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Maternal/Pediatrics > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CNM’s scope of practice include?

a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections

A

B. Comprehensive prenatal care

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2
Q

What is the focus of current maternity practice?

a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient

A

D. A quality family experience for each patient

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3
Q

What was the result of research done in the 1930s by the Children’s Bureau?

a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children’s asylums were founded.

A

C. Hot lunch programs were established in many schools.

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4
Q

Who advocated the establishment of the Children’s Bureau?

a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton

A

A. Lillian Wald

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5
Q

A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice. What resource can the nurse suggest to the student?

a. American Nurses Association
b. State’s board of nursing
c. Joint Commission
d. Association of Women’s Health, Obstetric and Neonatal Nurses

A

B. State’s board of nursing

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6
Q

What was recommended by Karl Credé in 1884?

a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.

A

D. Silver nitrate should be placed in the eyes of newborns.

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7
Q

What is the purpose of the White House Conference on Children and Youth?

a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.

A

D. Promote comprehensive child welfare.

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8
Q

The nurse reminds family members that the philosophy of family-centered care is to provide control to the family over health care decisions. What is the appropriate term for this type of control?

a. Empowerment
b. Insight
c. Regulation
d. Organization

A

A. Empowerment

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9
Q

A patient in the prenatal clinic is concerned about losing her job because of her pregnancy. The nurse instructs her that the Family Medical Leave Act (FMLA) allows an employee to be absent from work without pay. How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family member without loss of benefits or pay status?

a. 4
b. 6
c. 10
d. 12

A

D. 12

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10
Q

What term appropriately describes the nurse who is able to adapt health care practices to meet the needs of various cultures?

a. Culturally aware
b. Culturally sensitive
c. Culturally competent
d. Culturally adaptive

A

Culturally Competent

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11
Q

What is one major advantage to the application of critical thinking?

a. Problem-free care
b. Limitation of approaches to care
c. Decreased need for assessment
d. Problem prevention

A

Problem prevention

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12
Q

Student practical nurses are discussing the North American Nursing Diagnosis Association International (NANDA-I) taxonomy in post conference on the acute care clinical setting. The students are aware that the role of the LPN with nursing diagnosis formulation is what?

a. To initiate and identify nursing diagnosis specific to patient
b. To update changes in nursing diagnosis as needed
c. To have an understanding of nursing diagnosis terminology
d. To accurately document nursing diagnosis on patient plan of care

A

To have an understanding of nursing diagnosis terminology

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13
Q

The nurse is aware that there is a legal responsibility to report certain diseases and conditions to county or state health authorities. Which would be included? (Select 4 that apply.)

a. Tuberculosis
b. Child abuse
c. Industrial accidents
d. Sexually transmitted diseases
e. Food-borne infections

A

Tuberculosis
Child abuse
Sexually transmitted diseases
food-borne infections

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14
Q

What factors have played a role in meeting the goals of Healthy People 2020 as it relates the goals for outcomes of pregnancy? (Select 4 that apply.)

a. Early prenatal care
b. Increased number of surgical births
c. NICU care
d. Use of prenatal glucocorticoids
e. Fetal surgery

A
  1. Early prenatal care
  2. NICU care
  3. Use of prenatal glucocorticoids
  4. Fetal surgery
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15
Q

What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?

a. Specific to general
b. Proximodistal
c. Cephalocaudal
d. General to specific

A

Cephalocaudal

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16
Q

An infants birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months?

a. 12 pounds
b. 15 pounds
c. 18 pounds
d. 22 pounds

A

B. 15 pounds

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17
Q

A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family?

a. Nuclear
b. Blended
c. Alternate
d. Extended

A

B. Blended

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18
Q

A mother asks the nurse how much food should be offered to her 2-year-old. What is a good rule of thumb for serving size (in tablespoons) per year of age?

a. 2
b. 3
c. 4
d. 5

A

A. 2

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19
Q

The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray. What can the nurse expect the child to eat?

a. Dried beans mixed with rice
b. Crisp vegetables
c. Spaghetti and meatballs
d. Wild berries, roots, and seeds

A

A. Dried beans mixed with rice

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20
Q

What activity would the nurse choose to meet Erikson’s developmental task of industry when caring for a 7-year-old?

a. Completing a 50-piece jigsaw puzzle
b. Looking at a comic book
c. Playing a game of I Spy with the nurse
d. Coloring a picture in a coloring book

A

A. Completing a 50-piece jigsaw puzzle

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21
Q

The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant. What statement by the mother leads the nurse to determine that learning has taken place?

a. I will give my infant rice cereal first.
b. I will give my infant yellow vegetables first.
c. I will give my infant egg yolks first.
d. I will give my infant fruits first.

