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2024 NURS 629 PEDS EXAM 1 MARYVILLE
UNIVERSITY WITH 200 EXAM PREP
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (100% CORRECT
ANSWERS) MVU NURS 629 EXAM 1 LATEST
2024/2025 (NEW!!)
A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse plan to administer to the infant? (SATA)
- Measles, mumps, rubella (MMR)
- Polio (IPV)
- Pneumococcal vaccine (PCV)
- Varicella
- Rotavirus vaccine (RV)
Answers: BCE
A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
- closed anterior fontanel
- eruption of 6 teeth
- birth weight doubled
- birth length increased by 50%
Answer: C
When analyzing data during the assessment of a 12-month-old infant, the nurse should report to the provider that the infants birth weight has doubled. By the age of 12 months, the infant's birth weight should have tripled.
Incorrect:
A: By the age of 12 to 18 months, the infant's anterior fontanel should close; 1 / 4
pg. 2 therefore, this is not a finding that the nurse should report to the provider.
B: By the age of 12 months, the infant should have six to eight teeth erupted;
therefore, this is not a finding that the nurse should report to the provider.
D: By the age of 12 months, the infant's birth length should increase by 50%;
therefore, this is not a finding that the nurse should report to the provider.A nurse is providing teaching about dental care and teething to the caregiver of a 9- month-old infant. Which of the following statements by the caregiver indicates an understanding of the teaching?
- “I can give my baby a warm teething ring to relieve discomfort.”
- "I should clean my baby’s teeth with a cool, wet wash cloth.”
- “I can give ibuprofen for up to 5 days while my baby is teething."
- “I should place diluted juice in the bottle my baby drinks while falling asleep.”
Answer: B
When evaluating the outcomes of teaching about dental care to the caregiver of a 9-month-old infant, the nurse should recognize that, "I should clean my baby's teeth with a cool, wet wash cloth" indicates understanding of the teaching.
Incorrect A: Teething pain can be relieved using frozen, not warm, teething rings or an ice cube wrapped in a washcloth.
C: Ibuprofen should not be used for more than 3 days.
D: To prevent early childhood caries, infants should not be given bottles while
falling asleep.A nurse is performing a developmental screening on a 9-month-old infant. Which of the following fine motor skills should the nurse expect the infant to perform?
(SATA)
- Grasp a rattle by the handle
- Try building a two-block tower
- Use a crude pincer grasp
- Place objects into a container
- Sit unsupported 2 / 4
pg. 3 Answer ACE
Incorrect B: An infant who is at least 12 months of age should be able to build a two-block tower.D: An infant who is at least 12 months of age should be able to place objects in a container.A nurse is providing education to the guardian of a 3-month-old infant about care of the infant during the first year of life. Which of the following statements by the guardian indicates an understanding of the teaching?
- "My baby can have up to 6 ounces of fruit juice a day after they are 6 months
- "I should expect my baby to begin showing signs of separation anxiety around
- "I should consider starting my baby on vitamin D when they are 4 months old."
- "My baby should be able to say 6 to 8 words by the time they are 1-year-old."
old."
10 months of age."
Answer A When evaluating the client's response to the education provided, the nurse should identify that the following statement by the client indicates an understanding of the teaching, "My baby can have up to 6 ounces of fruit juice a day after they are 6 months old."
Incorrect:
B:"I should expect my baby to begin showing signs of separation anxiety around 10 months of age" does not indicate understanding of the teaching. The nurse should reinforce to the guardian that separation anxiety usually begins around 4 to
- months of age.
C:"I should consider starting my baby on vitamin D when they are 4 months old" does not indicate understanding of the teaching. The nurse should reinforce to the guardian that vitamin D supplementation is recommended to begin within the first few days of life to help prevent vitamin D deficiency if the infant is consuming less than 28 ounces of formula per day.D: My baby should be able to say 6 to 8 words by the time they are 1-year-old" does not indicate understanding of the teaching. The nurse should reinforce to the guardian that most infants have a vocabulary of 3 to 5 words by one year of age. 3 / 4
pg. 4 A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to prepare the child?
- Allow the child to role-play using miniature equipment.
- Use medical terminology to describe what will happen
- Separate the child from the caregiver during the examination.
- Keep medical equipment visible to the child.
Answer: A
When generating solutions to prepare a preschool aged child for an assessment, the nurse should allow the child to role-play or manipulate actual or miniature equipment that will be used during the assessment. This action helps reduce anxiety and fear related to the examination.
Incorrect
B:The nurse should use neutral words, not medical terminology, when describing
to the child what will happen during the assessment.
C:The nurse should encourage caregiver presence and not separate the child from
the caregiver during the examination.D:The nurse should keep medical equipment out of sight unless showing or using it on the child.A nurse is checking the vital signs of a 3-year-old child during a well-child visit.Which of the following findings should the nurse report to the provider?
- Temperature 37.2° C (99.0° F)
- Heart rate 106/min
- Respirations 30/min
- Blood pressure 93/52 mm Hg
Answer: C
When analyzing cues while checking the vital signs of a 3 year old during a well child visit, the nurse should recognize that respirations of 30/min are above the expected reference range for a 3 year old and should be reported to the provider.
Incorrect:
A: expected
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