The mother of an 8-year-old tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. Using Erikson’s psychosocial stages of development, the appropriate response by the nurse is which of the following? Show A. you need to be concerned B. at this age, the child is developing his own personality According to Erikson, during school-age years (6 to 12 years of age), the child begins to move towards peers and friends and away for the parents for support. The nursing instructor asks a nursing student to present a clinical conference to peers regarding Freud’s psychosexual stages of development specifically the anal stage. The student plans the conference knowing that which of the following most appropriately relates to this stage of development? A. This stage is associated with pleasurable and conflicting feelings about the genital organs D. This stage is associated with toilet training Generally, toilet training occurs during the stage. According to Freud, the child gains pleasure from the elimination of feces and from their retention. A maternity nurse is providing instructions to a new mother regarding the psychosocial development of a newborn infant. Using Erikson’s psychosocial development theory, the nurse instructs the mother to: A. Anticipate all the needs of the newborn infant. D. Allow the newborn to signal a need According to Erikson, the caregiver should not try to anticipate the newborn infant’s needs at all times but must allow the newborn infant to signal needs. If newborn infant is not allowed to signal needs, the newborn will not learn how to control the environment. Erikson believed that a delay or prolonged response to a newborn infant’s signal would inhibit the development of trust and lead to mistrust of others. A mother of a 3-year-old asks the clinic nurse about appropriate and safe toys for the child. The nurse tells the mother that the most appropriate toy for a 3-year-old is which of the following: A. a wagon A. a wagon Toys for the toddler must be strong, safe, and too large to swallow or place in the ear or nose. Toddlers needs supervision at all times. Push- pull toys, large balls, large crayons, large trucks, and dolls are some of the appropriate toys. A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erikson’s psychosocial development theory, the nurse tells the mother to: A. Ignore the child when his behavior occurs C. Set the limits on the child’s behavior According to Erikson- The child focuses on gaining some basic control over self and the environment and independence between ages 1 and 3 years. Gaining independence often means that the child has to rebel against parents’ wishes. Saying things like “no” or “mine” and having temper tantrums are common during this period of development. Being consistent and setting limits on the child’s behavior are necessary elements. A child diagnosed with depression is given the nursing diagnosis of situational low self-esteem. Which statement by the child indicates that a short-term goal has been met? A. “I have to sleep a lot when I feel sad, sometimes until noon” C. “When I was feeling bad, I remembered my great science project.” One important goal for the child with situational low self-esteem is to have the child engage in positive self-talk. Remembering a great project is a good way to highlight the child’s abilities in his or her own mind. The other statements do not indicate movement toward resolution of this diagnosis. A 2-year-old is seen for a well-child visit and is scheduled to receive immunizations. The child weighed 22 lbs. (9.97 kg) at 1 year of age (1 year ago). Today the child weighs 23 lbs. (10.4 kg). Which conclusion is most appropriate for the nurse to make regarding this assessment data? A. The child is underweight for age. A. The child is underweight for age. A toddler should gain 4–6 lb each year from the ages of 1 to 3. This child should now weigh somewhere between 26 and 28 lb, so he or she is underweight. Which is the most consistent and commonly used data for assessment of pain in infants? A. Physiologic C. Behavioral Observe for physical signs and symptoms of pain, keeping in mind the child’s developmental level. Look for facial expressions of discomfort, grimacing, or crying. Be alert for movements that may suggest pain. A nurse observes several preschool-aged children during play and overhears one of them say “My mommy won’t let me do that.” What conclusion is the most appropriate by the nurse regarding this child’s development? A. The child is in Erikson’s autonomy versus shame and doubt phase. C. The child has developed a superego according to Freud. According to Freud, between the ages of 3 and 6, children begin to develop a superego, which serves to regulate behavior. The child who knows there are limits to behavior is demonstrating this development. Bandura’s concept of self-mastery occurs due to the influence of several factors. This child is too young to have developed this. According to Erikson, the stage of autonomy versus shame