NCLEX RN Pediatrics
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Question 1 of 5.
Which of the following would be most appropriate for the nurse to teach the mother of a 6-month-old infant hospitalized with severe diarrhea to help her comfort her infant who is fussy?
A. Offering a pacifier.
B. Placing a mobile above the crib.
C. Sitting at crib side talking to the infant.
D. Turning the television on to cartoons.
Explanation: A pacifier provides non-nutritive sucking, soothing a fussy infant.
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.