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WorksheetsChild Health Final Review
Total questions: 25
Worksheet time: 27mins
A single parent asks the nurse for suggestions on disciplining their 2-year-old child. Which suggestion would be most appropriate?
Encourage the parent to emphasize the inappropriate behavior
Wait an hour or so before enforcing the discipline
Have the child spend 2 minutes in time-out
Withhold a privilege from the toddler for a week
The parent of a 3-month-old infant asks the nurse about starting solid foods. What is the most appropriate response by the nurse?
“It’s okay to start solid foods now, just make sure they are pureed well."
“Infants don’t require solid food until 12 months of age as long as they are being fed with iron fortified formula."
“Solid foods should be delayed until age 6 months, when the infants teeth have started to erupt."
“The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods.”
The parent of a 2-month-old infant is expressing concern that the infant may be getting spoiled. What is the nurse’s best response?
“The baby just needs love and attention. Don’t worry, the baby is too young to spoil."
“Consistently meeting the infant’s needs helps promote a sense of trust.”
“Infants need to be fed and cleaned. If you are sure those needs are met, it is okay to let the baby cry."
“Consistency in meeting needs is important, but you are right, holding the infant too much will spoil the baby.”
Parents of an 8-month-old infant express concern that the infant cries when left with the babysitter. What is the best response by the nurse?
“Crying when left with the sitter may indicate difficulty with building trust.”
“Stranger anxiety should not occur until toddlerhood. This should be further investigated."
"Separation anxiety is normal at this age. The infant recognizes the parents as separate beings."
"Perhaps the sitter doesn't meet the infant's needs. It may be wise to choose a different sitter."
The nurse is providing anticipatory guidance to the parent of a 6-month-old infant. What is the best instruction by the nurse in relation to the infant’s oral health?
"Start brushing the teeth after all the baby teeth have come in."
"Use a washcloth with toothpaste to clean the mouth."
"Clean your baby's gums and teeth with a washcloth."
"Rinse your baby's mouth with water after every feeding."
A 10-month-old infant's parent is questioning why cow's milk is not recommended in the first year of life as it is much cheaper than formula. What is the best response by the nurse?
"It is okay to substitute cow's milk for formula at this age since the infant is so close to 1 year old."
"Cow's milk is poor in iron and does not provide the proper balance of nutrients for the infant."
"As long as the parent provides whole milk, rather than low fat or fat free milk, they can start cow's milk in infancy."
"If parents are unable to afford the infant formula, they should dilute it with more water to make it last longer."
The nurse is performing a physical assessment on a 12-month-old infant. Which assessment findings would the nurse expect for this infant? Select all that apply.
The infant says 10 words with meaning
Anterior fontanel is closed
Posterior fontanel is slightly open
The infant is walking
The infant tries to build a tower with 2 blocks
The parent of a 15-month-old is concerned about a speech delay. They describe the toddler as being able to understand what is said, sometimes following commands, but using only one or two words with any consistency. What is the nurse’s best response to this information?
"Your child should have a developmental evaluation as soon as possible."
"You should try reading more to your child. This may help his speech to develop faster."
"Receptive language normally develops earlier than expressive language."
"You should ask your child's health care provider for a speech referral."
The nurse is providing nutrition education to the parents of a toddler. What advice should the nurse give?
Encourage cup drinking and give water between meals and snacks.
Encourage unlimited milk intake because toddlers need the protein for growth.
Avoid sugar-sweetened fruit drinks and allow as much natural fruit juice as desired.
Allow the toddler unlimited access to the sippy cup to ensure adequate hydration.
The nurse is caring for a 5-year-old child who is not gaining weight appropriately. Organic problems have been ruled out. What is the priority action by the nurse?
Allow the child to have as much of his favorite fruit punch as he requests to ensure adequate hydration.
Encourage snacks and desserts for the extra caloric content.
Teach the parents about nutritional needs of the preschooler.
Assess the child's usual intake pattern at home.
According to Erikson, which of the following would be associated with a school-age child?
Learning by engaging in repetitive tasks.
Developing a sense of worth and competence.
Using fantasy and magical thinking to cope with problems.
Developing a sense of trust.
The parent of two children, ages 6 and 9, states the children want to play on the same baseball team. As the school nurse, what advice should you give their parent?
Having the children on the same team will make it more convenient for the family.
Levels of coordination and concentration differ, so the children should be on different teams.
Put the children on the same team since they are siblings.
It is best to avoid putting the children on the same team to prevent sibling rivalry.
Samantha, a 10-year-old, is brought into your clinic for a well-child examination. The parent states, “Samantha’s friend group seems to be so much more important to her these days.” As the nurse caring for the child, how would you explain the role of peers in the school-age child?
