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WorksheetsPeds Exam 1 Quiz 2
Total questions: 80
Worksheet time: 41mins
What is the age requirement for informed consent in pediatric procedures?
Age of majority/competence
Age of 12
Age of 16
Age of 21
Which of the following is required for obtaining informed consent in older children and adolescents?
Parental consent
Assent
Emancipation
None of the above
Eligibility for giving informed consent in pediatric procedures includes which of the following?
Treatment without parental consent
Emancipated minor
Mature minor
All of the above
An emancipated minor is legally under the age of majority but is recognized as having legal capacity of an adult under circumstances prescribed by state law, such as _________
pregnancy, marriage, high school graduation, independent living, or military service
owning property, winning a scholarship, traveling abroad, or passing a driving test
receiving a vaccination, attending college, joining a sports team, or volunteering
having a bank account, learning a foreign language, participating in a science fair, or reading a novel
A mature minor can give informed consent for treatment without parental consent.
True
False
Assent in pediatric procedures means that the child has been informed and is willing to accept the proposed procedure.
True
False
Which of the following is NOT a step in obtaining assent from a child?
A) Telling the patient what to expect
B) Assessing understanding
C) Making sure the child is at least 16 years old
D) Soliciting an expression of willingness
Conditions for which treatment does not require parental consent/knowledge are also known as _________
medically emancipated conditions
informed consent
parental override disorders
nonconsensual treatment
breaking the law
Which of the following conditions may not require parental consent for treatment, depending on the state?
Sexually transmitted infections
Mental health services
Alcohol/drug dependency
All of the above
What is an important aspect of preparation for procedures in children?
Psychologic preparation
Physical exercise
Dietary restrictions
Medication administration
Age-specific guidelines for preparation are based on ________ characteristics.
developmental
cultural
economic
geographical
Parental presence and support is not important during preparation for procedures.
True
False
During early childhood hospitalization, children may cry more frequently and be irritable.
True
False
During hospitalization, clinging to parents/caregivers is a behavior seen in ________ childhood.
early
middle
late
adolescent
Anxiety and acting out or becoming introverted are behaviors seen in ________ during hospitalization.
adolescence
infancy
toddlers
neonates
Expect regression in young children (i.e. bedwetting) during hospitalization.
True
False
For toddlers (age 1 to 3), assessment should be demonstrated on a doll or stuffed animal before assessing the child.
True
False
Preschool and school age children (3-12) should NOT be allowed to handle equipment as appropriate during assessment.
True
False
Benefits of using a special treatment room for procedures include expecting success, involving the child, and providing ________.
distraction
money
punishment
sedation
Which of the following is a recommended method for bathing and diaper changing in pediatric care?
Wipe back to front
Wipe front to back
Wipe in circular motion
Do not wipe
SATA: Where do pressure ulcers typically occur in children?
Ankles
Back of head and skull
Ears
Sacrum
Scapula
For how long should RR (respiratory rate) be counted in children?
30 seconds
1 minute
2 minutes
5 minutes
When measuring temperature in young children, which is the MOST preferred method?
Oral
Rectal
Axillary
Tympanic
What is the definition of fever/hyperpyrexia?
Fever/hyperpyrexia is an elevation in set point such that body temperature is regulated at a higher level, may be arbitrarily defined as temp above 38 degrees C (100.4 F).
Fever/hyperpyrexia is a decrease in set point such that body temperature is regulated at a lower level, may be arbitrarily defined as temp below 36 degrees C (96.8 F).
Fever/hyperpyrexia is a sudden drop in blood pressure, leading to chills and shivering.
Fever/hyperpyrexia is an increase in heart rate without any change in body temperature.
What is the definition of hyperthermia?
Hyperthermia is body temperature exceeding the set point, which usually results from the body or external conditions creating more heat than the body can eliminate
Hyperthermia is a condition where the body temperature drops below normal due to prolonged exposure to cold environments.
Hyperthermia is a genetic disorder that affects the body's ability to regulate blood sugar levels.
