pediatric exam 4 | Inactivated Polio Vaccine

A nurse is providing information to a group of new mothers. The nurse would explain that newborns and young infants are more susceptible to infection because they have
1. High levels of maternal antibodies to diseases to which the mother has been exposed.

3. Immune systems that are not fully mature at birth.

A 3-year-old child is lying in a fetal position. The child has pale skin, glassy eyes, and a flat affect. The child is irritable and refuses food and fluids. The child's vital signs are temperature 40.1 degrees C (104.2 degrees F), pulse 120/min, respirat

1. toxic

The nurse prepares the second diphtheria, tetanus toxoid, and acellular pertussis (DTaP) and second inactivated polio vaccine (IPV) immunization injections for an infant who is 4 months old. The nurse also may give which of the following immunizations dur

4. Haemophilus influenza type B (HIB).

A mother refuses to have her child be immunized with measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. The nurse's most appropriate response to t

Explain that if her child contracts measles, mumps, or rubella, there could be very serious and permanent complications from these diseases.

A parent reports that her 5-year-old child, who has had all recommended immunizations, had a mild fever one week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms. The nurse recognizes that this child may have
1. Ch

4. Fifth disease (erythema infectiosum).

The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a 6-month-old infant. To administer this injection safely, the nurse chooses which of the following needles, size and length, injection type, and injection si

1. 25-gauge, ?-inch needle; IM (intramuscular); anterolateral thigh.

Reducing the number of preventable childhood illnesses is a major national goal in Healthy People 2020. To reach this goal, the school nurse can teach families that:
1. A minor illness with a low-grade fever is a contraindication to receiving an immunizat

4. It is important to maintain vaccination coverage for recommended vaccines in early childhood and to maintain them through kindergarten.

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Concerned parents call the school nurse because of changes in their 15-year-old adolescent's behavior. In counseling these parents, the nurse would inform them that the behavior that is most likely to be abnormal and indicate possible substance ab

3. Receiving numerous detentions lately from teachers for sleeping in class.

During a well-child exam, the parents of a 4-year-old child inform the nurse that they are thinking of buying a television for their child's bedroom and ask for advice as to whether this is appropriate. The best response from the nurse would be
1. "Resear

1. "Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, and physical inactivity in children has been linked to many chronic diseases such as obesity and type 2 diabetes.

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A high school student calls to ask the nurse for advice on how to care for a new navel piercing. The nurse should reply,
1. "Apply warm soaks to the area for the first two days to minimize swelling."
2. "Do not move or turn the jewelry for the fir

3. "Avoid contact with another person's bodily fluids until the area is well healed.

While working at a weekend "free clinic," the nurse is assessing a 3-year-old when the mother of the child confides that it has been very difficult providing for her family of four children on her limited budget. She is not sure that she has enough money

2. Putting the mother in contact with a local agency that provides food on a regular basis to needy families and helps them access other resources in the community.
3. Talking with the mother about the factors that increase a child's risk of acquiring an

A 7-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. Physical exam and all ordered lab work have been normal. The statement by the nurse working with this child that would be most li

1. "Have there been any changes in your child's school or home life recently?

A recently divorced mother who must return to work is concerned about the effects of placing her child in day care full time. In counseling the mother, the nurse knows that the factor that is most influential in determining whether or not day care has a p

2. The closeness of the parent-child relationship.

When examining a 2-year-old child during a well-child physical, it is most important for the nurse to assess
3. Risk of lead exposure.

3. Risk of lead exposure.

he nurse is giving a health promotion class to adolescents. In counseling an adolescent about lifestyle choices, the nurse discusses that to decrease the risk of the most preventable cause of adult death, the adolescent should eliminate
3. Tobacco use.

3. Tobacco use.

The school nurse is planning a smoking-prevention program for middle school students. The tip that is most likely to be effective in preventing middle school children from smoking is
1. Having a local high school basketball star come to talk to the studen

1. Having a local high school basketball star come to talk to the students about the importance of not smoking.

While the nurse is taking the history of a 10-year-old child, the parents admit to owning firearms. Appropriate safety measures for the nurse to suggest would be which of the following? Standard Text: Select all that apply.
1. Using a gun lock on all fire

A mother of two children, an 8-year-old and a 10-year-old, tells you that her husband has recently been deployed overseas. The mother is concerned about the children's constant interest in watching TV news coverage of military activities overseas. The mos

4. "Spend time with your children and take cues from them about how much they want to discuss.