NUR 320 Sherpath Quizzes

Which statement can the nurse use to educate the parent on leaving a child who shows emotional distress when having to leave the parent? A. Separations should be accomplished swiftly without dwelling on the separation B. The mother should reciprocate and show the child that she too is emotionally a bit upset C. Separations should not be done too fast as this can create emotional turmoil in the child D. Separations should be accomplished swiftly, and with repeated emphasis on reassuring the child that the mother will return shortly

(A) Separations should be accomplished swiftly without dwelling on the separation

The nurse is assessing a newborn and notes that the head circumference is 13 inches and the chest circumference is 11 inches. What conclusion can be made by the nurse about this ratio? A. The newborn has a cardiovascular anomaly B. The newborn is presenting with a normal growth pattern C. The newborn is at risk of having microcephaly and neuro referral is needed D. The child may have a developmental delay as the head should be at least 17 inches at birth

(B) The newborn is presenting with a normal growth pattern

A mother presents to the nurse and states, "just recently my child has developed a positive, 'can-do' attitude towards all of her tasks." Based on this comment the child has recently reached which stage of psychosocial development according to Erikson? A. Initiative vs guilt B. Trust vs mistrust C. Identity vs role confusion D. Autonomy vs shame and doubt

(A) Initiative vs guilt

According to Piaget's cognitive theory, which concept is demonstrated by an infant looking for a pacifier that has fallen out of the crib? A. Object permanence B. Operational thought C. Preoperational thought D. Concrete operational thought

(A) Object permanence

A child prefers to be with friends rather than with parents. The child is demonstrating which of Kohlberg's levels of morality? A. The level of premorality (stage 1) B. The level of premorality (stage 2) C. Level of conventional role conformity D. Level of self-accepted moral principles

(D) Level of self-accepted moral principles

The nurse is caring for a 17-year-old patient who was admitted for attempted suicide. The patient will not speak to anybody. Which is the best action the nurse can take to help facilitate communication with the patient? A. Provide the patient with a journal to write down her thoughts B. Provide toys and games to play with C. Make sure to use phrases which include "you" when speaking with the patient D. Ask the patient directly how she feels

(A) Provide the patient with a journal to write down her thoughts

A 6-month-old child presents with vesicular lesions in the mouth and on the hands with a fever of 102.5° F. What should the nurse consider about doing next? A. Recommend symptomatic treatment B. Remind mother to offer warm milk to the child C. Advise parents about immunization as a preventive measure D. Ask parents if prophylactic antibiotic was started for other family members

(A) Recommend symptomatic treatment

Order the stage of psychosexual development as they occur in chronological order

-Oral stage: infancy -Anal stage: toddlerhood -Phallic stage: pre school -Latency stage: school age -Puberty: adolescence

The progression of function in infants can be described by which patterns of growth and development? A. Simple to complex B. General to specific C. Complex to simple D. Specific to general E. functional to nonfunctional

(A & B) Simple to complex & general to specific,

What other health issues are often seen in infants diagnosed with atopic dermatitis? A. Asthma B. Anemia C. Allergic rhinitis D. Seborrhea dermatitis E. Colic

(A & C) Asthma & allergic rhinitis

Multifactorial birth defects result because of a combination of which two factors? A. Genetics B. Economic C. Environment D. Physiological E. Psychological

(A & C) Genetics & environment

A mother has brought in her infant for the infant's 6-month well-child checkup. You notice the infant's left eye intermittently not aligning with the right eye and an inability to focus both eyes on the same spot. What is the appropriate response? A. Ensure the infant's "red reflex" is normal B. Place the infant in isolation as this can be a sign of conjunctivitis C. Do nothing, as infants do not gain extraocular eye coordination until 9 months of age D. Stress the importance of eye exercises to help prevent worsening of the condition E. Notify the child's provider, as extraocular eye alignment should be achieved by 6 months of age

(A & E) Ensure the infant's "red reflex" is normal & notify the child's provider, as extraocular eye alignment should be achieved by 6 months of age

A rapid pace of growth is common in which age group? A. From birth to 2 years B. From 10 years to puberty C. From 2 years to 10 years D. From 16 to approx. 24 years E. From puberty to 15 years

(A & E) From birth to 2 years & from puberty to 15 years

A 5-year-old who steals money from his or her mother's purse and does not understand consequences is likely at which stage of morality? A. Premorality/preconventional morality B. Morality of conventional role conformity C. Morality of self-accepted moral principles D. Morality of nonconventional role conformity E. Instrumental hedonism and concrete reciprocity

(A & E) Premorality/preconventional morality & instrumental hedonism and concrete reciprocity

The nurse is speaking with a parent of a 6-week-old. The parent is concerned that she is not providing for the needs of her child. What statement by the parent represents that she requires more education by the nurse? A. "I know that my baby does not understand what I am saying, so I usually do not speak to her." B. "I love when my baby is smiling and cooing since this can be interpreted as being happy." C. "Even though my baby cannot speak, I know that she can use certain cues to communicate with me." D. "When the baby cries, I check to make sure her diaper is dry and to see if she is hungry."

