Peds Charts Ati Book Notes

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PEDs charts - ATI book notes
Pediatrics ( Chamberlain University)
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Infant birth -12months Toddler 1-3 y.o Preschool 3-5 y.o School age 6-12 y.o Adolescent 12-18 y.o
Erikson stage Trust-Mistrust Autonomy Vs. Shame Initiative Vs. Guilt Industry V.s Inferiority Identity Vs. Role confusion
-Separation anxiety -Strong attachment to -Gender role identity: love
-Object permanence by 8- mom/dad to be the with same sex -Love school
9mon (looking for hidden -Ritualistic parents
things) -Egocentric
-Time for toilet training
Developmental -Provide cuddling, touch -Firm & positive- give choice -Strong imagination -Better understating of cause -Likes independence and
approach and talk softly when possible -Fear of body mutilation so and effect autonomy
-Response immediately -Do not expect cooperation Band-Aid is magic -Likes to be with same -Capable of abstracting
when cries -Do not argue gender thinking
-Concrete & poor concept of -Likes competition -Peer relationships very
time -Appreciates tangible important
-Routines make them rewards
comfortable
Play Play solitary Parallel play -Love to be on the go - Likes to play in a team -Friends
-Sensory stimulation- -Begins as imaginative and -Love to play dress up -Enjoys building & -Sports
music, mirrors, black& make believe play -Games- Follow their constructing things -School actives, dances,
white pictures RULE -Limit screen time movies, dating
Nutrition -Breast feed or bottle feed -Continue to wean if not -Similar to toddler - -Decreased parental control
-Give Vit D at 2 months complete -Decrease activity
- Solid food at 6 months -Milk 2-3 cups/day -Increase risk for obesity and
-Whole milk @ 1 years -Finger goods anorexia, bulimia
-Skim milk @ 2 years -Limit sugar, fat, salt
-Give mini meals
Safely -Car seat on the back seat -Continue to use car seat -Edu toward sex, drugs,
of the car -Supervise indoor and outdoor ETOH, risky behaviors
activities
Mile stones -Toilet training -By 3 years old should be -Concrete thinking -Peer and body image is very
-Huge language development able to ride a three wheel -Better understanding important
-Temperament is normal bike concept of time
-Interested in friends and
school
Anticipatory -About 4-6 months adding Toilet training - World is a make belief -Like to know what going on -Gives full explanations
guidance solid food by adding least -Must exhibit, physical, - Medical play to help with them, procedures -Respect confidentiality
allergic to most allergenic mental, psychological, alleviate fear of procedure -Keep confidentially useless
-Add one a time parental readiness - Like written, graphics harm to self and others
Rice cerealfruit& explanation -Restrictions
veggiesmeatseggs Temperament -Impose few restrictions but
-Ignore bad behavior and do not set limits
praise good one
-Use adult pain assessment
Used play for understanding
and coping***

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Hospital affect -Separation anxiety at 6 Fear of abandonment Fear Verbal skills

months onwards, -Parents leave something -Physical harm -Excellent ability to verbalize
greatest at 1 year behind -Separation form friends and
school Fears
Fear of loss of control -Fears loss of control
-Let them touch equipment Procedures -Give information and
and let them do procedure on -Explain more fully provide privacy
the doll -Use Diagrams and books
Coping
Poor understating of body Coping -Will appreciate& participate
boundaries -Reports pain (use # scale) in coping methods
-Will scream and cry -Open to learn distraction
techniques
Hydration
Sign Mild Moderate Severe
Fluid volume loss <50ml/Kg 50-99ml/kg >100ml/kg
Skin color Pale Gray Mottled
Skin turgor Decreased Poor Very poor
Mucous membranes Dry Very dry Parched
Urine output Decreased Oliguria Marked oliguria and azotemia
BP Normal Normal or lowered Lowered
Pulses/cap refill time Normal or increased/<2 secs Increase/ 2-3 secs Rapid and thread/ >3 secs
Vital Signs
Calculate how much they lost** 1g= 1ml
NB Toddler Pre-school School Adolescent
Pre-illness weight in gram – illness weight in gram Temp 97.9-98 97.5-98.6 97.5-98.6 97.5-98.6 97.5-98.6
Pre-illness in Kg HR 120-140 80-120 70-110 60/100 55-90
RR 30-60 20-30 16-22 18-20 12-20
Daily caloric requirement for children BP 73/55 92/55 95/57 107/64 121/70
High risk Neonate 120-150 cal/kg
NB 100-200 cal/kg
1-2 y.o 90-100 cal/kg
2-6 y.o 80-90 cal/kg
7-9 y.o 70-80 cal/kg
10-12 y.o 50-60 cal/kg
Female 14-18 yrs 2000-2400 cal/day
Male 14-18 yrs 2400-3200 cal/day

