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Tx Plan Module 15 Exam: Children
A nurse is educating a nursing student about the leading causes of death from unintentional injuries in toddlers. The nurse knows teaching has been effective when the student correctly identifies which of the following as the leading cause of death from unintentional injuries in toddlers? a. Poisoning b. Suffocation c. Drowning d. Motor-vehicle crashes - โโc. Drowning A nurse is assessing a 5-year-old child who reports tooth pain and has an elevated temperature. The nurse asks the child's guardian about the child's diet. Which of the following statements by the guardian indicates the child has an increased risk of dental caries? a. "I only allow him to drink water between meals." b. "He snacks on gummy fruit snacks every day between meals when he gets hungry." c. "I help him brush his teeth at night since he doesn't do a good job on his own." d."I don't like him to eat dessert, but he gets it as a treat when we eat with my parents on Sundays." - โโb. "He snacks on gummy fruit snacks every day between meals when he gets hungry." A public health nurse is educating nursing students about pediatric lead exposure. The teaching has been effective when the nursing students identify which of the following interventions as the most effective method of preventing children from environmental lead exposure?
a. Home visits to identify sources of lead exposure when a child has elevated lead levels b. Administration of lead exposure questionnaires at well-child health care exams c. Lead blood screening for children at high risk for lead exposure d. Removal of lead from the environment before the child can be exposed - โโd. Removal of lead from the environment before the child can be exposed A public health nurse is educating community members about the incidence of child maltreatment in the area at a local health fair. Which of the following should the nurse include as the most commonly reported type of child maltreatment? a. Sexual maltreatment b. Physical maltreatment c. Child neglect d. Emotional maltreatment - โโc. Child neglect A nurse is caring for a 17-year-old adolescent who is being treated for depression. Which of the following statements by the adolescent should the nurse report to the provider immediately? a. "I am tired of feeling sad all the time." b. "I don't think anyone would miss me." c. "Sometimes I think I should just drive my car off a cliff." d. "Sometimes I think everyone would be better off without me." - โโc. "Sometimes I think I should just drive my car off a cliff."
A group of community health nursing students is preparing a presentation about lead toxicity in children. Which of the following characteristics of children should the students include as factors that increase a child's susceptibility to environmental lead exposure? (Select all that apply.)
- Children eat less food and drink more water per pound of bodyweight than adults.
- Children's organ systems grow at a slower rate than adults.
- Children breathe at a faster rate and inhale less air than adults.
- Young children frequently place objects in their mouths.
- Children spend a greater amount of time close to the ground and soil.
- Children have more years of life ahead of them than adults. - โโ- Young children frequently place objects in their mouths.
- Children spend a greater amount of time close to the ground and soil.
- Children have more years of life ahead of them than adults. A nurse who works in a low socioeconomic status neighborhood where most families live below the poverty line finds that many of the children suffer from malnutrition. The nurse should identify that which of the following aspects of poverty increases a child's risk for malnutrition? a. Access to health care b. Inability to pay for medications c. Environmental exposures d. Housing insecurity - โโd. Housing insecurity
A public health nurse is educating nursing students about pediatric obesity in rural areas. Which of the following statements made by a nursing student indicates that the teaching has been effective? a. "Rural areas have lower rates of pediatric obesity due to decreased physical activity and manual labor." b. "Rural areas have higher rates of pediatric obesity due to lack of healthy and nutritional food choices." c. "Rural areas have lower rates of pediatric obesity due to a lack of recreational areas and parks." d. "Rural areas have lower rates of pediatric obesity due to lack of local adequate grocery stores." - โโb. "Rural areas have higher rates of pediatric obesity due to lack of healthy and nutritional food choices." A nurse is educating a group of new parents and guardians about safe sleep practices for infants. Which of the following statements by a guardian indicates an understanding? a. "My baby should sleep on a soft mattress." b. "My baby should sleep in my bed with me until they are at least 6 months old." c. "My baby can sleep on their stomach for naps." d. "There should not be any pillows or toys in the bed with my baby." - โโd. "There should not be any pillows or toys in the bed with my baby." A school nurse is educating parents and students regarding effective strategies for reducing adolescent motor-vehicle crashes. Which of the following statements by a student indicates that the teaching has been effective?