(A) "I know that my baby does not understand what I am saying, so I usually do not speak to her."

The nurse is talking with the caregiver of a patient diagnosed with Lyme disease. Which statement by the patient will have a negative impact on their recovery? A. "I realize I need to take doxycycline for five days." B. "I understand that the "bull's eye" rash will last 4 weeks." C. "I'll make sure we wear bug spray when heading out to the woods next time." D. "If the child doesn't get adequate treatment, the child could have cardiac issues."

(A) "I realize I need to take doxycycline for five days."

The nurse is caring for a 10-year-old newly admitted patient. The nurse gives the parents of the child information regarding HIPAA and confidentiality. Which statement by the parents indicates that they understand the laws regarding privacy and confidentiality? A. "We understand that other attending health care providers can review our child's record as needed." B. "We can't request a copy of our child's medical record because he is a minor." C. "If somebody calls the hospital for medical information regarding our child, it will be given to them." D. "Our child's medical records will automatically be sent to his school."

(A) "We understand that other attending health care providers can review our child's record as needed."

A typical dietary pattern for optimal growth and development includes which proportions of fat, carbohydrate, and protein? A. 20% fat, 50% carbohydrate, and 30% protein B. 50% fat, 30% carbohydrate, and 20% protein C. 15% fat, 35% carbohydrate, and 50% protein D. 40% fat, 40% carbohydrate and 20% protein

(A) 20% fat, 50% carbohydrate, and 30% protein

A weight gain of 1.49 lb (0.68 kg) per month is expected from birth until which month? A. 6 months B. 8 months C. 10 months D. 12 months

(A) 6 months

An incoming nurse is receiving a shift report from an outgoing nurse. Which intervention for a 3-year-old child with bronchiolitis and confirmed respiratory syncytial virus (RSV) should the incoming nurse question? A. Administer aspirin as ordered B. Provide humidification as scheduled C. Encourage cool fluids based on the child's preference D. Monitoring for irritability, fever, and tugging at the ears

(A) Administer aspirin as ordered

What is a child at the concrete operational stage able to understand? A. Fact vs. fiction B. Socialized thinking C. Abstract thinking D. Far past and far future events

(A) Fact vs. fiction

What consequences may result if an infant's needs are ignored by the parent? A. Feelings of insecurity B. Emotional resilience C. An early development of independence D. Inappropriate survival mechanism development

(A) Feelings of insecurity

A parent reports concern that his or her preschool child has difficulty following directions. The nurse should recommend which actions by the parent to help the child with this task? A. Giving the child specific direction B. Telling the child he or she could do it better next time C. Explaining the directions in more detail next time D. Reminding the child that good children always listen

(A) Giving the child specific direction

A child recovering from an acute bacterial infection presents with watery diarrhea and abdominal pain 7 days after starting a course of antibiotics. Which statement anticipates the next course of action for the child? A. The child has developed Clostridium difficile B. The child has developed an allergy to the antibiotic C. The dose of the antibiotics was incorrect and needs to be recalculated D. The bacterial infection has spread to the GI tract and therefore the antibiotics are not effective

(A) The child has developed Clostridium difficile

Which nutritional concerns may be observed in the 11-month-old infant who is exclusively breastfed with no other food intake? A. Acute failure to thrive (FTT) B. Iron deficiency anemia C. Vitamin D deficiency D. Chronic FTT E. Food allergy

(A,B,C) Acute failure to thrive (FTT), iron deficiency anemia, & vitamin D deficiency

Which important anticipatory guidance would parents need to learn prior to the development of the infant's pincer grasp (around 9 months of age)? A. Electrical outlets should be covered with socket safety panels B. Parents should place stove pot handles away from the child's reach C. Parents should keep unsafe objects locked out of reach of the infant D. The infant's food items should be cut into small, manageable pieces E. Parents should place hand protectors on the child to help protect them from injury