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Developmental Assessment
Infant birth -12months Toddler 1-3 y.o Preschool 3-5 y.o School age 6-12 y.o Adolescent 12-18 y.o
Fine motor -Start to develop fine
motor coordination
Gross motor 15 Mos: walk
18 mos.: run but fall
easily
2 yrs: run up& down
stairs
15 MOs: drops pallet in
bottle, throw objects,
make tower with 2
blocks
24mos: draw circle
stroke &vertical line
Biological Growth Growth Weight gain: 5lb/year -Girls grow faster than -Begin at 11-12yrs. Goes
-Rapid for 6 months -Weight at 2.5yrs: 4x Height: 2-3 boys through 18-20yrs
-Weight double at 6 months birth weight inches/year -Growth spurs -Puberty: wide rage,
& triple at 1 year -Weight gain 4-6 -Body system mature -Loss first tooth girls earlier than boys
-Length increase 50% at 1 pound/years and stable -Begin puberty period -Hormonal activities
year -Height gain 3 inches/ -Energic: walks, runs, activate
Respiratory year jumps, climbs -Sexual masturbation
-Respiration primary -At 2 year HCF=CCF
abdominal and rate slow -Brain growth= 75% -Masturbation is
down complete normal
Neurological -Pot bally appearance
-Head size at 1 year-33% -Volunteer control on
-Posterior fontanel close at elimination
6-8 wks -Slow growth
-Anterior fontanel close at physiological anorexia
12-18 month
Cardiac Growth
-HR gradually slow & BP
increase
Language Coo -Multiword sentence -Speech problem
-Better comprehension assess hearing, vision
Mental/cognitive -Separation object from “Temper tantrum” Curiosity- always - Like to group objects -Future thinking
environment asking why and like to collect things -Abstract thinking
-Object permanency -Egocentrism
-Symbols-thinking about
object without seeing it

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Psychosocial -Bonding: from parent to -Make a big fuss if -Tolerate separation Quest for individual and
child. Begin before birth parents leave longer independence
-Attachment: from child to 1. Accept change in
parents -Less stranger anxiety body image
-Separation anxiety: 4-8 2. Establish value
months system
-Stranger anxiety 3. Career decision
approach the parents first 4. Emancipation from
then the baby see and warm parents
up with you -Intense needs of peers
Emotion Cryingvowels 2 -Negative: say “No” -Fears: greatest, real -Self esteem -Unpredictable
mos.consonance 4 often or imagined -Can become bully -Mood swings
mos.response to name: -Ecocentisim -Risk takers need and
6mosresponse to “no”: want limits
9mosutter single word:
12mos

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1 Which of the following actions indicates to a nurse that the parent of a preschooler is
using an age-appropriate disciplinary technique?
Explains to the child why her behavior is unacceptable

Places the child in time out after misbehaving
Allows the child to choose the consequence for her misbehavior
Assigns an extra chore for the misbehavior
2 A nurse is performing a neurological examination on a 15-month-old child. Which of

the following is an expected normal finding?
Negative Babinski's reflex

Presence of Moro reflex
Absence of corneal reflexes
Positive palmar grasp
3 A home health nurse is providing teaching to the family of a child with Duchenne's
muscular dystrophy. To which of the following should the home health nurse give
priority?
Help the family maintain the child's self-care abilities.

