1. While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanelle is still slightly open. Which of the following is the nurse’s most appropriate action? Show
2. When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done?
3. The infant of a substance-abusing mother is at risk for developing a sense of which of the following?
4. Which of the following toys should the nurse recommend for a 5-month-old?
5. The mother of a 2-month-old is concerned that she may be spoiling her baby by picking her up when she cries. Which of the following would be the nurse’s best response?
6. When assessing an 18-month-old, the nurse notes a characteristic protruding abdomen. Which of the following would explain the rationale for this finding?
7. If parents keep a toddler dependent in areas where he is capable of using skills, the toddle will develop a sense of which of the following?
8. Which of the following is an appropriate toy for an 18-month-old?
9. When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler?
10. When teaching parents about typical toddler eating patterns, which of the following should be included?
11. Which of the following suggestions should the nurse offer the parents of a 4-year-old boy who resists going to bed at night?
12. When providing therapeutic play, which of the following toys would best promote imaginative play in a 4-year-old?
13. Which of the following activities, when voiced by the parents following a teaching session about the characteristics of school-age cognitive development would indicate the need for additional teaching?
14. A hospitalized schoolager states: “I’m not afraid of this place, I’m not afraid of anything.” This statement is most likely an example of whichof the following?
15. After teaching a group of parents about accident prevention for schoolagers, which of the following statements by the group would indicate the need for more teaching?
16. Which of the following skills is the most significant one learned during the schoolage period?
17. A child age 7 was unable to receive the measles, mumps, and rubella (MMR) vaccine at the recommended scheduled time. When would the nurse expect to administer MMR vaccine?
18. The adolescent’s inability to develop a sense of who he is and what he can become results in a sense of which of the following?
19. Which of the following would be most appropriate for a nurse to use when describing menarche to a 13-year-old?
20. A 14-year-old boy has acne and according to his parents, dominates the bathroom by using the mirror all the time. Which of the following remarks by the nurse would be least helpful in talking to the boy and his parents?
21. Which of the following should the nurse suspect when noting that a 3-year-old is engaging in explicit sexual behavior during doll play?
22. Which of the following statements by the parents of a child with school phobia would indicate the need for further teaching?
23. When developing a teaching plan for a group of high school students about teenage pregnancy, the nurse would keep in mind which of the following?
24. When assessing a child with a cleft palate, the nurse is aware that the child is at risk for more frequent episodes of otitis media due to whichof the following?
25. While performing a neurodevelopmental assessment on a 3-month-old infant, which of the following characteristics would be expected?
26. By the end of which of the following would the nurse most commonly expect a child’s birth weight to triple?
27. Which of the following best describes parallel play between two toddlers?
28. Which of the following would the nurse identify as the initial priority for a child with acute lymphocytic leukemia?
29. Which of the following information, when voiced by the mother, would indicate to the nurse that she understands home care instructions following the administration of a diphtheria, tetanus, and pertussis injection?
30. Which of the following actions by a community health nurse is most appropriate when noting multiple bruises and burns on the posterior trunk of an 18-month-old child during a home visit?
31. Which of the following is being used when the mother of a hospitalized child calls the student nurse and states, “You idiot, you have no idea how to care for my sick child”?
32. Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease?
33. Which of the following would the nurse do first for a 3-year-old boy who arrives in the emergency room with a temperature of 105 degrees, inspiratory stridor, and restlessness, who is learning forward and drooling?
34. Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for child with a urinary tract infection?
35. Which of the following should the nurse do first for a 15-year-old boy with a full leg cast who is screaming in unrelenting pain and exhibiting right foot pallor signifying compartment syndrome?
36. At which of the following ages would the nurse expect to administer the varicella zoster vaccine to child?
37. When discussing normal infant growth and development with parents, which of the following toys would the nurse suggest as most appropriate for an 8-month-old?
38. Which of the following aspects of psychosocial development is necessary for the nurse to keep in mind when providing care for the preschool child?
39. Which of the following is characteristic of a preschooler with mid mental retardation?
40. Which of the following assessment findings would lead the nurse to suspect Down syndrome in an infant?
41. While assessing a newborn with cleft lip, the nurse would be alert that which of the following will most likely be compromised?
42. When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions?
43. While assessing a child with pyloric stenosis, the nurse is likely to note which of the following?
44. Which of the following nursing diagnoses would be inappropriate for the infant with gastroesophageal reflux (GER)?
45. Which of the following parameters would the nurse monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)?
46. Discharge teaching for a child with celiac disease would include instructions about avoiding which of the following?
47. Which of the following would the nurse expect to assess in a child with celiac disease having a celiac crisis secondary to an upper respiratory infection?
48. Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea?
49. A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following?
50. When assessing a child for possible intussusception, which of the following would be least likely to provide valuable information?
Why is the vomit of an infant with pyloric stenosis?It then relaxes (opens) to let food and liquid pass into the small intestine. When the pyloric muscle is too thick, it narrows the passageway. Liquid and food can't move from the stomach to the small intestine. Babies with pyloric stenosis often forcefully vomit since formula or breast milk can't leave the stomach.
Which of the following clinical findings is common for an infant with pyloric stenosis?The most common symptoms noted in a baby with pyloric stenosis is forceful, projectile vomiting. This kind of vomiting is different from a "wet burp" that a baby may have at the end of a feeding. Large amounts of breast milk or formula are vomited, and may go several feet across a room.
What are the presenting symptoms of pyloric stenosis?Signs include:. Vomiting after feeding. The baby may vomit forcefully, ejecting breast milk or formula up to several feet away (projectile vomiting). ... . Persistent hunger. Babies who have pyloric stenosis often want to eat soon after vomiting.. Stomach contractions. ... . Dehydration. ... . Changes in bowel movements. ... . Weight problems.. Which assessment finding would the nurse expect in an infant diagnosed with pyloric stenosis?Classically, the infant with pyloric stenosis has nonbilious vomiting or regurgitation, which may become projectile (in as many as 70% of cases), after which the infant is still hungry. Jaundice. The infant may develop jaundice, which is corrected upon correction of the disease. Dehydration and malnutrition.
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