Nokea
The mother of a 7-year-old pediatric patient asks the nurse about her child's sleep requirement. What is the most accurate response by the nurse?
- A. 7 to 10 hours a night'
- B. 5 to 7 hours a night with one daytime nap'
- C. 11 to 13 hours a night'
- D. 4 to 6 hours a night with two daytime naps'
Correct Answer: C
Rationale: The 7-year-old child usually requires 11 to 13 hours of sleep and rarely has a daytime nap.
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The mother of a 7-month-old infant states, 'The baby is eating food now. Should I give him regular milk, too?' What is the nurse's best response?
- A. You should give the baby low-fat milk.'
- B. Try the milk. See if he has any digestive problems.'
- C. Continue breast milk or iron-fortified formula until 1 year of age.'
- D. At this age, infants can tolerate lactose-free or soy-based milk.'
Correct Answer: C
Rationale: Whole milk should not be introduced before 1 year of age. Low-fat milk should not be introduced before 2 years of age.
A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family?
- A. Nuclear
- B. Blended
- C. Alternate
- D. Extended
Correct Answer: B
Rationale: A blended family involves the remarriage of persons with children.
An infant's birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months?
- A. 12 pounds
- B. 15 pounds
- C. 18 pounds
- D. 22 pounds
Correct Answer: B
Rationale: An infant usually doubles his or her birth weight by 5 to 6 months.
What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
- A. Specific to general
- B. Proximodistal
- C. Cephalocaudal
- D. General to specific
Correct Answer: C
Rationale: Cephalocaudal development proceeds from head to toe.
An educational program is being presented to pediatric nurses on the relationship of play to childhood development. What information should be included in this presentation? (Select all that apply.)
- A. Art play should be used sparingly.
- B. Use of computer/video games is detrimental.
- C. Understanding of child-parent relationships can be gained by observing play.
- D. Play encourages self-expression.
- E. Play provides a sense of accomplishment.
Correct Answer: C,D,E
Rationale: Art is an appropriate play activity at almost any age and provides an avenue for experimentation as well as for creative expression and a feeling of accomplishment in the child. Observing the child at play can aid in assessing growth and development and understanding the child's relationships with family members.