Deck 22: Conception Through Adolescence

Question 1

The nurse in the elementary school works closely with the students and is responsible for evaluating each child's overall physical development.Which of the following does the nurse know is correct about children during the school-age years?

A) The child will grow an average of 5 cm per year.
B) The child's weight will almost triple.
C) Few physical differences will be apparent among children at the end of middle childhood.
D) Body fat will gradually increase, which contributes to the child's heavier appearance.

Answer 1

A

Question 2

The nurse will be teaching the parents of a 3-month-old about basic infant safety.Which of the following should the nurse emphasize?

A) Placing gates or fences at stairways
B) Keeping bathroom doors closed
C) Giving large teething biscuits
D) Removing bibs at bedtime

Answer 2

D

Question 3

The parents of a 3-month-old ask the nurse what behaviour they should expect.The nurse informs the parents that the child will be able to do which one of the following?

A) Say "Da-da."
B) Smile responsively.
C) Distinguish between a stranger and a familiar person.
D) Play peek-a-boo games.

Answer 3

B

Question 4

The nurse,aware that suicide is a serious potential in the adolescent age group,is teaching parents about warning signs that a teenager is considering suicide.To which of the following does the nurse tell parents to be alert?

A) An increase in appetite
B) A sudden interest in school activities
C) An unexplained increase in sleepiness
D) Verbalization of suicidal thought

Question 5

A 6-month-old is seen for a well-baby examination.On evaluation of the infant's developmental status,which of the following does the nurse expect that the child at this age will be able to do?

A) Assume a sitting position independently.
B) Pull self to a standing position.
C) Roll completely over.
D) Creep on all four extremities.

Question 6

A 5-year-old boy is admitted for surgery to have his tonsils removed.Which of the following does the nurse plan to do on the basis of her knowledge about children of this age?

A) Allow the child to take responsibility for his own preoperative hygienic care.
B) Leave the child alone to relax before the procedure.
C) Allow the child to handle and look at the equipment when the nurse takes his blood pressure.
D) Provide magazines and puzzles for diversion.

Question 7

In the nursery,the nurse is taking the newborn's vital signs.The nurse compares the newborn's measurements with which of the following expected values for this age group?

A) Heart rate, 140 beats per minute; blood pressure, 72/44 mm Hg; respiratory rate, 46 breaths per minute
B) Heart rate, 100 beats per minute; blood pressure, 90/50 mm Hg; respiratory rate, 24 breaths per minute
C) Heart rate, 90 beats per minute; blood pressure, 100/60 mm Hg; respiratory rate, 20 breaths per minute
D) Heart rate, 80 beats per minute; blood pressure, 100/70 mm Hg; respiratory rate, 16 breaths per minute

Question 8

A patient in her second trimester of pregnancy comes to the prenatal clinic for a checkup.Which of the following is the most important for the nurse to assess in caring for a woman at this stage of pregnancy?

A) Detection of fetal movement
B) Observation that the uterus is below the symphysis pubis
C) Confirmation of the desire to breastfeed or bottle-feed
D) Determination of the presence of morning sickness

Question 9

The nurse works in a pediatric medical day care centre.An important aspect of the nurse's role is to determine whether children are achieving developmental milestones.Which one of the following characterizes the cognitive development of a 2-year-old child?

A) Using short sentences to express independence
B) Initiating play with other children
C) Recognizing right and wrong
D) Having a vocabulary of at least 1000 words

Question 10

A 14-year-old girl is visiting the community health centre for "birth control help." Which one of the following is the most appropriate question the nurse could ask her to obtain the most information?

A) "Have you told your parents that you are sexually active?"
B) "Are any of your friends participating in sexual behaviours?"
C) "What can you tell me about your past sexual activities?"
D) "Have you been protecting yourself with safe sex measures?"

Question 11

On average,how many hours would the nurse expect a normal preschooler to sleep at night?

A) 8
B) 10
C) 12
D) 14

Question 12

Which one of the following is correct regarding the preadolescent developmental stage?

A) It appears two years earlier in boys than in girls.
B) Intimate feelings about school and friends are confided to the parents.
C) Major conflicts develop over independence and control.
D) Secondary sex characteristics begin to develop.

