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Competency Appraisal > MATERNAL - Pedia > Flashcards

MATERNAL - Pedia Flashcards

1
Q

The nurse observes a normal newborn lying in a supine position with the head turned to the side, legs and arms extended on the same side and flexed on the opposite side. This is:

A. The Moro reflex
B. Tonic reflex
C. The Landau reflex
D. An abdominal reflex

A

B. Tonic reflex

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2
Q

After delivery, when inspecting her newborn baby girl, the mother notices a discharge from the nipples of both breasts of the baby. The nurse should explain that this is evidence of:

A. Monilial contracted during birth
B. Congenital hormonal imbalance
C. An infection contracted in utero
D. The influence of the mother’s hormones

A

D. The influence of the mother’s hormones

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3
Q

Baby boy Onzo is delivered 39 weeks of gestation with a weight of 3,200 grams and a length of 44 centimeters. Baby Onzo’s length is:

A. short
B. long
C. average
D. normal

A

A. short

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4
Q

A new mother notices that her infant often regurgitates after the feedings and asks the nurse if her baby is ill. The nurse explains to the mother that this is normal and due to:

A. Intake of air while sucking
B. An underdeveloped cardiac sphincter
C. A spasm at the pyloric valve
D. The position that the baby is in after feeding

A

B. An underdeveloped cardiac sphincter

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5
Q

Female neonates commonly have a small amount of bleeding from the:

A. Rectum as a result of meconium irritating intestinal mucosal
B. Rectum as a result of capillaries rupturing from the pressure of labor and delivery
C. Vagina as a result of capillaries rupturing from the pressure of labor and delivery
D. Vagina as a result of a sudden drop in hormone levels

A

D. Vagina as a result of a sudden drop in hormone levels

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6
Q

A newborn has strabismus, and the mother states that she is worried about it. The nurse tells the mother that this condition is

A. Normal
B. Permanent
C. Requires surgery
D. requires medication

A

A. Normal

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7
Q

When assessing the newborn, the nurse notes several areas of raised white spots on the chin and nose. The Nurse is aware that these are known as:

A. Milia
B. Vascular nevi
C. Epstein pearl
D. Erythema toxicum

A

A. Milia

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8
Q

The nurse should refer the babies under which of the following condition/conditions?

A. Remains blue despite resuscitation
B. Breathing is too fast
C. Birth weight is less than 2,500 grams
D. All of these

A

D. All of these

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9
Q

Which of the following intervention the nurse should do to know if the baby is cleft palate?

A. Open the mouth with the use of tongue depressor or teaspoon
B. Stimulate the baby to cry hold the chin and open the mouth
C. Request for x-ray examination
D. Feel inside the baby’s mouth

A

B. Stimulate the baby to cry hold the chin and open the mouth

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10
Q

This reflex should be present at birth. The absence of such in Baby Sison should be reported immediately. This is the:

A. Moro reflex
B. Tonic reflex
C. Gag reflex
D. Babinski reflex

A

C. Gag reflex

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11
Q

Which of the following reflexes is still present at the age of 5 months?

A. Babinski reflex
B. Rooting reflex
C. Moro reflex
D. Extrusion reflex

A

C. Moro reflex

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12
Q

Failure of the foramen ovale to close will lead to what congenital heart anomaly?

A. Ventricular Septa Defect
B. Pulmonary Stenosis
C. Atrial Septal Defect
D. Transposition of Great Vessels

A

C. Atrial septal defect

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13
Q

The nurse tests s newborn for the rooting reflex by:

A. Changing the newborn’s equilibrium
B. Touching the newborn’s cheek
C. Stroking the lateral aspect of the sole from the heel upward and across the ball of the foot
D. Placing a finger in the palm of the newborn’s hand

A

B. Touching the newborn’s cheek

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14
Q

A newborn male, 39 weeks’ gestation, would exhibit

A. Extended posture
B. Abundant lanugo over entire body
C. Testes in scrotum
D. Square window of 90 degrees

A

C. Testes in scrotum

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15
Q

A newborn female, 41 weeks gestation, would exhibit

A. Creases over entire plantar surface of feet
B. Heels touch ears when legs are extended
C. Prominent clitoris and labia minora
D. Flat areola

A

A. Creases over entire plantar surface of feet

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16
Q

You have completed a nursing assessment for gestational age and have found the following: sole creases over the anterior two thirds of the foot, 4 mm of breast tissue, fine fuzzy hair, and some ear cartilage. You estimate this infant to be which of the following gestational ages?

