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Are you studying for the PEDS: Pediatric Nurse Exam and feel like you are not ready for the exams? Worry not as the quiz below is perfect for helping you revise all the topics you have covered so far, how about you give it a shot and see how much more work you need to put in your revision.
Questions and Answers
1.
What characteristic of physical development best describes the development of an 8-month-old?
A.
Sits steadily alone
B.
Shows preference for one hand
C.
Cruises on furniture
D.
Development of tears
Correct Answer
A. Sits steadily alone
Explanation At 8 months old, an infant's physical development is characterized by the ability to sit steadily alone. This means that the baby has gained enough strength and control over their muscles to maintain a sitting position without support. This milestone demonstrates the progress in their gross motor skills and the development of their core strength and balance.
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2.
What age range is considered infancy?
A.
Birth to 6 weeks of age
B.
Birth to 1 year of age
C.
4 weeks to 1 year of age
D.
4 weeks to 2 years of age
Correct Answer
C. 4 weeks to 1 year of age
Explanation Infancy is generally defined as the period of a person's life from birth to 1 year of age. During this time, infants go through significant physical and cognitive development, including growth in size and weight, the development of motor skills, and the ability to communicate and interact with their environment. This age range is considered crucial for the formation of attachments, bonding with caregivers, and laying the foundation for future development.
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3.
A mother verbalizes concern that her second-born son is reaching milestones but not as quickly as her first-born child. What would the nurse’s best response be?
A.
“I will let the physician know right away.”
B.
“Norms can vary greatly for the individual child.”
C.
“Milestones should be reached consistently by each child.”
D.
“A psychology consult should be ordered.”
Correct Answer
B. “Norms can vary greatly for the individual child.”
Explanation The best response for the nurse would be "Norms can vary greatly for the individual child." This response acknowledges the mother's concern and reassures her that each child develops at their own pace. It emphasizes that milestones should not be compared between siblings as each child is unique and may reach milestones at different times. This response promotes understanding and helps alleviate the mother's worry.
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4.
Protective arm extension that occurs when an infant is suddenly thrust
downward when prone is known as the _____ reflex.
A.
Parachute
B.
Palmar
C.
Moro
D.
Planter
Correct Answer
A. Parachute
Explanation The protective arm extension that occurs when an infant is suddenly thrust downward when prone is known as the parachute reflex. This reflex is characterized by the infant extending their arms outwards in an attempt to protect themselves from falling or injury. The term "parachute" is used to describe this reflex because the extension of the arms resembles the action of a parachute opening up.
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5.
What techniques should be used to soothe the irritable infant?
A.
Vigorous rocking
B.
Singing
C.
Nonnutritive sucking
D.
Changing position frequently
E.
Swaddling snugly with the hands near the face
Correct Answer(s)
C. Nonnutritive sucking E. Swaddling snugly with the hands near the face
Explanation Nonnutritive sucking and swaddling snugly with the hands near the face are effective techniques to soothe an irritable infant. Nonnutritive sucking refers to allowing the infant to suck on a pacifier or clean finger, which can provide comfort and help them self-soothe. Swaddling snugly with the hands near the face mimics the feeling of being in the womb and can help the infant feel secure and calm. These techniques are commonly recommended by healthcare professionals and have been found to be effective in soothing fussy infants.
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6.
A 9-month-old infant starts crying when the nurse takes him to sit on the exam table. The mother seems upset and states, “My baby knows that you will be doing something that hurts.” What is the best response by the nurse?
A.
“The injections will be over quickly. I will let you provide comfort
then.”
B.
“Your baby is scared to be away from you. I will let you provide
further comfort when I am done.”
C.
“Your baby probably has a wet or dirty diaper. This will probably go
better if you change it first.
D.
“Your baby will not remember this, and we have to do it so your baby
can go to school when it is time.”
Correct Answer
B. “Your baby is scared to be away from you. I will let you provide
further comfort when I am done.”
Explanation The best response by the nurse is to acknowledge the mother's concern and validate her feelings by stating that the baby is scared to be away from her. The nurse reassures the mother that she will let her provide further comfort once the examination is done. This response shows empathy and understanding towards the mother's worries and addresses the baby's fear of separation, which is a common developmental stage at this age.
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7.
Which milestone would the nurse be most concerned with for a 12-month-old infant during a well-child checkup?
A.
Unable to pull up to a sitting position
B.
Unable to walk 10 to 15 steps
C.
Doesn’t drink from a sippy cup
D.
