Burns Exam 1 test bank Burns chapter 5,6, 8-13, 16, 22 A child is in the clinic for evaluation of an asthma action plan. the primary care pediatric nurse practitioner notes that the child's last visit was for pre-kindergarten physical and observes that the child is extremely anxious. what will the nurse practitioner do initially? - Answer review the purpose of the visit and anticipated procedures
a primary care PNP working in a community health center wishes to develop a program to assist impoverished children and families to have access to healthy foods. Which strategy will the PNP employ to ensure the success of such a program? - Answer asking community members to assist in researching and implementing a program
a single mother of an infant worries that living in a household with only one parent will cause her child to be maladjusted. to help address the mothers concerns the PNP will suggest - Answer developing daily routines for the child
during a well child assessment of an 18 month old the nurse practitioner observes the child point to a picture of a dog and say "want puppy". the NP recognizes this as an example of what type of speech - Answer telegraphic
during a well child exam the PNP learns that the parents of a young child fight frequently about money. the parents state that they do not fight in front of the child and feel that the situation is temporary and related to the fathers job layoff. what will the nurse practitioner do? - Answer suggest counseling to learn ways to handle stress
during an assessment of a 4 week old infant the primary care pediatric nurse practitioner learns that a breastfed infant nurses every every 2 hours during the day in the interval since last seen in the clinic. What will the nurse practitioner recommend? - Answer continuing to nurse the infant using the current pattern
the mother of a 2 month old infant tells the PNP that she is afraid her breast milk is drying up because her baby never seems satisfied and want to nurse all the time. - Answer weigh the infant to assess for a growth spurt
the mother of a 3 year old child takes the child to a play group once a week. she expresses concern that the child plays with toys but does not interact with other toddlers? what will the primary care pediatric nurse practitioner counsel the mother? - Answer toddlers may be interested in other children but usually do not engage in interactive play.
the mother of a 6 month old infant is distressed because the infant can say dada but not mama and asks the primary care PNP why this is when she is the one who spends more time with the infant. How will the nurse practitioner respond - Answer at this age your baby does not understand the meaning of sounds
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the mother of a 6 week old breastfeeding infant tells the PNP that her baby who previously had bowel movements with each feeding now has a bowel movement once every second day. what will the nurse practitioner tell her? - Answer this may be normal for breastfed babies
the mother of a 15 month old infant tells the PNP that she wishes to continue nursing her child for another year if possible. what will the NP recommend - Answer clean the toddlers teach after each breastfeeding
the mother of a newborn asks the PNP about the benefits of breastfeeding. what will the nurse practitioner tell her? - Answer nursing her baby exclusively for at least 4 months will help her infant resist infections
the mother of a newborn infant asks the PNP about pumping her breasts when she returns to work in 2 months. what will the NP include in teaching this mother - Answer frozen breastmilk may be stored up to 3 months in a 0 degree freezer
the mother of a nursing infant expresses concern about whether high-cholesterol foods will increase her infants risk of hyperlipidemia. what will the primary care PNP tell her? - Answer maternal dietary cholesterol intake does not affect the infants serum cholesterol values
the national academy of medicine has determined after a comprehensive review determined there is no substantiated evidence of a causal relationship between thimerosal- containing vaccines or measles, mumps, rubella vaccine and what disorders - Answer autism
pett syndrome
the nurse will contribute which neonate characteristics noted in the first period of reactivity to sympathetic system changes ? - Answer transient rales
tachycardia
alertness
the parent of a 5 month old is worried because the infant becomes fussy but doesnt always seem interested in nursing. what will the NP tell this patient? - Answer the infant may be expressing the desire to play and rest
the parent of a 24 month old child asks the PNP when toilet training should begin. How will the PNP respond? - Answer tell me about your childs daily habits
the parent of a newborn infant asks the primary care PNP when to intervene to help the infants future intellectual growth. what will the PNP tell the patient? - Answer language and literacy skills begin at birth
the parents of a three year old child are concerned that the child has been refusing usual foods and want to eat mashed potatoes and chicken strips at every meal and snack. the childs rate of
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