This allows the child to learn conflict management and effective communication skills.
This helps the child to shape their concept of self and gain independence from their parents.
This will encourage the child to remain dependent on the adults in their life.
This will help the child to work through their fears of body safety.
The nurse is providing anticipatory guidance to the parents of an adolescent. What advice should the nurse give? Select all that apply.
Accept the adolescent as a unique individual.
Enforce strict, inflexible rules.
Listen and try to be open to the adolescent's view.
Screen all of the the adolescent's friends.
Respect the adolescent's privacy.
The nurse is developing a weight loss plan for an adolescent. Which of the following should be included in the plan? Select all that apply.
Instruct the parents to make all of the meal plans.
Encourage the family to exercise together.
Advise the adolescent to keep a food and exercise diary.
Teach the adolescent to eat slowly and place the fork down between each bite.
Encourage the adolescent to search the internet for a weight loss program.
The nurse is caring for a 2-year-old in the hospital, and the parent expresses concern that the toddler will be scared. Which response by the nurse would be most appropriate?
"No need to worry, we are known for practicing family-centered and atraumatic care here."
"We will do our best to minimize the stress your child experiences."
"It will probably be upsetting for you as well, so if you need to stay home it is okay."
"Our practice of atraumatic care will eliminate all pain and stress for your child."
When planning education for a child and their parents about an upcoming procedure, what is the first step the nurse should take?
Find out what treatments and medications the the child will be discharged with.
Determine the child's and family's learning needs and styles.
Ask the family if the child has ever had the procedure performed before.
Tell the child and family what the goals of the teaching session are.
During the health interview, the parent of a 4-month-old says, “I’m not sure my baby is doing what he should be.” What is the nurse’s best response?
"I will be able to tell you more after I perform a physical assessment."
"Fill out this developmental screening questionnaire, then I can let you know."
"Tell me more about the concerns you have regarding your baby's development."
"All parents worry about their babies. What you are feeling is perfectly normal."
A 15-month-old is having their first visit at your clinic. Their parent has not brought a copy of the child’s immunization record but believes the child is fully immunized. The parent states, “My child had immunizations 3 months ago at the local health department.” Which would be the best action by the nurse?
Ask the parent to bring the immunization records to the next visit.
Start the "catch-up" schedule since there are no immunization records.
Keep the child at the clinic while the parent returns home to retrieve the immunization records.
Call the local health department and verify the child's immunization status.
The nurse understands that a live attenuated vaccine is contraindicated in which of the following children? Select all that apply.
A child currently being treated with antibiotics due to an ear infection
A child who received the rotavirus vaccine last week
A pregnant adolescent
A child currently receiving chemotherapy
A child who is scheduled for surgery next week
The nurse is preparing to perform a physical assessment on a preschool age child. Which approach is most likely to gain the child's cooperation?
Wait until the child begins to ask questions to explain what is happening.
Explain what is going to happen using words the child can comprehend.
Ask the parent to assist by gently holding the child down.
Give the child a sticker before beginning the assessment.
Which statement indicates the best sequence for the nurse to perform a physical assessment in a nonemergency situation?
Introduce yourself, ask about any problems, take a health history, and do the physical assessment.
Perform the physical assessment and then ask the family if there are any problems in the child’s life.
Perform the physical assessment while at the same time asking about the child’s previous illnesses, then talk about the family’s concerns.
Get a complete history of the family’s health beliefs and practices, and then assess the child.
A 10-year-old child on a regular diet refuses to eat the food on the meal tray. The child requests chicken nuggets, French fries, and ice cream. What is the best nursing action?
Ask that the child’s desired foods be sent up from the kitchen.
Negotiate with the child to eat at least part of the food on the tray.
Remove a privilege.
Offer the child cereal and milk from stock on the nursing unit.
A 3-year-old child is to receive a medication that is supplied as an enteric-coated tablet. What is the best nursing action?
Crush the tablet and mix it with applesauce.
Dissolve the medication in the child’s milk.
Place a pill in the posterior part of the pharynx, and tell the child to swallow.
Check with the prescriber to see if an alternative form can be used.
Which of the following statements are appropriate when administering medication to children? Select all that apply.
If the child is upset or crying, administer oral liquid medication into the posterior side of the child’s mouth, and pinch their nose to encourage them to swallow.
When administering a crushable medicine to an infant, place the medication in the infant’s bottle before their next feeding.
When administering liquid medication to a toddler, make sure the child is sitting upright.
When administering a medication using a dropper, ensure that the dropper is the one that was packaged with the medication.
The nurse must administer all medications to ensure that the parents do not make an error.