Provides frequent objections to foods
Correct Answer
A. Unable to pull up to a sitting position
Explanation The milestone that the nurse would be most concerned with for a 12-month-old infant during a well-child checkup is being unable to pull up to a sitting position. This is because by 12 months, most infants should have developed the strength and coordination to pull themselves up to a sitting position. If a 12-month-old infant is unable to do this, it may indicate a delay in their gross motor development, which could be a cause for concern and further evaluation.
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8.
What food might cause botulism if given to an infant?
A.
Sugar
B.
Honey
C.
Egg yolk
D.
Green beans
Correct Answer
B. Honey
Explanation Honey can cause botulism if given to an infant. This is because honey may contain spores of Clostridium botulinum, a bacteria that can produce toxins in a baby's immature digestive system. These toxins can lead to botulism, a serious illness characterized by muscle weakness and difficulty breathing. It is recommended to avoid giving honey to infants under the age of one to prevent the risk of botulism.
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9.
A group of children is observed playing house. Each child is assigned a specific role as mommy, daddy, or child. At what age does this type of play typically begin?
A.
Between 1 and 2 years old
B.
Between 3 and 5 years old
C.
Between 7 and 10 years old
D.
Between 10 and 13 years old
Correct Answer
B. Between 3 and 5 years old
Explanation Between 3 and 5 years old is the typical age when children begin to engage in playing house. At this stage of development, children start to imitate and role-play adult behaviors they observe in their daily lives. Playing house allows them to understand and mimic the roles and responsibilities of different family members. It also helps them develop social and emotional skills, such as empathy, communication, and problem-solving, as they interact and negotiate with their peers during pretend play.
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10.
What are the best foods for the nurse to recommend for a 2-year-old child diagnosed with mild constipation?
A.
Wheat crackers and apples
B.
Shredded wheat and cooked prunes
C.
Bananas and bran muffins
D.
Rice and black beans
Correct Answer
B. Shredded wheat and cooked prunes
Explanation Shredded wheat and cooked prunes are the best foods to recommend for a 2-year-old child diagnosed with mild constipation. Shredded wheat is high in fiber, which helps promote regular bowel movements. Cooked prunes are also high in fiber and contain natural laxatives that can help relieve constipation. Both of these foods are gentle on the digestive system and can help soften the stool, making it easier for the child to pass.
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11.
What is the most important nursing intervention to promote a positive hospital experience for a 1-month-old infant?
A.
Provision of consistent caregivers
B.
Provision of consistent sensorimotor stimulation
C.
Maintenance of a rigid schedule
D.
Encouraging parents to bring in familiar toys from home
Correct Answer
A. Provision of consistent caregivers
Explanation Providing consistent caregivers is the most important nursing intervention to promote a positive hospital experience for a 1-month-old infant. Infants at this age are still developing a sense of security and attachment, and having consistent caregivers can help establish a trusting relationship. This consistency helps the infant feel safe and secure, which is crucial for their overall well-being and positive hospital experience.
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12.
Which characteristics are present in a well-nourished child?
A.
Shiny hair
B.
Regular elimination
C.
Pale mucous membranes
D.
Protruding abdomen
E.
Erect posture
Correct Answer(s)
A. Shiny hair B. Regular elimination E. Erect posture
Explanation A well-nourished child typically has shiny hair, regular elimination, and an erect posture. Shiny hair is often a sign of good overall health and proper nutrition. Regular elimination indicates a healthy digestive system and proper nutrient absorption. An erect posture suggests strong muscles and skeletal development, which can be influenced by adequate nutrition. Pale mucous membranes and a protruding abdomen are not characteristics of a well-nourished child and may indicate underlying health issues or malnutrition.
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13.
________ refers to the total way in which a person grows and develops, as dictated by inheritance.
A.
Maturation
B.
Option 2
C.
Option 3
D.
Option 4
Correct Answer
A. Maturation
Explanation Maturation refers to the total way in which a person grows and develops, as dictated by inheritance. It encompasses the physical, cognitive, and emotional changes that occur throughout an individual's lifespan. This process is influenced by genetic factors and biological processes, such as hormonal changes, that occur naturally over time. Maturation is a natural and ongoing process that occurs in all individuals, but the rate and timing of development can vary from person to person.
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14.
For how many weeks will the infant experience passive immunity from his or her mother?
A.
4
B.
8
C.
12
D.
