during a well child checkup the parent of a 5 year old child reports the child seems much smaller than the 2 older siblings did at this same age a rev

ATI RN

RN Nursing Care of Children 2019 With NGN

1. During a well-child checkup, the parent of a 5-year-old child reports the child seems much smaller than the 2 older siblings did at this same age. A review of the medical record reveals that the child is 44 inches tall and weighs 42 pounds. What information should be included in the response by the nurse?

A. The weight of your child at this time is within normal limits for this age but the child is moderately taller than other children this age.
B. Your child is within the acceptable range for height but the child is significantly smaller in weight for this age.
C. Your child is within normal limits for weight but the child is slightly shorter in stature than other children this age.
D. Your child is slightly taller than other children this age but the child’s weight is normal.

Correct answer: D

Rationale: The correct answer is D. The child is slightly taller than average, but the weight is within normal limits. This information should be reassuring to the parent and provides insights into normal growth patterns. Choice A is incorrect as it inaccurately states that the child is taller than other children this age. Choice B is incorrect because the child's weight is actually within normal limits. Choice C is incorrect as it inaccurately states that the child is shorter in stature than other children this age.

2. The nurse is interviewing the mother of an infant. The mother reports, "I had a difficult delivery, and my baby was born prematurely." This information should be recorded under which heading?

A. History
B. Present illness
C. Chief complaint
D. Review of systems

Correct answer: A

Rationale: The history section of the health record includes details about pregnancy, labor, and delivery, as these factors can have significant implications for the child's health.

3. At which age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?

A. 1 month
B. 2 months
C. 3 months
D. 4 months

Correct answer: B

Rationale: Infants typically begin to smile in response to pleasurable stimuli by 2 months, which is an early sign of social interaction and emotional development.

4. In what condition should the nurse be alert for altered fluid requirements in children? (Select all that apply.)

A. Oliguric renal failure
B. Increased intracranial pressure
C. Mechanical ventilation
D. All above

Correct answer: D

Rationale: Conditions like oliguric renal failure, increased intracranial pressure, and mechanical ventilation significantly alter fluid requirements in children. These conditions either restrict fluid output or require careful fluid management to avoid worsening the condition.

5. Which statement best describes colic?

A. Periods of abdominal pain resulting in weight loss
B. Usually the result of poor or inadequate mothering
C. Periods of abdominal pain and crying occurring in infants older than age 6 months
D. A paroxysmal abdominal pain or cramping manifested by episodes of loud crying

Correct answer: D

Rationale: Colic is characterized by episodes of loud, inconsolable crying, often due to abdominal discomfort, and typically occurs in infants younger than 6 months. It is not related to poor mothering, nor does it necessarily result in weight loss.