and doubt typically occurs between the ages of 1 and 3. The child is also too young to have mastered the tasks involved in moral reasoning, and so one cannot say he is behind. A nurse is assessing families in the community for child maltreatment Which family would nurse identify as being at high risk? A. Single mother living in poverty A. Single mother living in poverty Identified risk factors for child maltreatment include: children with disabilities; children of very young parent: children of single mother who live in poverty: Parents who suffer from mental or chronic physical illness: parents who have rigid ideas of discipline, excessive stress, or marital conflict; parental substance abuse; and intergenerational history of abuse. The parents of a 4-month-old infant cannot visit except on weekends. What action by the nurse indicates an understanding of the emotional needs of a young infant? A. Place her in a room away from other children. B. Assign her to the same nurse as much as possible. The infant is developing a sense of trust. This is accomplished by the consistent, loving care of a nurturing person. If the parents are unable to visit, then the same staff nurses should be used as much as possible. Placing her in a room away from other children would isolate the child. The parents should be encouraged to visit. The nurse should describe how the staff will care for the infant in their absence. The developmental task with which the child of 15 to 30 months is likely to be struggling is a sense of which? A. Initiative C. Autonomy Erikson defines the toddler period as a time of autonomy versus shame and doubt. It is a time of exerting independence. The nurse is caring for a 10-year-old child during the acute phase of Rheumatic Fever. Best rest is part of the child’s plan of care. Which of the following diversional activities is the development appropriate meets the health needs of this child in the acute phase of rheumatic fever? A. Sorting and organizing baseball cards in a notebook. A. Sorting and organizing baseball cards in a notebook. The middle childhood years are times for collections. It gives the child the most restful time. A nurse is assessing a 1-year old child who weighed 7 pounds 8 ounces at birth. Today’s weight is 23 pounds. What conclusion can the nurse make about the child’s weight? A. The child is at expected weight A. The child is at expected weight a child should triple in weight in one year and double in 6 months. A nurse is attempting to assess a toddler, who is being uncooperative. What action by the nurse would be best to accomplish this task? A. Give the child toys to play with. B. Visit the parent for a short while. Young children need to feel comfortable with the nurse before they will be cooperative. At this age, the best way to improve the child’s comfort level is for the nurse to establish a rapport with the parent(s). Once the child becomes comfortable with the nurse present, he or she is more likely to cooperate. Giving toys and getting on the same level of the child are helpful, age-appropriate actions, but not the best answer. Having the parent restrain the child would be the last resort unless the assessment technique could injure a struggling child (e.g., otoscopic examination of the ear). An adolescent child has just had surgery and has an abdominal dressing. Which question should the nurse expect the child to initially ask? A. “Will I have a large scar?” A. “Will I have a large scar?” Adolescents are deeply concerned about their body image and how they appear to others. An adolescent wouldn’t ask how the surgery went or what complications to expect, although an adult probably would. Although an adolescent may be curious as to when he can return to school, it probably wouldn’t be his primary concern. What is a nursing intervention to reduce the risk of increasing intracranial pressure (ICP) in an unconscious child? A. Turn the child’s head side to side every hour. C. Avoid activities that cause pain or crying Unrelieved pain, crying, and emotional stress all contribute to increasing the ICP. Disturbing procedures should be carried out at the same time as therapies that reduce ICP, such as sedation. Suctioning is poorly tolerated by children. The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil. How should the nurse interpret this? A. Severe brainstem damage C. Neurosurgical emergency The sudden appearance of a fixed and dilated pupil(s) is a neurosurgical emergency. The nurse should immediately report this finding. Although a dilated pupil may be associated with eye trauma, this child has experienced a neurologic insult. A nurse is making a referral for a family whose teenage daughter has anorexia nervosa. Which referral is the most appropriate? A. Psychiatrist. B. Multidisciplinary team Eating disorders are difficult to treat, and often the entire family is involved in therapy. The best approach is often a multidisciplinary team with expertise in this topic. The other services may be needed