ATI Paediatrics Proctored Exam With Answers (185 Solved Questions)

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ATI Nursing Care of Children Proctored Exam Complete Study GuideWhat is a dictorial or authoritarian parenting style?parents try to control the child's behaviors and attitudes through unquestioned rules and expectationsWhat is an authoriatitive parenting style?also known as democratic, parents direct the child's behavior by setting rules and explaining the reson foreach rule settingWhat is passive parenting?parents are uninvolved, indifferent, and emotionally removedA nurse manager on a pediatric floor is preparing an education program on working with families for a groupof newly hired nurses. Which of the following should the nurse include when discussing the developmentaltheory?A. describes that stress is inevitableB. emphasizes that change with one member affects the entire familyC. provides guidance to assist families adapting to stressD. Defines consistencies in how families changeDA nurse is assisting a group of parents of adolescents to develop skills that will improve communication. Thenurse heads one parent states "my son knows he better do what I say". Which of the parenting styles is heexhibiting?A. AuthoritarianB. PermissiveC. AuthroitativeD. PassiveAA nurse is performimg family assessment. Which of the following should the nurse include? (select all thatapply)A. medical historyB. parents' education levelC. child's physical growthD. Support systemsE. StressorsA, B, D, ElOMoARcPSD|13778330

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What is the expected pulse rate of a newborn?80 to 180/minWhat is the expected pulse of a baby 1 week to 3 months?12 to 180/minWhat is the expected pulse of a child 3 months to 2 years?70 to 150/minWhat is the expected pulse of a child 2 to 10 years?60 to 110/minWhat is the expected pulse of a child 10 years and older?50 to 90/minWhat are the expected respirations fo a newborn to one year?30 to 35/minWhat are the expected respirations of a 1 to 2 year old?25 to 30/minWhat are the expected respirations of a 2 to 6 year old?21 to 25/minWhat are the expected respirations of a child 6 to 12 years old?19 to 21/minWhat are the expected respirations of a 12 year old and older?16 to 19/minWhat are the normal vitals of an infant?HR: 80-180RR: 30-35BP: 65-80/40-50Fontanelsshould be flat and soft, posterior closes between 6 and 8 weeks, anterior closes between 12 and 18 monthsTeethlOMoARcPSD|13778330

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6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent teethHow long is the Moro reflex present?until 4 months of ageHow long is the Tonic neck reflex present?until 3 to 4 months of ageHow long does the Babinski reflex last?usually until a yearExpected findings of the olfactory (I) nerve in infants , children, and adolescentsInfants: difficult to testChildren and Adolescents: indentifies smell through each nostril individuallyExpected findings of optic nerve (II)?Infants: looks at face and tracks with eyesChildren and adolescents: has intact visual acuity, peripheral vision, and color visionExpected findings for trigeminal nerve?infants: has rooting and sucking relfexchildren and adolescents: is able to clencg teeth together and can detect touch on face with eyes closedA nurse is preparing to assess a preschool-age child. Which of the following is an appripirate action by thenurse to prepare the child?A. Allow the child to role play using miniature equipmentB. use medical terminology to describe what will happenC. separate th child from her parents during examinationD. keep medical equipment visible to the childAA nurse is checking the vital signs of a 3-year-old during a well child visit, which of the following findingsshould the nurse report to the provider?A. temperature 37.2C (99.0F)B. Heart rate of 106/minC. Respirations 30/minD. Blood pressure 88/54 mmHgClOMoARcPSD|13778330

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A nurse is assessing a child's ears. Which of the following is an expected finding?A. Light reflex is located at the 2 o clock positionB. Tympanic membrane is red in colorC. bone landmarks are not visibleD. Cerumen is present bilaterallyDA nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the infant exhibit?A. MoroB. Plantar graspC. SteppingD. Tonic neclBA nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriatereaction by the adolescent when the nurse checks the trigeminal cranial nerve? (select all that apply)A. clencing the teeth together tightlyB. recognizing a sour tastC. identifying smells through each nostrilD. detecing facial touches when eyes closedE. Looking down and in with the eyesA, DWhat happens to a baby's birth weight?it should double by 6 months and triple by 1 yearHow do infants grow?1 inch per month (2.5cm) for 6 months, then by 12 months, height/length should be doubledWhen do the first teeth arupt?between 6 and 10 monthsGross and fine motor by 3 monthsonly have slight head lagGross and fine motor by 4 monthsshould be able to roll from back to sideGross and fine motor by 5 monthslOMoARcPSD|13778330

