Health Promotion Ch. 22 Prep
The pregnant young adult asks the nurse when she will be able to hear the fetal heart beat. Which is the nurse's best response?
"At your 12-week appointment, you will be able to hear the heart beat by Doppler."
A nurse is providing care to a new mother who yesterday gave birth to a healthy neonate. The new mother asks, "I was reading that it's important to bond and attach with my baby. But is there a difference in the two?" Which response by the nurse demonstrates understanding of these two concepts?
"Bonding is the immediate connection you have with your baby while attachment occurs over the long term."
A nurse is teaching a "care of the infant" class and Kelly, one of the members, asks a question about how long her baby will be considered an "infant". Which of the following is the nurse's best response?
"From 1 month to 1 year"
A father is concerned because his 3-year-old daughter has been using the bathroom independently for the past 6 months, but has had a few "accidents" since her hospitalization. Which of the following is the nurse's best response?
"Her regressive behaviors are a reaction to being hospitalized."
The mother of a girl 6 years of age is exasperated at her daughter's persistent enuresis. How can the nurse best respond to this mother's concern?
"Most children outgrow their bedwetting at around your daughter's age or shortly after."
An 8-year-old girl is brought to the health care provider's office for a well-child visit. During the visit, the child's mother asks the nurse, "When should she get the human papillomavirus (HPV) vaccine? Which response by the nurse would be best?
"The first dose should be given at about 9 or 10 years of age."
A nurse is providing education to a group of new parents about ways to minimize the risk for sudden infant death syndrome (SIDS). The nurse determines that the teaching was successful based on which statement by the group? Select all that apply.
"We should put our baby on the back to sleep." "The sleeping surface should be firm." "The crib should be free of any soft objects or toys."
A nurse is counseling adolescents in a group home setting. Which statements accurately describe the cognitive and psychosocial development of this age group? Select all that apply.
- The concept of time and its passage enables the adolescent to set long-term goals. - According to Piaget, adolescence is the stage when the cognitive development of formal operations is developed. - According to Havighurst, more mature relationships with boys and girls are achieved by the adolescent.
The school nurse is teaching a class of 12-year-old children about nutrition for their age group. Which information should the nurse include? Select all that apply.
-Be sure you are getting enough vitamin D through milk and enriched grains. -Try to reduce the amount of salt you are adding to your food. -Calcium is an important part of your diet.
The nurse is teaching child safety and nutrition to a group of parents at a public health clinic. In answer to a question about childhood obesity, the nurse talks about the causes of school-age children being overweight. The nurse should include which of the following? Choose all that apply.
-Genetic and health factors-Diets that are high in saturated fats-Consuming more calories than expended-Lack of adequate, appropriate exercise
A nurse is assessing a 12-month-old infant who is brought to the clinic by the parents for well-child visit. The nurse reviews the infant's health history and notes that the infant weighed 8 lb at birth. When assessing the infant's weight at this visit, the nurse would anticipate that the infant would weight approximately how much at this time?
24 lbs
A nurse is teaching a "Preschool Childcare" class and Tiffany, one of the parents, asks when her toddler will have all of her baby teeth. Which of the following responses would be appropriate?
3 years old
When a nurse is working on a pediatric unit, which of the following clients would the nurse know has the greatest need for good nutrition?
5 month old
During a well-child visit, a mother says, "My child received a meningococcal vaccine at age 11." Which information should the nurse provide to this mother?
A booster shot at age 16 is recommended.
A nurse is caring for children in a children's hospital. Which child would the nurse expect to develop separation anxiety?
A newly hospitalized toddler
Which of the following statements explains how pregnancy affects the growth and development of the adolescent?
Affects the normal physical and maturation processes
A nurse is providing prenatal education to a group of pregnant teenagers. One of the group members asks how the baby develops soon after conception. Which is an accurate statement from the nurse about the embryonic stage?
All basic organs are established here
A nurse is teaching parents of preschoolers about normal development for this age group. Which teaching points would the nurse include? Select all that apply.