on a case-by-case basis, but overall the best referral is to a treatment center that uses a multidisciplinary team. The pediatric nurse is examining a newborn infant and notes a turning in of the foot and turning out of the toes when the sole of the foot is stroked. Which action by the nurse is most appropriate? A. Instruct the parents on required follow-up care. B. Document findings in the patient’s chart The newborn is exhibiting the Babinski reflex, one of the normal primitive reflexes that should disappear by 9 months of age. Documentation is all that is required. A nurse has identified substance abuse in an adolescent. In addition to a treatment center referral, what other referral is most important? A. Law enforcement C. Mental health provider Untreated psychiatric disorders increase the risk of substance abuse, so the family should be referred to a mental health provider. Many treatment centers include this service, but if not, the nurse needs to facilitate this referral. The other referrals are not necessarily needed. A mother is worried that her 3-month-old child is not holding her own head up. Which action by the nurse is most appropriate? A. Reassure the mother that her baby is completely normal. D. Explain that sturdy head control occurs around 6 months. Sturdy head control occurs around 6 months of age. The findings should be documented, but there is no need to alert the health-care provider because this is a normal finding for a 3-month-old. Simply reassuring the mother does not give her the information she needs. The nurse is promoting learning and school attendance to a 13-year-old girl. Which factor will affect the child’s attitude most? A. The dramatic changes to her body D. Peer group behaviors and attitudes Needs for acceptance by peer group at the highest level A mother brings her 1-year-old child to the pediatric clinic and appears frustrated and stressed. During the assessment, the mother states she tries to give her child exposure to new situations and people several times a week, but the outings always end with the child screaming and crying. Which response by the nurse is the most appropriate? A. “Your child will soon become used to such daily activity.” B. “Use an established routine and add new experiences slowly.” This child displays difficulty with adapting to new situations. The mother’s attempts to provide new experiences are antagonizing the child’s natural temperament. According to the temperament theory of Thomas, Chess, and Birch, the mother should provide structure with limited variation in this slow-to-adapt child’s daily activities. A new nurse caring for a toddler in pain after a procedure is reluctant to medicate the child for fear of causing a respiratory arrest. What action by the nurse’s preceptor is best? A. Explain that pain has some detrimental health effects and needs treatment A. Explain that pain has some detrimental health effects and needs treatment Pain has both detrimental physical and psychosocial effects and must be treated. It is a myth that analgesics (especially narcotics) are dangerous to give children. The other options will not treat the child’s pain. The mother asks the nurse for advice about discipline for her 2 year old child. Which discipline strategy should the nurse suggest that the mother use? A. Reasoning C. Time-out time outs are the first choice for disciplining young children. Based on Erikson’s developmental theory, what is the major development task of the adolescent? A. Gaining independence D. Finding an identity Adolescent undergo a great deal of change in the areas of emotional and social development which include their relationships with parents, self-concept and body image. The nurse is teaching parents about instilling a positive body image for the preschool age. What statement made by the parents indicates the teaching is understood? A. “We will help our child compare his or her size with other children.” C. “We will make sure our child is praised about his or her looks.” Parents can encourage and assist preschool age children with developing the social and emotional skills that will be needed when the child enters school. The nurse assesses newborns for iron-deficiency anemia. Which newborn is at highest risk for this disorder? A. A premature newborn A. A premature newborn Maternal iron stores are transferred to the fetus throughout the last trimester of pregnancy. Infants born prematurely miss all or at least a portion of the iron store transfer, placing them at increased risk for iron deficiency anemia. The nurse knows that children have larger heads in relation to the body and a higher center of gravity. When developing a teaching plan for parents, the nurse includes information about an increased risk for which problem? Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized? A. Fever B. Tachypnea with retractions Pneumonia is usually a self-limiting disease. Children with bacterial pneumonia can be successfully managed at home if the work of breathing is not severe and oxygen saturation is within normal limits. Hospitalization would most likely be required for the child with tachypnea, significant retractions, poor oral intake, or lethargy for the administration of supplemental oxygen, intravenous hydration, and antibiotics. Fever, although common in children with pneumonia, would not necessitate hospitalization. An oxygen saturation level of 96% would be within normal limits. Pallor (pale skin color) occurs as a result of peripheral vasoconstriction in an effort to conserve oxygen for vital functions; this finding also would not necessitate hospitalization. A two-month-old infant is in the clinic for a well baby visit. Which of the following immunizations can the nurse expect to administer? A. TD, Varicella, IPV. D. DTaP, Hib, OPV, HBV. Healthy infants at two months of age receive diphtheria, tetanus, and pertussis (DTP); hemophilus influenza (Hib); oral polio vaccine (OPV); and hepatitis B virus (HBV). An 18-month-old child with a history of falling out of his crib has been brought to the emergency room by the parents. Examination of the child reveals a skull fracture and multiple bruises on the child's body. Which of the following findings obtained by the nurse is most suggestive of child abuse? A. Poor personal hygiene of the child. C. Conflicting explanations about the accident from the parents. Incompatibility between the history and the injury is probably the most important criterion on which to base the decision to report suspected abuse. The mother of a 3-week old infant brings her daughter in for an eval. During the visit, the mother tells the RN that her baby is spitting up after feedings. Which response by the nurse would be most appropriate? A. infants this age commonly spit up A. infants this age commonly spit up the music tone in lower esophageal sphincter isn't fully developed until age 1 mo, so infants younger than 1 mo frequently regurgitate after feedings the RN is assessing the heart rate for kids on the peds ward. What is normal finding based on developmental age? A. school-age child is 50bpm D. an infant's rate is 90bpm normal heart rate for infant is 80-150bpm RN is leading a discussion ew/a group of new moms about newborn nutrition & its importance for growth & devel. 1 of the moms asks, "doesn't the baby get Fe from me before birth?" which response by the RN would be most appropriate? A. if the baby didn't use up what you gave hum before birth, he excretes it soon after birth B. because the baby grows rapidly during the 1st months, he uses up what you gave him the infant demonstrates rapid growth & an increase in the blood volume over the 1st several months of life, & maternally derived Fe stores are depleted by 4-6mo Which reflex if found in a 4mo old infant, would cause the RN to be concerned? A. plantar grasp C. step 4-8weeks after birth, w/1 foot on a flat surface, the infant puts the other foot down as if to "step" The RN is assessing the motor skills of a 5yo girl. Which finding would cause the RN to be concerned? A. draws a person w/ 3 body parts A. draws a person w/ 3 body parts a 5yo child can draw a person w/body & at least 6 parts the RN has seen a 15yo girl & a 16yo boy during health surveillance visits. Which physical characteristics would be seen in both teenagers? A. fully functioning sweat & sebaceous glands B. increased shoulder, chest, & hips widths adolescent girls & boys have increased in shoulders & chest widths d/t respiratory volume and vital capacity increase. During middle adolescence, shoulder, chest, & hip breadth increase. The RN is caring for a 13yo girl hospitalized for complications from type1 DM. The girl has a nursing dx of powerlessness r/t lack of control of multiple demands associated w/hospitalization, procedures, tx, & changes in the usual routine. How can a RN help promote control? A. offer the girl ass many choices as possible w/the help of the family A. offer the girl ass many choices as possible w/the help of the family give the teen a sense of control by allowing choices, answer questions honestly & w/appropriate info, & be sensitive to concerns about being different. the RN is assessing the temp of a diaphoretic toddler who is crying & being uncooperative. what would be the best method to assess temp in this child? A. temporal scanning C. axillary method the axillary method may be useed for children who are uncooperative, neurologically impaired, or immunosuppressed or have injuries or have surgery to the oral cavity The nurse is teaching the student nurse the sequence for performing the assessment techniques during a physical examination. What is the appropriate order? A. Palpation, percussion, inspection, auscultation D. Inspection, palpation, percussion, auscultation Physical examination begins with systemic inspection such as checking warmth, color, skin texture. Palpation follows inspection to validate your observation. Percussion is a useful tool for determining the location, size and density of the organs. Auscultation checks the reflexes and listens to the heart, lungs and abdomen sounds. Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized? A. Fever C. Tachypnea with retractions Assess work of breathing. Children with pneumonia might exhibit substernal, subcostal, or intercostal retractions. The nurse is helping a 20-year-old woman transition to adult care. Which would be the most important role of the nurse following successful transition? A. Teacher D. Consultant After the successful transition to adult care, the nurse should serve as a consultant to the adult office in relation to the teens’ needs. The nurse is preparing to perform a physical examination of a child with asthma. Which technique would the nurse be least likely to perform? A. Auscultation C. Palpation Physical assessment of the child with asthma includes inspection, auscultation, and percussion The nurse is caring for a 16-year-old boy with acute myelogenous leukemia who is having chemotherapy and who has incomplete records for varicella zoster immunization. Which is the priority nursing diagnosis? A. Risk for infection related to neutropenia and immunosuppression. A. Risk for infection related to neutropenia and immunosuppression. As neutrophils are the primary means of fighting bacterial infection, when the neutrophil count is low, the chance for developing an overwhelming bacterial infection is high. A group of nursing students are reviewing the six links in the chain of infection and the nursing implication of each. The students demonstrate understanding of the information when they identify which precaution is most important to break the chain of infection to a susceptible host? A. washing hands frequently A. washing hands frequently Proper hand washing will prevent infection from spreading. When the nurse is assessing a child’s pain, which is most important? A. Asking the parents about the child’s pain tolerance D. Using the same tool to assess the child’s pain each time Regardless of the tool used, nurses need to be consistent in using the same tool so that appropriate comparisons can be made and effective interventions can be planned and implemented. The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. What would the nurse include in this teaching plan? A. Ensuring fluid intake to prevent dehydration A. Ensuring fluid intake to prevent dehydration Dehydration is indicative of a child who can’t replace insensible loss due to fever. Encourage oral fluids, offer child preferred fluids. The nurse is caring for a neonate who is suspected of having sepsis. Which assessment findings would the nurse interpret a most indicative of sepsis? A. Hypothermia A. Hypothermia Neonates may not present with fever, some maybe hypothermic When providing end-of-life care to a 4-year-old child who is dying of cancer, which of the following interventions would the nurse utilize to ensure that she is providing adequate pain control? A. Ask the parents about the effectiveness of pain control A. Ask the parents about the effectiveness of pain control A child who is in pain may or may not demonstrate it in the same manner as adults. Using appropriate pain scale, child recognize pain level. The nurse is caring for a 4-year-old boy who has undergone an appendectomy. The child is unwilling to use the incentive spirometer. Which approach would be most appropriate to elicit the child’s cooperation? A. “Can you blow this cotton ball across the tray?” A. “Can you blow this cotton ball across the tray?” Play games to encourage deep breathing. Children are more likely to cooperate with interventions if play is involved. The nurse is teaching the family of an infant with cerebral palsy how to administer a Diazepam (Valium) pill by gastrostomy tube. What should the nurse include in the teaching session? A. Before administering the medication, check the placement of the tube. C. The pill should be crushed and mixed with a small amount of water Pills may be crushed and mixed with small amounts of water but not other liquids, such as formula or elixir medications, because these may act together to form a sludge that can interfere with gastrostomy function. Parents bring a 7-year-old child to the clinic for evaluation of an injured wrist after a bicycle accident. The parents and child are upset, and the child will not allow an examination of the injured arm. What priority nursing intervention should occur at this time? A. Calmly ask the child to point to where the pain is worse and to wiggle his fingers. A. Calmly ask the child to point to where the pain is worse and to wiggle his fingers. Initially, assessment is the priority. Because the child is alert but upset, the nurse should work to gain the child’s trust. Initial data are gained by observing the child’s ability to move the fingers and to point to the pain. The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next? A. Contact the physician. D. Administer next dose as ordered in 12 hours. The medication might be absorbed in the