Provide the family with a referral for a support group.
Encourage the family to accept the child's limitations.
Act as a liaison between the family and the school nurse.
4 A toddler is in the terminal stages of neuroblastoma. The parents are grieving and the
father asks, "How can we best help our child now?" Which of the following
responses by the nurse is appropriate?
"Invite your child's friends to visit."

"Stay close to your child."
"Call your family to help you."

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"Talk to your child about death."
5 An infant is admitted with gastroesophageal reflux. The nurse should notify the
primary care provider if which of the following occurs?
Excessive crying
Adventitious breath sounds
Projectile vomiting
Arching of the back
6 An adolescent is undergoing a lumbar puncture to confirm a diagnosis of meningitis.

Following the procedure, which of the following interventions should the nurse
anticipate implementing to prevent postprocedure complications?
Administer an antibiotic.
Give the adolescent an IV bolus of normal saline.
Apply analgesic cream to the puncture site.
Instruct the adolescent to lie flat for several hours.
7 A nurse is caring for a child with a tracheostomy. Which of the following techniques
should the nurse use to suction the child?
Insert catheter to 2 cm beyond end of tracheostomy tube.

Remove catheter while applying intermittent suction.
Instill saline to loosen secretions while suctioning.
Continue suctioning until secretions are removed.
8 A nurse is assessing a child who has sustained a head injury. During the assessment
the nurse observes clear drainage leaking from the child's nose. Which of the
following nursing actions should the nurse take?
Perform nasotracheal suctioning.

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Test the nasal secretions for glucose.

Stabilize the child's spine.
Lower the head of the bed.
9 A nurse is assessing an 18-month-old child. Which of the following findings should

the nurse refer to the primary care provider for further evaluation?
Child consistently throws items to the floor.

Child scribbles on the wall with a crayon.
Child crawls to navigate around the room.
Child has frequent temper tantrums.
10 A nurse is planning a teaching session for parents regarding infant development.

Which of the following parent activities regarding play should the nurse include in
the teaching?
Watch educational videos with the infant.

Promote play with other infants.
Engage with the infant in one-on-one play.
Give the infant a large-piece puzzle.
11 A child is admitted with fever, headache, new onset of seizure activity, and nuchal
rigidity. Which of the following is the first intervention the nurse should implement?
Provide juice for hydration.

Administer prescribed medications.
Obtain current vital signs.
Initiate droplet precautions.
12 A nurse is caring for a child newly diagnosed with type 1 diabetes mellitus. The
nurse administers 5 units of Regular insulin according to a sliding scale before
breakfast. Two hours after breakfast, the child becomes irritable, pale, diaphoretic,

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and shaky. Which of the following actions by the nurse is most important?
Check the child's blood glucose level.

Notify the primary care provider.
Assess the child’s intake for breakfast.
Administer 25 g of D50W.
13 A school-age child with sickle cell anemia has been admitted in vaso-occlusive
crisis. Which of the following assessment findings should the nurse recognize as an
emergency?
Slurred speech
Fever of 38.3° C (101.0° F)
Hematuria
Pain level of 7 on a FACES scale
14 An adolescent diagnosed with mononucleosis is brought to the primary care provider

by her parent. When assessing the adolescent's current condition, which of the
following should the nurse expect to find?
Splenomegaly
Koplik spots
Maculopapular rash
Paroxysmal coughing
15 A nurse is providing teaching to the family of a child with cystic fibrosis. Which of
the following interventions should the nurse include in the teaching to prevent
pulmonary complications?
Postural drainage with percussion

Humidified oxygen administration
Incentive spirometry

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Nasal suctioning
16 A nurse is caring for a school-age child who has sustained a closed-head injury from
a bicycle accident. Which of the following nursing actions is appropriate?
Elevate the head of the child's bed to a 30 degree angle.

