60 Questions
Which activity would cause the nurse to be concerned if an 18-month-old child is unable to perform it?
Playing tag with other children
What is AIDS commonly associated with in children?
Developmental delays
How should the nurse obtain consent for an infant in a foster home to undergo a series of X-rays?
Obtain consent from the foster parents
What is the risk of continuing to give a 15-month-old child whole milk from a bottle?
Malocclusion
Which discipline strategy should the nurse suggest that the mother use for her 18-month-old?
Reprimand
Which age group is most likely to identify their pain as punishment for past behavior?
Adolescents (age 12–17 years)
Which approach would be most effective when interviewing a preschool-age girl who has been sexually abused about the event?
"Playing out" the event using anatomically correct dolls
What is the most realistic approach for the nurse to use to manage a hospitalized toddler's temper tantrum?
Offering disapproval and then ignoring the tantrum
Which finding should lead the nurse to suspect child abuse when assessing a 2-year-old child with a broken arm?
The child's father alters the story of the injury each time he tells it.
To prevent the spread of pertussis infection, which of the following is the most important action for the nurse to take when caring for a young child admitted to the hospital?
Place the child in a negative pressure room.
Which signs and symptoms should the nurse include when teaching a new mother about intussusception?
High fever and loss of appetite.
What should the nurse tell a parent who asks about using a car seat for a toddler in a hip spica cast?
'You can still use the car seat you already have.'
Which of the following is the leading cause of death among toddlers?
Accidents
What should be a priority in the dietary instructions for a 3-year-old child with iron deficiency anemia?
Encouraging milk products
Why should raisins be limited as a snack food in toddlers?
Raisins are hard to digest entirely
What is the best action for the nurse when a 2-year-old child begins to scream and cry during an assessment?
Allow the toddler to play on the floor until ready to start the assessment
Which behavior is characteristic of toddlers?
Pursuit of autonomy
What intervention is most important for a nurse to include in the plan of care for a 2-year-old child with tetralogy of Fallot (TOF)?
Positioning the child with knees to the chest
What is the nurse's highest priority when caring for a toddler with hemophilia who has multiple injuries after falling off a sliding board?
Assessing the child's level of consciousness (LOC) frequently
Which is the nurse's best response to parents who do not want their child to have a varicella immunization?
If the child contracts the disease, it could be very serious, even life threatening.
Which approach by a nurse is the best for trying to take a crying toddler's temperature?
Talk to the caregiver first and then to the client.
A nurse is providing dietary teaching for the parents of a child with celiac disease. Which statement by the parents indicates effective teaching?
"Our child should avoid eating prepared puddings."
A 16-month-old child is seen in the clinic for a checkup for the first time. The nurse notices that the toddler limps when walking. Which would be appropriate to use when assessing this toddler for developmental dysplasia of the hip?
Ortolani's maneuver
The nurse in the emergency department is caring for a preschool-age child with a fractured humerus. The child is crying and screaming, 'I hate you.' Which action would be most appropriate?
Ask the charge nurse to assign this client to another nurse.
Which intervention does the nurse tell the family to expect after a preschool child undergoes a tetralogy of Fallot repair?
An activity restriction for several days
Which behavior should the nurse interpret as a delay in early development in a 3-year-old child with Down syndrome?
Lack of use of expressive language
Which conditions should the nurse mention as possible long-term effects of low-dose lead exposure?
All of the above
Which interventions are indicated for a toddler admitted in respiratory distress who keeps pulling at the oxygen mask?
Restrain the child
Which statement by the parents indicates effective teaching about celiac disease?
We will avoid all gluten-containing foods
Which discipline strategy should the nurse suggest that the mother use for her 18-month-old?
Ignoring the behavior
True or false: Playing tag with other children is a concerning activity for an 18-month-old child?
False
True or false: AIDS in children is commonly associated with developmental delays?
True
True or false: The nurse should obtain consent for X-rays from the child's biological parent?
False
True or false: Weaning a 15-month-old child from the bottle can help avoid malocclusion?
True
True or false: Benign febrile seizures can lead to a developmental delay for the child.
True
True or false: A child with pertussis should be placed in a negative pressure room to prevent the spread of the infection.
False
True or false: Intussusception is characterized by abdominal distension and vomiting.
True
True or false: A toddler in a hip spica cast can still use the car seat they already have.
True
True or false: A nurse should ignore a crying toddler when trying to take their temperature.
False
True or false: A child with celiac disease should avoid eating fruits.
