The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants?

Grows and develops skills more rapidly than at any other time in their life.

Insists they can “do it” and the next moment they revert to being dependent.

Takes in new information at a rapid rate and asks “why” and “how”.

Has an increased attention span and can be interested in an activity for a long length of time.

Answer and Explanation

The Correct Answer is A

Choice A reason: Infancy is marked by rapid physical and skill development, with milestones like crawling and babbling occurring quickly. This aligns with pediatric developmental assessments, making it the correct characteristic for the nurse to monitor, ensuring infants meet critical growth benchmarks during routine evaluations.

Choice B reason: Insisting on independence with dependence reversion is typical of toddlers, not infants, who lack such autonomy. Rapid skill growth defines infancy, making this incorrect, as it describes a later developmental stage rather than the nurse’s focus for infant growth and development assessments.

Choice C reason: Rapid information intake and questioning “why” and “how” characterize preschoolers, not infants, who lack verbal curiosity. Rapid skill development is the infant focus, making this incorrect, as it applies to older children rather than the nurse’s assessment of infant developmental characteristics.

Choice D reason: Increased attention span is seen in older children, not infants, who have short attention spans. Rapid growth and skill acquisition define infancy, making this incorrect, as it does not reflect the developmental characteristics the nurse should assess in infants during pediatric evaluations.

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Correct Answer is A

Explanation

Choice A reason: Rubbing the nose upward and backward, known as the "allergic salute," is a common response in allergic rhinitis to relieve nasal itching and congestion. This action temporarily opens air passages and alleviates discomfort, aligning with pediatric allergy evidence, making it the correct explanation for the child’s behavior observed in clinical settings.

Choice B reason: Drawing attention to the nose is not a typical response in allergic rhinitis. The "allergic salute" is a reflexive action to relieve itching and congestion, not a deliberate attempt to gain attention. This choice misinterprets the physiological basis of the behavior, making it incorrect for the child’s action in the context of allergic rhinitis symptoms.

Choice C reason: Nasal discharge may occur in allergic rhinitis, but rubbing upward and backward aims to relieve itching and open airways, not prevent discharge. This action is not primarily about controlling runny nose, making this choice less accurate compared to addressing the itching and congestion relief central to the child’s behavior.

Choice D reason: Preventing a sneeze is not the purpose of the "allergic salute." Rubbing the nose upward and backward relieves itching and congestion, common in allergic rhinitis. Sneezing is a separate reflex, and this action does not address it, making this incorrect for the child’s observed behavior in the context of allergy symptoms.

A. The eustachian tube in the infant is straighter and wider than in the adult. B. Most children do not have acutely developed hearing until the age of 5 years. C. The infant usually responds to sounds around the age of 6 months. D. The eardrum is located between the middle and the internal ear.

Correct Answer is A

Explanation

Choice A reason: The infant’s eustachian tube is straighter and wider, increasing susceptibility to infections due to easier pathogen access. This anatomical difference is accurate, aligning with pediatric otolaryngology evidence, making it the most correct statement about children’s ear and hearing development discussed among peers.

Choice B reason: Children’s hearing is acutely developed at birth, not delayed until age 5. Newborns respond to sounds, and hearing matures early. This statement is inaccurate, as it misrepresents the timeline of auditory development, making it incorrect compared to the eustachian tube fact in infants.

Choice C reason: Infants respond to sounds from birth, with noticeable reactions by 1-3 months, not 6 months. This statement underestimates early auditory responsiveness, making it less accurate than the eustachian tube’s anatomical description, which is a key factor in pediatric ear health discussions.

Choice D reason: The eardrum (tympanic membrane) is between the outer and middle ear, not the middle and inner ear. This anatomical error makes the statement incorrect, as the eustachian tube’s structure is the most accurate fact about children’s ear and hearing anatomy in this context.

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The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child diagnosed with allergic rhinitis is rubbing his nose upward and backward. Which response is the child exhibiting?

Correct Answer is A

Explanation

The nurse is discussing the ears and hearing in a child with a group of peers. Which statement is most accurate related to this topic?

Correct Answer is A

Explanation

The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants?

The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?

A 2-year-old child is reported to be a “picky eater” by his father. What pointers could the nurse provide the parent to help minimize stress related to mealtime? (Select all that apply)

The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish?

The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child’s caregiver that the child may:

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:

A nurse admits a child with a diagnosis of acute lymphoblastic leukemia (ALL). During each phase of treatment, which would most likely be seen periodically?