(A,B,C,D) Electrical outlets should be covered with socket safety panels, parents should place stove pot handles away from the child's reach, parents should keep unsafe objects locked out of reach of the infant, & the infant's food items should be cut into small, manageable pieces

Children should be included in the interview process as much as possible. What factor(s) should the nurse take into account when including a child in the interview process? A. The developmental level of the child B. The age of the child C. The physical health of the child D. The ability of the child to communicate verbally E. Whether the child wants to be involved or not F. The length of time allotted for the interview

(A,B,C,D) The developmental level of the child, the age of the child, the ability of the child to communicate verbally & the physical health of the child

Which developmental milestones are normal for a 10-year-old child? A. Back-talking to parents B. Interest in the opposite sex C. Interest in getting a cell phone D. Unwillingness to venture too far from the home E. Being upset when artwork does not look like others

(A,B,C,E) Back-talking to parents, interest in the opposite sex, interest in getting a cell phone, & being upset when artwork does not look like others

Which symptoms are associated with food allergies? A. Vomiting B. Wheezing C. Growth failure D. Bruising E. Abdominal pain F. Rash

(A,B,C,E,F) Vomiting, wheezing, growth failure, abdominal pain, & rash

Which series of activities best reflects the motor development of an infant from 1 month of age to 4 months? A. At 4 months, the rooting reflex disappears B. At 1 month, the child will hold a fist tightly clenched C. At 3 months the child will be able to crawl a minimal distance D. At 3 months the child will be able to lift the head 90 degrees from a prone position E. At 4 months the child can hold the head steadily erect in a sitting position

(A,B,D,E) At 4 months, the rooting reflex disappears, at 1 month, the child will hold a fist tightly clenched, at 3 months the child will be able to lift the head 90 degrees from a prone position, & at 4 months the child can hold the head steadily erect in a sitting position

Which are the major psychosocial developments that should occur during adolescence? A. Becoming independent B. Determining gender identity C. Increasing desire to please others D. Developing a sense of industry E. Solidifying future plans for an occupation

(A,B,E) Becoming independent, determining gender identity, & solidifying future plans for an occupation

A 6-month-old infant is brought to the clinic and after assessing the child's head circumference, the nurse notes that the head circumference for this baby has gone from the 50th percentile to 10th percentile since the 2-month visit. What might this indicate? A. A delay in skull growth B. A below-normal intelligence C. Disturbances in nutrition intake D. A problem with brain development E. Issues with physical development

(A,C,D) A delay in skull growth, disturbances in nutrition intake, & a problem with brain development

Which motor skills should be developed in the preschool child? A. Playing hopscotch B. Cutting paper using safety scissors C. Drawing a picture of his or her home and pets D. Balancing on each foot for one second E. Riding a bicycle without training wheels

(A,C,D) Playing hopscotch, drawing a picture of his or her home and pets, & balancing on each foot for one second

What are known protective measures against Sudden Infant Death Syndrome (SIDS) during Infancy? A. Supine position to sleep B. Side-lying position to sleep C. Use of a pacifier D. Breastfeeding E. Cardiorespiratory monitoring

(A,C,D) Supine position to sleep, use of a pacifier, & breastfeeding

The nurse is caring for a 6-year-old patient whose family is from Puerto Rico. What action(s) should the nurse take prior to starting the interview to ensure she is providing culturally competent care? A. Assess the parents and child regarding their preferred language B. Ask the unit partner who speaks Spanish for assistance speaking to the family C. Ask the parents for the person within the family that is responsible for health care decisions D.The nurse should not let personal prejudices impede the care of the patient E. Enlist the help of a trained interpreter via the hospital translator phone service

(A,C,D,E) Assess the parents and child regarding their preferred language, ask the parents for the person within the family that is responsible for health care decisions, the nurse should not let personal prejudices impede the care of the patient, & enlist the help of a trained interpreter via the hospital translator phone service

Listening is essential to effective communication. Which factor(s) is true when defining listening? A. Listening is an active process B. It is only considered listening when the person is using verbal communication C. Distraction can impede a person from listening D. Listening allows a person to show empathy E. The purpose of listening is to understand

(A,C,D,E) Listening is an active process, distraction can impede a person from listening, listening allows a person to show empathy, & the purpose of listening is to understand