By 6 years of age, the preschooler's head is close to adult size.The preschooler's body is less chubby and more coordinated.The preschooler is able to skip, jump, and throw a ball.
A nurse is participating in a local community health fair. The nurse is providing information about sexually transmitted infections. Which infection would the nurse describe as being the most common?
Chlamydia
The parents of a 4-week-old infant bring the child to the health center because they are concerned about the infant's inconsolable crying. The nurse suspects that the infant may be experiencing colic based on which findings? Select all that apply.
Continuous crying lasts for about 3 to 4 hours, occurring almost every evening.Infant draws legs up to abdomen during crying episodes.
A nurse is providing care to a female adolescent diagnosed with binge eating disorder. The nurse understands that which situation is most often associated as the underlying issue with this disorder?
Depression
A nurse is counseling pregnant women about the detrimental effects of smoking and drinking on a fetus. During what stage of development is the fetus most susceptible to these teratogens?
Embryonic stage
At which stage of pregnancy is the developing fetus most at risk for developing congenital anomalies?
Embryonic stage
The nurse is caring for a female client 15 years of age who is hospitalized with a fractured ankle. Her father tells the nurse that this happened during a gymnastics lesson. He goes on to explain that every six or eight months it seems his daughter is trying something different; right now it is gymnastics. The nurse knows that this behavior fits with which of the following theorist's developmental tasks for adolescents?
Erikson ("identity versus role confusion.")
A nurse is instructing a group of adolescents and young adults about safety. Which of the following topics should be included?
Explaining that sports injuries are major causes of fatalitiesInstructing them about the dangers of bullying and gang involvement Reviewing the use of protection during sexual activity
In which developmental stage are genetic malformations most likely to occur?
First trimester
A 6-month-old infant visits the pediatric clinic for a well-baby checkup. The infant's parent asks what the common health problems are for this age. What is the best response by the nurse?
Food allergies
Which would be an expected reaction from a 5 year old when his 3-month-old infant sibling dies from Sudden Infant Death Syndrome (SIDS)?
Guilt he may have caused the death
You are the nurse providing prenatal education to a group of pregnant teenagers. One of the group members asks you to talk about how the baby develops soon after conception. An accurate statement from you about the zygote and preembryonic stage would be which of the following?
Has a total of three distinct cell layers
A school nurse is aware of the importance of creating and carrying out interventions that resonate with the developmental tasks of the adolescent population. Such interventions should appeal to adolescents' prioritization of their what?
Identity
A nurse is teaching a parenting class for parents with infants. What is an example of an appropriate teaching point for this developmental age?
If choking occurs, give back blows and chest thrusts or CPR.
Adolescent sexual development occurs in three stages: prepubescence, pubescence, and postpubescence. Characteristics common to the phase of pubescence include which of the following?
Increase in the amount, pigmentation, and curling of pubic hair, and growth spurt in height and weight
The nurse is caring for Amy, a 10-year-old, who is admitted for a fractured wrist (suffered during a soccer game) repair. She talks a lot about how well she is doing in school this year and her mother agrees. The nurse is assessing her developmental health and knows that Amy is well on the way to achieving which of the following according to Erik Erikson?
Industry
A 9-year-old who is in the 3rd grade has great difficulty with reading. The child is becoming very withdrawn and depressed. According to Erik Erikson's developmental theory, the child is at risk for developing which self-concept?
Inferiority
A more thorough medical examination of a 30-month-old is indicated when the nurse observes that the child has difficulty
Kicking a ball
The clinic nurse is seeing a female client 18 years of age who needs to renew her asthma prescription. The client tells the nurse that she is going to another province in a few weeks to attend college and will be living in a dorm. The nurse recommends which of the following while the client is being seen in the clinic?
Meningococcal vaccine
A school nurse is aware of the importance of creating and carrying out interventions that resonate with the developmental tasks of the adolescent population. Such interventions should appeal to adolescents' prioritization of their what?
