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 C

Explanation

Choice A reason: Lack of eye contact and developmental delay don’t directly indicate physical abuse, which typically shows fear or physical signs. Autistic behaviors like poor eye contact are more likely, making this incorrect, as the toddler’s behaviors align better with autism in the well-child assessment.

Choice B reason: Cocaine abuse by the caregiver might affect development but isn’t linked to specific behaviors like poor eye contact. Autistic traits better explain the toddler’s symptoms, making this speculative and incorrect compared to the nurse’s assessment of developmental concerns in the child.

Choice C reason: Poor eye contact and slower development at 23 months suggest autistic behaviors, common in autism spectrum disorder. This aligns with pediatric developmental screening, making it the correct additional assessment for the nurse to consider based on the toddler’s observed behaviors during the check.

Choice D reason: ADHD typically presents later with hyperactivity and inattention, not poor eye contact or developmental delay at 23 months. Autistic behaviors are more fitting, making this incorrect, as the toddler’s symptoms align better with autism than ADHD in the well-child evaluation.

A. “These flowers don’t seem to be alive anymore. I’ll take them away.” B. “These flowers are dead now. What do you think it would be like to die?” C. “Well, these flowers aren’t very cheerful anymore. I’ll get rid of them.” D. “I’m going to throw these flowers in the trash, okay?”

Correct Answer is B

Explanation

Choice A reason: Saying the flowers aren’t alive and removing them avoids the child’s question, missing a chance to discuss death. Asking about dying opens dialogue, making this evasive and incorrect compared to the nurse’s opportunity to engage the dying child in a meaningful conversation.

Choice B reason: Acknowledging the flowers’ death and asking what dying is like invites the child to share thoughts, facilitating discussion about their own mortality. This aligns with pediatric palliative care communication, making it the most appropriate response to encourage the child to open up about dying.

Choice C reason: Calling the flowers uncheerful and removing them dismisses the child’s observation, closing off discussion about death. Asking about dying fosters dialogue, making this superficial and incorrect compared to the nurse’s role in supporting the dying child’s emotional expression and exploration.

Choice D reason: Offering to trash the flowers ignores the child’s reference to death, missing a chance to explore their thoughts. Asking about dying encourages openness, making this abrupt and incorrect compared to the nurse’s opportunity to facilitate a conversation about death with the child.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is B

Explanation

The nurse is presenting a post-conference seminar to a group of nursing students on the topic of suctioning of a child. Which statement made by a student demonstrates a need for further instruction on this procedure?

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?

The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

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 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 collecting data on a 4-month-old child brought to the clinic by the caregiver. The nurse observes the child’s mouth and notes a white coating that looks like milk curds. Which of the following questions would be most important for the nurse to ask the caregiver?