A. 30 to 36 weeks
B. 28 to 32 weeks
C. 36 to 38 weeks
D. 41 to 42 weeks

A

C. 36 to 38 weeks

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17
Q

Paul’s parents would most likely be better able to cope with the birth of an abnormal infant if informed:

A. After 48 hours the mother has recovered her strength
B. When bringing the baby to the mother for the first time
C. Right after the delivery when mother recovers consciousness
D. When parents ask if something is wrong with the baby

A

C. Right after the delivery when mother recovers consciousness

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18
Q

A neonate 4 hours old with peripheral cyanosis who is breathing spontaneously must be

A. Referred immediately
B. Continued to monitor the color
C. Administered with 100% oxygen
D. Stimulated

A

B. Continued to monitor the color

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19
Q

The neonate born by CS tend to have increased incidence of

A. Cold stress
B. Umbilical Cord Infection
C. Convulsion
D. Respiratory Distress Syndrome

A

D. Respiratory Distress Syndrome

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20
Q

The newborn showed signs of jaundice and her laboratory value for bilirubin showed a total of 15; direct bilirubin 1.7 and indirect bilirubin 13.3. The physician ordered continuous bililight and force fluids between feedings. The bilirubin level of the newborn is due to

A. Rh incompatibility with the mother
B. Presence of staphylococcus infection in the newborn
C. ABO factor incompatibility
D. Inability of the newborn to conjugate bilirubin

A

D. Inability of the newborn to conjugate bilirubin

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21
Q

Mrs. Cruz is RH (-). What laboratory test will probably ordered for the newborn?

A. Blood Culture
B. Direct Coombs Test
C. Indirect Coombs Test
D. CBC

A

B. Direct Coombs Test

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22
Q

The Nurse tells a mother about eye care or Crede’s prophylaxis. This is given to the newborn to prevent:

A. Hyperbilirubinemia
B. Opthalmia Conjunctivitis
C. Opthalmia Neonatorum
D. Chemical Conjunctivitis

A

C. Opthalmia Neonatorum

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23
Q

To give warmth to the newborn, the infant should best be:

A. rested on the mother’s abdomen
B. placed under a goose neck lamp
C. wrapped well
D. placed in a heated crib

A

A. rested on the mother’s abdomen

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24
Q

The following are infections the baby may acquire as he/she passes through the birth canal of an infected mother, EXCEPT;

A. Gonoccoccal Conjunctivitis
B. Tetanus Neonatorum
C. Oral Candidiasis
D. HIV Infection

A

B. Tetanus Neonatorum

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25
Q

Asymmetric Moro reflexes are frequently associated with:

A. Down syndrome
B. Cranial nerve damage
C. Cerebral or cerebral
D. Brachial plexus, clavicle, or humerus injuries

A

D. Brachial plexus, clavicle, or humerus injuries

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26
Q

The Nurse tests the newborn’s Babinski reflex by:

A. Touching the newborn’s mouth of cheek
B. Changing the newborn’s equilibrium
C. Placing a finger in the palm of the newborn’s hand
D. Stroking the lateral aspect of the sole from the heel upward and across the ball of the foot

A

D. Stroking the lateral aspect of the sole from the heel upward and across the ball of the foot

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27
Q

The Nurse tests s newborn for the rooting reflex by:

A. Changing the newborn’s equilibrium
B. Touching the newborn’s cheek
C. Stroking the lateral aspect of the sole from the heel upward and across the ball of the foot
D. Placing a finger in the palm of the newborn’s hand

A

B. Touching the newborn’s cheek

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28
Q

Which of the following group of reflexes below are present at birth and remain unchanged through adulthood?