Hyperthermia is the same thing as a fever
Hyperthermia is when the body's set point temperature is made to be higher than normal
At what temperature is fever considered in infants 0-3 months old?
Fever is considered above 38 C or 100.4 F.
Fever is considered above 37 C or 98.6 F.
Fever is considered above 39 C or 102.2 F.
Fever is considered above 36.5 C or 97.7 F.
At what temperature is hypothermia considered in infants 0-3 months old?
Hypothermia is below 36.5 C or 97.7 F.
Hypothermia is below 37.5 C or 99.5 F.
Hypothermia is below 35.0 C or 95.0 F.
Hypothermia is below 38.0 C or 100.4 F.
Which of the following is required for septic work up in infants 0-3 months old?
Blood cultures
Urinalysis/UA and urine culture
Lumbar puncture (CSF)
All of the above
Chest x-ray is used to rule out pneumonia in septic work up for infants 0-3 months old.
True
False
Respiratory panel is used to rule out viral and bacterial illness in septic work up for infants 0-3 months old.
True
False
When should antibiotics be started in septic work up for infants?
Before all specimens are collected
After all specimens are collected, before cultures come back
After cultures come back
Only if the patient is in hypotensive shock
How long does it take for C/S (culture/sensitivity) results to come back?
Wait 48-72 hrs for C/S (culture/sensitivity) results.
Wait 12 hours for C/S (culture/sensitivity) results.
Wait 1 week for C/S (culture/sensitivity) results.
Wait 24 hours for C/S (culture/sensitivity) results.
What percentage of all children experience febrile seizures?
3-4% of all children
10-12% of all children
0.5-1% of all children
20-25% of all children
Febrile seizures usually occur between which ages?
Usually between 6 months and 6 years of age
Usually between birth and 3 months of age
Usually between 10 years and 15 years of age
Usually between 7 years and 12 years of age
What is the recurrence rate of febrile seizures?
Recurrence of febrile seizures in about 30% of cases
Recurrence of febrile seizures in about 5% of cases
Recurrence of febrile seizures in about 70% of cases
Recurrence of febrile seizures in about 50% of cases
There is strong evidence to support use of antipyretics or anticonvulsants to prevent recurrent febrile seizures.
True
False
What is the primary purpose of antipyretics for febrile seizures?
To increase comfort
To prevent seizures
To cure the underlying infection
To reduce the risk of epilepsy
Fill in the blank: Hospital cribs look almost like a _____?
cage
bed
box
basket
Where should emergency drug lists be kept for pediatric patients?
At bedside
In the pharmacy
At the nurse's station
In the doctor's office
Fill in the blank: Airborne isolation conditions include measles, TB, varicella, and _____?
Covid-19
Influenza
Hepatitis B
Mumps
Which of the following is a type of physical restraint for pediatric patients?
Therapeutic hugging
Jacket restraints
Mummy/swaddle restraints
All of the above
Fill in the blank: Puncture site for blood on the _____ of an infant's foot.
SOLE
HEEL
TOE
ANKLE
Which of the following are methods for specimen collection in pediatric patients?
A) Gastric washings
B) Nasal washings
C) Both A and B
D) None of the above
What is most frequently used to determine drug dosage in pediatric patients?
Specific dosage per gram of body weight
Specific dosage per kilo of body weight
Specific dosage per liter of body weight
Specific dosage per pound of body weight
The purpose of keeping a pediatric patient upright when administering oral medication is to:
Reduce the risk of aspiration
Increase medication absorption
Decrease medication taste
Prevent dehydration
Which method is recommended for administering oral medication to infants?
Use an oral syringe
Use a spoon
Mix with food
Pour into a cup
Which of the following is used when GI feeding is not possible?
Gavage feedings
TPN
NG/OG
Jejunostomy feedings
Nonnutritive sucking improves digestion during alternative feeding techniques.
True
False
What is the role of intralipid infusion in TPN?
