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What is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements?
- A. Respiration, temperature, pulse
- B. Pulse, respiration, temperature
- C. Temperature, pulse, respiration
- D. Respiration, pulse, temperature
Correct Answer: D
Rationale: The respiration is taken first on an infant before the child is disturbed, pulses are assessed next, and last the temperature is obtained.
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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.
Following a lumbar puncture of a 2-year-old, what should the nurse do?
- A. Keep the child flat for several hours.
- B. Allow the child to play quietly at will.
- C. Hold the child in a flexed position for 5 minutes.
- D. Stand the child upright immediately.
Correct Answer: B
Rationale: Children younger than 3 years of age are usually not affected by postlumbar headache. These children are allowed to play at will following a lumbar puncture.
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.
The parents ask about preparation of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission?
- A. A week prior
- B. 2 weeks prior
- C. The day of admission
- D. Only 2 or 3 days before
Correct Answer: D
Rationale: The nurse should suggest the toddler be told only days before. School-age children can be given more time to prepare. Adolescents should be told as far in advance as possible.
What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies?
- A. Very dependent children
- B. Children requiring special education
- C. Children with special needs
- D. Children requiring long-term care
Correct Answer: C
Rationale: The definition of children with special needs includes congenital abnormalities, malignancies, GI diseases, and CNS anomalies.