Peds Exam 1 and 2 Actual Questions With Correct Detailed Answers Verified Solutions.
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Course
PEDS.
Institution
PEDS.
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering?
A) Taking over total care of the child to reduce stress on the family
B) Encouraging family dependence on health care systems
C) Recognizing that the family is the const...
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the
nurse is delivering?
A) Taking over total care of the child to reduce stress on the family
B) Encouraging family dependence on health care systems
C) Recognizing that the family is the constant in a child's life
D) Excluding families from the decision-making process - correct answer C)
Recognizing that the family is the constant in a child's life
The three key components of family-centered care are respect, collaboration, and support. Family-
centered care recognizes the family as the constant in the child's life. Taking over total care does not
include the family in the process and may increase stress instead of reducing stress. The family should
be enabled and empowered to work with the health care system. The family is expected to be part of
the decision-making process.
The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients.
Which intervention should the nurse include?
A) Prepare the child for separation from parents during hospitalization by reviewing a video.
B) Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed
animal.
C) Help the child accept the loss of control associated with hospitalization.
D) Help the child accept pain that is connected with a treatment or procedure. - correct answer
B) Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed
animal.
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, providing play
activities for expression of fear and aggression, providing choices, and respecting cultural differences are
components of atraumatic care. In the provision of atraumatic care, the separation of child from parents
during hospitalization is minimized. The nurse should promote a sense of control for the child.
Preventing and minimizing bodily injury and pain are major components of atraumatic care.
,Which is the major cause of death for children older than 1 year?
A) Cancer
B) Heart disease
C) Unintentional injuries
D) Congenital anomalies - correct answer C) Unintentional injuries
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
Congenital anomalies are the leading cause of death in those younger than 1 year. Cancer ranks either
second or fourth, depending on the age group, and heart disease ranks fifth in the majority of the age
groups.
Parents of a firstborn child are asking whether it is normal for their child to be extremely competitive.
The nurse should respond to the parents that studies about the ordinal position of children suggest that
firstborn children tend to:
A) be praised less often.
B) be more achievement oriented.
C) be more popular with the peer group.
D) identify with peer group more than parents. - correct answer B) Be more
achievement oriented
Firstborn children, like only children, tend to be more achievement-oriented.
Being praised less often, being more popular with the peer group, and identifying with peer groups
more than parents are characteristics of later-born children.
An infant gains head control before sitting unassisted. The nurse recognizes that this is which type of
development?
A) Cephalocaudal
B) Proximodistal
C) Mass to specific
D) Sequential - correct answer A) Cephalocaudal
,The pattern of development that is head-to-tail, or cephalocaudal, direction is described by an infant's
ability to gain head control before sitting unassisted. The head end of the organism develops first and is
large and complex, whereas the lower end is smaller and simpler, and development takes place at a
later time. Proximodistal, or near to far, is another pattern of development. Limb buds develop before
fingers and toes. Postnatally, the child has control of the shoulder before achieving mastery of the
hands. Mass to specific is not a specific pattern of development. In all dimensions of growth, a definite,
sequential pattern is followed.
An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year?
A) 14
B) 16
C) 18
D) 21 - correct answer D) 21
In general, birth weight triples by the end of the first year of life. For an infant who was 7 pounds at
birth, 21 pounds would be the anticipated weight at the first birthday; 14, 16, or 18 pounds is below
what would be expected for an infant with a birth weight of 7 pounds.
The nurse observes some children in the playroom. Which play situation exhibits the characteristics of
parallel play?
A) Kimberly and Amanda sharing clay to each make things
B) Brian playing with his truck next to Kristina playing with her truck
C) Adam playing a board game with Kyle, Steven, and Erich
D) Danielle playing with a music box on her mother's lap - correct answer B) Brian
playing with his truck next to Kristina playing with her truck
Playing with trucks next to each other but not together is an example of parallel play. Both children are
engaged in similar activities in proximity to each other; however, they are each engaged in their own
play. Sharing clay to make things is characteristic of associative play. Friends playing a board game
together is characteristic of cooperative play. A child playing with something by herself on her mother's
lap is an example of solitary play.
At what age should the nurse expect the anterior fontanel to close?
The anterior fontanel normally closes between ages 12 and 18 months. Two to 8 months is too early.
The expected closure of the anterior fontanel occurs between ages 12 and 18 months; if it closes
between ages 2 and 8 months, the child should be referred for further evaluation
The nurse is meeting a 5-year-old child for the first time and would like the child to cooperate during a
dressing change. The nurse decides to do a simple magic trick using gauze. This should be interpreted as:
A) inappropriate, because of child's age.
B) a way to establish rapport.
C) too distracting, when cooperation is important.
D) acceptable, if there is adequate time. - correct answer B) A way to establish
rapport
A magic trick or other simple game may help alleviate anxiety for a 5-year-old. It is an excellent method
to build rapport and facilitate cooperation during a procedure. Magic tricks appeal to the natural
curiosity of young children. The nurse should establish rapport with the child. Failure to do so may cause
the procedure to take longer and be more traumatic.
What is the single most important factor to consider when communicating with children?
A) The child's physical condition
B) Presence or absence of the child's parent
C) The child's developmental level
D) The child's nonverbal behaviors - correct answer C) The child's developmental
level
The nurse must be aware of the child's developmental stage to engage in effective communication. The
use of both verbal and nonverbal communication should be appropriate to the developmental level.
Although the child's physical condition is a consideration, developmental level is much more important.
The parents' presence is important when communicating with young children but may be detrimental
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