Growth & Development

The mother brings her 18-month-old child to the clinic with concerns for developmental delay. She states, “She says ‘Mama’ and ‘Dada’, and ten or so other words. I keep working with her but I’m concerned she is falling behind.” Which response by the nurse is most appropriate?

The very low birth weight infant was born at 0.9 kg and now weighs 1.3 kg. The neonate is on full feeds receiving 24 kcal/oz formula with a daily kcal goal of 120 kcal/kg/day. The patient eats every 3 hours around the clock. How many milliliters does the nurse administer with each feeding? Enter your answer using a whole number.

The 16-year-old patient passed out from the heat while playing football and now requires an infusion of Lactated Ringer’s solution for moderate dehydration. The patient’s heart rate is 118 bpm, blood pressure is 100/72 mmHg, and temperature is 37.5°C. Which gauge of intravenous catheter does the nurse select for insertion into this patient?

Which statement is true regarding the neonate's immune system?

The American Cancer Society recommends the patient's initial cervical cancer screening occurs at which time?

During the initial home visit, the home health nurse assesses which of the elderly patient's basic activities of daily living? Select all that apply.

Body mass index (BMI) is calculated using which measurement(s)?

The parents of a 6-month-old baby are introducing solid foods into the baby's diet and would like to know which foods are appropriate. How does the nurse respond?

The nurse is vigilant for Candida albicans infections in patients with which conditions? Select all that apply.

Which statement does the nurse include in discharge teaching to the parents of the 9-year-old who underwent tonsillectomy and adenoidectomy?

During the initial examination of the full-term baby, the nurse notes an irregular red reflex. The nurse reports the finding to the provider and reviews the mother’s chart for which information?

The fetuses of mothers with which infections during pregnancy are at an increased risk for hearing loss? Select all that apply.

The nurse is providing medication teaching to the mother of a 4-year-old patient with recurrent otitis media infections who requires daily instillation of antibiotic drops into the ear. Which action indicates effective teaching?

The school nurse is creating a health pamphlet to send home with the students prior to summer break on how to prevent otitis externa. Which information does the nurse include on the cause of otitis externa?

The nurse is educating the 2-year-old patient’s parents on how to instill ear drops to treat acute otitis media. Which statement indicates a need for further teaching?

During a well-child visit for the 4-month-old child, the nurse palpates hard nodules where each rib joins the sternum. The nurse reports this finding to the provider and requests which lab studies for this patient? Select all that apply.

The nurse is creating a presentation on rickets in the community. The nurse focuses on which group of individuals for this teaching?

The 4-year-old child is brought to the emergency department (ED) with concern for a broken arm after a fall at the playground. The nurse notes the legs are bowed with curved femurs, the abdomen protrudes, and the upper spine is curved forward, giving the child a humpback appearance. The nurse anticipates testing will lead to which diagnosis?

The 5-year-old child is brought to the emergency department (ED) after a fall at school that has resulted in a broken wrist. The nurse notes the child is thin, with curved femurs and kyphosis. Metaphyseal fraying and cupping is noted on x-ray of the wrist. There is evidence of old fractures that healed poorly, as if they hadn’t been set properly. Upon review of the patient’s medical history, it does not appear that the patient has received ongoing well-child care. After laboratory evaluation, the child is diagnosed with rickets. The nurse prepares information on which medication for the family?

The mother of a 1-month-old neonate brings the child to the clinic with concerns that the child’s head seems large. The nurse measures the occipitofrontal circumference (OFC) and notes a 4 cm increase in the OFC since birth. When reporting this information to the provider, the nurse requests which test?

On the initial assessment after birth, the neonate is found to have a 1 cm x 0.5 cm hemangioma on the right cheek. Which additional assessment does the nurse make related to this finding?

The elderly patient with hypertension, hyperlipidemia, arthritis, diabetes, and improving cellulitis is being discharged home after a stay in a sub-acute care facility. The caregiver asks the nurse about the patient's risk for falls. The nurse reviews the patient's medical history for which risk factors for falls? Select all that apply.

Which information is true regarding developmental coordination disorder (DCD)?

Which interventions does the nurse include in the plan of care for the 2-day-old infant who requires phototherapy for hyperbilirubinemia? Select all that apply.

At which age does the nurse instruct the parent to bring the child in to the clinic for the measles, mumps, and rubella (MMR) vaccine?

Which sport does the nurse recommend to the child with osteogenesis imperfecta who is interested in physical fitness?