A. Blink, cough, rooting and gag
B. Blink, cough, sneeze, gag
C. Rooting, sneeze, swallowing, and cough
D. Stepping, blink, cough, and sneeze

A

B. Blink, cough, sneeze, gag

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29
Q

The Nurse is assessing the newborn on admission to the nursery. In evaluating the findings, the nurse knows that the finding that must be referred for further investigation/evaluation is

A. Misshapen head
B. Tremors of extremities
C. Short neck
D. Scaphoid-shaped abdomen

A

D. Scaphoid-shaped abdomen

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30
Q

The Nurse teaches the new mother that neonatal weight loss in the first 3 days of life is often the result of

A. Allergy to formula
B. Poor sucking during the first few days
C. Inadequate breast or bottle feeding
D. Excretion of fluid via lungs, urinary bladder & bowels

A

D. Excretion of fluid via lungs, urinary bladder & bowels

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31
Q

Under what condition does Erythroblastosis fetalis occurs?

A. Both are positive
B. Mother is Rh positive and father is Rh negative
C. Both are negative
D. Mother is Rh negative and father is Rh is positive

A

D. Mother is Rh negative and father is Rh is positive

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32
Q

To prevent asphyxia neonatorum, the neonate must be able to breathe:

A. within 10 seconds
B. after 30 seconds
C. within 30 seconds
D. within 2 minutes

A

C. within 30 seconds

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33
Q

What is the most common cause of vomiting in newborn is;

A. infection
B. overfeeding
C. indigestion
D. colic

A

B. overfeeding

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34
Q

One of these is NOT true about the vision of neonates:

A. Newborns can see as soon as they are born
B. Newborns focus best at 9-12 inches on black and white objects.
C. Newborns can see past the midline of vision
D. One evidence that newborns can see is that they blink at strong light

A

C. Newborns can see past the midline of vision

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35
Q

To test the hearing of the newborn a bell can be used with a little distance from the ear?

A. When the infant is fully awake during breastfeeding
B. When the infant is playing inside the crib
C. When the infant is sleeping lightly halfway between feeding
D. When the infant is fully awake

A

D. When the infant is fully awake

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36
Q

Which of the following is not true about anterior fontanel?

A. bulge when there is brain damage
B. diamond shaped
C. not palpable
D. soft, level of bones

A

C. not palpable

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37
Q

When a newborn reacts to a sudden loud noise by a sudden outward movement of the arm while raising the knees outward, the Nurse will conclude that,

A. The baby is having an abnormal neurologic reaction.
B. This is a normal reflex that will last until one year old.
C. This is the startle reflex that will be gone in 5-6 months.
D. The infant has brain injury acquired during delivery.

A

C. This is the startle reflex that will be gone in 5-6 months.

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38
Q

Which is TRUE regarding delayed application of Crede’s prophylaxis to the newborn?

A. to prevent sore eyes during the neonatal period
B. not to interfere with the bonding process
C. to prevent infection of the eyes
D. to prevent gonorrheal conjunctivitis

A

B. not to interfere with the bonding process

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39
Q

Vomiting of bile stained material is a sign of;

A. Intestinal Obstruction
C. Atresia of the Esophagus
B. Diaphragmatic Hernia
D. Spina Bifida

A

A. Intestinal Obstruction

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40
Q

The following is True about a disease that is inherited with x-linked pattern like G6PD, EXCEPT;

A. Girls who have the gene will have the disease.
B. A son born a mother who is a carrier will have the disease
C. A daughter whose mother is a carrier will be 50% chance to have the gene.

A

A. Girls who have the gene will have the disease.

41
Q

Which of the following physiologic parameters would be the most important to know when assessing newborn’s respiration?

A. Infants are able to breathe through both the nose and the mouth
B. The respiratory rate should be 40 to 80 per minute
C. Newborn infants have slight sternal retraction with breathing which is normal
D. Infants are obligatory nose breathers with respirations that are irregular and at a rate of 30 to 60 per minute.

A

D. Infants are obligatory nose breathers with respirations that are irregular and at a rate of 30 to 60 per minute.

42
Q

Which of the following APGAR score reflects good oxygenation and ventilation which does NOT need vigorous resuscitation?

A. 8-10
B. 0-3
C. 4-6
D. 5-7

A

A. 8-10

43
Q

A mother has complained that her 2-day-old baby has fever and is asking you the possible reason. Your answer will be:

A. The baby has infection she received from the mother during her fetal life
B. The baby has developed omphalitis
C. The baby has transient fever caused by the loss of fluid & limited fluid intake
D. It is a reaction of the baby to the trauma of birth.

A

C. The baby has transient fever caused by the loss of fluid & limited fluid intake

44
Q

Which one is incorrect when suctioning the newborn?