It is part of the central line access for nutrition when GI feeding is not possible.
It is used to prevent infection in TPN administration.
It acts as a source of vitamins in TPN.
It is used to flush the central line after TPN administration.
List one principle of Family Centered Care related to communication.
Information sharing, honest communication, listening and respecting families' beliefs
Limiting family involvement in care decisions
Withholding information to avoid family stress
Prioritizing only the healthcare team's opinions
What does 'teach back education' involve in Family Centered Care?
Patient and family repeat back in their own words what was taught, helping the nurse to evaluate their understanding.
The nurse provides written instructions only, without verbal explanation.
Family members teach the nurse about the patient's preferences.
Education is provided only to the patient, not the family.
How much weight does an infant typically gain every week between 1 month and 1 year?
2-3 oz
5-7 oz
10-12 oz
1-2 oz
By what age should an infant DOUBLE their birth weight?
3 months
6 months
9 months
12 months
By what age should a child TRIPLE their birth weight?
6 months
9 months
1 year
2 years
Height increases by ____ per month for the first 6 months in infants.
1 inch
2 inches
0.5 inch
1.5 inches
Infant growth occurs in "spurts" rather than gradually.
True
False
By what age can infants distinguish between familiar faces and strangers?
6 months
1 month
12 months
2 years
Vision: Binocularity begins by ____ weeks of age in infants.
6 weeks
2 weeks
12 weeks
20 weeks
Parachute reflex appears by ____ months in infants.
7 months
3 months
5 months
9 months
Hearing is present at birth, and infants turn their head towards noise by ____ months.
2-3 months
6-7 months
4-5 months
8-9 months
Pincer grasp develops by ____ months in infants.
9-10 months
3-4 months
6-7 months
12-13 months
Head control develops by ____ months in infants.
3-4 months
1-2 months
5-6 months
7-8 months
Infants typically roll over by ____ months.
5-6 months
2-3 months
8-9 months
10-12 months
What is the direction of development described by 'Cephalocaudal'?
Head to toe
Toe to head
Center to periphery
Side to side
What does proximodistal development refer to?
Development from core to extremities (hands, feet)
Development from extremities to core
Development from head to toe
Development from toe to head
When should infants begin to crawl?
7-10 months
12-24 months
3-5 months
8-12 months
Children should begin to walk with assistance at ___ months old, and they should begin to walk without assistance at ___ months old.
10, 14
11, 12
16, 24
2, 3
Children usually develop a fear of strangers at what age?
1-2 years
3-4 months
6-9 months
7-10 months
What is the FIRST form of verbal communication that babies use?
Crying
Talking
Yelling
Spitting Bars
Babies usually make _____ sounds starting at 6 months of age.
eloquent
crying
imitative
initial
What is the most major dental concern for patients younger than 1 years of age?
Gingivitis
Halitosis
Caries
Thumb-Sucking
Children under 6 months old require a lot of water to maintain hydration.
True
False
What is the most important thing babies need from their nutrition?
Calories
Water
Salts
Lipids
For the first 6 months of life, ______ are the preferred sources of nutrition.
breast milk or formula
water or juice
breast milk or water
beer or Celsius
If a child is diagnosed with failure to thrive, what should their feeding schedule be?
Feeds every 3 hours
Feeds every 6 hours
Feeds every hour
Feeds every 12 hours
How often should the RN monitor the weight of a child who is failing to thrive?
hourly
weekly
monthly
daily
Having an infant sleep in the same bed as his/her parents can help to prevent sudden unexplained infant death.
True
False
SATA: Chose all of the risk factors for sudden unexplained infant death.
overheating
low birth weight
maternal smoking during pregnancy
maternal age younger than 20
prone placement in crib
Infants of male sex are ____ likely to be victims of sudden unexplained infant death than infants of female sex.
less
more
just as
What may indicate that an infant's head position was NOT varied in his/her crib?
Plagiocephaly
Hepatomegally
Adenoma
Cephalocaudally