Moral Development
A school nurse is providing a health education class for a group of high school students. When discussing the issue of safety, which area would the nurse identify as the leading cause of death in adolescents?
Motor vehicle crashes
While providing education to a young adult during an annual health exam, the nurse discusses health problems common during this stage of development. What is the most common cause of mortality during this stage?
Motor vehicle crashes
Accurate instruction regarding the typical growth and development patterns for adolescents would include which of the following guidelines?
Peer relationships characterize the adolescent years.
A school nurse is teaching a sexuality class to 5th- and 6th-grade girls. She talks about secondary sexual characteristics and explains that these are which of the following? Choose all that apply
Presence of body hair Breast development Facial hair growth in boys Voice changes in boysa
A nurse records an Apgar score of 3 for a newborn taken one minute after birth. What would be a priority intervention for this newborn?
Provide immediate life saving support
A school nurse is preparing a presentation for the parent-teacher association at the local elementary school. The nurse is focusing on the topic of nutrition in this age group. Which suggestion would be appropriate for the nurse to include? Select all that apply.
Providing foods that are high in calcium Encouraging foods high in vitamin D Avoiding foods that contain empty calories
After assessing a female adolescent, a nurse collects the following data: development of breast tissue, growth spurt in height and weight, appearance of axillary hair, and initiation of menarche. Which stage of sexual development does this data confirm?
Pubescence
The nurse observes a hospitalized preschooler who clings excessively to his mother, sucks the thumb, and uses infantile speech patterns. This child is exhibiting what type of behavior?
Regression
A preschool child is hospitalized with an infection. The child refuses to eat anything but macaroni and cheese and ice cream. What is the nurse's best way of getting the child to eat more?
Rewarding the child with ice cream for eating more nutritious foods.
Which of the following points should the nurse prioritize when educating school-aged children about nutrition?
Sources of calcium and vitamin D
The nurse is educating a new parent about what type of physical activities the infant will be able to achieve in the first year. What activities will the nurse discuss with the parent? Select all that apply.
Stack building blocks • Ambulation may start • Crawl on all fours
An 18 year old with a chronic illness tells the school nurse that he has recently started using marijuana with his friends on weekends. Which of the following should be the nurse's next action?
Teach him about effects of marijuana on his illness and potential complications with marijuana use
The nurse is providing prenatal education to a group of pregnant teenagers. One of the group members asks how the baby develops after the first trimester. An accurate statement from the nurse about the fetal stage would be which of the following?
The heartbeat can be heard
The nurse is providing prenatal education to a group of pregnant teenagers. One of the group members asks about how the baby develops soon after birth. An accurate statement from the nurse about neonatal development would be which of the following?
The neonate is able to hear and turn toward sound
The nurse is providing prenatal education to a group of pregnant teenagers. One of the group members asks about the advantages of breastfeeding. An accurate statement from you about breastfeeding would be which of the following?
Transient immunity is provided by breast milk
The nurse is providing prenatal education to a group of pregnant teenagers. One of the group members asks about the advantages of breastfeeding. An accurate statement from you about breastfeeding would be which of the following?
Transient immunity is provided by breast milk.
A school nurse is reviewing the medical record of a child who was just diagnosed with a learning disability. The record reveals that the child has problems with letters and activities that require hand-eye coordination. The nurse interprets this as which type of learning disability?
Visual perceptual/visual motor deficit
While teaching a sex education class to a group of preadolescents, the school nurse explains that human growth and development begins at which of the following events?
When ovum is fertilized by sperm
The nurse is teaching a class to pregnant adolescents and young adults. What does the nurse explain is the most important reason for breastfeeding instead of bottle feeding?
breastfeeding provides protection against infections
The pregnant young adult states, "I heard all babies develop colic. What causes infant colic?" How does the health care provider explain the causes of infant colic to the client? Select all that apply.
swallowing too much air with feeding * laying infant down with propped up bottle *allergies to the formula causes abdominal pain
When assessing the health of a neonate, the nurse should be aware that:
the neonate hears and turns toward sound and can smell and taste
