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Exam (elaborations)

Pediatric Questions and Answers Verified A+ 2023

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Pediatric Questions and Answers Verified A+ 2023 A 2-year-old toddler has hearing loss caused by recurrent otitis media. What treatment does the nurse anticipate that the practitioner will recommend? Ans- *Myringotomy* is a surgical opening into the eardrum to permit drainage of accumulated ...

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  • February 1, 2023
  • 25
  • 2022/2023
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Pediatric Questions and Answers
Verified A+ 2023
A 2-year-old toddler has hearing loss caused by recurrent otitis media. What treatment does the

nurse anticipate that the practitioner will recommend? Ans- *Myringotomy* is a surgical

opening into the eardrum to permit drainage of accumulated fluid associated with otitis media.

Ear drops are not used because they will obscure the view of the tympanic membrane. Removal

of the mastoid will not relieve pressure within inflamed ears. Antibiotics, not steroids, are used

for an infectious process.




What does the nurse state is the cause of frequent upper respiratory tract infections in toddlers?

Ans- Immature immune system




A toddler on the pediatric unit is required to have temporary dietary restrictions after colorectal

surgery. What is the best way for the nurse to promote adherence to the restrictions? Ans-

Toddlers are ritualistic and do not tolerate change well; *any change in diet should be done

matter of factly.*




age range for toddler years Ans- 12-36mos

,While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to

copy the same picture from a book. They are not talking to each other or sharing their crayons.

What does the nurse conclude about this behavioral interaction? Ans- It is a typical expression of

toddlers' social development. As part of the socialization process, toddlers enjoy playing beside

other children (parallel play).




A nurse is obtaining a health history from the mother of a 15-month-old toddler with celiac

disease. The nurse expects the mother to indicate what about her toddler? Ans- *Steatorrhea

(fatty, foul-smelling, frothy, bulky stools)* occurs with celiac disease because of an intolerance

to gluten; toxic substances, which can damage the intestinal mucosal cells, accumulate and cause

diarrhea.




What is the priority nursing care in the immediate postoperative period for a toddler with a newly

applied hip spica cast? Ans- *Checking the toddler's peripheral circulation*. Priority nursing care

for any cast application includes checking the color and temperature of the area surrounding the

cast to ensure that the cast is not too tight. A tight cast compresses arteries and veins, thereby

impairing circulation.

, The parent of a 2-year-old calls a nurse who is a neighbor and reports that the child just ate

several multivitamins with iron. What should the nurse say to the parent? Ans- "Call the Poison

Control Center."

The Poison Control Center will provide the best guidance for treatment of excess ingestion of a

substance; enemas, lavage, or chelation therapy with deferoxamine (Desferal), a heavy metal

antagonist, may be recommended, depending on the amount ingested and the child's age and

response.




A nurse in the daycare center is teaching several aides about the play behavior of 2-year-old

toddlers. What is this type of play called? Ans- *Parallel*: Toddlers play independently but

beside other children; they are aware of the other children, often grabbing toys from them, but do

not socially interact with them.




Elbow restraints are prescribed for an 18-month-old toddler who just had surgery for a cleft

palate. The nurse explains to the parents that the restraints are used to keep the child from doing

what? Ans- The suture lines in the mouth must be protected. Because the toddler uses the mouth

to explore the environment, elbow restraints are needed to keep the child from placing fingers or

objects in the mouth.




During which health maintenance visit for a toddler-age client should the nurse assess the ability

to throw a ball overhand without losing balance? Ans- 18mos

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