NURS431 Ch31 Health Supervision
The nurse is discussing varicella immunization with a parent of a 13-month-old infant. The parent is reluctant to vaccinate because "it is not necessary." Which comment by the nurse will be most persuasive for immunization? *** "Children not immunized are at risk...
NURS431 Ch31 Health Supervision
The nurse is discussing varicella immunization with a parent of a 13-month-old infant.
The parent is reluctant to vaccinate because "it is not necessary." Which comment by
the nurse will be most persuasive for immunization? *** "Children not immunized are
at risk if exposed to the disease."
A pediatric nurse will state that the priority reason to have a thorough grasp of the
growth and development of children is to: *** identify developmental risks or delays
promptly.
Parents report that their neonate received intravenous antibiotics while in the newborn
nursery. The nurse recognizes this as a potential risk factor for which health problem?
*** hearing impairment
The child's hearing is at risk. Determining which antibiotics were administered will be
helpful in evaluating the risk. Certain antibiotics are ototoxic. These require regular
follow-up to check the child's hearing ability. Having received antibiotics should not
increase the risk for the other health problems.
The nurse is assessing a 4-year-old child who the parents report as "hard to
understand" when speaking. Which screening will the nurse prepare to implement? ***
Denver Articulation Screening
Curious parents ask what type of immunity is provided to their child through
immunization with various vaccines. What will be the nurse's answer? *** artificially
acquired active immunity
Artificially acquired active immunity develops through vaccine administration of an
antigen that stimulates the child's body to produce antibodies against that antigen
(pathogen) and to remember the antigen should it reappear. Natural immunity is
produced through natural invasion of an antigen (pathogen). Natural and artificial
passive immunity involves providing antibodies to fight a pathogen rather than expecting
the child's body to produce them. This type of immunity has a short life.
A single mother has brought her 9-month-old, recently adopted Chinese daughter for a
health supervision visit. Although there are screening documents from China and the
child seems healthy, the nurse plans to screen for infectious diseases. What explains
the nurse's caution? *** Testing by the child's home country is unreliable.
The nurse is caring for a variety of pediatric clients in the community health clinic. Which
client is the nurse most concerned with being at risk for iron-deficiency anemia? *** a
16-year-old, pregnant for the first time and lives with her parents
, The nurse is promoting the benefits of achieving a healthy weight to an overweight 12-
year-old child and her parents. Which approach is best? *** Ask what activities she
enjoys such as dance or sports.
During a developmental screening, the nurse notes the toddler is not meeting expected
developmental milestones. What is the best action by the nurse? *** Discuss the delay
in milestones with the primary care provider and family.
The nurse is observing the parents and child during a health supervision visit. Which
observation would alert the nurse to inquire and observe further? *** The mother says,
"Wait until we are finished with this doctor's visit and then I will take you to the
bathroom."
The parent is not responding the child's need to go to the bathroom, which would alert
the nurse to inquire and observe further. The other choices are ideal responses from the
parent, indicating they have a healthy parent-child interaction and dynamic.
The nurse is preparing to administer the measles, mumps and rubella (MMR) vaccine to
a child. Which would be a contraindication to administering the vaccine at that time?
*** The child received the intranasal flu vaccine 2 weeks ago.
Measles, mumps, and rubella (MMR) is a live attenuated virus combination vaccine.
MMR can be given the same day as other live attenuated virus vaccines such as
varicella vaccine. However, if not given on the same day, the immunizations should be
spaced at least 28 days apart. The intranasal flu vaccine is a live attenuated virus
vaccine. The vaccine is not prepared from the allergenic albumen portion of the egg, so
egg allergy is no longer a contraindication for measles vaccine. Pregnancy in a child's
mother is not a contraindication to the vaccination of the child.
The nurse manager is mentoring a newly licensed nurse in the health clinic, talking with
the single mother of an infant. The mother was 10 minutes late to the appointment and
is concerned the clinic will not allow the health visit to be conducted today. Which
statement by the newly licensed nurse would alert the nurse manager to provide
additional teaching? *** "Why don't you plan to have your retired neighbor bring the
baby next time since having the parent with the baby isn't necessary?"
The nurse should not indicate to the mother that she is not necessary at the child's
health promotion visits. The nurse would instead validate the role of the mother and her
influence on the child's concept of wellness. The other choices support the mother in
taking an active role in her child's health and decrease the barriers to clinic access.
During a well-check for a 2-year-old client, the nurse notes the client's vaccinations are
not up to date. The caregiver states, "It is hard to make it to all the appointments, but my
child will get caught up before going to school." Which response by the nurse is most
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