Pediatric Nurse Pediatric Health Promotion Flashcards

A nurse is providing anticipatory guidance to the parents of a 15-month-old. Which injury prevention topic is MOST important at this developmental stage?

Answer: Drowning prevention and pool fencing

Drowning is a leading cause of unintentional injury death in children ages 1–4, making water safety and pool fencing critical anticipatory guidance topics at this age.

Which statement by a parent indicates understanding of safe sleep practices for their 2-month-old?

Answer: 'I place my baby alone, on their back, in their own crib with a firm mattress.'

Placing an infant alone, on their back, on a firm surface in their own sleep space follows AAP Safe Sleep guidelines to reduce SIDS risk.

At which well-child visit should universal autism spectrum disorder (ASD) screening using a validated tool such as the M-CHAT-R/F be performed?

Answer: 18-month and 24-month visits

The AAP recommends standardized ASD-specific screening with the M-CHAT-R/F at the 18-month and 24-month well-child visits.

A 7-year-old child has a BMI at the 97th percentile. The nurse should initially recommend which intervention?

Answer: Increased physical activity and reduced intake of sugar-sweetened beverages

First-line management of childhood obesity includes lifestyle interventions such as increased physical activity and reduced consumption of sugar-sweetened beverages.

Which statement best describes the purpose of the Edinburgh Postnatal Depression Scale (EPDS) in pediatric primary care?

Answer: It screens mothers for postpartum depression during well-infant visits

The EPDS is used during well-infant visits to screen mothers for postpartum depression, which directly affects infant health and development.

A nurse is teaching a group of parents about adolescent health promotion. Which behavior has been shown to most significantly reduce adolescent mortality?

Answer: Consistent use of seatbelts

Motor vehicle crashes are the leading cause of death among adolescents in the US, and consistent seatbelt use is the most effective preventive behavior.

During a 2-week newborn visit, a breastfeeding mother reports her baby has had only 4 wet diapers in the past 24 hours. The nurse's priority action is to:

Answer: Assess the infant's weight, feeding frequency, and latch technique

A newborn should have at least 6 wet diapers per day by day 4–5 of life; fewer diapers suggest inadequate intake requiring a thorough feeding assessment.