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should be able to roll from front to backGross and fine motor by 6 monthsshould be able to roll from back to fron and hold a bottleGross and fine motor by 7 monthsmove object from hand to handGross and fine motor by 8 monthssit unsupportedGross and fine motor by 9 monthscrude pincer graspGross and fine motor by 10 monthsprone to sitting positiion and grasp a ratty by the handleGross and fine motor by 11 monthsputs objects into a container and have a neater pincer graspGross and fine motor by 12 monthstries to build a 2 block tower and won't succeedWhat Piaget congitive development stafe are infants in?Sensorimotor stage, birth to 24 months, separation, object permanence around 9 months, mentalrepresentationHow many words should the infant know?3-5 words and has concept of numbers by 1 yearWhat is the Erikson's stage of development for infants?Trust vs. Mistrust, birth to 1 year, caretake meeteing the needs of the infantWhen does separation anxiety begin to occur?between 4 and 8 monthsWhen is there stranger fear in infants?6 to 8 monthslOMoARcPSD|13778330

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What toys should be used for an infant?rattles, blocks, brightly colored toys, mirrors, patty cakeInfant ImmunizationsBirth: hep B2 months: hep B, IPV, RV, PCV, dtap, HIB4 months: all of the 2m, hep B6 month: all the previousFlu shots: 6m to 1 yearInfant Nutritionbreast milk first 6 months, solids 4 to 6 months and first solid is usually iron fortified rice ceral, no juice orwater is needed for first year, foods introduced one at a time over 4-7 day period to monitor for allergiesWhat are infant safety concers?choking/aspiration (grapes, coins, candy)burns (sunscnreen, handles turned away from stove, electrical outlets are covered), drowning, rear facingcare seat until 2 years, crib slats are no more than 6cm, no pillows, and sleep on backA nurse is assessing a 12 months old infant during a well-child visit. Which of the following findings shouldthe nurse report to the provider?A. closed anterior fontanelB. eruption of 6 teethC. Birth weight doubledD. Birth length increased by 50 %CA nurse is performing a developmental screening of a 10-month old infant. Which of the following fine motorskills should the nurse expect to find? (select all that apply)A. grasp a raddle by the handleB. try building a two-block towerC. use a crude pincer graspD. Place objects into a containerE. Walkes with one hand heldA, CA nurse is conducting a well-baby visit with a 4 motnh old infant. Which of the following immunizationsshould the nurse plan to administer? (select all that apply)A. MMRB. IPVlOMoARcPSD|13778330

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C. PCVD. varicellaE. RVB, C, EA nurse is providing education about introducing new foods to the parents of a 4 months old infant. Thenurse should recommend that the parents introduce which of the following foods first?A. Strained yellow vegetablesB. Iron fortified cerealsC. Pureed foodsD. Whole MilkBA nurse is providing teaching about dental care and teething to the parent of a 9-month-old. Which of thefollowing statements by the parent indicates an understanding of the teaching?A. I can give my baby a warm teething ring to relieve discomfortB. I should clean my baby's teeth which a cool, wet washclothC. I can give Advil for up to 5 days while my baby is teethingD. I should place diluted juice in the bottle my baby drinks while falling asleepBWeight gain of todder4x their birth weight by 30 monthsHeight gain of toddler3 inches per year (7.5cm)Head and chest growth of toddlerhead and chest circumference are abotu equal, compared to when they are born, and their head is widerthan their chestgross and fine motor skills of a 15-month toddlerexpect walking without help, should be able to build a 2 block towergross and fine motor skills of 18-month toddlercan throw a ball over headgross and fine motor skills of 2 year old toddlercan walk up and down stairs by placing feet on each step and build a 6-7 block towerlOMoARcPSD|13778330

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gross and fine motor skills of 2.5 year old toddlercan jump with both feet and draw circlesLanguage of a toddler1 year = 1 word senteces/hollow phrases2 year = 2-3 word sentecesErikson's stage of Toddlersautonomy vs shame and doubt, independence, begin to express selves by saying no a lot, thrive on rituals,maintian routinesToddler appropirate activitiesblocks, push pull, thick crayons, puzzleBathroom needs of toddlerstoilet training begins when they have recognized the sensation that they need to go pottyImmunizations of a toddler12-15 month: IPV, PCV, MMR, varicells, HIB12-23 months: Hep A 2 doses 6 months apart15-18months: dtap and annual fluNutrition of a toddlerbreast milk or formula through 1 year, 1-2 year whole milk, after 2 can transition to low fat, limit juiceconsumption to 4-6oz per day, prevent choking, nuts, grapes, hot dogs, peanut butter, raw carrots, toughmeat, popcornWhat are safety hazards of toddlers?burns, drowning, falls, aspiration, preventionA nurse is assessing a 2.5-year-old toddler at a well-child visit. Which of the following findings should thenurse report to the provider?A. height increased by 7.5cm or 3inches in the past yearB. Head circumference exceeds chest circumferenceC. anterior and posterior fontanels are closedD. current weight equals four times the birth weightBlOMoARcPSD|13778330