Provide opioid analgesics every 3 hr.
Turn the child every 4 hr.
Secure the child's head with sandbags.
17 A nurse is caring for an adolescent admitted to the hospital with Epstein-Barr virus.
Which of the following interventions should the nurse include in the plan of care?
Collect sputum specimen.

Provide disposable eating utensils.
Restrict the adolescent’s visitors.
Place the adolescent in a negative-pressure airflow room.
18 A mother brings her toddler to the emergency department 3 hr after she ingests an
unknown quantity of acetaminophen (Tylenol). The mother asks the nurse, "What is
going to happen to my child?" Which of the following responses by the nurse
indicates an appropriate intervention?
"An antidote will be given in juice."

"IV fluids will be given."
"Charcoal will be placed into the stomach."
"A chelating agent will be given."
19 A child admitted for acute nephrotic syndrome has been receiving prednisone by
mouth for the past week. After reviewing the child's laboratory results, which of the
following findings should the nurse report to the primary care provider?

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Serum sodium of 142 mEq/L

Serum potassium of 4.0 mEq/L
White blood cell count of 3,000/mm3
Platelet count of 298,000/mm3
20 A nurse is providing discharge teaching to the parent of a child who experienced

status asthmaticus. Which of the following responses by the parent indicates an
understanding of the teaching?
“I will perform chest physiotherapy during an acute attack.”

“When using a metered-dose inhaler, my child should inhale then quickly
exhale the medication."
"My child will use his bronchodilator before bedtime to prevent wheezing."
“I will call the doctor if my child becomes anxious and restless at night."
21 A nurse is assessing a toddler admitted with gastroenteritis. Which of the following

assessments is the best indicator that the child is dehydrated?
Skin turgor
Capillary refill
Heart rate
Weight
22 A nurse is teaching postoperative colostomy care to the family of an infant with

Hirschprung's disease. Which of the following statements by the family indicates a
need for further teaching?
"I will call the primary care provider if my infant has skin breakdown."
"My infant's stoma should be pink and moist."
"My infant's appliance has some room to move around."
"My infant will wear a one-piece outfit to protect the bag."

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23 A nurse is planning to change a toddler's tracheostomy ties. Which of the following

actions by the nurse is the highest priority?
Cut old tracheostomy ties after the new ties are in place.
Use a soft and durable material for tracheostomy ties.
Allow for a fingertip width between the neck and tracheostomy ties.
Flex the toddler's neck while securing the tracheostomy ties.
24 An infant is admitted to the emergency department for an apparent life-threatening

event. When assessing the infant, the nurse notes a respiratory rate of 8/min with a
25-second pause. Which of the following interventions should the nurse take first?
Obtain information about the event.

Call for help.
Count the infant's heart rate.
Check the infant's responsiveness.
25 A nurse is performing an assessment on an infant with heart failure. Which of the

following assessment findings should the nurse expect?
Temperature
Increased urinary output
Flushing of the skin
Weak peripheral pulses
26 A child is receiving epidural analgesia following a surgical procedure. Which of the

following is most important for the nurse to monitor?
Peripheral pulses
Urinary output
Bowel sounds
Gag reflex

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27 A nurse is planning care for an adolescent following insertion of Harrington rods for
treatment of scoliosis. Which of the following should the nurse include in the plan of
care?
Encourage the family to perform the adolescent’s personal care.

Use a log rolling technique to change the adolescent’s position.
Begin ambulation on the adolescent's first postoperative day.
Administer pain medication per the adolescent’s request.
28 A 7-year-old child is 2 days postoperative following an appendectomy with rupture.

