Various children are being seen in the clinic for well-baby checks. By what age should a nurse expect a child to begin to use simple words to communicate needs? Age 10-12 months, a child can communicate simple words using 4 to 6 words by 15 months of age.
A nurse in a clinic is assessing the weigh...
NURS 334 Exam 2 Questions and
Verified Answers
Various children are being seen in the clinic for well-baby checks. By what age should a
nurse expect a child to begin to use simple words to communicate needs? ✅Age 10-
12 months, a child can communicate simple words using 4 to 6 words by 15 months of
age.
A nurse in a clinic is assessing the weight of an infant. Which infants weight indicates to
the nurse that the infants weight is normal for the infants age? ✅The baby's weight has
doubled in the first 6 months of life and tripled in the first year.
A student explains to their instructor that the infant period is categorized as the 'oral
phase' according to Freud's theory. Which statements by the student suggests an
understanding of this phase? Select all that apply ✅1. An infant sucks for nourishment
as well as pleasure
2. An infant may have more pleasure in breastfeeding that bottle feeding because it
expands more energy.
An 8- month-old baby girl, who is developing appropriately, is admitted to a pediatric
unit for respiratory syncytial virus (RSV). The baby is crying and being held by her
mother. A nurse wants to provide appropriate care based on Erickson's- development
stages. In which stage is this baby according to Ericksons theory? ✅Trust versus
mistrust
A nurse is caring for a 3-month old infant. Based on the developmental age of the child,
which motor skill should the nurse expect to see during an assessment? ✅Looks and
plays with own fingers
A 10- month old child reaches the 9- to 12-month developmental stage. Which nursing
action action is most appropriate for providing tactile stimulation for this child? ✅Let
the child squash and mash food while sitting in a highchair
A clinical nurse is meeting with a mother and her 3-year-old son. The toddler is acting
out, and the mother asks the nurse what a good form of discipline would be for her son.
The nurse recommends a 'time-out' for the child. Which statement regarding a time-out
is most accurate? ✅The child should sit still at a time-out for as many minutes as his
age in years.
A clinical nurse is caring for a 2-year-old patient. During the exam, the child's parents
ask when their toddler should be toilet trained. Which response by the nurse is most
, appropriate? ✅Children need sphincter control, cognitive understanding of the task,
and the ability to delay immediate gratification
A nurse is preparing a 4-year old for surgery. Which nursing action is appropriate for
preoperative teaching based on Erikson's developmental stages? ✅Having the child
put a surgical mask on a doll.
A nurse case manager is meeting with the parents of an 8-year-old patient. The 8 year-
old is scheduled for surgery to repair a cleft palate. The parents ask the case manager
when they should discuss and explain the surgery to their child. Based on the child's
developmental age, which is the best response by the nurse? ✅Explain the surgery
several days before it is carried out
A nurse in a clinic is asked to teach a 13- year old boy diagnosed with asthma. The
nurse assesses that the child is developmentally on task. Which consideration should
the nurse include when teaching the client. ✅The client needs explanation of the
physiology of asthma and demonstrations of appropriate interventions
A nurse is reviewing the upper arm blood pressure results for multiple children between
the ages 3 and 5 years old. Which BP reading should the nurse evaluate as being an
abnormal BP for this age group. ✅96/42 mm Hg
When taking an infant's blood pressure, which points are important for a nurse to
remember? ✅1. It is best to use an infant cuff on an infant
2. The cuff used should be no more than 2/3 of the length of the upper arm
3. The cuff used can be Doppler ultrasound device
A pediatric nurse is to perform a head-to-toe assessment on a toddler who is admitted
to the hospital for nausea and vomiting. Which is most important for the nurse to
consider before beginning the examination? ✅Preparing for a physical exam based on
the child's developmental level.
A 4-year old child is hospitalized with a high fever. While the child is in bed, the child
comforts himself by sucking the thumb. The mother of the child becomes concerned
because her child has not sucked his thumb for 6 months. Which nursing response to
the mother's cocners is most appropriate. ✅"This is a form of developmental
regression and can be normal response for a child who is hospitalized. Continue to love
and support your child."
A client with kidney failure is at risk for hyperkalemia. The nurse monitors for which of
the following clinical manifestations of hyperkalemia? ✅1. Muscle weakness
2. Tall T waves on ECG
3. ST depression on ECG
4. Deep tendon hyporflexia
5. Flat P wave on ECG
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