A

A. I will give my infant rice cereal first.

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22
Q

What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain?

a. Give him an ice cube to suck on.
b. Have him wash his mouth out with peroxide and water.
c. Wrap the tooth in a clean tissue.
d. Wash off the tooth and place it in a container of milk.

A

D. Wash off the tooth and pace it in a container of milk.

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23
Q

When a small group of preschool-age children were playing house, each child was pretending to be a particular family member. What type of play does the nurse recognize these children are participating in?

a. Parallel
b. Cooperative
c. Symbolic
d. Fantasy

A

B. Cooperative

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24
Q

The nurse caring for a 4-year-old postoperative patient instructs him to blow bubbles. What nursing intervention is the nurse most likely implementing by using this form of therapeutic play?

a. Providing pain relief
b. Encouraging deep breathing
c. Decreasing risk of infection
d. Maintaining body temperature

A

B. Encouraging deep breathing

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25
Q

How do children differ from adults? (Select 4 that apply.)

a. Higher metabolic rate
b. Greater surface area in relation to their weight
c. Less mature organ systems
d. More fluid reserves
e. Continuously changing growth and development pattern

A

A. Higher metabolic rate
B. Greater surface area in relation to their weight.
C. Less mature organ systems
D. More fluid reserves

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26
Q

Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply.)

a. Bubble gum
b. Chocolate-covered peanuts
c. Raw vegetables
d. Cheese
e. Dried fruits

A

C. Raw Vegetables
D. Cheese

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27
Q

A mother calls the pediatrician’s office because her infant is “colicky.” What is the most helpful measure the nurse can suggest to the mother?

a. Sing songs to the infant in a soft voice.
b. Place the infant in a well-lit room.
c. Walk around and massage the infant’s back.
d. Rock the fussy infant slowly and gently.

A

D. Rock the fussy infant slowly and gently.

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28
Q

When does the posterior fontanelle close?

a. 2 to 3 months
b. 3 to 6 months
c. 6 to 9 months
d. 9 to 12 months

A

A. 2 to 3 months

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29
Q

At what age does an infant’s birth weight triple?

a. 9 months
b. 1 year
c. 18 months
d. 2 years

A

B. 1 year

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30
Q

A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth weight was 8 pounds, 2 ounces. What will the nurse weighing the infant today expect her weight to be?

a. At least 12 pounds
b. At least 16 pounds
c. At least 20 pounds
d. At least 24 pounds

A

B. At least 16 pounds

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31
Q

What is the earliest age at which an infant is able to sit steadily alone?

a. 4 months
b. 5 months
c. 8 months
d. 15 months

A

C. 8 months

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32
Q

What is the earliest age at which the infant should be able to walk independently?

a. 8 to 10 months
b. 12 to 15 months
c. 15 to 18 months
d. 18 to 21 months

A

B. 12 to 15 months

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33
Q

What would the nurse expect a 4-month-old infant to be able to accomplish?

a. Hold a cup.
b. Stand with assistance.
c. Lift head and shoulders.
d. Sit with back straight.

A

C. Lift head and shoulders

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34
Q

What will the nurse advise a parent to do when introducing solid foods?

a. Begin with one tablespoon of food.
b. Mix foods together.
c. Eliminate a refused food from the diet.
d. Introduce each new food 4 to 7 days apart.

A

D. Introduce each new food 4 to 7 days apart

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35
Q

What statement made by a parent indicates correct understanding of infant feeding?

a. “I’ve been mixing rice cereal and formula in the baby’s bottle.”
b. “I switched the baby to low-fat milk at 9 months.”
c. “The baby really likes little pieces of chocolate.”
d. “I give the baby new foods before he takes his bottle.”

A

D. I give the baby new foods before he takes his bottle

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36
Q

A mother is concerned because her 10-month-old infant is lethargic. What is the best action the nurse can advise this mother to implement?

a. Keep the infant’s room well lit.
b. Rub the infant’s soles vigorously.
c. Offer the infant a pacifier.
d. Handle the infant slowly and gently.