A nasogastric tube set to low, intermittent suction is in place. Which of the following
findings should indicate to the nurse that gastrointestinal function has returned?
The nasogastric tube has 20 mL of output every hour.

The child reports thirst and hunger.
Bowel sounds are auscultated.
The abdomen is soft and nondistended on palpation.
29 A nurse is providing postoperative care for a child following an arterial cardiac

catheterization. Which of the following actions should the nurse take?
Maintain the child's NPO status for 4 to 6 hr.

Monitor output using an indwelling catheter for the first 24 hr.
Keep the affected extremity straight for at least 6 hr.
Remove the child's pressure dressing after the first 4 hr.
30 A nurse is caring for a school-age child who is experiencing pain. Which of the
following assessment techniques will provide the most accurate information
regarding the child's pain?
Monitor the child’s involuntary movements.

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Assess the child’s pulse and respirations.

Observe the child’s facial expressions.
Ask the child to use a rating scale.
31 Which of the following assessment findings in an infant should indicate to a nurse

that suctioning of the nasopharynx is needed?
The infant is beginning to cough.

The infant's respiratory rate is 30 to 32/min.
The infant is becoming irritable.
The infant's heart rate is 120 to 130/min.
32 A nurse is caring for a school-age child with nephrotic syndrome. Which of the
following laboratory values should the nurse recognize as an expected finding for
this child?
Creatinine level of 1.6 mg/dL

BUN level of 15 mg/dL
Sodium level of 128 mg/dL
Hgb level of 12 g/dL
33 A nurse is preparing to administer an opioid medication to a school-age child who

rates his pain as a 7 on a scale of 0 to 10. Which of the following assessment
findings has the highest priority?
Hypoactive bowel sounds

Respiratory rate of 10/min
Nausea and vomiting
Heart rate of 110/min
34 A parent brings her 6-month-old infant to the clinic for her scheduled
immunizations. Which of the following reports by the parent regarding the child's

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last set of immunizations indicates that precautions should be considered?
The infant was lethargic for 8 hr.

The infant was unwilling to move her leg for 24 hr.
The infant had an elevated temperature.
The infant cried uncontrollably for 3 hr.
35 A nurse is performing CPR on an infant. Which of the following demonstrates

correct technique?
Perform compressions at 80 to 90/min.

Deliver 3 breaths to every 30 compressions.
Place two fingers on sternum one fingerbreadth below nipple line.
Pinch nostrils while delivering breath through the mouth.
36 A school-age child has sustained a head injury and developed increased intracranial
pressure. Which of the following vital signs should the nurse recognize as being
consistent with increased intracranial pressure?
A respiratory rate of 12 to 14/min

A respiratory rate of 23 to 25/min
A heart rate of 80/min
A heart rate of 90/min
37 A nurse is planning to teach a health program about motor vehicle safety to a group
of adolescents. Which of the following interventions best promotes learning in this
age group?
Provide pictures to illustrate the content.

Give examples with decision-making options for discussion.
Stress the hazards of drinking and drug use when driving.
Appeal to the adolescents' sense of responsibility.

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38 A nurse is preparing to administer immunizations to a 4-month-old infant who

experienced redness and swelling with a previous injection. Which of the following
interventions should the nurse take?
Do not administer the vaccines.

Administer the vaccines in divided doses.
Administer a reduced dose of the vaccines.
Administer the regular dose of the vaccines.
39 A nurse is called to the room of a child who is having a tonic-clonic seizure. To

prevent injury to the child, which of the following actions should the nurse take?
Turn the child onto her side.

Administer an IM antiepileptic medication.
Insert an oral airway.
Begin rescue breathing.
40 An adolescent has just had a lumbar puncture. Which of the following nursing
actions should the nurse take next?
Elevate the head of the bed.

Apply a dressing to the site.
Medicate for pain.
Monitor vital signs.
41 A nurse is caring for an infant with bronchiolitis. The infant's oxygen saturation
reading is 88%. Which of the following actions should the nurse take first?
Administer a nebulizer treatment.