24
Correct Answer
C. 12
Explanation Passive immunity is the temporary immunity that an infant receives from their mother through the placenta during pregnancy and through breast milk after birth. This immunity provides protection against certain diseases and lasts for a limited period. Since the question asks for the number of weeks the infant will experience passive immunity from their mother, the correct answer is 12 weeks. This means that for the first 12 weeks of the infant's life, they will have the benefit of their mother's antibodies to help fight off infections and diseases.
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15.
What is the cause of most childhood deaths?
A.
Sudden infant death syndrome
B.
Accidents
C.
Leukemia
D.
Influenza
Correct Answer
B. Accidents
Explanation Accidents are the leading cause of childhood deaths because children are more vulnerable to accidents due to their lack of awareness and experience. Common accidents include traffic accidents, drowning, falls, burns, and poisoning. These accidents can occur at home, school, or while playing outdoors. It is crucial to ensure child safety by implementing preventive measures such as childproofing the environment, using safety equipment, and closely supervising children to reduce the risk of accidents.
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16.
What guidelines should parents of a toddler follow when feeding solid food?
A.
One tablespoon of food per year of age
B.
Allow toddler to eat until full
C.
Set a timer for a predetermined amount of time
D.
One tablespoon of protein and vegetables at each meal
Correct Answer
A. One tablespoon of food per year of age
Explanation Parents of a toddler should follow the guideline of giving one tablespoon of food per year of age when feeding solid food. This ensures that the child is getting an appropriate portion size that is suitable for their age and developmental stage. It helps to prevent overfeeding and promotes healthy eating habits.
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17.
At what age do toddlers usually recognize sexual differences?
A.
12 months
B.
18 months
C.
24 months
D.
36 months
Correct Answer
C. 24 months
Explanation Toddlers usually recognize sexual differences at around 24 months. At this age, they start to become aware of the physical differences between males and females. They may begin to notice differences in their own bodies or in the bodies of others. This is a normal part of their development as they start to understand gender identity. It is important for parents and caregivers to provide age-appropriate information and support during this stage of a child's development.
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18.
Parents of a 2-year-old child verbalize frustration over their child’s behavior. They report that he is inconsistent and frequently says no to their requests. What education should the nurse provide at this time?
A.
The child must be getting ill.
B.
The physician should be notified immediately
C.
Behavioral therapy is indicated
D.
This is called negativism and is normal behavior
Correct Answer
D. This is called negativism and is normal behavior
Explanation The correct answer is that the child's behavior is called negativism and is normal for a 2-year-old. This behavior is a normal part of a child's development as they begin to assert their independence and test boundaries. It is important for parents to understand that this behavior is normal and not a cause for concern. Providing education on child development and strategies for managing negativism can help parents navigate this stage successfully.
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19.
_______ play is typical during the initial toddler years.
Correct Answer Parallel
Explanation During the initial toddler years, parallel play is typical. This refers to the behavior where children play alongside each other without actively engaging or interacting with each other. Instead, they are focused on their own activities and may occasionally observe or imitate what others are doing. This type of play is common during this stage as toddlers are still developing their social skills and may not yet be ready for cooperative or interactive play.
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20.
Which characteristics are displayed when a child experiences separation anxiety?
A.
Frustration
B.
Protest
C.
Despair
D.
Attachment
E.
Detachment
F.
Forgiveness
Correct Answer(s)
B. Protest C. Despair E. Detachment
Explanation When a child experiences separation anxiety, they typically display the characteristics of protest, despair, and detachment. Protest refers to the child's resistance and refusal to be separated from their attachment figure, often expressed through crying, clinging, and tantrums. Despair is the feeling of sadness and hopelessness that the child experiences when they realize that their attachment figure is not present. Detachment, on the other hand, is the child's withdrawal and emotional distancing from their attachment figure as a coping mechanism to deal with the anxiety of separation.
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21.
According to Erikson, what is the correct stage of development for the toddler?
A.
Initiative vs. guilt
B.
Trust vs. mistrust
C.
Industry vs. inferiority
D.
Autonomy vs. shame and doubt
Correct Answer
D. Autonomy vs. shame and doubt
Explanation According to Erikson's theory of psychosocial development, the correct stage of development for the toddler is autonomy vs. shame and doubt. During this stage, typically occurring between the ages of 1 and 3, toddlers begin to assert their independence and develop a sense of self-control. They strive to do things on their own and make choices, but may also experience feelings of shame and doubt if their attempts are met with criticism or failure. This stage is crucial for the development of a healthy sense of autonomy and self-confidence.
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