Growth, Development, and Stages of Life

A 4-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child’s fears?

A 16-year-old client is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively?

Which car safety device should be used for a child who is 8 years old and 4 feet tall?

The nurse assesses the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths per minute. On the basis of this finding, which action is most appropriate?

The nurse is monitoring a 3-month-old infant for signs of increased intracranial pressure. On palpation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. On the basis of this finding, which nursing action is most appropriate?

The nurse is evaluating the developmental level of a 2-year-old. Which does the nurse expect to observe in this child?

A 2-year-old child is treated in the emergency department for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter. The nurse reviews safety principles with the parents before discharge. Which statement by the parents indicates an understanding of measures to provide safety in the home?

A mother arrives at a clinic with her toddler and tells the nurse that she has a difficult time getting the child to go to bed at night. What measure is most appropriate for the nurse to suggest to the mother?

The mother of a 3-year-old is concerned because her child still is insisting on a bottle at nap time and at bedtime. Which is the most appropriate suggestion to the mother?

The nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which is the most appropriate activity for this child?

The mother of a 3-year-old asks a clinic nurse about appropriate and safe toys for the child. The nurse should tell the mother that the most appropriate toy for a 3-year-old is which?

Which interventions are appropriate for the care of an infant? Select all that apply.

1. Provide swaddling.
2. Talk in a loud voice.
3. Provide the infant with a bottle of juice at nap time.
4. Hang mobiles with black and white contrast designs.
5. Caress the infant while bathing or during diaper changes.
6. Allow the infant to cry for at least 10 minutes before responding.

The nurse is preparing to care for a dying client, and several family members are at the client’s bedside. Which therapeutic techniques should the nurse use when communicating with the family? Select all that apply.

1. Discourage reminiscing.
2. Make the decisions for the family.
3. Encourage expression of feelings, concerns, and fears.
4. Explain everything that is happening to all family members.
5. Touch and hold the client’s or family member’s hand if appropriate.
6. Be honest and let the client and family know they will not be abandoned by the nurse.

An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP)immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent?

A child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second dose. Before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance?

A parent brings her 4-month-old infant to a well-baby clinic for immunizations. The child is up to date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant?

The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization). What are the general contraindications associated with receiving a live virus vaccine? Select all that apply.

1. The child has symptoms of a cold.
2. The child had a previous anaphylactic reaction to the vaccine.
3. The mother reports that the child is having intermittent episodes of diarrhea.
4. The mother reports that the child has not had an appetite and has been fussy.
5. The child has a disorder that caused a severely deficient immune system.
6. The mother reports that the child has recently been exposed to an infectious disease.