A. Suction first the newborn’s mouth 5 cm from the lips and suck while withdrawing
B. Next, 3 cm into each nostril and suck while withdrawing
C. Repeat 5 times more taking no more than 20 minutes
D. Do not suction the mouth and nose prior to the delivery of the shoulder of babies with meconium amniotic fluid

A

C. Repeat 5 times more taking no more than 20 minutes

45
Q

This will prevent retrolental fibroplasia

A. Careful delivery technique
B. Careful administration of oxygen
C. Prevention of maternal infections
D. Aseptic technique

A

B. Careful administration of oxygen

46
Q

Hypoglycemia must be treated because continuous low blood sugar will lead to;

A. Retrolental Fibroplasia
B. Cerebral Damage
C. Lung Collapse
D. Infection

A

B. Cerebral Damage

47
Q

Newborn screening is ideally done:

A. immediately after birth
B. on the 48th hour
C. after two weeks
D. within a month

A

B. on the 48th hour

48
Q

An in born error of metabolism that leads to premature destruction of red blood cells:

A. Phenylketonuria
B. Congenital Adrenal Hyperplasia
C. Galactosemia
D. Glucose 6 Phosphate Dehydrogenase Deficiency

A

D. Glucose 6 Phosphate Dehydrogenase Deficiency

49
Q

If left untreated, babies with galactosemia will have the following complications, EXCEPT;

A. Blindness
B. Liver Damage
C. Death
D. Hyperbilirubinemia

A

D. Hyperbilirubinemia

50
Q

Tell whether the following characteristics of the newborn is that of: A. Preterm B. Full term C. Postterm (+) scarf sign

A. pre-term
B. full term
C. post term

A

A. pre-term

51
Q

Absence of lanugo

A. pre-term
B. full term
C. post term

A

C. post term

52
Q

(+) arm recoil

A. pre-term
B. full term
C. post term

A

B. full term

53
Q

Desquamating skin

A. pre-term
B. full term
C. post term

A

C. post term

54
Q

2/3 of the soles are covered with creases

A. pre-term
B. full term
C. post term

A

A. pre-term

55
Q

Pinna of the ear stands away from the head

A. pre-term
B. full term
C. post-term

A

B. full term

56
Q

Yellow vernix caseosa

A. pre-term
B. full term
C. post term

A

C. post term

57
Q

prominent clitoris

A. pre-term
B. full term
C. post term

A

A. pre-term

58
Q

Skull bones easily displaced

A. pre-term
B. full term
C. post term

A

A. pre-term

59
Q

cryptochidism

A. pre-term
B. full term
C. post term

A

A. pre-term

60
Q

A baby who has Edward’s syndrome has;

A. Trisomy 13
B. Trisomy 18
C. Trisomy 21
D. Trisomy 23

A

B. Trisomy 18

61
Q

Facial paralysis can likely occur in;

A. Cesarean section
C. Hydrocephalus
B. Vaginal Delivery
D. Forceps Delivery

A

D. Forceps Delivery

62
Q

A sex chromosomal abnormalities when there are only 47/XXY chromosomes:

A. Turner’s syndrome
B. Klinefelter’s syndrome
C. Cri-du-chat syndrome
D. super female

A

B. Klinefelter’s syndrome

63
Q

Which of the following diseases of the mother can be transmitted to the baby intrauterinely and will be born with the disease?

A. Syphilis
B. Gonorrhea
C. Rubella
D. Meningitis

A

A. Syphilis

64
Q

The mother is concerned about compulsion for collecting things. The nurse explains that this behavior is related to the cognitive ability to perform

A. Concrete operations
B. Coordination of secondary schemata
C. Formal operations
D. Tertiary circular reactions

A

A. Concrete operations

65
Q

The nurse explained to the mother that according to Erikson’s framework of psychosocial development, play as a vehicle of development can help the school-age develop a sense of

A. Initiative
B. Identity
C. Industry
D. Intimacy

A

C. Industry

66
Q

Baby boy Rosales, 2 months old was seen at the Pediatric unit for his scheduled check-up. By this period, Baby boy Rosales, increased his length by how many inches?