False
True or false: Ortolani's maneuver is an appropriate assessment for developmental dysplasia of the hip.
True
True or false: Isolation is required for a client with asthma exacerbation who was exposed to varicella (chickenpox) 1 week ago.
True
True or false: A support group for abusive parents would be a helpful referral for the mother in this scenario?
True
True or false: An 18-month-old child is expected to be able to say three words?
False
True or false: Eating very little and consuming only a single type of food for weeks on end is characteristic of adolescents?
False
True or false: The nurse's highest priority when caring for a toddler with hemophilia who has multiple injuries after falling off a sliding board is administering platelets as ordered?
False
True or false: Sharing is a developmental milestone that toddlers should be able to achieve?
True
True or false: Homicide is the leading cause of death among toddlers?
False
True or false: Iron deficiency anemia is a common condition in toddlers?
True
True or false: Raisins should be limited as a snack food in toddlers due to their high nutritional value?
False
True or false: The nurse should suggest reprimand as a discipline strategy for an 18-month-old child?
True
True or false: Adolescents are most likely to identify their pain as punishment for past behavior?
True
True or false: The most effective approach to interviewing a preschool-age girl who has been sexually abused is to 'play out' the event using anatomically correct dolls?
True
True or false: The most realistic approach for the nurse to use to manage a hospitalized toddler's temper tantrum is to offer material or emotional bribes?
False
True or false: Down syndrome is an autosomal dominant genetic disorder.
False
True or false: A preschool child who underwent tetralogy of Fallot repair may have an activity restriction for several days.
True
True or false: Lack of use of expressive language is a delay in early development in a child with Down syndrome.
True
True or false: Low-dose lead exposure can have long-term effects on a child's health.
True
True or false: Restraint is an appropriate intervention for a toddler who is trying to remove an oxygen mask.
False
True or false: The parents of a child with low-dose lead exposure should be informed about the possible long-term effects.
True
Study Notes
Child Development and Health
- By 18 months, a child should be able to perform activities such as pointing to body parts, following simple directions, and imitating gestures.
- AIDS in children is commonly associated with developmental delays and failure to thrive.
Consent and Medicolegal Issues
- For an infant in a foster home, consent for a series of X-rays should be obtained from the foster parents or the court-appointed guardian.
Nutrition and Hydration
- Continuing to give a 15-month-old child whole milk from a bottle can lead to malocclusion and negatively impact dental health.
- Raisins should be limited as a snack food in toddlers due to their high sugar content and potential choking hazard.
Discipline and Behavior
- For an 18-month-old, a discipline strategy that encourages positive behavior and ignores negative behavior can be effective.
- Toddlers are characterized by their curiosity and testing of boundaries.
Pain Management
- Children between the ages of 3-5 may identify their pain as punishment for past behavior.
Abuse and Neglect
- A broken arm in a 2-year-old child may be a sign of child abuse, and the nurse should suspect abuse in such cases.
- A support group for abusive parents can be a helpful referral to prevent further abuse.
Infectious Diseases
- Pertussis infection can be prevented in a hospitalized child by placing them in a negative pressure room and ensuring proper ventilation.
- Varicella immunization is important, and parents who refuse it should be educated on its benefits.
Respiratory Distress
- For a toddler admitted in respiratory distress who keeps pulling at the oxygen mask, interventions such as distraction, reassurance, and gentle restraint may be necessary.
Orthopedic Conditions
- Intussusception is characterized by abdominal distension, vomiting, and bloody stools.
- Ortolani's maneuver is an appropriate assessment for developmental dysplasia of the hip in toddlers.
Hemophilia and Hemorrhage
- For a toddler with hemophilia who has multiple injuries, the nurse's highest priority is to control bleeding and prevent further injury.
Cardiovascular Conditions
- Tetralogy of Fallot (TOF) repair may require activity restrictions for several days post-operatively.
- For a preschool-age child who undergoes TOF repair, the nurse should educate the family on expected outcomes and restrictions.
Genetic Disorders
- Down syndrome is a genetic disorder characterized by delayed speech and language development, and a lack of expressive language is a delay in early development.
- Low-dose lead exposure can have long-term effects on a child's health, including developmental delays and learning disabilities.
This quiz tests your knowledge on how to respond to a common parenting situation. Learn the best approach when two toddlers refuse to share their toys and one starts crying. Find out if you should encourage the parents to teach their children to share or do nothing as it is considered normal behavior for toddlers.
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