NCLEX RN Pediatrics
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Question 1 of 5.
The parents of an infant with myelomeningocele ask the nurse about their child's future mental ability. What is the nurse's best response?
A. About one-third are mentally retarded, but it's too early to tell about your child.'
B. About two-thirds are significantly retarded, and you'll know soon if this will occur.'
C. Your child will probably be of normal intelligence since he demonstrates signs of it now.'
D. You'll need to talk with the doctor about that, but you can ask later.'
Explanation: Referring parents to the physician for detailed prognostic discussions ensures accurate information and avoids premature or speculative statements about mental ability.
Question 2 of 5.
The nurse is discharging an 8-month-old who weighs 15 lb from the hospital. The parents have put the child in the back seat of the car with the car seat facing the front. The nurse should:
A. Ask the parents to wait while obtaining the correct car seat.
B. Complete the discharge with the child sitting facing the front seat.
C. Give the parents a manual on proper car seat placement.
D. Explain the need for the rear-facing position and request assistance from a car seat technician.
Explanation: Rear-facing car seats are recommended for infants under 2 years to protect their neck and spine.
Question 3 of 5.
An 8-month-old infant is seen in the well-child clinic for a routine checkup. The nurse should expect the infant to be able to do which of the following? Select all that apply.
A. Say 'mama' and 'dada' with specific meaning.
B. Feed self with a spoon.
C. Play peek-a-boo.
D. Walk independently.
E. Stack two blocks.
F. Transfer object from hand to hand.
Explanation: Playing peek-a-boo and transferring objects are typical 8-month milestones; others occur later.
Question 4 of 5.
A nurse working in the nursery identifies a goal for a mother of a newborn to demonstrate positive attachment behaviors upon discharge. Which intervention would be least effective in accomplishing this goal?
A. Provide opportunities for the mother to hold and examine the newborn.
B. Engage the mother in the newborn's care.
C. Create an environment that fosters privacy for the mother and newborn.
D. Identify strategies to prevent difficulties in parenting.
Explanation: Preventing parenting difficulties is less directly related to fostering immediate attachment.
Question 5 of 5.
When planning a 15-month-old toddler's daily diet with the parents, which of the following amounts of milk should the nurse include?
A. 1/2 to 1 cup.
B. 2 to 3 cups.
C. 4 to 5 cups.
Explanation: Toddlers need 2-3 cups of milk daily to meet nutritional needs.