A. 2
B. 5
C. 3
D. 4

A

A. 2

67
Q

At 2 months, the following characteristics can be observed, EXCEPT:

A. Sleeps 16 to 18 hours per day
B. Need to suck at its greatest
C. Smiles, laughs, coos and cries
D. Can grasp objects

A

C. Smiles, laughs, coos and cries

68
Q

What vaccine is NOT expected to be given at this time (2 months)?

A. Measles vaccine
B. Oral Polio Vaccine
C. DPT
D. Hepa B Vaccine

A

A. Measles vaccine

69
Q

Which of the following toys is appropriate for baby boy Rosales at this period?

A. Squeeze toys
B. Teething toys
C. building blocks
D. Rattle

A

D. Rattle

70
Q

A 7-month old baby can

A. sit alone momentarily
B. sit alone with hands in front as support
C. sit alone without any support
D. sit while hands of the caretaker is at the waist

A

B. sit alone with hands in front as support

71
Q

At what age when an infant walk several steps alone?

A. 9-11 months
B. 10-12 months
C. 14-16 months
D. 12-13 months

A

D. 12-13 months

72
Q

When the infant becomes 9-month old, the following would be an abnormal finding

A. Posterior fontanel is closed
B. He sits only with support
C. He rolls over
D. He shows fear toward stranger

A

B. He sits only with support

73
Q

The first temporary teeth to appear is the:

A. two upper central incisors
B. two lower central incisors
C. first molars
D. two lower lateral incisors

A

B. two lower central incisors

74
Q

Conie Reyes is sitting with her 18-month old daughter, Cathy, at the well-baby clinic. She tells the Nurse that Cathy has been driving her “crazy” by saying “no” to everything, and she needs help in handling her. The nurse explains to Mrs. Reyes that Cathy’s negativism is normal for a toddler and that this helps her daughter meet which of the following needs?

A. Discipline
B. Trust
C. Independence
D. Consistency

A

C. Independence

75
Q

Before, Mrs. Reyes leaves the clinic, the Nurse tells her she can best help Cathy learn to control her own behavior at this age is:

A. Setting limits and being consistent
B. Punishing her when she deserves it
C. Allowing her to learn by her mistakes
D. Recognizing that she is too young to be controlled.

A

A. Setting limits and being consistent

76
Q

In assessing a child’d growth and development, the nurse should be guided by the following principles, EXCEPT;

A. All individuals follow cephalo-caudal and proximo-distal
B. All individuals follow standard growth rate
C. Rate and pattern of growth can be modified
D. Different parts of the body grow and develop at different rates

A

B. All individuals follow standard growth rate

77
Q

Because toddlers engage in parallel play, they enjoy doing the following

A. Playing games such as tag
B. Dramatic play
C. Playing alongside other children but not with them
D. Sharing toys with other children

A

C. Playing alongside other children but not with them

78
Q

The following response to hospitalization is typically seen during the toddler years

A. He may begin soiling himself, although he has been recently toilet trained
B. He quickly adjusts to the new schedule of the hospital setting
C. He responds positively to those staff persons who do not hurt him
D. He will transfer trust to another adult

A

A. He may begin soiling himself, although he has been recently toilet trained

79
Q

The following is FALSE in handling negativistic behavior:

A. The adult should not use opposition to overcome opposition on a child
B. The adult should avoid giving too many commands or interrupting his activities too frequently
C. The adult should help the child to participate in what is expected of him by giving physical help
D. To achieve discipline restrictions must be employed

A

D. To achieve discipline restrictions must be employed

80
Q

In counseling parents about the development of fears during the preschool period, the nurse should advise them of the following:

A. Fears are the result of elementary logical conclusions
B. Fears are best dealt with by ignoring them
C. Professional help is always required to adequately help the child
D. Fears are best handled by actively involving the child in dealing with them directly

A

D. Fears are best handled by actively involving the child in dealing with them directly

81
Q

A mother is concerned because her 4-year-old child is constantly talking to an imaginary friend. You will advise the mother about this behavior in the following way

A. This is most often seen in emotionally disturbed child
B. This is abnormal and should be discouraged
C. This is normal and satisfies emotional needs
D. This is most often associated with retarded children

A

C. This is normal and satisfies emotional needs

82
Q

A four year old must be referred to a psychiatrist in the following conditions:

A. talks to an imaginary companion
B. masturbates
C. selfish and impatient
D. plays alone all the time & do not interact with others

A

D. plays alone all the time & do not interact with others

83
Q

A 4-year old refuses to go to sleep without a light on. How can a mother get him to give up the night-light?

