CHAPTER 14: PEDIATRIC ASSESSMENT

CHAPTER 14: PEDIATRIC ASSESSMENT

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When infants are born prematurely, the chronological age on the growth chart:

a.	is the same as for other children after 6 months
b.	is not accurate, and a special chart for preemies must be used
c.	must be corrected subtracting weeks or months of prematurity until age 18 months old
d.	must be corrected until age 18, subtracting the period of prematurity from the age

 

 

ANS:  C

 

	Feedback
A	Incorrect. When infants are born prematurely, the chronological age on the growth chart is not the same as for other children after 6 months.
B	Incorrect. When infants are born prematurely, the chronological age on the growth chart is not accurate, but you use the same growth chart.
C	Correct. When infants are born prematurely, the chronological age on the growth chart must be corrected subtracting weeks or months of prematurity until age 18 months old.
D	Incorrect. When infants are born prematurely, the chronological age on the growth chart must be corrected until age 18 (months or years, not specified).

 

 

PTS:   1                    REF:   p. 435 – Health History

OBJ:   Cognitive Level: Comprehension

 

2. When you are the nurse taking the health history of a child, the historian is most likely going to be an adult. Which of the following questions would be the most important to ask before admitting or treating the child?

a.	“What is the birth date of the child?”
b.	“Who is the legal guardian?”
c.	“What is your relationship to the child?”
d.	“What problems occurred during pregnancy?”

 

 

ANS:  B

 

	Feedback
A	Incorrect. When taking the health history of a child, the most important question to ask is not: “What is the birth date of the child?”
B	Correct. When taking the health history of a child, the most important question to ask before admitting or treating the child after the child’s name is: “Who is the legal guardian?”
C	Incorrect. When taking the health history of a child, the most important question to ask is not: “What is your relationship to the child?”
D	Incorrect. When taking the health history of a child, the most important question to ask is not: “What problems occurred during pregnancy?”

 

 

PTS:   1                    REF:   p. 435 – Health History

OBJ:   Cognitive Level: Application

 

3. The nurse is talking with the caregivers about a child’s developmental and health history. The child interrupts to add something and the caregivers direct the child to be quiet. The nurse’s best course of action would be based mostly on which of the following ideas?

a.	Caregivers have the right to govern their own children.
b.	Children are not as accurate as caregivers in the recall of developmental and health histories.
c.	Children need to be included in their own health care as much as possible, considering age and development.
d.	The caregivers are the decision makers in terms of care and will be paying for the cost of the care.

 

 

ANS:  C

 

	Feedback
A	Incorrect. While taking a health history, in the event the child interrupts to add some detail, the nurse’s best course of action would not be based on the idea that caregivers have the right to govern their own children, and thus be allowed to direct the child to be quiet.
B	Incorrect. While taking a health history, in the event the child interrupts to add some detail, the nurse’s best course of action would not be based on the idea that children are not as accurate as caregivers in the recall of developmental and health histories.
C	Correct. Because the historian in a pediatric history is less often the child and most likely the caregiver, it is very important to document the caregiver’s relationship to the child. The child should be included in the history taking as appropriate for her or his age and development.
D	Incorrect. While taking a health history, in the event the child interrupts to add some detail, the nurse’s best course of action would not be based on the idea that the caregivers are the decision makers in terms of care and will be paying for the cost of the care.

 

 

PTS:   1                    REF:   p. 436 – Health History

OBJ:   Cognitive Level: Application

 

4. A mother tells you that her 4-year-old child has begun to have night waking and has started thumb sucking again. Otherwise the child seems very healthy. From this brief history, your immediate response is:

a.	“It is normal for preschool-aged children to go through some short periods of regression.”
b.	“What changes have happened in your family or with your child?”
c.	“Is there any possibility of pinforms or some other type of parasite that your child might have?”
d.	“You need to call your pediatrician right away and get a complete physical on this child.”

 

 

ANS:  B

 

	Feedback
A	Incorrect. When a mother tells you that her 4-year-old child has begun to have night waking and has started thumb sucking again, your immediate response will not be: “It is normal for preschool-aged children to go through some short periods of regression.” This response ends the discovery of what is causing this regression.
B	Correct. When a mother tells you that her 4-year-old child has begun to have night waking and has started thumb sucking again, you will suspect that the child may be experiencing stress, and respond: “What changes have happened in your family or with your child?”
C	Incorrect. When a mother tells you that her 4-year-old child has begun to have night waking and has started thumb sucking again, your immediate response would not focus on the sleeplessness and possibility of pinforms.
D	Incorrect. When a mother tells you that her 4-year-old child has begun to have night waking and has started thumb sucking again, your immediate response would not be: “You need to call your pediatrician right away and get a complete physical on this child.” This response ends the discovery of what is causing this regression.

 

 

PTS:   1                    REF:   p. 434 – Pediatric Assessment

OBJ:   Cognitive Level: Application

 

5. When obtaining a child’s past health history, the nurse would ask questions aimed at getting pertinent information, beginning with the:

a.	Apgar score and birth itself	c.	labor and delivery
b.	postnatal period	d.	prenatal period

 

 

ANS:  D

 

	Feedback
A	Incorrect. When obtaining a child’s past health history, the nurse would ask questions aimed at getting pertinent information, but not beginning with the Apgar score and birth itself.
B	Incorrect. When obtaining a child’s past health history, the nurse would ask questions aimed at getting pertinent information, but not beginning with the postnatal period.
C	Incorrect. When obtaining a child’s past health history, the nurse would ask questions aimed at getting pertinent information, but not beginning with the labor and delivery.
D	Correct. When obtaining a child’s past health history, the nurse would ask questions aimed at getting pertinent information, beginning with the prenatal period.

 

 

PTS:   1                    REF:   p. 435 – Health History

OBJ:   Cognitive Level: Comprehension