Deck 21: Promoting Health From Conception Through Adolescence

Question 1

The parents of a toddler are concerned that their child is so messy during eating,so they feed him instead of allowing him to feed himself.What should the nurse respond to the parents?

A)"That's probably best.I'm sure it makes your mealtime more pleasant."
B)"At least you're sharing meals as a family.That's the most important."
C)"Motor skills keep improving with age.Try not to get frustrated with the mess."
D)"Your child will never learn if you don't let him experience."

Answer 1

"Motor skills keep improving with age.Try not to get frustrated with the mess."

Question 2

A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day.How should the nurse address the parent's concern about this behavior?

A)"Maybe your child should be seen by a specialist,just to make sure there are no physical problems."
B)"It is normal for some children to go through a stage of regression after separation from their family or after an acute illness.Try not to be too discouraged."
C)"You'll have to be very strict with discipline,so your child knows this behavior is not acceptable."
D)"I'd be upset too.It must be hard to go back to using diapers."

Answer 2

"It is normal for some children to go through a stage of regression after separation from their family or after an acute illness.Try not to be too discouraged."

Question 3

The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion?
Standard Text: Select all that apply.

A)Imitated behavior demonstrated by parents
B)Conceptualized angels and devils with the use of imagination
C)Compartmentalized differences between spiritual beliefs with friends
D)Determined differences between spiritual beliefs as being right or wrong
E)Met with the church priest to talk about the differences in spiritual beliefs

Answer 3

Compartmentalized differences between spiritual beliefs with friends
Determined differences between spiritual beliefs as being right or wrong
Met with the church priest to talk about the differences in spiritual beliefs

Question 4

The parents of a newborn ask what their baby can see.What should the nurse respond to these parents?

A)"Babies aren't able to see until they are around 4 months old."
B)"Babies won't track moving objects until about 5 months."
C)"Newborns blink in response to bright lights and sound and will follow large objects."
D)"Newborns aren't able to focus,so everything looks blurry to them."

Question 5

The parents of a newborn male ask the nurse about pain during circumcision.What should the nurse respond to these parents?

A)"Newborns can't feel pain,so don't worry about it."
B)"We'll make sure to bring your baby to you right after the procedure,so you can comfort him."
C)"I'll have the pediatrician speak to you about it."
D)"Newborns' pain experience is real.We'll use some medication to help your baby feel more comfortable."

Question 6

At birth a baby weighed 8 lb.What should the nurse expect this baby to weight at the age of 1?

A)32 lb
B)16 lb
C)20 lb
D)24 lb

Question 7

A client comes to the women's clinic,stating she has had a positive home pregnancy test.The client states that her last menstrual cycle was 2 months ago.According to this time frame,the nurse determines that the client is in which stage of pregnancy?

A)Fetal phase
B)Second trimester
C)Third trimester
D)Embryonic phase

Question 8

Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round,as they thought it should be.How should the nurse respond to these parents?

A)"I don't think it looks unusual;actually the head is beautifully shaped."
B)"Your baby's head had to shape itself to the birth canal.It will look round in a few days."
C)"You're right.We'll make sure your doctor checks this out."
D)"Babies' heads always look funny.Once his hair grows out,you'll hardly notice it."

Question 9

The nurse is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?

A)Having taken a medication that is a known teratogen
B)Smoking
C)Having low levels of folic acid
D)Genetic history

Question 10

A school nurse is working with teachers in helping them address the developmental needs of grade school students,according to Erikson's theory of industry versus inferiority.Which activities should the nurse suggest?

A)Providing time for running and playing sports,such as basketball,to increase gross motor skills
B)Allowing "pretend" time during their classes,such as for dress-up or role-playing activities
C)Presenting diversity in culture and practices as part of classroom study
D)Helping them develop skills needed in the adult world,such as allowance budgeting

Question 11

While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this question?

A)"Yes,if your son is ejaculating,he also possesses fertility."
B)"Sexual maturity does not occur until age 18,so don't worry about anything until then."
C)"Fertility follows several months after the first ejaculation."
D)"You'll have to ask your physician about this because it is a sensitive subject."

Question 12

During an auditory screening of third graders,the school nurse identifies a hearing deficit for one of the students.When the parents ask the nurse about the findings,how should the nurse respond?

A)"Hearing acuity is not fully developed in your child.Let's recheck next year."
B)"I'd like to recheck at the clinic.Then we may need to have your child be seen by an auditory specialist."
C)"It was too noisy when we were testing,so I wouldn't be concerned if I were you."
D)"Your child will probably need a hearing aid."

