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Pediatric Nursing Skills and Pediatric Assessment > Pediatrics

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Total Questions : 8

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Question 1:

A nurse is preparing to assess a pediatric patient. What is the most important consideration when interacting with the child?

A. Using age-appropriate language and communication techniques. B. Avoiding any form of physical contact to respect the child's autonomy. C. Relying solely on the parent's information for the assessment. D. Conducting the assessment quickly to minimize the child's discomfort.

Answer and Explanation

Choice A:

Correct. When assessing a pediatric patient, it is crucial to communicate in a way that is age-appropriate and tailored to the child's developmental level. This helps establish trust and cooperation during the assessment process.

Choice B:

Incorrect. Avoiding all physical contact may hinder the nurse's ability to perform a thorough assessment. Some physical contact may be necessary, but it should be done with sensitivity and respect for the child's comfort.

Choice C:

Incorrect. While involving parents in the assessment process is important, relying solely on their information may not provide a complete picture of the child's health.

Choice D:

Incorrect. While efficiency is important, rushing through the assessment can lead to missed information and potential errors.

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Question 2:

A client is concerned about their 3-year-old child's development. What should the nurse advise the client to do?

A. Seek professional evaluation and assessment. B. Wait until the child starts school for developmental monitoring. C. Utilize online forums for parenting advice. D. Disregard the concerns as children develop at different rates.

Answer and Explanation

Choice A:

Correct. When a parent expresses concerns about a child's development, it is important to recommend seeking professional evaluation and assessment. This ensures that any potential issues are identified and addressed in a timely manner.

Choice B:

Incorrect. Waiting until the child starts school may delay necessary interventions if there are developmental concerns.

Choice C:

Incorrect. While online forums can be a source of information, they should not replace professional evaluation and advice.

Choice D:

Incorrect. Disregarding the concerns without further assessment may lead to missed opportunities for early intervention if there are developmental issues.

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Question 3:

A nurse is teaching a parent about pediatric safety measures. Which statement by the parent indicates a need for further education?

A. "I will install safety gates at the top and bottom of stairs." B. "I'll make sure to keep small objects out of my child's reach." C. "I plan to use a soft mattress in the crib for extra comfort." D. "I'll securely latch cabinet doors to prevent access to cleaning supplies."

Answer and Explanation

Choice A:

Incorrect. Installing safety gates at the top and bottom of stairs is a recommended safety measure to prevent falls.

Choice B:

Incorrect. Keeping small objects out of a child's reach is essential to prevent choking hazards.

Choice C:

Correct. Using a soft mattress in the crib can increase the risk of suffocation or sudden infant death syndrome (SIDS). It is important to use a firm mattress to ensure the infant's safety.

Choice D:

Incorrect. Securing cabinet doors to prevent access to cleaning supplies is an important safety measure to protect the child from potential hazards.

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Question 4:

A client is worried because their 9-month-old infant has not started walking yet. What should the nurse explain to the client?

A. Walking typically begins around 12-15 months of age. B. The infant should already be walking at 9 months. C. This delay indicates a potential developmental issue. D. It is best to consult a pediatric orthopedic specialist.

Answer and Explanation

Choice A:

Correct. Walking usually begins between 12-15 months of age, but the range of normal development is broad. Some infants may start earlier or later and still fall within the normal range.

Choice B:

Incorrect. Expecting a 9-month-old infant to already be walking is not realistic. Walking typically starts later in the first year.

Choice C:

Incorrect. Not all infants follow the exact same developmental timeline. A delay in walking does not necessarily indicate a developmental issue.

Choice D:

Incorrect. Consulting a pediatric orthopedic specialist at this stage is premature and not indicated solely based on a delay in walking.

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Question 5:

A nurse is providing anticipatory guidance to the parents of a 6-month-old infant. What developmental milestone should the nurse highlight?

A. The infant's ability to use a spoon for self-feeding. B. The infant's expected weight gain of 1-2 pounds per month. C. The infant's emerging ability to sit unsupported. D. The infant's increasing preference for solitary play.

Answer and Explanation

Choice A:

Incorrect. While some infants may start experimenting with self-feeding, it is not a universal milestone at 6 months.

Choice B:

Incorrect. While weight gain is important, it is not a specific developmental milestone.

Choice C:

Correct. Around 6 months, infants typically begin to develop the ability to sit unsupported. This is an important milestone in their physical development.

Choice D:

Incorrect. Preference for solitary play is a social and emotional aspect of development, but it is not the primary milestone expected at 6 months.

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Question 6:

A client is concerned about their 2-year-old toddler's sleep patterns. What should the nurse advise the client?

A. Encourage a consistent bedtime routine and sleep schedule. B. Allow the toddler to stay up late to tire them out for better sleep. C. Introduce caffeine-free herbal tea to help with sleep. D. Avoid naps during the day to promote better nighttime sleep.

Answer and Explanation

Choice A:

Correct. Establishing a consistent bedtime routine and sleep schedule helps regulate a toddler's sleep patterns and promotes healthy sleep habits.

Choice B:

Incorrect. Allowing a toddler to stay up late can disrupt their natural sleep-wake cycle and may lead to sleep difficulties.

Choice C:

Incorrect. Introducing herbal tea may not be suitable for young children and is not a recommended strategy for improving sleep patterns.

Choice D:

Incorrect. While avoiding excessive daytime naps can help regulate nighttime sleep, completely avoiding naps may lead to overtiredness, which can also disrupt sleep.

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Question 7:

A nurse is educating parents about infant immunizations. What should the nurse emphasize regarding the vaccination schedule?

A. The importance of following the recommended schedule for optimal protection. B. The option to delay or skip certain vaccines if the parents have concerns. C. Administering multiple vaccines at once to minimize clinic visits. D. Waiting until the child starts school for their first round of vaccinations.

Answer and Explanation

Choice A:

Correct. It is crucial to emphasize the importance of following the recommended vaccination schedule to provide the child with optimal protection against preventable diseases.

Choice B:

Incorrect. Delaying or skipping vaccines can leave the child vulnerable to serious illnesses. It is important to discuss any concerns with the healthcare provider rather than deviating from the recommended schedule.

Choice C:

Incorrect. Administering multiple vaccines at once is a common practice and is safe and effective. It helps protect children against diseases efficiently.

Choice D:

Incorrect. Waiting until the child starts school can leave them susceptible to diseases that could have been prevented through timely vaccinations.

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Question 8:

A client asks the nurse about appropriate toys for their 1-year-old child. What should the nurse recommend?

A. Large, colorful blocks for stacking and building. B. Small, intricate puzzles for fine motor skill development. C. Toys with small parts that stimulate fine motor coordination. D. Complex board games to challenge cognitive development.

Answer and Explanation

Choice A:

Correct. Large, colorful blocks promote gross motor skills, creativity, and problem-solving abilities in a 1-year-old child.

Choice B:

Incorrect. Small, intricate puzzles may pose a choking hazard for a 1-year-old and are not suitable for their developmental stage.

Choice C:

Incorrect. Toys with small parts can be a choking hazard and are not recommended for children of this age.

Choice D:

Incorrect. Complex board games are not developmentally appropriate for a 1-year-old and may be frustrating rather than beneficial.

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