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Chapter 30 Basic Pediatric Nursing Care

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Chapter 30 Basic Pediatric Nursing Care

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  • August 27, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
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Chapter 30: Basic Pediatric Nursing Care



MULTIPLE CHOICE

1. What was one of the major strides in pediatric care made by Dr. Abraham Jacobi?
a. Pediatric wards in hospitals
b. Free inoculations against smallpox
c. Milk stations in the city of New York
d. Serving nutritious foods in orphanages
ANS: C
Dr. Abraham Jacobi, referred to as the father of pediatrics, initiated the establishment of milk
stations in New York demonstrating how to sanitize milk for children.

PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 932
OBJ: 2 TOP: Abraham Jacobi KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

2. What was founded by Lillian Wald?
a. National Commission on Children
b. Henry Street Settlement
c. White House Conference
d. U.S. Children‘s Bureau
ANS: B
Lillian Wald, regarded as the founder of public health, founded Henry Street Settlement,
which provided nursing services and social assistance.

PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 932
OBJ: 2 TOP: Lillian Wald KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

3. 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
ANS: C
To establish a trusting relationship, the most important thing is to be honest.

PTS: 1 DIF: Cognitive Level: Application REF: Page 933
OBJ: 4 TOP: Pediatric nurse
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity

4. 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

ANS: C
The definition of children with special needs includes congenital abnormalities, malignancies,
GI diseases, and CNS anomalies.

PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 934
OBJ: 6 TOP: Children KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

5. The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric
unit if she might see her child‘s laboratory reports. What response by the nurse is the most
appropriate?
a. ―Although the actual reports are not shared, I can tell you the blood sugar is 200
mg.‖
b. ―I‘ll write them down for you and bring them to your room.‖
c. ―Come to the conference room where we can have privacy while you look at
them.‖
d. ―I‘ll notify the physician that you wish to see the reports.‖
ANS: C
With a family-centered care approach, hospitals welcome parents, and parents have access to
information 24 hours a day.

PTS: 1 DIF: Cognitive Level: Analysis REF: Page 934
OBJ: 5 TOP: Family-centered care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

6. 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
ANS: C
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.

PTS: 1 DIF: Cognitive Level: Application REF: Page 936
OBJ: 6 TOP: Developmental approach
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

7. When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement
by the nurse would be most appropriate?
a. ―Ethan, I‘m going to give you a shot.‖
b. ―Ethan, the doctor wants you to have some medicine, and it will hurt.‖

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