A

D. Handle the infant slowly and gently

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37
Q

The nurse discusses child-proofing the home for safety with the mother of a 9-month-old infant. Which statement made by the mother would indicate an unsafe behavior?

a. “I put covers on all of the electrical outlets.”
b. “In the car, she rides in a front-facing car seat.”
c. “There are locks on all of the cabinets in the house.”
d. “I have a gate at the top and bottom of the stairs.”

A

B. In the car, she rides in a front facing car seat

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38
Q

The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. What does this behavior indicate the infant has developed?

a. The pincer grasp
b. A grasp reflex
c. Prehension ability
d. The parachute reflex

A

A. The pincer grasp

39
Q

How might the nurse demonstrate the parachute reflex with an infant?

a. Lifting the infant high in the air above her head
b. Holding the infant in a football hold, cradling the head
c. Seating the infant in a stroller in an upright position
d. Placing the infant downward into the crib

A

D. Placing the infant downward into the crib

40
Q

What would the nurse assessing growth and development of a 2-year-old child expect to find?

a. The child jumps with both feet.
b. Twenty deciduous teeth have erupted.
c. The child can hop on one foot.
d. The child has a vocabulary of 900 words.

A

A. The child jumps with both feet

41
Q

A parent remarks, “My 18-month-old daughter carries her blanket around everywhere. Is this normal?” What is the best explanation a nurse who has an understanding of toddler development might give?

a. She carries her blanket because she is ritualistic.
b. Carrying her favorite blanket is self-consoling behavior.
c. This behavior can be discouraged by offering new toys to the child.
d. This could be indicative of emotional distress.

A

B. Carrying her favorite blanket is self-consoling behavior

42
Q

The nurse observed three toddlers playing side by side with dolls. Closer observation revealed that the children were not interacting with one another. What type of play is this?

a. Solitary
b. Parallel
c. Associative
d. Cooperative

A

B. Parallel

43
Q

What instruction would the nurse include when planning anticipatory guidance for parents of a toddler?

a. Adhere to a rigid schedule because the toddler is ritualistic.
b. Limit-setting should include praise.
c. Shoes should fit snugly at the toe and arch.
d. Dress the toddler in pants with a zipper so that he or she can learn to zip and unzip clothes.

A

B. Limit setting should include praise

44
Q

How would the nurse advise a parent who states, “I never know how much food to feed my child”?

a. Serving sizes should not exceed 1 teaspoon of each type of food.
b. Food quantities must be carefully measured to avoid overfeeding.
c. Use 1 tablespoon of each food for each year of age as a guideline.
d. A toddler should eat three balanced meals. Snacks are not necessary.

A

C. Use 1 tablespoon of each food for each year of age as a guideline

45
Q

The nurse is discussing toilet training with parents. What behavior by the child would identify toilet training readiness?

a. Willing to sit on the potty for 15 to 20 minutes
b. Dry in the daytime for 4-hour periods
c. Able to communicate that he or she is wet
d. Curious about bathroom activities

A

C. Able to communicate that he or she is wet

46
Q

What is the most appropriate toy for the nurse to select for a normal 2-year-old child?

a. Bicycle with training wheels
b. Dump truck
c. Wind-up toy
d. Building block set

A

B. Dump truck

47
Q

On a home visit, the nurse notes that the parents require teaching intervention to protect the 15-month-old child who lives there. What observation would lead the nurse to this conclusion?

a. The fireplace has a screen.
b. The dining room table has a tablecloth on it.
c. There are paintings on the wall.
d. The kitchen floor is clean but not shiny.

A

B. The dining room table has a tablecloth on it

48
Q

What does the nurse consider as an appropriate snack for a 2-year-old child?

a. Hot dog sections
b. Grapes
c. Popcorn
d. Applesauce

A

D. Applesauce

49
Q

Which finding would concern the nurse assessing vital signs on a 2-year-old child?

a. Temperature of 37.1° C (98.8° F)
b. Pulse at 100 beats/minute
c. Respirations of 36 breaths/minute
d. Blood pressure of 90/60 mm Hg

A

C. Respirations of 36 breaths/minute

50
Q

What would be an expected finding when assessing language development in a 2-year-old child?

a. A 900-word vocabulary
b. Use of two-word sentences
c. Use of pronouns and prepositions
d. 100% of speech is understandable

A

B. Use of two-word sentences

51
Q

The nurse is planning to explain the use of time-outs to the parent of a 3-year-old child. How many minutes will the nurse indicate is appropriate for a child of this age?

a. 3
b. 6
c. 10
d. 15

A

A. 3

52
Q

What guideline should an adult follow when speaking to a toddler?

a. Be at eye level with the child.
b. Hold by the shoulders to keep the child’s attention.
c. Seat the child to focus on conversation.
d. Speak in a firm strong voice.

