highlight in the health fair presentation on infant developmental milestones.

Choice D reason: Lower central incisors, not upper, are usually the first to erupt in infants. The 6-month eruption timeline is accurate, making this incorrect, as it misidentifies the typical first teeth in the nurse’s presentation on infant dental development milestones at the health fair.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The location of the kidneys in the child in relationship to the location of the kidneys in the adult makes which fact a greater likelihood in the child?

Correct Answer is B

Explanation

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant’s teeth?

Correct Answer is C

Explanation

The nurse is preparing to teach a class to a group of young parents with infants the basics of introducing solid foods into the diet. Which factor about the food should the nurse point out the infants respond to best when introducing solid foods into the diet?

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be:

The parent of an adolescent has called to talk to the pediatric nurse over concern that her daughter is not getting proper nutrition now that she has started following a vegetarian diet. Which response should the nurse prioritize for this parent?