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.
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When the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do?
- A. Convey respect.
- B. Talk with the child.
- C. Be honest.
- D. Talk with family.
Correct Answer: C
Rationale: To establish a trusting relationship, the most important thing is to be honest.
When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
- A. Don't be concerned. Accidents happen.
- B. Let's put a diaper on your child until this gets better.
- C. The stress of hospitalization makes children regress a little.
- D. Your child will relearn 'potty-training' if you are patient.
Correct Answer: C
Rationale: It is not unusual for children to regress when hospitalized. Explaining that regression is normal during hospitalization will help allay the mother's anxiety.
How should an infant be positioned after a feeding?
- A. On the stomach
- B. On the right side
- C. On the left side
- D. On the back
Correct Answer: B
Rationale: After feeding, the infant is positioned on the right side to direct the food into the stomach.
The pediatric nurse, along with the primary caregiver(s), has a special duty to the child and the family.
Correct Answer: teach
Rationale: The pediatric nurse is in a position to assess, instruct, and support children and their families about developmental progress, nutrition, and possible undiagnosed anomalies.
What is the maximum amount of time that a nurse should suction an artificial airway?
- A. 1 second
- B. 5 seconds
- C. 30 seconds
- D. 1 minute
Correct Answer: B
Rationale: The nurse should limit suctioning to no more than 5 seconds.
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