A

A. Be at eye level with the child

53
Q

The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis. What knowledge would act as the basis for the nurses response?

a. This behavior indicates a normal curiosity about sexuality.
b. Masturbation suggests the boy has an excessive fear of castration.
c. It is usually a result of discomfort from a penile rash or irritation.
d. The behavior is abnormal and the child should be referred for counseling.

A

A. This behavior indicates a normal curiosity about sexuality

54
Q

The nurse is discussing preschoolers sexual curiosity with the parent. What statement by the mother leads the nurse to determine that the mother understands the information?

a. Make up funny words for body parts.
b. Distract the child with a toy if they ask about sex.
c. Answer their questions when they ask.
d. Tell them to ask you again when they are 6 year old.

A

C. Answer their questions when they ask

55
Q

A preschool-age child is asked, Why do trees have leaves? Which response would be an example of animism?

a. So I can have shade over my sandbox.
b. Because God made them that way.
c. To hide behind when they are scared.
d. For the squirrels to play in.

A

C. To hide behind when they are scared

56
Q

What tasks would be appropriate to expect of a 5-year-old?

a. Setting the table with paper plates
b. Washing the dirty knives
c. Carrying glasses from the table to the sink
d. Scrubbing out the sink with cleanser

A

A. Setting the table with paper plates

57
Q

What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?

a. Have the child take a time-out in the corner for 4 minutes.
b. Spank the child at the time of the incident.
c. Take away television privileges for the day.
d. Send the child to his room for 30 minutes.

A

A. Have the child take a time out in the corner for 4 minutes

58
Q

A father is concerned about how long his preschool-age child will continue sucking his thumb. What is the most helpful response from the nurse?

a. Most children will stop thumb-sucking naturally by school age.
b. Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.
c. Consistently touching the childs fingers whenever he sucks his thumb is most effective.
d. Thumb-sucking is detrimental to the eruption of the childs teeth and must be stopped as soon as possible.

A

A. Most children will stop thumb-sucking naturally by school age

59
Q

How does the nurse characterize the play of 5-year-old children?

a. Enjoying rough and tumble play
b. Playing well-organized games
c. Following rules
d. Preferring inside activities

A

C. Following rules

60
Q

What type of play is most appropriate when planning care for a child with moderate intellectual deficiency?

a. Exercise leg and arm muscles.
b. Be educationally oriented to make up for lost time.
c. Be adjusted to mental age rather than chronological age.
d. Involve contact sports and aggressive physical activity with other children.

A

C. Be adjusted to mental age rather than chronological age

61
Q

What intervention might the nurse suggest as helpful for the child with enuresis?

a. Applying an electric pad that gently shocks the child
b. Waking the child several times during the night to urinate
c. Decreasing fluid intake after the evening meal
d. Increasing dietary fiber intake

A

C. Decreasing fluid intake after the evening meal

62
Q

The parent of a 3 -year-old child tells the nurse, My daughter points instead of speaking whenever she wants me to get something for her, but she understands me when I ask her to do something. Based on the parents comment, what does the nurse suspect?

a. Age-appropriate language development
b. An expressive language delay
c. A receptive language delay
d. A potential hearing deficit

A

B. An expressive language delay

63
Q

What fear is unique to the preschool period?

a. Water
b. Animals
c. Bodily harm
d. Death

A

C. Bodily harm

64
Q

Which is an example of associative play?

a. Two children playing house, one playing the role of the dad and the other playing the mom
b. Two children playing in a sand box, one building a wall and the other digging a hole
c. Two children playing with sports-associated items, one with a football and the other with a bat
d. Two children playing with a coloring book, one coloring pictures and the other looking at pictures

A

A. Two children playing house, one playing the role of the dad and the other playing the mom

65
Q

The nurse points out what advantage(s) of a nursery school or preschool experience? (Select 4 that apply.)

a. Increasing self-confidence
b. Fostering group cooperation
c. Detecting adjustment problems
d. Attainment of toilet training skills
e. Playing experiences with other children

A

A.
B.
C.
E.

66
Q

The nurse is assessing a school-age child. What will the nurse expect in regard to physical development of this child?

