Nokea
When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on:
- A. cognitive development.
- B. secondary sexual characteristics.
- C. the production of blood cells.
- D. the growth of bones and muscle.
Correct Answer: D
Rationale: Nutrition is probably the single most important influence on growth.
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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.
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.
What is the correct way to assess for the presence of jaundice in an African-American child?
- A. Examine the sclera.
- B. Press the edge of the pinna.
- C. Apply pressure to the gum.
- D. Compare the color on the soles of the feet.
Correct Answer: C
Rationale: The gums in individuals with dark complexions can be used to assess jaundice by pressing the gums about the teeth.
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.
When a safety reminder device (SRD) is used to protect a child, what is a responsibility of the nurse?
- A. Apply it loosely.
- B. Remove it every 2 hours.
- C. Place it over clothing.
- D. Apply only one type.
Correct Answer: B
Rationale: Any SRD should be removed every 2 hours.