Question 1

Which parental statement during a scheduled health maintenance assessment for a preschool-age child would cause the nurse concern?

Accepted Answer

Waking up each night screaming because of nightmares can be a sign of sleep disturbances and may require further investigation and intervention by healthcare professionals. The other statements indicate positive family dynamics, developmental milestones, and a childcare arrangement, which are normal aspects of a preschooler's life.

Question 2

Which is the priority nursing action when performing a physical assessment on a toddler?

Accepted Answer

Leaving intrusive procedures such as eye and ear examinations until the end is the priority nursing action when performing a physical assessment on a toddler. This approach helps to build trust and cooperation, as these procedures can be uncomfortable or scary for young children. Starting with less invasive assessments allows the child to gradually acclimate to the examination process.

Question 3

Which assessment finding for a toddler-age child indicates an increased risk for an unhealthy self-concept?

Accepted Answer

The parent spanking the child for taking a toy from another child can cause feelings of shame and inadequacy in the child, leading to an unhealthy self-concept. The other options support a healthy self-concept by providing positive reinforcement, understanding, and nurturing behavior.

Question 4

Which action should the nurse include when providing education regarding methods to enhance health promotion during a scheduled health maintenance visit for a 4-year-old child?

Accepted Answer

Involving the child in snack selection and preparation can enhance health promotion by encouraging healthy food choices and increasing the child's interest in healthy eating habits. It also promotes independence and decision-making skills. The other options, recognizing food jags as common, encouraging the use of a highchair with a safety strap, and recommending high-fat foods, do not promote health promotion and may even have negative effects on the child's health.

Question 5

Which assessment questions are appropriate when the nurse is assessing the mental health of a preschool-age client? Select all that apply.

Accepted Answer

These questions are appropriate for assessing the mental health of a preschool-age client because they address developmental milestones, behavior, and family dynamics.

Question 6

The nurse is conducting a physical assessment for a preschool-age child. When plotting the child's body mass index (BMI) the nurse notes that the child's is at the 90th percentile. Which action by the nurse is appropriate?

Accepted Answer

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

Question 7

The parents of a 2-year-old girl inquire about information to help their child transition to bed each night. Which response by the nurse is appropriate?

Accepted Answer

Reading a book to the child just before bedtime each night can be a calming routine that signals it's time for sleep. This routine can help the child transition to bed more easily. Options A and D may cause distress to the child and disrupt their sleep, while option B may stimulate the child rather than relaxing them.

Question 8

Which action by the nurse is appropriate when teaching the parents of a 2-year-old child during a scheduled health maintenance visit?

Accepted Answer

At age 2, it is appropriate to switch from whole milk to 2% milk as the child's growth rate slows and the need for high-fat content decreases.

Question 9

Which immunization will the nurse provide parental education during the health maintenance visit for a 4-year-old child?

Accepted Answer

At 4 years old, children typically receive the third dose of the inactive poliovirus vaccine as part of their routine immunization schedule.

Question 10

Parents of a preschool-age child report that they find it necessary to spank the child at least once a day. Which response by the nurse is appropriate based on this information?

Accepted Answer

Research has shown that spanking can have negative effects on a child's behavior and development. It is important for the nurse to discuss alternative forms of discipline with the parents to promote a positive and healthy relationship between parent and child. Shaming the parents or suggesting they are not parenting properly is not appropriate and may cause them to become defensive. Asking them to try spanking less frequently may not address the underlying issue and could still perpetuate the use of physical punishment.

Question 11

The visiting nurse is evaluating the home environments of several preschool-age children as they relate to child safety. The nurse visits the home of each child and gathers the following data. Which activity noted during the visit places a child at the greatest risk for bodily harm?

Accepted Answer

All of the options presented pose some risk to the child's safety, but the option that places the child at the greatest risk for bodily harm is D. Allowing a preschool-age child to swim unsupervised in a family pool presents a serious drowning risk, even if the child knows how to swim. It is important for young children to always be supervised by a responsible adult when in or around water.

Question 12

At which age will the nurse begin to calculate body mass index (BMI) as a part of the nursing assessment process?

Accepted Answer

The nurse will begin to calculate body mass index (BMI) as a part of the nursing assessment process at 2 years of age. Earlier than this age, BMI is not an accurate measure of growth and the nurse will rely on other assessments such as length/height, weight, and head circumference.

Question 13

Which recommendations will the nurse make to the parents of a preschool-age child who is experiencing frequent nightmares? Select all that apply.

Accepted Answer

Reassuring the child through back rubbing, repeating a nighttime routine, and allowing the child time to settle back into sleep are all helpful recommendations for managing nightmares in preschool-age children. Bringing the child to the parental bed and placing a television in the child's room may disrupt the child's sleep and should be avoided.

Question 14

During a well-child visit with a 4-year-old girl the nurse notes that the parents speaks harshly to the child and used negative remarks when speaking with the nurse. Which statement by the nurse would be beneficial in this situation?

Accepted Answer

This statement acknowledges the negative behavior, offers a solution to improve it, and maintains confidentiality and privacy for the family. It also avoids blaming or accusing the parents, which could exacerbate the situation.

Question 15

The nurse is teaching the parents of a toddler-age child information regarding toy and playground safety. Which parental statement indicates the need for further education?

Accepted Answer

Allowing a child to play with packaging material can be dangerous, as it poses a risk of suffocation or choking. The nurse should educate the parents to dispose of packaging material immediately after opening new toys.

Question 16

Which nursing actions are appropriate when conducting a mental health assessment for a toddler-age child? Select all that apply.

Accepted Answer

In conducting a mental health assessment for a toddler, observing the child's interaction with family members (A) can provide insights into the child's social and emotional development. Asking the caregiver to describe the child's typical day (B) helps understand the child's routine, behavior, and any potential stressors. Giving the child a crayon to assess ability to use (C) can evaluate the child's motor skills and developmental stage, which are important aspects of mental health. Determining the number of hours the child sleeps each night (D) is crucial as sleep patterns and quality can significantly affect a child's mental and emotional well-being. Inquiring about recent exposure to communicable diseases (E) is more related to physical health and less directly to mental health assessment.

Question 17

Which interventions will the nurse recommend for a toddler-age client who is biting other children at daycare? Select all that apply.

Accepted Answer

The answer of Which interventions will the nurse recommend for...

Question 18

The nurse is planning health promotion activities for a toddler-age child during a scheduled health maintenance visit. Which action by the nurse is appropriate during this visit?

Accepted Answer

The answer of The nurse is planning health promotion activities...

Question 19

The nurse is teaching the parents of a toddler-age child about injury prevention. Which statement by the parent indicates the need for further education?

Accepted Answer

Turning the handles of pots outward while cooking poses a significant risk for burns, as a child could easily reach up and pull the pot down. The correct safety practice is to turn pot handles inward, away from the edge of the stove, to prevent children from grabbing them.

Question 20

Which will the nurse assess in the family of a 3-year-old child during a pediatric clinic visit scheduled due to regressive behavior? Select all that apply.

Accepted Answer

Regressive behavior in a child can be influenced by family dynamics such as changes in parental marital status, the health of siblings, and maternal depression, which can affect the child's emotional and psychological well-being.

Quiz 35: Health Promotion and Maintenance: the Toddler and the Preschooler