Sit the infant up.
Notify the primary care provider.
Suction the infant's nares.

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42 Which of the following statements made by the mother of a child who just
underwent surgical repair of cleft lip and palate indicates to the nurse a need for
further teaching?
"I will keep my baby in an upright position."

"I will apply elbow restraints to my baby."
"I will apply antibiotic ointment as prescribed."
"I will let my baby keep her pacifier."
43 A nurse is caring for a school-age child with diabetes mellitus. Which of the
following findings should the nurse recognize as being consistent with
hyperglycemia?
Thirst
Pallor
Headache
Tremors
44 For which of the following child laboratory values should a nurse contact the
primary care provider?
A school-age child with cystic fibrosis with an HCO3- of 24 mEq/L

A child with suspected lead poisoning who has a lead level of 15 ug/dL
An adolescent with type 1 diabetes mellitus with an HbA1c of 5%
A school-age child with renal failure who has a specific gravity of 1.005
45 An infant has been admitted for a pyloromyotomy. Preoperatively, a nasogastric tube

(NG) is placed to low-intermittent suction. Which of the following nursing
interventions should the nurse do if the NG tube is not draining?
Flush the tube.

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Initiate continuous suction.

Assess for placement.
Clamp the tube.
46 A nurse is caring for four children. Which of the following is most at risk for
impaired vascular perfusion?
A child with a fractured radius

A child with scoliosis
A child with juvenile rheumatoid arthritis
A child with a clubfoot
47 A nurse is assessing a preschooler in the immediate postoperative period following a

tonsillectomy. Which of the following assessment findings has the highest priority?
The child's throat pain increases.

The child refuses clear liquids.
The child swallows frequently.
The child cries often.
48 A nurse is providing teaching to the parents of a school-age child diagnosed with a

seizure disorder. The parents are concerned that the child will have a seizure and
they will not know what to do. Which of the following should the nurse include in
the teaching?
Remove hard objects close to the child.

Place the child on his back during a seizure.
Administer an extra dose of his medication.
Insert a tongue blade between the child’s teeth.
49 A nurse is providing teaching regarding toilet training to a parent of a 16-month-old

child. Which of the following statements made by the parent indicates an

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understanding of the teaching?
"My child is ready to toilet train now."

"My child must be able to remove his clothing to train."
"It's okay for my child to get on and off the toilet during training."
"My child will need a free-standing potty chair to begin training."
50 A nurse is caring for a child who is in skeletal traction for a fractured tibia. Which of
the following is an appropriate intervention for the nurse to take?
Permit the child to choose a comfortable position.

Release the traction briefly for repositioning.
Allow the weights to rest on the floor.
Promote active range of motion to unaffected joints.
51 A nurse is caring for a child who ingested a large amount of acetaminophen

(Tylenol) 6 days ago. Which of the following are expected findings in the late stage
of acetaminophen poisoning?
Abdominal pain and jaundice

Tinnitus and tachypnea
Hematemesis and bloody stools
Paralysis and seizures
52 A preschooler who has just returned from cardiac catheterization experiences

bleeding at the site. Which of the following nursing interventions should the nurse
implement?
Reinforce the dressing.

Apply a 5 lb sandbag to the site.
Elevate the head of the bed to a 45 degree angle.
Apply direct pressure 1 inch above the site.

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53 A nurse is interviewing the parent of a school-age child with asthma. Which of the
following statements by the parent indicates to the nurse a need for further teaching?
"My child uses fluticasone propionate (Flovent) with a spacer daily."

"My child uses albuterol (Proventil) once a day."
"My child is currently using montelukast (Singulair) at bedtime."
"My child uses cromolyn sodium (Intal) before going to gym class."
54 An infant is brought by her parents to the clinic for a 6-month check up. During the
assessment, the nurse instructs the parents that their infant's next immunization will
occur at
8 months.
10 months.
12 months.
24 months.
55 A toddler diagnosed with tetralogy of Fallot becomes hyperpneic with worsening

cyanosis. Which of the following actions should the nurse take first?
Place the toddler in the knee-chest position.