Question 13

The parents of a baby born prematurely during the sixth month of pregnancy the nurse about the hair all over their baby.What is the nurse's best response?

A)"All babies are hairy.It is more noticeable on preemies."
B)"Fine downy hair helps keep the baby insulated in utero."
C)"You should be more concerned with the baby's respiratory function."
D)"Don't worry about how the baby looks.All preemies look funny."

Question 14

A teenage girl spends most of her free time with friends.In sharing their concerns about this behavior with the school nurse,the parents are worried about their child seeming to draw away from them.What should the nurse respond to the parents?

A)"You should really keep better track of your child.It's hard to tell what kinds of trouble she may be getting into."
B)"Independence is really important for this age group.Try to be extra attentive when your child does spend time at home."
C)"Use stricter guidelines for curfew and punishment if curfew is broken."
D)"Is it possible that your child might be taking drugs?"

Question 15

A school health nurse is working on education programs for high school students.As part of the plan,the nurse wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse.Which class topic should the nurse present to these students?

A)Warning signs of depression for peers to identify among their classmates
B)Injury prevention
C)Early signs of cancer and heart disease
D)Normal physiological changes of this age group

Question 16

New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?

A)The Denver Developmental Screening Test (DDST-II)
B)Growth and development charts from the Centers for Disease Control and Prevention (CDC)
C)Assessment tools utilized by the state education department
D)The Apgar scoring system

Question 17

The school nurse determines that a 14-year-old student has reached an expected level of cognitive development.What did the nurse assess to come to this conclusion?
Standard Text: Select all that apply.

A)Thinks logically
B)Thinks about the future
C)Makes rational statements
D)Uses a trial-and-error process
E)States things as they could be

Question 18

The nurse is preparing to instruct a client about nutritional needs before and during pregnancy.What should the nurse encourage the patient to consume in order to meet the requirements for folic acid?

A)Meats,fish,and poultry
B)A mix of vegetables and fiber
C)Oranges and green leafy vegetables
D)Low-fat and high-protein foods

Question 19

An expectant parent asks the nurse about health problems of newborns.On what should the nurse provide information to this client?
Standard Text: Select all that apply.

A)Infant colic
B)Respiratory tract infections
C)Failure to thrive
D)Injuries
E)SIDS

Question 20

The parents of a school-age child are concerned about the child learning right from wrong.In which order should the nurse instruct the parents of a school-age child that moral development will develop in their child?
Standard Text: Click and drag the options below to move them up or down.

A)Punishment and obedience
B)Law-and-order orientation
C)Instrumental-relativist orientation
D)"Good boy-nice girl" stage

Question 21

The nurse is confident that a client has met the developmental guidelines for a preschooler.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.

A)Can print her own name.
B)Proudly announces,"I put my own toys away."
C)Shares that,"I know I shouldn't hit,even when I'm mad."
D)Effectively brushes her own teeth.
E)Washes her hands after toileting without prompting.

Question 22

A nurse is teaching a class to new parents on how to handle some of the behaviors that could be demonstrated by toddlers.One of the parents asks what to do when her child throws a temper tantrum.How should the nurse respond to this parent?

A)"Try to be more attentive to the behaviors that lead into a tantrum.Then you can avoid them."
B)"Put the child in a room alone and ignore the tantrum."
C)"Make sure the child is safe,then walk away."
D)"Hold the child tightly until he stops crying."

Question 23

An adolescent comes to the school nurse's office seeking advice about his friends and feeling pressure to participate in activities with which he isn't comfortable,such as drinking parties and sexual explorations.What should the nurse do?

A)Tell the adolescent to stay away from "friends like that."
B)Be open to the concerns and provide accurate information about any questions.
C)Encourage the adolescent to accept psychosocial counseling.
D)Give the adolescent pamphlets on sexually transmitted diseases.

Question 24

A school nurse is implementing a program to promote psychosocial development among adolescent teens at a high school.Which activity should the nurse include?

A)Career planning
B)Establishing peer groups
C)Playing musical instruments
D)Determining a value system

Question 25

The nurse is preparing a teaching session for pregnant clients that reviews the fetal growth and development that occurs in the first 3 weeks post-conception.What should the nurse include in this teaching?
Standard Text: Select all that apply.

A)How the embryo has attached to the wall of the uterus
B)Development of the fetal membranes and the amniotic sac
C)How the embryo will be covered with a protective substance called vernix caseosa
D)How development of the fetal placenta has begun
E)How the embryo is covered with a soft,downy hair