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A nurse is performing a develomental screening on an 18 month old. Which of the following skills should thetoddler be able to perform? (select all that apply)A. build a tower with 6 blocksB. Throw a ball overheadC. walk up and down staisD. draw circlesE. use a spoon without rotationB, EA nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Which of thefollowing statemetns by the parent indicates an understanding of the teaching?A. I will send my child's favorite studdef animal when she will be napping away from homeB. My child should be able tot stand on one foot for a secondC. The soccer team my child will be playing on starts next weekD. I should expect my child to be able to draw circlesAA nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should thenurse include? (select all that apply)A. Develop food habits that will prevent dental cariesB. Metting caloric needs resulting in an increased appetiteC. expression of bedtime fears is commonD. Expect behaviors associated with negativism and ritualismE. Annual screenings for phenylketonuria are importantA, C, DGrowth of preeschoolers4.5-6.5 pounds per year2.3-3.5 inches per year or 6-9cmGross motor skills of 3 year old preeschoolercan ride tricycle and jump off bottom step on stairsGross motor skills of 4 year old preschoolercan skip and hop on one foot and throw the ball over headGross motor skills of 5 year old preschoolercan jump ropeCognitive development of the preschooler?lOMoARcPSD|13778330

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Piaget, preoperational phase 4-7 years, moving from preconceptual phase to the phase of intuitive thought,magical thinking, animisim, centration, timeErikson, initiative vs guiltRegressionin preschoolers, another baby in the family can cause the preschooler to regress to bed wetting or thumbsucking, to be expectedWhat are appropirate activities for a preschooler?playing ball, puzzles, tricyles, dress up, role playingImmunizations of preschooler4-6 years, dtap, mmr, IPV and annual fluWhat does the sleep schedule of a preschooler look like?12 hours of sleep, bedtime routineTeeth of preschoolereruption of primary teeth is finalized by the beginning of the preshool yearsWhat may be a safety initiative for preschooler?protective gear with tricyclesA nurse is providing teaching to the parent of a preschool age shcil about methods to promote sleep. Whichof the following statements by the parent indicated an understanding of the teaching?A. I wil sleep in the bed with my child if she wakes up during the nightB. I will let my child stay up and additional 2 hours on weekend nightsC. I will et my child watch television for 30 minutes nust before bedtime each nightD. I will keep a dim lamp on in my child's room during the nightDA nurse is conducting a well child visit with a 5 year old child. Which immunizations shoudl the nurse plan toadminister to the child? (Select all that apply)A. DTaPB. IPVC. MMRD. PCVE. HibA, B, ClOMoARcPSD|13778330

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A nurse is preparing an education program for a group of parents of preschool-age children about promotingoptimum nutrition. Which of the following information should the nurse include in the teaching?A. saturated fats should equal 20% of total daily caloric intakeB. Average calorie intake should be 1800 calories per dayC. dailyintake of fruits and vegetables should total 2 servingsD. Healthy diets include a total of 8g of protein each dayBA nurse is performing a developmental screening on a 3 year old child. WHich of the following skills shouldthe nurse expect the child to perform?A. ride a tricycleB. Hop on one footC. jump ropeD. throw a ball overheadAA nurse is caring for a preschool age child who says she needs to leave the hospital because her doll isscared to be at home alone. Which of the following characteristics of preoperational thought is the childexhibiting?A. EgocentrismB. CentrationC. AnimismD. Magical thinkingCGrowth of school age children4-6 pound weight gain per year and grown 2 inches (5cm) per year, permanent teeth start to come inPiaget cognitive development of school age childrenconcrete operations, perceptual to conceptual thinking, learsn to tell time, see other perspectives, solveproblemsErikson's stage of school age childrenindustry vs inferiority, trying to make meaning contributions to society and cooperative and compete withothers, peer groups important, competitive and cooperative playWhat types of activites are appropriate for school age children?board games, hop scotch, bikes, jump rope, organized sportsImmunizations of school age childrenlOMoARcPSD|13778330

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