A school nurse reviews screening results for several children referred for ophthalmologic follow-up. The nurse plans anticipatory guidance and early intervention based on classification and potential complications of visual impairment.Which of the following statements are accurate regarding visual impairment in children?Select all that apply.

A nurse is counseling the parents of an 18-month-old client who has recently become a “picky eater.” The parent reports, “Some days my child eats almost nothing, refuses mixed foods, throws the spoon, and will only eat if the food is served in the same blue bowl. I’m worried about nutrition and choking, so I’ve started giving large portions to make sure enough is eaten.”Which nursing recommendations are most appropriate for this client?Select all that apply.

A pediatric nurse is assessing several children admitted with suspected altered states of consciousness (LOC). The nurse understands that accurate neurologic evaluation requires distinguishing between levels of consciousness, underlying pathophysiologic mechanisms, and age-appropriate neurologic assessment tools.Which statements about altered states of consciousness and coma assessment in children are accurate?Select all that apply.

A nurse is reviewing provider orders for pain management in pediatric clients. Which order is MOST appropriate and within recommended pediatric dosing guidelines based on the child’s age and weight?

A nurse is providing telephone triage advice to the parent of a 6-year-old child who reports abdominal pain and vomiting. According to established telephone triage guidelines, which nursing action is MOST critical to complete early in the call to ensure safe and effective triage?

A nurse is conducting a school-readiness assessment on a 4-year-old client during a routine health visit. The parent reports that the child has grown “steadily,” is toilet trained, enjoys riding a tricycle, and “can hop but sometimes loses balance.” The child weighs 15 kg (33 lb) and measures 97 cm (38 in) in height. The parent asks whether the child’s growth and motor abilities are typical.Which assessment finding would require further evaluation?

A pediatric endocrinology nurse is evaluating several adolescents with suspected pituitary hyperfunction related to excess growth hormone (GH). The nurse understands that the clinical manifestations differ depending on whether GH excess occurs before or after epiphyseal closure and that additional findings may result from the presence of a pituitary adenoma.Which findings would most strongly support growth hormone hypersecretion occurring after epiphyseal closure (acromegaly) rather than gigantism?Select all that apply.

A parent of a 4-year-old client tells the nurse, “My child asked where babies come from, and yesterday I caught my child playing ‘doctor’ with a cousin. I’m worried this means something is wrong. I told my child that it’s bad and not to talk about those things again.”Which nursing response is most appropriate based on normal psychosocial development?

A pediatric nurse in a dermatology clinic evaluates several children presenting with different viral skin lesions. The nurse reviews the clinical manifestations, transmission characteristics, and management approaches for common pediatric viral infections.Which statements accurately reflect the distinct characteristics or management principles of the viral infections shown in the table?Select all that apply.

A 3-month-old infant is brought to the pediatric clinic for evaluation of poor feeding and diaphoresis during feeds. The nurse is performing a focused history and physical examination to assess for possible congenital heart disease (CHD).Which findings obtained during the history and physical examination most strongly increase suspicion for cardiac disease?Select all that apply.