Nokea
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.
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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.
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.
The nurse is aware that visual acuity evaluation in a child is best assessed after the age of years.
Correct Answer: 6 or six
Rationale: A child's refraction does not reach 20/20 until about the age of 6.
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.
A disfiguring facial wound would have the most significant developmental impact on which child?
- A. 4-year-old
- B. 6-year-old
- C. 10-year-old
- D. 14-year-old
Correct Answer: D
Rationale: The adolescent fears a change in body image associated with surgery.