Which two influences on growth and development increase the risk of occurrence of multifactorial birth defects? A. If the child is female, the risk for multifactorial birth defects will increase B. If one close relative has a severe form of the defect, then the risk for multifactorial birth defects increases C. A risk for multifactorial birth defects increases if the mother has gestational diabetes D. If several close relatives have the defect, whether mild or severe, it will increase the risk for multifactorial birth defects E. If the mother is exposed to harmful chemicals during pregnancy, then the child is at increased risk for multifactorial birth defects

(B & D) If one close relative has a severe form of the defect, then the risk for multifactorial birth defects increases & if several close relatives have the defect, whether mild or severe, it will increase the risk for multifactorial birth defects

A mother of a 3-month-old infant is requesting information on the motor milestones she can expect to see in her child. The nurse can tell the parent to expect to see which activities at 3 months? A. Puts foot in mouth B. Places hand in mouth C. Turns from back to abdomen D. Turns from abdomen to back E.Can lift head off bed in prone position

(B & E) Places hand in mouth & can lift head off bed in prone position

A parent reports concern that her preschool child is not as coordinated at sports as other children. Which statement by the nurse is most appropriate to address this concern? A. "All children should be at the same level by 4 years old." B. "Children develop differently and practicing will help." C. "This sounds like a balance problem that needs follow-up." D. "Your child should be able to throw and catch a ball by now."

(B) "Children develop differently and practicing will help."

Which instructions by the nurse would be appropriate for the school-age child who is active in sports? A. "As long as it isn't hot, you can play." B. "Rest often and drink plenty of water." C. "If you are sweating, then take a break." D. "Stop playing sports when you feel tired."

(B) "Rest often and drink plenty of water."

A 2-year-old patient presents with a carbuncle that does not respond to methicillin treatment 1 week after starting in a new daycare. Which statement by the parent indicates readiness for the next course of action? A. "Strict isolation precautions are needed for my child." B. "The provider may need to lance the area to drain its contents." C. "I don't understand why my child has this infection; my child has not been in the hospital recently." D. "My friend's child had this same skin infection. I know that we need another dose of the methicillin."

(B) "The provider may need to lance the area to drain its contents."

The nurse is discussing care with a 7-year-old girl who is diagnosed with Kawasaki disease. The nurse understands the relationship between the child's developmental level and communication when making which statement? A. "It is important to rest during this time and not participate in any activities." B. "The rash on your body will go away with the medicine that we are giving you. It is not a permanent rash." C. "I know that you want to know why you have this disease, but it is important to rest right now." D. "I see that you have a teddy bear with you. We will need to have your parents take your teddy bear home until you are feeling better."

(B) "The rash on your body will go away with the medicine that we are giving you. It is not a permanent rash."

Which is the best response to a parent's concern that his 6-year-old frequently lies to get out of trouble? A. "Children this age are aware of rules and should not lie." B. "This is normal and you can set an example for what is right." C. "Lying is expected for children this age and should be ignored." D. "A school-age child may tell lies to avoid embarrassment. Strict punishment should be enforced."

(B) "This is normal and you can set an example for what is right."

What is the process of physical growth in boys and girls from early school-age to age 12? A. By age 10 boys are heavier and taller than girls B. By age 12 girls are taller and heavier than boys C. Boys are shorter than girls during early school-age but are the same weight D. Girls are heavier than boys during early school-age but are the same height

(B) By age 12 girls are taller and heavier than boys

Which statement differentiates rubella and rubeola from Epstein-Barr virus (EBV) and cytomegalovirus (CMV)? A. Rubella and rubeola are double-stranded DNA viruses while CMV and EBV are RNA viruses B. CMV and EBV are double-stranded DNA viruses while rubella and rubeola are both RNA viruses C. Rubella and rubeola can be transmitted by saliva while CMV and EBV can be transmitted by direct contact D. CMV and EBV are single-stranded DNA viruses while rubella and rubeola are double-stranded RNA viruses

(B) CMV and EBV are double-stranded DNA viruses while rubella and rubeola are both RNA viruses

A mother of a 10-month-old comes to the nurse concerned that her child has had two upper respiratory infections in one month and asks if something is wrong with her child. How can the nurse respond? A. To prevent infection the infant will need prophylactic antibiotics B. Infants have an immature immune system, which makes them susceptible to infections C. An infant's immune system should be developed by 6 months and so the child needs further evaluation D. The infant's infections are a sign that the child will develop asthma

(B) Infants have an immature immune system, which makes them susceptible to infections

