Module 5 (Ch. 17) Flashcards
During a well child examination on an infant who has colic, the primary care pediatric nurse practitioner learns that the infant’s mother is 17 years old and that the father, who is in the military, was deployed to wartime duty shortly after the baby was born. To determine the immediate risk of child maltreatment for this infant, the nurse practitioner will ask about
the location of extended family members
The primary care pediatric nurse practitioner is examining a young child who has cerebral palsy. Which part of the family history raises concerns about potential child maltreatment?
Limited financial resources
The mother of two schoolage children tells the primary care pediatric nurse practitioner that she and the children’s father are divorcing and asks for advice to help the children cope with the situation. The nurse practitioner will counsel her to
use a social support network.
Adolescent children are more likely to smoke cigarettes and drink alcohol if they live with
cohabitating parents.
The primary care pediatric nurse practitioner is performing a well baby examination on a newborn whose mother is 17 years old. The mother states that she is living with her parents and plans to finish high school. The maternal grandmother will care for the infant while she is in school. What will the nurse practitioner discuss with this mother at this visit?
B. Her needs for socialization with peers
The primary care pediatric nurse practitioner is performing an examination on a 2yearold child who has been placed in emergency foster care with a grandparent after the child’s mother has been arrested for drug use. The child has a history of asthma with frequent exacerbations because of parental smoking. What is a priority for the nurse practitioner at this visit?
Evaluation of financial resources, medical insurance, and access to health care and medications
The primary care pediatric nurse practitioner is discussing newborn care with a mother who is pregnant with triplets. When counseling the mother about feeding issues, the nurse practitioner will recommend
developing a plan to rotate breastfeeding for her infants.
The primary care pediatric nurse practitioner is assessing a special needs school age child whose family has just moved to the area. What is a priority concern at this initial visit?
Asking the parents to describe the child’s illness, treatments, and unique needs
The primary care pediatric nurse practitioner is counseling a family whose parents are divorcing. To help support the children and reduce their stress through this process, the nurse practitioner will recommend
maintaining a civil relationship when discussing children.
The primary care pediatric nurse practitioner learns that a schoolage child continues to hope that his parents will remarry 1 year after they have divorced. What will the nurse practitioner tell this child’s parents?
You will need to help him accept the reality of the permanence of the divorce.”
The primary care pediatric nurse practitioner is examining an infant who has otitis media and learns that the mother and child are homeless. Besides assisting the mother to obtain medication to treat this illness, what is a priority during this visit?
Determining well child examination history and immunization status
The primary care pediatric nurse practitioner suspects that the parent of a child who is doing poorly in school is being abused by a partner. What is a priority response by the nurse practitioner?
Reporting this according to any mandated reporting laws
- The parent of an adolescent female tells the primary care pediatric nurse practitioner that the child may be the victim of cyberbullying at school but won’t talk about it with her parents. What is the nurse practitioner’s initial response?
Interview the adolescent separately from the parent.
The primary care pediatric nurse practitioner is examining a young child who was brought in by a grandmother for evaluation of a partialthickness burn on one arm. The PNP suspects that this is an intentional injury, but the grandmother states that the parents are “just careless” and that the child is now living with her. What will the PNP do?
Report a suspicion of abuse to child protective services.
The primary care pediatric nurse practitioner is evaluating a 12yearold girl who reports penile penetration of her vagina by her mother’s boyfriend the day before yesterday. The PNP reports this to the local child abuse hotline. What is the PNP’s next action?
Referring the child to the ED for forensic specimen collection