stomach quickly. A nurse is caring for a baby who was born 72 hours ago. The nurse notes that the child has not had a bowel movement or has passed meconium stool on her shift. She checks the records and notes that the child has not had any bowel movements documented since he was born. What action should the nurse perform next? A. Contact the physician and report the situation A. Contact the physician and report the situation A newborn infant should pass the first stool of meconium within approximately 24 hours of birth. One of the goals for children with asthma is to maintain the child’s normal functioning. What principle of treatment helps to accomplish this goal? A. Have yearly evaluations by a health care provider. D. Reduce underlying inflammation. Children with asthma are often excluded from exercise. This practice interferes with peer interaction and physical health. Most children with asthma can participate provided their asthma is under control. A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about post procedure care. Which statement by the parents indicates that the teaching was successful? A. “He should avoid taking a bath for about 3 days but he can shower.” A. “He should avoid taking a bath for about 3 days but he can shower.” Avoid giving the child a tub bath for approximately 3 days after the procedure, use sponge bath or showers instead. A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. What nursing intervention is a priority for this child? A. Monitoring and maintaining systemic blood pressure A. Monitoring and maintaining systemic blood pressure Spinal cord injury patients are physiologically labile, and close monitoring is required. They may be unstable for the first few weeks after the injury. Increased blood pressure may be an indication of autonomic dysreflexia. It is not necessary to minimize environmental stimuli for this type of injury. The nurse is providing home care for a 1-year-old girl who is technologically dependent. Which intervention will best support the family process? A. Creating schedules for therapies and interventions A. Creating schedules for therapies and interventions Help the family to incorporate the medical regimen into daily life to minimize the child’s self-perception of being different from other children. Assist parents with the planning nutritional support, and developmental interventions. The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. What might alert the nurse to a potential problem with the child’s sensory development? A. The toddler’s vision tests at 20/50 in both eyes. C. The toddler does not respond to commands whispered in his ear. Hearing should be at the adult level, as infants are ordinarily born with hearing intact. A nurse is preparing to take a pediatric patient to surgery. She places an identification band on the child’s wrist. Which of the following statements by the nurse is most appropriate when explaining the ID band to the child and his parents? A. “This band tells us what surgery you are having; we will take it off when you get back to your room.” C. “This band tells us who you are so that you are not mixed up with anyone else.” Identification bands are important for any patient, including pediatric patients who may not be able to tell a caregiver their name, age, or medical status. A 7-year-old boy has reentered the hospital for the second time in a month. Which intervention is particularly important at this time? A. Notifying the care team about his hospitalization B. Assessing his parents’ coping abilities The parent may feel guilty and also exhibit other feelings such as denial, anger, depression, and confusion. A nurse is reviewing the policies for safety with a family who’s 1-year-old child has been admitted to the pediatric unit. Which information would the nurse most likely give to the parents about maintaining the child’s safety while he is a patient in the pediatric unit? A. The sides of the baby’s crib should be up at all times except when he is asleep D. Parents who are staying with the child should not fall asleep while holding the child, but should keep him in his bed In order to protect children who are hospitalized, facility units often devise policies that are the “rules” of the area. The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates and need for further teaching? A. “I will give him a pacifier during feeding time.” C. “We need to keep feeding time very quiet.” Enteral feeding can be given continuously or intermittently, regardless of the type of tube used and resemble like a regular meal. Prior to administering morphine to a 10-year-old child, the nurse reviews the adverse effects of the drug. Which system is primarily affected by the drug, causing most of the adverse effects? A. Musculoskeletal system D. Central nervous system Morphine acts directly on the central nervous system to decrease the feeling of pain. A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would be the priority? A. Impaired skin integrity