Which statement reflects a child's ability to develop autonomy according to Erikson? A. The child learns to do chores B. The child is able to pour milk from a cup C. The child speaks in an appropriate tone of voice D. The child no longer cries when taken from the mother

(B) The child is able to pour milk from a cup

The nurse knows that it is important to use therapeutic communication when speaking with families. Which statement represents the goal of therapeutic communication? A. The goal of therapeutic communication is to streamline the conversations with patients and families B. The goal of therapeutic communication is to establish a relationship with the patient and family that is built on trust and respect C. The goal of therapeutic communication is to ensure the family hears what the nurse is saying when communicating with them D. The goal of therapeutic communication is to persuade the patient and family to use a particular treatment

(B) The goal of therapeutic communication is to establish a relationship with the patient and family that is built on trust and respect

Communication blocks can hinder the relationship between a nurse and the patient/family. Which action(s) are considered barriers or blocks by the nurse to the communication between the nurse and the family? A. The nurse giving advice when asked by the parents B. When the nurse talks more than the parents C. Using positive feedback regarding statements that are made by the parents D. When the nurse interrupts or finishes the parents' sentences E. Asking closed-ended, direct questions to the parents F. Using stereotyping or cliché phrases during the interview

(B, D,E,F) When the nurse talks more than the parents, When the nurse interrupts or finishes the parents' sentences, asking closed-ended, direct questions to the parents, & using stereotyping or cliché phrases during the interview

A 16-year-old presents 2 years after a leg fracture from a sports injury reporting the leg is still bothering him and requests a new prescription of oxycodone. The patient has constricted pupils, a detached affect, and appears drowsy. Which additional assessment findings support the nurse's suspicion of opiate abuse? A. Hallucinations B. Poor skin turgor C. Signs of malnutrition D. Disheveled appearance E. Oral temperature 100.2° F (37.9° C)

(B,C,D) Poor skin turgor, signs of malnutrition & disheveled appearance

Which instructions could the nurse provide to parents to encourage self-esteem of the school-age child? A. Complete her homework so she can get good grades B. Tell her "I love you" and give her a hug before leaving C. Give her a chore chart with things she can do each day D. Encourage her to do better by pointing out all mistakes E. Allow her to solve problems and make responsible choices

(B,C,E) Tell her "I love you" and give her a hug before leaving, give her a chore chart with things she can do each day, & allow her to solve problems and make responsible choices

Which statement(s) regarding infant colic should be included in nursing education material given new mothers? A. "The infant is usually not gaining weight. B. "Infant colic usually resolves around 12 to 16 weeks of age." C. "Infant colic often occurs in the early morning hours." D. "There is usually no underlying cause of infant colic. E. "Oral administration of probiotic may be helpful in treating infant colic."

(B,D,E) "Infant colic usually resolves around 12 to 16 weeks of age.", "There is usually no underlying cause of infant colic.", & "Oral administration of probiotic may be helpful in treating infant colic."

Which physical changes are normally seen as an infant transitions into a toddler? A. Cherub appearance B. Protruding abdomen C. Increased adipose tissue D. Excessive curve of the back E. Wide gap between knees when standing erect

(B,D,E) Protruding abdomen, excessive curve of the back, & wide gap between knees when standing erect

A 2-year-old child, who is HIV positive, is brought to the ER due to skin rashes that first appeared on the trunk and scalp. The mother also reports that the child appeared weak and had a mild fever before the lesion erupted. Which actions are appropriate for the nurse to take? A. Administer varicella vaccine as ordered B. Administer aspirin as ordered by provider C. Administer intravenous (IV) acyclovir as ordered D. Admit child in a private room with strict isolation E. Follow-up with health care provider in the morning

(C & D) Administer intravenous (IV) acyclovir as ordered & admit child in a private room with strict isolation

Which head circumference measurement would be expected for a two-year-old whose head circumference was 18 inches at the 12-month checkup? A. 18 inches B. 17 inches C. 19.5 inches D. 21.5 inches

(C) 19.5 inches

The nurse is observing a mother who is interacting with her infant and notices the infant trying to imitate the sounds that the mother is making. The nurse knows that the child must be at least what age? A. 3-4 months B. 4-6 months C. 6-8 months D. 1-3 months

(C) 6-8 months

Which statement best characterizes the early adolescent mindset regarding body image and self-perception? A. Unaware of physical changes B. Comfortable in his or her body C. Concerned only with him/herself D. Not concerned about body changes