A. Tell him that he is too old for the nightlight
B. Let him go to bed with the night light, then turn it off when he’s asleep
C. Give him a flashlight and tell him to use it to explore the darkroom
D. Let him turn the light on and off as he wishes. He will give it up when he does not need it any more

A

D. Let him turn the light on and off as he wishes. He will give it up when he does not need it any more

84
Q

According to Erikson, the school-age child may feel “inferior” if he experiences the following

A. He is expected to assume some household chores
B. He is encouraged to attempt projects beyond his abilities
C. He has parents who provide consistent discipline
D. He has 3 younger siblings

A

B. He is encouraged to attempt projects beyond his abilities

85
Q

Which of the following statements regarding adolescent sexual maturation is correct?

A. Boys begin developing at different ages but develop at about the same rate
B. Boys finish maturing before girls
C. The rate of development differs greatly from individual to individual
D. Boys usually mature faster than girls

A

C. The rate of development differs greatly from individual to individual

86
Q

During assessment of 3-year old child, the nurse would expect the child would be least skilled in

A. Riding a tricycle
B. Stringing large beads
C. Tying shoelaces
D. Using blunt scissors

A

C. Tying shoelaces

87
Q

Which congenital anomaly, which is incompatible with life:

A. Polydactyly
B. Tetralogy of Fallot
C. Encephalocele
D. Anencephaly

A

D. Anencephaly

88
Q

Which of the following approaches would work best when the nurse is communicating with an infant?

A. Use an adult voice just as you would for anyone
B. Communicate through the caregivers
C. Allow the child time to warm up to the nurse
D. Respond only after the child cries for a while

A

A. Use an adult voice just as you would for anyone

89
Q

What endocrine problems in the mother that result to large babies?

A. Hypothyroidism
B. Hyperthyroidism
C. Diabetes
D. Goiter

A

C. Diabetes

90
Q

A cretin baby is produced by a mother during pregnancy with:

A. Uterine Myoma
B. Diabetes
C. Hypothyroidism
D. Anemia

A

C. Hypothyroidism

91
Q

The mother tells you that her baby according to the doctor has Syndactyly which means;

A. Presence of extra digit of the extremities
B. The fusion of two or more digits of an extremities
C. Absence of toes or fingers
D. Absence of an extra digit of an extremity

A

B. The fusion of two or more digits of an extremities

92
Q

Peer relationships are important to the school age child. Which of the following is a characteristic of a 9-year old child?

A. Boys and girls love to play together
B. Boys and girls begin to have social interaction
C. Activities are very complete
D. Loyalty and affiliation are directed to a same-sex peer group

A

D. Loyalty and affiliation are directed to a same-sex peer group

93
Q

A normal 3-month old infant in UNLIKELY to do which of the following?

A. smile in response to human face
B. cry when hungry
C. produce vocal sounds
D. cry at presence of strangers

A

D. cry at presence of strangers

94
Q

When assessing the weight of a 6-month old infant, which one is healthy?

A. doubling the birth weight
B. tripling the birth weight
C. stabilizing the birth weight
quadrupling the birth weight

A

A. doubling the birth weight

95
Q

Baby girl Caryl born vaginally was determined to be large for gestational age. The nurse would assess this newborn carefully for:

A. increased intracranial pressure
B. decreased red blood cells (anemia)
C. hypothermia
D. hyperglycemia

A

A. increased intracranial pressure

96
Q

The theory that describes cognitive development of the child is that of:

A. Kolberg
B. Freud
C. Piaget
D. Erickson

A

C. Piaget

97
Q

An adult who loves to eat, smoke and an orator is fixated at what stage of the psychosexual stages?

A. oral
B. phallic
C. anal
D. latency

A

A. oral

98
Q

This stage of growth and development is from one year to three years;

A. Preschool Stage
B. Neonatal Stage
C. Infancy Period
D. Toddler

A

D. Toddler

99
Q

A “typical” toddler stands

A. With a characteristic pot belly
B. With a rounded back
C. Tall and slender
D. With assistance only

A

A. With a characteristic pot belly

Competency Appraisal (4 decks)

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