Nokea
After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse?
- A. If the parent confesses to child abuse
- B. If the child admits to being abused
- C. Whenever maltreatment of a child is suspected
- D. When the type of abuse can be determined
Correct Answer: C
Rationale: Mandatory reporting of child abuse is required when the health care provider has reason to suspect the child has been abused.
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When measuring the head circumference of an infant, where should the nurse place the tape measure?
- A. Across the eyebrows and around the occipital lobe
- B. Over the zygomatic arches and around the parietal areas
- C. Around forehead and around the crown of the head
- D. Above the eyebrows and pinnas, and around the occipital lobe
Correct Answer: D
Rationale: Head circumference is measured in children up to 36 months above the eyebrows and pinnas, and around the occipital lobe.
When attempting to provide information to the parents of a child undergoing surgery, the nurse notes that the parents appear confused and do not seem to remember what they are being told. What is the most probable cause of the parents' forgetfulness?
- A. Noisy environment
- B. Serious nature of surgery
- C. Increased level of parents' anxiety
- D. Developmental age of the child
Correct Answer: C
Rationale: Anxiety of the parents may result in confusion and forgetfulness. It is not known if the environment is noisy, if the surgery is serious in nature, or what is the developmental age of the child.
The mother of a 3-year-old expresses concern about her daughter's slowed growth rate. What would be the most informative response by the nurse?
- A. Three-year-olds have typically finished a growth spurt, and you may notice a decreased rate in your daughter's growth.
- B. Children's growth is hereditary. She may be of small stature like you.
- C. The growth of a 3-year-old is associated with their nutrition. How is she eating?
- D. Your daughter is healthy and happy. Don't worry about her growth right now.
Correct Answer: A
Rationale: Three-year-olds slow down in their growth in a natural cycle.
When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?
- A. Ethan, I'm going to give you a shot.
- B. Ethan, the health care provider wants you to have some medicine, and it will hurt.
- C. Ethan, some medicine can only be given with a needle.
- D. Ethan, I am going to give you some medicine that will sting, but only for a little while.
Correct Answer: D
Rationale: Anticipatory guidance is the psychological preparation of a patient for a stressful event by explaining what will happen and the probable outcome.
What should be the focus of a practice where the pediatric nurse uses a developmental approach?
- A. Stimulation of the child to reach expected norms
- B. Age-centered care plans
- C. Strengths and abilities of the child
- D. Characteristics for the particular age
Correct Answer: C
Rationale: A developmental approach emphasizes the child's strengths and abilities and considers individuality. It builds on what the child can do instead of focusing on what the child cannot do.