(C) Concerned only with him/herself

How does Erickson's theory of child development influence pediatric nursing? A. It provides a rationale for appropriate punishment of children B. It provides a theoretical basis for teaching children life skills for the future C. It provides a theoretical basis for the emotional care required for nursing D. It provides feedback for thoroughly understanding why children may get sick

(C) It provides a theoretical basis for the emotional care required for nursing

According to Holland-Hall and Burnstein, which developmental change in the brain allows for the adolescent's ability to think critically and solve problems? A. Demyelization B. Increased brain size C. Neuron maturation D. Decreased cortex growth

(C) Neuron maturation

A nurse is measuring the height and weight of a 4-year-old child during the well-child visit. The child's parents comment that they are concerned that the child's growth seems to have slowed down since the child was a toddler. The nurse knows that this is because of which factors? A. The child may be neglected at home B. The child likely has a growth disorder C. Normal growth slows down in this age group D. The child isn't taking in enough calories for their age

(C) Normal growth slows down in this age group

Parent--infant attachment is the most important association for which type of development? A. Biological B. Physiological C. Psychosocial D. Sociocultural

(C) Psychosocial

A woman is found to have gonorrhea in the third trimester. Which consideration is priority for this patient? A. The patient will receive vaccination against gonorrhea B. The patient will need to be screened for PID and so will the child when she is a teenager C. The patient will need to be screened for PID and the baby will need special eye care at birth D. The patient is at risk for cervical cancer and the baby will need antibiotics 3 to 21 days after birth

(C) The patient will need to be screened for PID and the baby will need special eye care at birth

A 5-month-old child comes to the ER with the parent due to rhinorrhea, lacrimation, mild cough, and low-grade fever for 5 days. Which consideration should guide the nurse in caring for this child? A. The infant will require steroid therapy B. The nurse should anticipate for intubation C. This infant is at high risk for complications D. The infant will need an immunization immediately

(C) This infant is at high risk for complications

A 2-year-old is seen in the ER accompanied by parents with reports of fever, poor appetite, and rash on palms and soles of the feet that appeared 3-4 days ago. The family went on a camping 10 days ago. Which actions should the nurse consider doing next? A. Administer penicillin B. Use contact precautions C. Administer aspirin for fever D. Educate parents on how to avoid ticks E. Provide proper oral care after the administration of antibiotics

(D & E) Educate parents on how to avoid ticks & provide proper oral care after the administration of antibiotics

Which developmental changes are expected in females beginning with menarche? A. Regular periods B. Budding of breasts C. Ovulation D. Increase in progesterone E. Increase in estrogen

(D & E) Ovulation & increase in estrogen

Which report by a parent would indicate normal social development of the 2-year-old patient? A. "He doesn't care at all when I leave him." B. "He only talks to himself, and not to me." C. "I never really know what he is saying to me." D. "He will play next to another child and watch the child, but won't interact with the child."

(D) "He will play next to another child and watch the child, but won't interact with the child."

Which statement by the mother indicates understanding of an apparent life-threatening event (ALTE)? A. "I am so scared because my baby was just diagnosed with an apparent life-threatening event." B. "Even though my baby experienced an apparent life-threatening event, he is not at higher risk for SIDS." C. "My baby experienced an apparent life-threatening event, which is considered a near-miss SIDS event." D. "My baby experienced an apparent life-threatening event, but he did not experience a SIDS event that was stopped."

(D) "My baby experienced an apparent life-threatening event, but he did not experience a SIDS event that was stopped."

A 14-year-old female patient tells the nurse she is concerned about being taller than her peers and is worried she will continue to grow in height. Which question by the nurse is most useful for giving guidance regarding expected changes in height related to puberty? A. "How tall is your mother?" B. "What was your height at age 11?" C. "Have you noticed any pubic hair?" D. "When did you start menstruation?"

(D) "When did you start menstruation?"