The nurse is preparing to care for a patient admitted from an institutional setting. The nurse notes that the patient’s serum albumin level was measured at 2.9 g/dL and BMI (body mass index) was calculated to be 16. Which clinical finding does the nurse anticipate to observe?

The nurse is caring for a seven-year-old girl whose parents have expressed concern over the child wetting the bed at night. The nurse directs questioning to assess for which conditions? Select all that apply.

Parents of a four-year-old boy are worried because their son has been wetting the bed. The nurse informs the parents the child may continue to have nocturnal enuresis for how many more years? Enter your answer using a whole number.

The mother of a six-year-old child brings the child to the pediatrician requesting treatment for nocturnal enuresis. The nurse prepares information for the mother about which treatment?

The nurse is developing a care plan with a nine-year-old girl to end her nocturnal enuresis. The nurse is focused on which goal when communicating with the child?

The parent of the 5-year-old child reports that the child, who was potty trained at 3-years-old, has been stooling in places other than the toilet a couple times per month for 4 months. The nurse uses which term to document this symptom?

The nurse is collecting data from the parents of a seven-year-old boy who often has liquid stool in his underwear. The parents report he developed urinary and stool incontinence at four years of age and this problem started about six months ago. Their son excretes small pellets of stool every night before bed, and the parents wonder if he is soiling his clothing on purpose. Which additional testing does the nurse anticipate at this point?

A ten-year-old patient presents to the emergency department (ED) complaining of abdominal pain. He states, “I poop every day. It sometimes hurts to go and the poop is small, hard pieces. Which response does the nurse anticipate when the child is asked, “How much water do you drink in a day?”

A new mother calls the nurse hotline concerned that her 4-day-old infant is sleeping too much. The nurse bases the response on which understanding of the newborn and postpartum period?

The nurse is preparing to discharge a newborn and her mother. The nurse checks that the mother is able to state which principle of safe sleeping?

The nurse provides which education to parents of a 1-day-old infant to prevent Sudden Infant Death Syndrome? Select all that apply.

The American Academy of Pediatrics recommends children remain in rear-facing car seats away from airbags until which age?

Which reflex is demonstrated by allowing the infant to fall a few inches to a padded surface?

Which information does the nurse include when preparing an informational session for expectant first-time parents about car seat safety? Select all that apply

Which food is a priority for the nurse to encourage the patient to eat? Look at the patient’s chart to make a selection.

A baby is born precipitously to a mother who did not have prenatal care. The neonate requires only the initial steps of resuscitation but is found to have a bilateral cleft lip and palate. Review the patient’s assessment here: Position at rest: Complete flexion Square window: 0° Arm recoil: 75° Popliteal angle: 80° Scarf sign: Elbow does not cross midline Heel to ear: Foot does not reach the umbilicus Skin: No veins visible, cracking of skin at joints, dry Lanugo: Mostly bald skin Plantar surface: Creases over entire sole Breast: 4 mm bud with raised areola Ear: Formed pinna with instant recoil Genitals: Descended testes bilaterally, rugae over entire scrotum For which referrals does the nurse advocate for the baby prior to discharge? Select all that apply.

The 2-day-old full term child has been rooming in with the mother who reports successful breastfeeding. Which information is most important to report to the provider?

The patient in Arizona calls the nurse line to report being stung by a scorpion. Which follow-up question by the nurse is most important?

The 3-year-old patient with acute pyelonephritis has the following orders:  Medications: 8 mg/kg ciprofloxacin IV q8h  Activity level: ambulatory as tolerated  Intravenous fluids: Infuse D5W with 0.25% NaCl via peripheral IV at 50 mL/h  Diet: Normal   The nurse is coordinating care for the patient with the unlicensed assistive personnel. Which statement by the UAP prompts further education by the nurse? 

The nurse counsels which women against the use of black cohosh as an herbal supplement?  

The nurse is helping to recruit patients for a study about the effectiveness of a new delivery system for somatropin. The nurse filters the records for patients with which conditions? Select all that apply.

The patient with short stature associated with Noonan syndrome is being considered for somatropin injections. The nurse ensures which test is performed before therapy is started? 

The nurse is supervising a nursing student in the emergency department. Which actions by the nursing student indicate effective learning? Select all that apply.  

The newborn male child experienced hemorrhage from a circumcision site at 2 days old. Coagulation studies revealed normal prothrombin time and a prolonged activated partial thromboplastin time (aPTT). The von Willebrand factor is found to be 0.5%. Which individuals need to undergo genetic testing?