A community health nurse is working with adolescents living in a shelter for people without housing. The nurse should recognize that frequent moving leaves these adolescents at an increased risk for which of the following? a. Developmental delays b. Asthma c. Diabetes d. Alcohol and drug use disorder - โโd. Alcohol and drug use disorder A public health nurse is educating community leaders about the causes of adverse childhood experiences (ACEs). Which of the following should the nurse include as potential types of adverse childhood experiences?
- Child maltreatment
- Intimate partner violence
- Chronic health problems
- A parent who is incarcerated
- Divorce
- Developmental delay - โโ- Child maltreatment
- Intimate partner violence
- A parent who is incarcerated
- Divorce A nurse is educating a group of parents and guardians about promoting health body weight during childhood. Which of the following statements by a parent indicates that the teaching has been effective?
a. "Family activities such as trail walking and bike riding can help encourage my child to be active." b. "I should encourage my child to look for food they like to eat when eating lunch at school." c. "My child should visit their primary care pediatric health provider when ill." d. "If my child looks like they are not gaining weight, I should limit what they eat and only let them drink water." - โโa. "Family activities such as trail walking and bike riding can help encourage my child to be active." A nurse is caring for a non-Hispanic Black client who is experiencing preterm labor. When assessing the client for pregnancy complications, the nurse recognizes that pregnant clients who are non-Hispanic Black have an increased risk for which of the following? a. Cesarean delivery b. Hysterectomy c. Admission to the ICU d. Having a child with a congenital birth defect - โโc. Admission to the ICU A public health nurse is working with a health coalition to address the high rates of preterm birth in their area. The coalition is discussing possible primary prevention techniques that could be implemented. Which of the following interventions is considered a primary prevention strategy to address preterm birth? a. Pregnancy nutrition programs aimed at pregnant clients who have gestational diabetes b. Public health campaigns that clearly show the public the risks to pregnant clients and the fetus from smoking during pregnancy
d. Anxiety - โโb. Attention deficit hyperactivity disorder (ADHD) A public health nurse is working in a low-income neighborhood composed primarily of non- Hispanic Black families. The nurse is developing a teaching plan for parents about common pediatric health concerns. When compared to non-Hispanic Whites, for which of the following health concerns are low-income, non-Hispanic Black children at a greater risk? (Select all that apply.)
- Obesity
- Autism
- Asthma
- Diabetes
- Preterm birth
- Child mortality - โโ- Obesity
- Asthma
- Diabetes
- Preterm birth
- Child mortality A nurse is caring for a 2-year-old child who has been diagnosed with autism spectrum disorder (ASD). The parents ask the nurse what treatments are available to cure the disorder. Which of the following responses should the nurse make? a. "Autism spectrum disorder is a chronic condition with no known cure at this time. However, early intervention offers the best chance to help your child achieve optimal functioning."
b. "Autism cannot be cured; however, a combination of diet and medication can help eliminate many symptoms of the disorder." c. "When your child is older, you can put them in schools that teach them to control their behavior." d. "Sometimes hiring a professional to give your child speech and physical therapy can reduce or eliminate the symptoms of the disorder." - โโa. "Autism spectrum disorder is a chronic condition with no known cure at this time. However, early intervention offers the best chance to help your child achieve optimal functioning." A nurse is educating a group of students about calculating body mass index (BMI) related to age when determining obesity in children. The nurse should include that obesity in children is defined as having a BMI for age that is greater than which of the following percentiles? a. 95th percentile b. 85th percentile c. 90th percentile d. 97th percentile - โโa. 95th percentile A public health nurse is conducting a home visit with new clients and completing a primary family assessment. Which of the following statements by a parent indicates the parent is experiencing caregiver role strain? a. "I frequently ask a family member to come over and help me take care of the children so I can get some rest." b. "My partner and I argue about money, and they don't think we need to be paying someone to help when I am capable of taking care of the children." c. "We don't have a lot of friends or family in the area, and money is tight, so we mostly go to the park to get out of the house."