Question 13

Which of the following is one of the leading causes of death or injury,from the age of 1 year to adulthood?

A) Burns
B) Poisoning
C) Motor vehicle accidents
D) Sudden infant death syndrome

Question 14

A parent of a 3-year-old child says that she is concerned because he was toilet trained long before hospitalization but now refuses to use the toilet.Which of the following is the best response by the nurse?

A) "You may need to include the staff in using discipline because children easily lose the ability to be toilet trained during hospitalization."
B) "This common behaviour is expressed when the child is stressed or anxious."
C) "Your son was probably not ready to be toilet trained, and you may want to continue the training for the next six months."
D) "Your son is probably feeling neglected, and you should make an effort to spend more time with him."

Question 15

When newborns are lying supine,they reflexively turn the head to one side,extend the arm on the side to which the head is turned,and flex the other arm.Which normal newborn reflex does this describe?

A) Grasping
B) Rooting
C) Startling
D) Tonic neck

Question 16

A patient in her first trimester of pregnancy asks the nurse about how the baby is growing.Which of the following responses by the nurse is correct?

A) "The organ systems are beginning to develop."
B) "Fingers and toes are differentiated clearly."
C) "The sex of the baby can be determined."
D) "Fine hair covers the body."

Question 17

The nurse is aware of the expected growth and development of the infant to determine whether any abnormalities are present.In evaluating the infant's physical status and growth,which of the following does the nurse expect to find?

A) Birth height increases 2.5 cm each month for the first 6 months.
B) The anterior fontanel closes 4 to 8 weeks after birth.
C) Chest circumference is larger than head circumference at 12 months.
D) Birth weight triples by 6 months.

Question 18

The neonate in the delivery room demonstrates a heart rate of less than 100 beats per minute; a slow,irregular respiratory effort; some flexion of the extremities; a vigorous cry; and a pink trunk with bluish hands and feet.According to these observations,which one of the following does the nurse determine as the neonate's Apgar score?

A) 4
B) 6
C) 8
D) 10

Question 19

The nurse assists the family of a 9-year-old with nutritional information.Which one of the following is a recommended after-school snack for a child of this age?

A) Chocolate bars
B) Thick milkshakes
C) Potato chips
D) Plain popcorn

Question 20

An 18-month-old child is admitted for a hernia procedure.In planning nursing care for this child,the nurse knows that which of the following is the predominant developmental characteristic of children at this age?

A) Imaginary playmates
B) Parallel play
C) Peer pressure
D) Mutilation anxiety

Question 21

At birth,newborns can fixate on moving objects at what distance from their faces?

A) 10-15 cm
B) 15-20 cm
C) 20-25 cm
D) 25-30 cm

Question 22

When the newborn leaves the in utero circulation,which system undergoes the most extreme physiological change?

A) Respiratory
B) Cardiovascular
C) Genitourinary
D) Digestive

Question 23

The nurse is caring for the newborn immediately after delivery.To reduce the newborn's loss of heat through evaporation,what should the nurse do?

A) Use the radiant warmer.
B) Warm objects that will have direct contact with the newborn, and cover the newborn's head.
C) Dry the newborn, and wrap the neonate in a warm blanket.
D) Move the newborn quickly to the nursery.

Question 24

The nurse works in a pediatric medical day care centre.An important aspect of his role is to determine whether the children are achieving developmental milestones.Which of the following does the nurse anticipate a 12-month-old child will just be able to do?

A) Child creeps on all four extremities.
B) Child ambulates independently.
C) Child picks up small objects and uses pincer grasp.
D) Child grasps and manipulates small objects.

Question 25

Folic acid is extremely important during the first trimester of pregnancy.The patient asks the nurse to recommend foods high in folic acid so that they can be included in her dietary intake.Which of the following food items can the nurse recommend to the patient as a rich source of folic acid?

A) Ice cream
B) Beef
C) Orange juice
D) Green, leafy vegetables

Question 26

Which of the following represents a clinical manifestation that is indicative of potential child maltreatment in a 6-year-old boy?

A) Frequent tooth brushing
B) Sunken eyes and cheeks
C) Above-average weight gain
D) Excessive reliance on adult physical contact