a. Growth of 3 to 6 inches per year
b. Gain of 5 to 7 pounds per year
c. Increase of head circumference by 1 inch per year
d. A visual acuity of 20/20 by 9 years of age

A

B. Gain of 5 to 7 lbs per year

67
Q

What type of relationships are the preferred social interactions for the school-age child?

a. Heterosexual interest groups
b. Association with one best friend
c. Rigidly organized groups with complex rules
d. Same-sex peer groups

A

D. Same sex peer groups

68
Q

The nurse is advising parents of a 10-year-old boy about the most developmentally supportive experiences for their son. What is the best experience for this child according to Eriksons theory?

a. Constant variety of activities
b. Successful performance in Little League
c. Feeling healthy and strong
d. Having a girlfriend

A

B. Successful performance in little league

69
Q

What is the best suggestion by the nurse for an appropriate toy for a hospitalized 6-year-old boy?

a. Handheld video game
b. MP3 player
c. Adventure book
d. Jigsaw puzzle

A

A. Handheld video game

70
Q

The nurse discusses preparation for school with the parents of a 6-year-old girl who will soon be starting first grade. What statement by the girls father leads the nurse to determine that the parents
understood the information?

a. We should put a stop to her thumb-sucking.
b. We’ll have a talk about what school is like.
c. We will let her walk to the bus stop by herself.
d. We’ll have her meet some children who will be in her class.

A

D. We’ll have her meet some children who will be in her class

71
Q

The school nurse is preserving a tooth that was knocked out on the school playground. What will the nurse be especially careful to do?

a. Wrap the tooth loosely in a clean cloth.
b. Rinse the tooth with alcohol.
c. Handle the tooth only by the crown.
d. Place the tooth in a warm environment.

A

C. Handle the tooth only by the crown

72
Q

A parent states, My 7-year-old really wants a dog. His 10-year-old brother has allergies to animal dander. I don’t know what to do. What type of pet should the nurse suggest as the best choice?

a. A small breed of dog because the large dogs produce more allergens
b. An older unneutered dog that produces fewer allergens than a younger one
c. A cat because it requires less care and is less allergenic
d. A poodle, which does not shed, making it a good choice for people with allergies

A

D. A poodle

73
Q

When asked about her activities, a 10-year-old girl responded, I like school. I play the flute in the school band, and I take tennis lessons. What does the nurse know these activities will help this child develop?

a. Initiative
b. Industry
c. Identity
d. Intimacy

A

B. Industry

74
Q

A mother reports that she has a new job and her 12-year-old child is home alone for a time after school. Which statement made by the parent alerts the nurse to a potentially unsafe situation for this
child?

a. I told him that he could invite a few friends after school.
b. I put a list of emergency numbers next to the telephone.
c. Last week we made a first aid kit together.
d. There is a neighbor available in case of an emergency.

A

A. I told him that he could invite a few friends after school

75
Q

What is best for the nurse to suggest to the parents of an overweight 9-year-old to help prevent obesity?

a. Use whole milk as a between-meal snack because it is more filling than skim milk.
b. Feed the child before family meal times to monitor intake more closely.
c. Encourage the child to engage in physical activity for at least an hour a day.
d. Remove all sweets and junk food from the house.

A

C. Encourage the child to engage in physical activity for at least one hour a day

76
Q

The school nurse is planning sex education classes for school-age children. What should the nurse be sure to do?

a. Use simple terms.
b. Avoid slang or street words and concepts.
c. Keep topics on biological aspects of sexual development.
d. Limit questions to keep content clear.

A

A. Use simple terms

77
Q

The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone. What guidelines should they be educated to follow? (Select 4 that apply.)

a. Ask for identification before letting someone in the house.
b. Never accept rides with strangers.
c. Keep doors locked.
d. Do not enter house if door is ajar.
e. Walk to and from school with friends.

