NUR 201 Pediatric Development Review

A new mother is preparing to feed her infant a bottle. How will the nurse advise the mother to proceed with the feeding?

• Prop the bottle with a small pillow

• Place the infant in an infant carrier first

• Hold the infant in a semi-upright position

• Lie the infant on the left side

Answer explanation

Always hold an infant to feed a bottle : a semi upright position will facilitate swallowing and help prevent choking.

Never prop a bottle.

Toddlers should never be left unattended in

Teach_______ _______ to children.

The nurse is aware that a 2-month-old has a short attention span and chooses which of the following toys to best distract the infant during a physical assessment?

• a wooden block

• a rattle

• a ball

• a book

Answer explanation

A rattle is a safe appropriate toy for an infant. It will encourage development of fine finger/hand movements and stimulate senses.

    A mother asks the pediatric nurse about what she should begin to feed her 6-month-old infant. The best response is:

• Formula is the only form of nutrition given for the first year.

• Egg whites are the least allergenic food introduced into the infant’s diet.

• Fruits and vegetables are good sources of iron.

• Rice cereal is the first solid introduced that is least allergenic of the cereals

Answer explanation

Iron fortified cereals are generally added first due to the high iron content.

 Due to the preschooler’s (3-6 years) vivid imagination and active fantasies, their greatest fear related to hospitalization or medical procedures is

A preschooler is experiencing the sudden death of a grandmother. What is the expected reaction?

• May have caused the death or punishment for bad behaviors.

• May believe his grandmother is still alive.

• Preschoolers have no concept of death.

• May think of death as a monster.

Answer explanation

Preschoolers:

May believe their thoughts caused death/illness

Seen as a kind of sleep

1.     Toddlers begin to progress from solitary play to________________ play.

Answer explanation

Tend to observe other children, then play nearby.

By 3 years a child should have received doses of the following immunizations:

• Hep B

  MMR

  IPV

  Hib

• DTaP

  MMR

  IPV

  Hib

  Influenza yearly

• Hep A & B

  DTaP

  MMR

  IPV

  Hib

  Varicella

  Influenza yearly

• Meningococcal

  DTaP

  MMR

  IPV

  Hib

  Varicella

An adolescent is hospitalized with extensive injuries following a car accident. Which of the following are appropriate for this scenario?

• Do not allow friends to visit

• Encourage participation in personal care

• Limit the viewing of television

• Allow family to bring in video games to play

• When possible allow to make treatment decisions.