Pediatric Nurse Pediatric Health Promotion Flashcards

A school-age child is being seen for a well-child visit. The nurse notes the child's blood pressure is at the 96th percentile for age, height, and sex on three separate visits. This finding is consistent with:

Answer: Stage 1 hypertension

A blood pressure reading at the 95th–99th percentile on three occasions meets the criteria for Stage 1 hypertension in children.

Which screening is recommended by the AAP at the 9-month, 18-month, and 30-month well-child visits?

Answer: Developmental/behavioral surveillance and screening

Developmental and behavioral surveillance is recommended at every well-child visit, with standardized screening at 9, 18, and 30 months.

A nurse is educating parents about media use. According to the AAP, what is the screen time recommendation for children ages 2–5 years?

Answer: Less than 1 hour per day of high-quality programming

The AAP recommends limiting screen time to less than 1 hour per day of high-quality programs for children ages 2–5, with co-viewing encouraged.

Which dietary recommendation is appropriate for a healthy 12-month-old transitioning from formula or breast milk?

Answer: Introduce whole cow's milk as the primary milk source

Whole cow's milk is recommended for children ages 1–2 years because dietary fat is essential for brain development at this age.

A 4-year-old refuses to eat vegetables and only wants a few preferred foods. The nurse's best guidance to the parents is:

Answer: Use the division of responsibility: parents decide what is offered, child decides whether to eat

Ellyn Satter's Division of Responsibility in Feeding is evidence-based: parents are responsible for what, when, and where; children decide whether and how much to eat.

Which finding on a newborn physical examination requires the nurse to notify the provider immediately?

Answer: Absent red reflex in one eye

An absent red reflex can indicate congenital cataracts, retinoblastoma, or other serious ocular conditions requiring urgent evaluation.

A nurse is counseling a parent about introducing peanut-containing foods to a 4-month-old with severe eczema and egg allergy. The correct guidance is:

Answer: Refer to an allergist for evaluation before peanut introduction

For infants with severe eczema and/or egg allergy, NIAID guidelines recommend evaluation by an allergist before introducing peanut-containing foods.