A

B.
C.
D.
E.

78
Q

A 10-year-old child with disabilities is begging her parents for a dog. When at the pediatric clinic, the parents inquire about possible benefits pet ownership may provide to their child. What benefits of pet ownership should the nurse indicate? (Select 4 that apply.)

a. Decrease the need for physical therapy
b. Lower blood pressure
c. Improve communication
d. Foster trust
e. Ease path to socialization

A

B.
C.
D.
E.

79
Q

The nurse is assessing a 13-year-old boy. With what do physical changes in the pubertal male begin?

a. Development of axillary and facial hair
b. Enlargement of penis
c. Enlargement of testicles
d. Pigmentation of the scrotum

A

C. Enlargement of testicles

80
Q

A 13-year-old boy states, “The girls in my class tower over me.” What would be the nurse’s most informative response?

a. “It may seem that way because girls have a growth spurt 2 years earlier than boys.”
b. “Perhaps your parents are not exceptionally tall.”
c. “Boys usually experience a growth spurt 1 year earlier than girls.”
d. “You may feel short, but you are actually average height for your age.”

A

A. It may seem that way because girls have a growth spurt 2 years earlier than boys

81
Q

The nurse is planning a safety program for high school students. To what will the nurse relay that most accidental deaths in adolescence are related?

a. Firearms
b. Automobiles
c. Drowning
d. Diving injuries

A

B. Automobiles

82
Q

A 16-year-old excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents?

a. “Your studies are too important for you to have a part-time job.”
b. “When we went to high school, academics were the adolescent’s priority.”
c. “We want you to put your earnings in a savings account.”
d. “How do you think you will manage your school work and a job?”

A

D. How do you think you will manage your school work and a job?

83
Q

The nurse is planning care of an adolescent. What psychosocial task does the nurse understand is important for the adolescent to develop?

a. A sense of initiative
b. A sense of industry
c. A sense of identity
d. A sense of involvement

A

C. A sense of identity

84
Q

A 13-year-old girl tells the school nurse that she is getting fat, especially in her hips and legs. What understanding by the nurse would best guide the response?

a. Many adolescents are unaware of proper nutrition.
b. Adolescents of this age become less active and should eat fewer calories.
c. Puberty is often preceded by fat deposits in these areas.
d. As soon as menarche occurs, she will lose this excess weight.

A

C. Puberty is often preceded by fat deposits in these areas

85
Q

What statement made by a parent indicates an understanding about helping a 13-year-old manage his allowance?

a. “I set amounts he can earn for particular chores.”
b. “I give him a certain amount of money for each day.”
c. “I put money into his bank account each month.”
d. “I told him to ask me when he needs money.”

A

A. I set amounts he can earn for particular chores

86
Q

What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game?

a. A cheeseburger and soda
b. A hot fudge sundae
c. Two sausage and egg breakfast sandwiches and orange juice
d. A bagel and skim milk

A

D. A bagel and skim milk

87
Q

What does an adolescent’s peer group serve as related to development?

a. Social outlet
b. Association to blur personal identity
c. Platform for “group think”
d. Initial separation from family

A

D. Initial separation from family

88
Q

At what stage is the adolescent considered to be, according to Freud’s theory?

a. Conceptual
b. Genital
c. Glandular
d. Pubertal

A

B. Genital

89
Q

The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. How would the nurse interpret this score?

a. Nonindicative of potential substance abuse
b. Normal experimentation of the adolescent
c. Need to schedule another PACE interview in 3 months
d. Indication for referral for counseling

A

D. Indication for referral for counseling

90
Q

What does adolescent acne result from?

a. Ineffective sweat glands
b. Oily skin
c. Inadequate hygiene
d. A poor diet

A

B. Oily skin

91
Q

The nurse suggests the use of “I” messages to communicate a parent’s feeling to an adolescent. What is the most appropriate example of an “I” message?

a. “I feel frightened when you stay out past your curfew.”
b. “I am your mother, and I insist that you observe your curfew.”
c. “I am sick and tired of your staying out late.”
d. “I expect you to show me proper respect.”

A

A. I feel frightened when you stay out past your curfew

92
Q

What are the best breakfast choices for the nurse to point out prior to a big exam, to provide high levels of alertness and increased memory? (Select 2 that apply.)

a. Pancakes and syrup
b. Coffee and chocolate-covered donuts
c. Bacon and fried eggs
d. Whole grain cereal and yogurt
e. Oatmeal and sliced apples

A

D. Whole grain cereal and yogurt
E. Oatmeal and sliced apples

93
Q

The nurse considers what “rites of passage” valued by the adolescent in American society? (Select 3 that apply.)

a. Attaining legal drinking age
b. Selection of a career
c. Religious affiliation
d. Obtaining a driver’s license
e. High school graduation

A

A. Attaining legal drinking age
B. Obtaining a drivers license
C. High school graduation

Maternal/Pediatrics (5 decks)

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