Pediatric Nursing Skills and Pediatric Assessment > Pediatrics
Exam Review
Introduction
Total Questions : 8
Showing 8 questions, Sign in for moreExplanation
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.
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.
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.
D. Incorrect. While efficiency is important, rushing through the assessment can lead to missed information and potential errors.
Explanation
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.
B. Incorrect. Waiting until the child starts school may delay necessary interventions if there are developmental concerns.
C. Incorrect. While online forums can be a source of information, they should not replace professional evaluation and advice.
D. Incorrect. Disregarding the concerns without further assessment may lead to missed opportunities for early intervention if there are developmental issues.
Explanation
A. Incorrect. Installing safety gates at the top and bottom of stairs is a recommended safety measure to prevent falls.
B. Incorrect. Keeping small objects out of a child's reach is essential to prevent choking hazards.
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.
D. Incorrect. Securing cabinet doors to prevent access to cleaning supplies is an important safety measure to protect the child from potential hazards.
A client is worried because their 9-month-old infant has not started walking yet. What should the nurse explain to the client?
Explanation
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.
B. Incorrect. Expecting a 9-month-old infant to already be walking is not realistic. Walking typically starts later in the first year.
C. Incorrect. Not all infants follow the exact same developmental timeline. A delay in walking does not necessarily indicate a developmental issue.
D. Incorrect. Consulting a pediatric orthopedic specialist at this stage is premature and not indicated solely based on a delay in walking.
Explanation
A. Incorrect. While some infants may start experimenting with self-feeding, it is not a universal milestone at 6 months.
B. Incorrect. While weight gain is important, it is not a specific developmental milestone.
C. Correct. Around 6 months, infants typically begin to develop the ability to sit unsupported. This is an important milestone in their physical development.
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.
Explanation
A. Correct. Establishing a consistent bedtime routine and sleep schedule helps regulate a toddler's sleep patterns and promotes healthy sleep habits.
B. Incorrect. Allowing a toddler to stay up late can disrupt their natural sleep-wake cycle and may lead to sleep difficulties.
C. Incorrect. Introducing herbal tea may not be suitable for young children and is not a recommended strategy for improving sleep patterns.
D. Incorrect. While avoiding excessive daytime naps can help regulate nighttime sleep, completely avoiding naps may lead to overtiredness, which can also disrupt sleep.
Explanation
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.
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.
C. Incorrect. Administering multiple vaccines at once is a common practice and is safe and effective. It helps protect children against diseases efficiently.
D. Incorrect. Waiting until the child starts school can leave them susceptible to diseases that could have been prevented through timely vaccinations.
Explanation
A. Correct. Large, colorful blocks promote gross motor skills, creativity, and problem-solving abilities in a 1-year-old child.
B. Incorrect. Small, intricate puzzles may pose a choking hazard for a 1-year-old and are not suitable for their developmental stage.
C. Incorrect. Toys with small parts can be a choking hazard and are not recommended for children of this age.
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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