A new mother at the clinic asks at what age her baby will be able to actively participate in a game of pat-a-cake with her. Which would be the correct response from the nurse? A. 4 months B. 6 months C. 9 months D. 12 months

(D) 12 months

The nurse on the Pediatric unit is wearing a gown and gloves. Which patient does the nurse care for? A. A 2-year-old with varicella B. An 18-month-old with rubeola C. A 4-month-old with fifth disease D. A 9-month-old with respiratory syncytial virus (RSV)

(D) A 9-month-old with respiratory syncytial virus (RSV)

In which scenario would a nurse anticipate managing a patient with relapsing fever? A. A child who lives with a family in northern Wisconsin B. A child in the ER who lives on the eastern seaboard C. A child in the ER who visits a summer camp in Connecticut D. A child in the ER who lives in the western mountain region of California

(D) A child in the ER who lives in the western mountain region of California

A young woman asks the nurse about HSV2. The nurse should include which statements when speaking to the adolescent about HSV2? A. A vaccine is available for HSV2 B. HSV2 can be treated with imiquimod C. In certain patients this can cause cervical cancer D. A topical antibiotic is available for those with ocular herpes

(D) A topical antibiotic is available for those with ocular herpes

The mother of a newborn child enquires about having her child's hearing checked. What is the best response by the nurse? A. All newborns should be screened before 1 year of age B. At 6 months you can return and we will screen your infant C. Your newborn will be screened at the four-month well-baby visit D. All newborns should be screened for hearing before one month of age

(D) All newborns should be screened for hearing before one month of age

Which action by the nurse would be most appropriate when preparing the preschool child for a medical procedure? A. Telling the child he or she will get a sticker if he or she does not cry at all B. Explaining the entire sequence of the procedure to the child C. Avoiding giving the medical procedure equipment silly names D. Allow the child to practice the procedure on a stuffed bear

(D) Allow the child to practice the procedure on a stuffed bear

Which action by the nurse when caring for the preschool child is appropriate, given preschoolers' level of independence? A. Allowing the child to brush teeth alone B. Hand-feeding the child during mealtimes and snacks C. Explaining the entire procedure for ear tube surgery D. Allowing the child to put on the exam gown by him- or herself

(D) Allowing the child to put on the exam gown by him- or herself

Which activity for play therapy would be most appropriate for the nurse to suggest for the hospitalized preschool child? A. Reading riddles and jokes B. Playing complex a card game C. Holding onto a push-pull toy D. Coloring with colored pencils

(D) Coloring with colored pencils

Which one of the following developmental characteristics explains why a toddler frequently uses the words me, I, and mine? A. Animism B. Ritualism C. Negativism D. Egocentrism

(D) Egocentrism

The nurse is caring for a 15-year-old adolescent who presents with mononucleosis-like symptoms with prolonged fever, sore throat, body aches, and icteric sclera. Which action should the nurse take? A. Observe droplet precautions B. Administer acyclovir as ordered C. Obtain blood samples for hepatitis testing D. Establish an effective method of communication

(D) Establish an effective method of communication

At which age should infants achieve proper eye coordination? A. Infants should achieve proper eye coordination by 2 weeks to 1 month B. Infants should achieve proper eye coordination by 1-2 months C. Infants should achieve proper eye coordination by 2 to 4 months D. Infants should achieve proper eye coordination by 4 to 6 months

(D) Infants should achieve proper eye coordination by 4 to 6 months

A 12-month-old child presents to the clinic by the mother due to fever, vesicular lesions on the hands and feet, and crying episodes mostly when feeding. Which action by the nurse is a priority? A. Use a facemask B. Wear a face shield C. Wear gown and goggles D. Institute proper hand washing

(D) Institute proper hand washing

What important parental guidance advisory needs should caregivers be reminded of when discussing motor development in the toddler? A. Encourage the toddler to walk because he or she will fall down when running B. Keep the toddler in a crib until 3 years of age, even if he or she tries to climb out C. As motor development increases, allow the toddler to use a toothbrush unsupervised D. Motor development in this age group is far ahead of development of judgment and perception

(D) Motor development in this age group is far ahead of development of judgment and perception

A 19-year-old female patient is diagnosed with gonorrhea. Which condition related to gonorrhea is a priority to treat? A. Urethritis B. Anogenital warts C. Ophthalmia neonatorum D. Pelvic inflammatory disease (PID)

(D) Pelvic inflammatory disease (PID)

A school-age child asks the school nurse about sexual development, which indicates that the child is in which Freudian stage of development? A. Anal stage B. Latency stage C. Genital stage D. Phallic or Oedipal/Electra stage

(D) Phallic or Oedipal/Electra stage

How can the parent-infant attachment be strengthened immediately after birth? A. The mother needs to have time alone to ensure she does not overwhelm the child B. A mother should cuddle with the baby but allow the child to cry alone if the baby is upset C. The mother should give the infant some space to allow for natural biological development D. Reciprocal interactions that include holding the child, touching the child, and speaking gently to the child

(D) Reciprocal interactions that include holding the child, touching the child, and speaking gently to the child

