Exam 2: Child Health

The registered nurse has completed a well-baby assessment of an 18-month-old.  Which assessment findings prompted the nurse to make a referral for a formal developmental screening test?

A 3-month-old child with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness.  Which statement made by the parent indicates a need for further instruction?

A child is brought to the school nurse after having a permanent tooth knocked out during gym class.  Which action by the nurse is appropriate?

The nurse taught the caregiver of a child with a ventriculoperitoneal (VP) shunt about when to contact the health care provider (HCP).  The caregiver shows understanding of the instructions by contacting the HCP about which symptom?

The nurse is reviewing the plan of care for a 4-year-old client who will receive daily dressing changes for an infected leg wound.  Which of the following interventions should the nurse include in the plan of care for a preschool-age child?  Select all that apply.

The nurse prepares a 7-year-old client for an influenza injection.  The nurse explains that the client will receive "medicine under the skin," and the client is visibly anxious.  Which nursing intervention is appropriate?

The nurse is providing teaching for parents of a child diagnosed with fifth disease.  Which statement by a parent indicates a need for further teaching?

The nurse is reinforcing education to the caregivers of a 9-year-old client diagnosed with scarlet fever.  The client has a history of type 1 diabetes mellitus.  Which statement by the caregivers indicates that further teaching is needed?

The parent of an 11-month-old child calls the pediatric outpatient clinic and tells the nurse that the child was exposed to measles 2 days ago during a family trip to a theme park.  What is the best response by the nurse?

The parents of a 5-year-old ask the school nurse for advice on how to tell their child about being adopted.  Which developmentally appropriate thought about adoption by the child does the nurse counsel the parents to anticipate?

The nurse is assessing an infant with intussusception.  Which of the following clinical findings should the nurse expect?  Select all that apply.

A nurse is caring for a 1-month-old client who is being evaluated for congenital hypothyroidism.  The nurse should recognize which of the following as clinical manifestations of hypothyroidism in infants?  Select all that apply.

A nurse is speaking with the parent of a toddler who believes the child has a hearing deficit.  Which findings support this suspected diagnosis?  Select all that apply.

The nurse is admitting a 4-year-old diagnosed with Wilms tumor.  The child is scheduled for a right nephrectomy in the morning.  Which action is a priority in the preoperative care plan?

The nurse is caring for a 4-year-old who was hospitalized with influenza.  Which nursing action would be most effective to maintain psychosocial integrity?

The parents of a 2-year-old client ask how they can help their child cope with hospitalization.  Which of the following suggestions should the nurse give the parents?  Select all that apply.

A 4-year-old boy is diagnosed with Duchenne muscular dystrophy.  Which nursing teaching is most appropriate to reinforce for this child's parents?

A 10-year-old weighs 99 lb (44.9 kg) and has a BMI of 24.8 kg/m² (>95th percentile).  Which is the most important assessment for the nurse to make before initiating a weight loss plan?

A 2-month-old recently diagnosed with developmental dysplasia of the hip (DDH) is beginning treatment with a Pavlik harness.  Which instructions should the nurse provide to the parents?  Select all that apply.

The nurse assesses a pediatric client who was diagnosed with diarrhea caused by Escherichia coli.  The nurse is most concerned with which finding?