Start IV fluid replacement.
Provide 100% oxygen by face mask.
Administer morphine sulfate.
56 A nurse is providing teaching to the parents of an infant with failure to thrive. Which
of the following should the nurse include in the teaching?
Hold the infant face-to-face to maintain eye contact.

Alternate feedings between several family members.
Introduce several new foods to stimulate the infant’s interest.
Provide a stimulating environment to keep the infant awake.

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57 A nurse is assessing the growth and development of an early school-age child.

Which of the following indicates achievement of psychosocial development?
The child expresses a need to belong to a club.

The child develops an understanding of grammar.
The child develops his own rules for board games.
The child expresses pride in his report card.
58 An infant is admitted to the hospital for pertussis. The nurse recognizes that
following recovery from his illness the infant will exhibit which of the following
types of immunity?
Natural active
Natural passive
Artificial active
Artificial passive
59 The family of a child diagnosed with attention deficit hyperactivity disorder requests
information regarding management of the child's disorder. Which of the following
techniques should the nurse suggest?
Require the child to keep his bedroom clean.

Use a chart to organize daily activities.
Keep the child busy with multiple projects.
Present the child with numerous choices when picking snacks.
60 Which of the following factors predisposes an infant to abuse?
Premature birth
Early walking

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Poor eater
Gender
61 A nurse has finished assisting a primary care provider with a jugular venipuncture on
a child with iron-deficiency anemia. For how long should the nurse expect to apply
digital pressure to the site to stop the bleeding?
1 to 2 min
3 to 5 min
6 to 8 min
9 to 10 min
62 A nurse is planning a class for parents regarding managing an infestation of lice in

school-age children. Which of the following instructions should a nurse include in
the teaching?
Bag the child’s nonwashable items and discard.

Monitor the child's scalp for 2 to 3 days.
Apply medication twice daily until symptoms subside.
Remove nits from hair using a fine-tooth comb.
63 A toddler is admitted to the hospital with gastroenteritis positive for rotavirus. For
which of the following activities should the nurse wear a gown and don gloves?
Delivering the food tray

Administering medication
Changing the bed linens
Assessing the IV site
64 Which of the following behaviors should a nurse teach a family to expect in their
toddler who was admitted to the pediatric unit?

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Ritualism
Regression
Dethronement
Aggression
65 A nurse is performing a developmental assessment on a 3 year old during a well-

child visit. Which of the following findings should the nurse expect to observe in this
child?
Jumps rope
Ties his shoes
Walks heel to toe
Draws a circle

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Form B Answers
1. Please see attached photo, the red lines are the "hot spots"
2. Splenomegaly
3. 114 mg
4. Ensure the infant wears a shirt under the harness
5. Dyspnea
6. Ask the child to use a rating scale
7. Fever, restlessness, crying
8. Continuous swallowing
9. I will dress my baby in light-weight clothing to sleep
10. Shakes a rattle when placed in hand
11. Place the infant in the knee-chest position
12. Bowel sounds are auscultated
13. Perform log rolling when moving the adolescent
14. I should apply a thin layer of sunscreen on his entire body
15. Consumes 3 oz of formula per feeding
16. Initiate clear liquid feedings 4 hours after surgery
17. Breath sounds
18. A serum iron of 183 mcg/dL
19. I should extend my baby's feeding time to decrease his needs for a pacifier
20. Initiate factor replacement therapy
21. I can switch her to whole milk now that she's old enough
22. Sunken anterior fontanel
23. Creatinine 0.9 mg/dL
24. Fever
25. Assess for peripheral pulses
26. Rapid respirations
27. 4 mL
28. My baby will need to return to have these casts changed weekly
29. Antibiotics have been administered for 24 hours
30. Initiate seizure precautions
31. Administer opioids for mouth pain
32. Tell the father that a repeat dose of the medication should not be given
33. I will continue to take my medication when my peak flow rate is in the green zone
34. White blood count of 3,000/mm3
35. Postural drainage with percussion
36. Hemoglobin A1c of 11.5%
37. Productive cough
38. Apply zinc oxide ointment to the affected area
39. A child with suspected lead poisoning who has a lead level of 15 mcg/dL
40. Changing the bed linens
41. Child crawls to navigate around the room
42. In order: Assess respiratory status, check pupil reactions, examine scalp for
lacerations, palpate extremities for fractures.
43. Obtain a blood glucose level