When caring for a toddler in the hospital, which nursing intervention is most developmentally appropriate? A. Not allowing the child to have a pacifier while in the hospital B. Allowing the child to decide if the nurse can perform a procedure C. Asking the parents to leave the room when performing an assessment D. Scheduling evening medications to follow the toddler's bedtime routine

(D) Scheduling evening medications to follow the toddler's bedtime routine

Which activity shows the school-age child has normal gross motor skill development? A. Tying shoelaces B. Drawing a picture C. Walking backwards D. Skipping on sidewalk

(D) Skipping on sidewalk

How does the ability for a 24-month-old to build a two-block tower demonstrate a toddler's fine motor development? A. The ability to stack one block on top of another demonstrates an improvement in the toddler's balance B. The ability to stack one block on top of another demonstrates an improvement in the toddler's autonomy C. The ability to stack one block on top of another demonstrates an improvement in the toddler's visual acuity D. The ability to stack one block on top of another demonstrates an improvement in a toddler's hand-eye coordination

(D) The ability to stack one block on top of another demonstrates an improvement in a toddler's hand-eye coordination

A mother brings her 5-month-old infant to the clinic and is concerned that the child does not seem to smile as much as her niece, who is the same age. How will the nurse respond? A. This is normal as you can expect to see a smile at 6 months of age B. All children start to smile at a different age, so be patient. There is no need to worry C. This is a concern since the child should be showing a social smile by no later than 1 month of age D. This is a concern since the child should be showing a social smile by no later than 3 months of age

(D) This is a concern since the child should be showing a social smile by no later than 3 months of age

Which are the best resources to find an appropriate growth chart in assessing growth for a 1-year-old child? A. Food and Drug Administration growth chart B. American Academy of Pediatrics growth chart C. Center for Disease Control (CDC) growth charts for this age group D. World Health Organization (WHO) growth standards for this age group

(D) World Health Organization (WHO) growth standards for this age group

Match the activity with the age at which it is first exhibited

- 15 months: Walking independently - 18 months: Turning the pages as they are read to - 24 months: Dressing themselves - 36 months: Stacking multiple blocks to build towers

Match Freud's stage of psychosexual development to the corresponding activity

- Anal stage: Child is found playing with contents of diaper - Phallic stage: Child has an increased interest in genitals - Latency stage: Child's superego represses thoughts of sexuality - Puberty stage: Child experiences personal and family turmoil

Match the situation with the type of cognitive development

- Early adolescent abstract thinking: Understanding bad grades will harm chances of getting into college - Late adolescent abstract thinking: Analyzing career paths and taking pre-emptive action - Adolescent logical reasoning: Comprehending the importance of community recycling

Match the common cause of failure to thrive with the age at which it is most likely to be seen

- Neonate: failed breastfeeding - Early infancy: maternal depression - Late infancy: delayed introduction of nutritional foods - After infancy: lack of appropriate nutritional diet

Match the scenarios with the corresponding stages or levels of morality as stated by Kohlberg

- Premorality or preconventional morality, stage 0: Decisions are made on the basis of what pleases the child - Morality of conventional role conformity: Morality is based on avoiding disapproval or disturbing the conscience - Morality of self-accepted moral principles: Right is determined by what is best for the majority - Premorality or preconventional morality, stage 2: Child conforms to rules out of self-interest

Match the period of cognitive development with the appropriate characteristic

- Sensorimotor: Egocentric view of the world - Preoperational: Thinking is magical and dominated by perception - Concrete operational: Thinking becomes logical - Formal operational: Situations can be analyzed

Match the Tanner stage of male sexual development with the appropriate physical description

- Tanner stage 2: Enlarged, pink scrotum with long straight pubic hair - Tanner stage 3: Slightly curly, brown pubic hair with a penis slightly larger than a child's - Tanner stage 4: Dark scrotum and enlarged glans penis - Tanner stage 5: Pubic hair on inner thighs

A pre-adolescent male can expect physical changes to occur in which order?

- Testicular enlargement - Growth of pubic hair - Penile enlargement - Deeper voice - Axillary hair - Facial hair

A female patient who experienced her first period on her 13th birthday can expect her peak height to be achieved by age

15

The American Academy of Pediatrics recommends __ international units (IUs) of vitamin D per day as a supplement for infants who are breastfeeding as the sole source of their nutrition

400

Which would be the expected adult height for a toddler who is 34 inches tall at the 30-month checkup?

68