Peds Exam 1 Questions and Correct Answers the Latest Update
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Module
Pediatric
Institution
Pediatric
The nurse is aware that the age at which the posterior fontanelle closes is _____ months.
a. 2 to 3
b. 3 to 6
c. 6 to 9
d. 9 to 12
ANS: A
The posterior fontanelle closes between 2 and 3 months of age.
Which stage of development is most unstable and challenging regarding development of
...
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A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
D) Attend to the newborn infant immediately when crying
✓ A) Allow the newborn infant to signal a need. Trust vs Mistrust stage-This will allow the
infant opportunity to gain trust.
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having
temper tantrums. The nurse most appropriately tells the mother to:
A) Punish the child every time the child says "no", to change the behavior
B) Allow the behavior because this is normal at this age period
C) Set limits on the child's behavior
D) Ignore the child when this behavior occurs
✓ C) Set limits on the child's behavior-According to Erikson, the child focuses on
independence between ages 1 and 3 years. Gaining independence often means that the
child has to rebel against the parents' wishes. Saying things like "no" or "mine" and having
temper tantrums are common during this period of development. Being consistent and
setting limits on the child's behavior are the necessary elements.
A nurse is evaluating the developmental level of a 2-year-old. Which of the following does
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C) Uses a knife for cutting food
D) Pours own milk into a cup
✓ B. By age 2 years, the child can use a cup and can use a spoon correctly but with some
spilling. By ages 3 to 4, the child begins to use a fork. By the end of the preschool period,
the child should be able to pour milk into a cup and begin to use a knife for cutting.
A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse
determines that the infant is demonstrating the highest level of developmental achievement
expected if the infant:
A) Uses simple words such as "mama"
B) Uses monosyllabic babbling
C) Links syllables together
D) Coos when comforted
✓ B. Using monosyllabic babbling occurs between 3 and 6 months of age. Using simple
words such as "mama" occurs between 9 and 12 months. Linking syllables together when
communicating occurs between 6 and 9 months. Cooing begins at birth and continues until
2 months.
A nurse is preparing to care for a 5-year-old who has been placed in traction following a
fracture of the femur. The nurse plans care, knowing that which of the following is the most
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C) Crayons and coloring book
D) A sports video
✓ C. In the preschooler, play is simple and imaginative and includes activities such as
crayons and coloring books, puppets, felt and magnetic boards, and Play-Doh. Large
picture books are most appropriate for the infant. A radio and a sports video are most
appropriate for the adolescent.
A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is
performed. Which of the following nursing interventions is most appropriate to facilitate
normal growth and development?
A) Allow the family to bring in the child's favorite computer games
B) Encourage the parents to room-in with the child
C) Encourage the child to rest and read
D) Allow the child to participate in activities with other individuals in the same age group when
the condition permits
✓ D. Adolescents often are not sure whether they want their parents with them when they are
hospitalized. Because of the importance of the peer group, separation from friends is a
source of anxiety. Ideally, the members of the peer group will support their ill friend.
Options a, b, and c isolate the child from the peer group.
The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-
forward position. The best nursing response is which of the following?
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