lOMoARcPSD|7393617
44. Suction equipment

45. Ventrogluteal
46. Encourage a 15-year-old to increase calcium intake
47. Ask the child about the injuries without the parent present
48. Elevate the affected extremity using pillows
49. Explains to the child why her behavior is unacceptable
50. Performing developmental testing for delays
51. Provide the family with a referral for a support group
52. Top left picture with what looks like a partial break.
53. Immediately after the child awakens in the morning
54. 550
55. Place the child on a low sodium diet, change the child's position frequently, assess
for protein in the urine
56. Discontinue the amoxicillin
57. The mother states that she gives the medications with meals
58. My 6-month-old infant doesn't hold his head up
59. Leave medicated lotion on skin for 12 hours
60. Give the child a kaleidoscope and ask the child to find different designs
61. Irritability, weight gain, swelling.
62. Initiate IV fluids
63. Comfort the infant while he is crying
64. Hold the infant face-to-face to maintain eye contact
65. Apply sunblock with a minimum of SPF-15 when outdoors.

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PEDs charts - ATI book notes

Pediatrics ( Chamberlain University)

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Hospital affect -Separation anxiety at 6 Fear of abandonment Fear Verbal skills

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Explains to the child why her behavior is unacceptable

2 A nurse is performing a neurological examination on a 15-month-old child. Which of

Negative Babinski's reflex

Help the family maintain the child's self-care abilities.

"Invite your child's friends to visit."

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"Talk to your child about death."

6 An adolescent is undergoing a lumbar puncture to confirm a diagnosis of meningitis.

Insert catheter to 2 cm beyond end of tracheostomy tube.

Perform nasotracheal suctioning.

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Test the nasal secretions for glucose.

9 A nurse is assessing an 18-month-old child. Which of the following findings should

Child consistently throws items to the floor.

10 A nurse is planning a teaching session for parents regarding infant development.

Watch educational videos with the infant.

Provide juice for hydration.

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Check the child's blood glucose level.

14 An adolescent diagnosed with mononucleosis is brought to the primary care provider

Postural drainage with percussion

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Elevate the head of the child's bed to a 30 degree angle.

Collect sputum specimen.

"An antidote will be given in juice."

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Serum sodium of 142 mEq/L

20 A nurse is providing discharge teaching to the parent of a child who experienced

“I will perform chest physiotherapy during an acute attack.”

21 A nurse is assessing a toddler admitted with gastroenteritis. Which of the following

22 A nurse is teaching postoperative colostomy care to the family of an infant with

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23 A nurse is planning to change a toddler's tracheostomy ties. Which of the following

24 An infant is admitted to the emergency department for an apparent life-threatening

Obtain information about the event.

25 A nurse is performing an assessment on an infant with heart failure. Which of the

26 A child is receiving epidural analgesia following a surgical procedure. Which of the

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Encourage the family to perform the adolescent’s personal care.

28 A 7-year-old child is 2 days postoperative following an appendectomy with rupture.

The nasogastric tube has 20 mL of output every hour.

29 A nurse is providing postoperative care for a child following an arterial cardiac

Maintain the child's NPO status for 4 to 6 hr.