The nurse welcomes the presence of the family in a pediatric unit because it reduces the stressors of hospitalization. Which are common stressors for the hospitalized child?
- A. Separation
- B. Lack of love
- C. Fear of pain
- D. Unfamiliar food
- E. Loss of control
Correct Answer: A,C,E
Rationale: Parents lend stability and comfort for the child and restore his or her sense of control.
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What is the best time to bathe an infant?
- A. At bedtime
- B. Early in the morning
- C. After a feeding
- D. Before a feeding
Correct Answer: D
Rationale: Bathing is usually done before a feeding to reduce the possibility of vomiting, regurgitation, or stimulation.
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.
What was founded by Lillian Wald?
- A. National Commission on Children
- B. Henry Street Settlement
- C. White House Conference
- D. US Children's Bureau
Correct Answer: B
Rationale: Lillian Wald, regarded as the founder of public health, founded Henry Street Settlement, which provided nursing services and social assistance.
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.
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