Peds Exam #1

A 9-year-old girl is to receive amoxicillin/clavulanate. Which statement by the nurse is most likely to elicit cooperation from the child? 1. You can play after you take your medicine. 2. Would you like to take this medicine with juice? 3. This medicine tastes good. 4. Amoxicillin is antibiotic which will help you get well. {Ans: 4. Amoxicillin is an antibiotic which will help you get well. Rationale: Discussion of facts is correct with school-age child. Medication should not be described as food or candy. Associating medication with food may cause the child to develop an aversion to that specific food.}A nurse is performing a developmental assessment on an 11-month-old. Which of the following findings is of the most concern? 1. Able to stand up alone. 2. Double the birth weight. 3. Head circumference greater than chest circumference. 4. Unable to walk alone. {Ans: 2. Double the birth weight. Rationale: Birth weight should be doubled by 6 months and be tripled by 12 months. This is cause for concern and should be investigated. The ability to stand up alone may happen at this age, but is usually accomplished by 20-24 months. This is not worrisome. A head circumference