Question 1

The nurse is caring for children in a physician's office where health supervision is practiced. Which of the following is a key focus of health supervision? Select all answers that apply.

Accepted Answer

Health supervision focuses on optimizing functioning, preventing injury, and providing care based on guidelines.

Question 2

The nurse is providing care for children in a pediatric medical home. Which of the following is a characteristic of care in these types of facilities?

Accepted Answer

A centralized database containing all child information is a characteristic of a pediatric medical home, ensuring coordinated and comprehensive care.

Question 3

The nurse is preparing a presentation to a local parent group about pediatric health supervision. Which of the following would the nurse emphasize as the focus?

Accepted Answer

The focus of pediatric health supervision is on wellness, which includes promoting healthy growth and development, preventing illness, and ensuring overall well-being.

Question 4

A large portion of the nurse's efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which of the following facilities does the nurse work?

Accepted Answer

A pediatric practice is where a large portion of a nurse's efforts would be dedicated to health supervision for children, as it serves as their primary medical contact for ongoing health needs, including preventive care and treatment of illnesses.

Question 5

The nurse strives to provide culturally competent care for children in a health clinic that follows the principles of health supervision. Which of the following nursing actions reflects this type of care?

Accepted Answer

Negotiating a care plan with the child and family reflects culturally competent care as it involves understanding and respecting the cultural values and preferences of the family, and incorporating them into the care plan.

Question 6

The nurse is aware that the community affects the health of its members. Which of the following statements accurately reflect a community influence of health care? Select all answers that apply.

Accepted Answer

A community can contribute to a child's health or be the cause of his or her illnesses. Community support and resources are necessary for children with significant problems. The breakdown of community and family support systems can lead to depression and violence.

Question 7

The nurse is conducting a psychosocial assessment of a child with asthma brought to the physician's office for a check-up. Which of the following are psychosocial issues that might be assessed? Select all answers that apply.

Accepted Answer

The answer of The nurse is conducting a psychosocial assessment...

Question 8

The nurse is examining a 2-year-old child who was adopted from Guatemala. Which of the following would be a priority screening for this child?

Accepted Answer

Children adopted from other countries, especially from areas with high rates of infectious diseases, should be screened for infectious diseases as a priority to ensure any conditions are identified and treated promptly.

Question 9

The mother of a 5-year-old child with eczema is getting a check-up for her child before school starts. Which of the following will the nurse do during the visit?

Accepted Answer

Assessing compliance with treatment regimens is crucial in managing chronic conditions like eczema to ensure that the treatment plan is effective and to make any necessary adjustments.

Question 10

During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse's best response?

Accepted Answer

Asking the mother to share her specific concerns ("Tell me what concerns you.") is the best response as it directly addresses the mother's worries, encourages communication, and provides the nurse with specific information to assess the child's development more accurately.

Question 11

A 3-year-old child is scheduled for a hearing screening. The nurse would prepare the child for screening by which method?

Accepted Answer

Conditioned play audiometry is suitable for children aged 2 to 5 years, as it involves engaging the child in a game-like activity to respond to sounds, making it appropriate for a 3-year-old.

Question 12

A 2-week-old child responds to a bell during an initial health supervision examination. The child's records do not show that a newborn hearing screening was done. Which of the following is the best action for the nurse to take?

Accepted Answer

Newborn hearing screening is a critical early step in identifying hearing deficits that can affect language, social, and cognitive development. If a newborn hearing screening was not performed, it should be scheduled immediately regardless of the infant's apparent response to sound, as this does not rule out hearing deficits.

Question 13

The nurse is performing developmental surveillance for children at a medical home. Which of the following infants are most at risk for developmental delays? Select all answers that apply.

Accepted Answer

The answer of The nurse is performing developmental surveillance for...

Question 14

The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What would be the nurse's best intervention in this case?

Accepted Answer

Regression in motor skills, such as losing the ability to walk after previously acquiring the skill, is concerning and may indicate a neurologic disorder or other serious condition. It warrants a full evaluation to determine the cause.

Question 15

During a physical assessment of a 5-month-old child, the nurse observes the first tooth has just erupted and uses the opportunity to advise the mother to schedule a dental examination for her baby. Which of the following is the correct time for the dentist visit?

Accepted Answer

The American Academy of Pediatrics and the American Dental Association recommend that a child's first dental visit should occur by the age of 1 or within 6 months after the first tooth erupts. This early visit helps in the prevention of tooth decay and provides parents with guidance on oral health care.

Question 16

A mother and her 4-week-old infant have arrived for a health maintenance visit. Which of the following activities will the nurse perform?

Accepted Answer

At a 4-week health maintenance visit, the nurse will typically assess growth and development, which includes plotting the child's head circumference on a growth chart.

Question 17

The nurse is screening a 6-year-old child for mental ability. Which of the following tests would the nurse use to assess intelligence?

Accepted Answer

The Goodenough-Harris Drawing Test is specifically designed to assess the intelligence and cognitive abilities of children by having them draw certain objects or scenarios. It is a non-verbal intelligence test that can provide insights into a child's mental development.

Question 18

When assessing the vision of a 2-month-old, the nurse would use which of the following?

Accepted Answer

At 2 months old, infants have limited color vision and are more attracted to high-contrast patterns. A black-and-white checkerboard is ideal for assessing vision in this age group because it provides the high contrast that infants prefer and can see best.

Question 19

The nurse is performing a risk assessment of a 5-year-old and determines the child has a risk factor for cystic fibrosis. What type of screening would the nurse perform to confirm or rule out this disease?

Accepted Answer

Selective screening is used for individuals or populations who are at higher risk for certain conditions, such as cystic fibrosis, based on risk factors like family history or clinical signs.

Question 20

The nurse is caring for an infant who had hyperbilirubinemia requiring exchange transfusion. Based on this information, this infant is at risk for what type of disorder?

Accepted Answer

Hearing loss can be a complication of hyperbilirubinemia in infants, especially when it is severe enough to require an exchange transfusion. High levels of bilirubin can lead to bilirubin-induced neurologic dysfunction (BIND), which can affect the auditory nerve leading to hearing loss.

Quiz 31: Health Supervision