related to trauma secondary to pruritus and scratching C. Social isolation related to infectivity and inability to go to the playroom An infectious disease should be placed in transmission-based precaution to prevent from spreading the infectious disease. The student nurse is learning about the effects of heat and cold when used in a pain management plan. What accurately describes one of these effects? A. Cold results in vasodilation. B. Cold alters capillary permeability. Cold applications results in vasoconstriction and alters capillary permeability, leading to decrease in edema at the site of the injury. A 4-year-old boy has a febrile seizure during a well-child visit. What action would be a priority? A. Hyperextending the child’s head while placing him on his side D. Protecting the child from harm during the seizure The priority action is the safety of the patient. During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse’s best response? A. “All mothers worry about their babies. I’m sure he’s doing well.” B. “Tell me what concerns you.” The child is the focus of the health supervision visits. The child’s health is linked to the needs and resources of his or her family and community. The nurse can greatly facilitate trust by acknowledging that the family has unique insights to offer on their child’s health. The nurse is caring for a 4-year-old girl with special care needs in the hospital. Which intervention would have the most positive effect on this child? A. Limiting the staff providing care for her B. Helping her do a simple craft project Children with special healthcare needs desire to be treated as normal and they want to experience the same events that other children do. The nurse is preparing a nursing care plan for an 8-year old child hospitalized for cardiac surgery. Which are examples of interventions that nurses perform in the “building a trusting relationship” stage? Select all that apply. a. Gathering information about the child using the child’s own toys
Always include the child in the conversation and make him or her feel a part of the interaction. Prepare the child before a procedure to decrease the anxiety. A 4-year-old child is being prepared for surgery for an umbilical hernia repair. Which best identifies the most appropriate method of providing comfort for a child before surgery? A. Give the child a sedative and help him to lie down on the bed B. Allow a support person, such as a parent, to remain with the child as long as possible A child who is being prepared for surgery would benefit from the presence of a support person for as long as possible while getting ready and moving back to the OR. The nurse is caring for a hospitalized 13-year-old girl who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond? A. “The sooner you cooperate; the sooner you are going to leave.” D. “Let’s work together to plan your day along with your treatments.” Make sure to include the child in the treatment plan to decrease the feeling of loss of control. The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with severe burns. Which would be a priority intervention to help satisfy this preschool child’s basic needs? A. Allow her to make choices about her meals and activities as much as permitted. D. Explain necessary procedures in a simple language that she will understand. Describe any procedures and equipment that the child can easily understand in order to decrease fear and anxiety by allowing the child to better understand what is happening. The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to school. Which question would be most likely to elicit valuable information? Which activities can a child perform at 3 years of age?Children at this age are walking, running, kicking and throwing. They are exploring their world and picking up new skills, like kicking a ball or riding a tricycle. 3-year-olds are naturally active, so be sure to provide ample chances for your child to practice and build on these skills.
Which fine motor activity can be observed in a 3 month old?1-3 months: Infant attempts to swipe or hit objects. Eyes can follow (track) an object to right and left sides, past the midline. Can briefly hold small toys placed in child's hands.
What fine motor skills would a child age 3 be able to?At age 3, children are developing fine motor control: they're more able to move their fingers independently, using them in more complex tasks such as holding writing utensils like an adult, cutting with scissors and making more complex and precise drawings.
Which gross motor skills are developmentally appropriate in a 3 year old child quizlet?(Three-year-olds are able to accomplish the gross motor skill of balancing on one foot. Jumping rope, riding a two-wheel bike, and skipping on alternate feet are gross motor skills of 5-year-old children.)
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Which activity would the nurse recognize as age appropriate for a 3-year-old
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