Human Development - PrepU

A nurse is assessing a child who had an episode of passing feces in the classroom. The child has no other disabilities. The nurse concludes that the child had intentional encopresis. Which other condition is the child likely to have?

Conduct disorder

Which laboratory test results would the nurse consider as a normal finding in a newborn soon after birth?

hemoglobin: 17.5 g/dl

The nurse explains to prospective parents that AA or aa in a Punnett square represent two alleles of a given pair that are the same, or:

homozygotes.

When caring for an older adult taking a psychotropic medication, the psychiatric nurse must be aware that older adults:

usually require a lower dose of these medications than do younger counterparts.

A young couple who have been married less than a year are having difficulty with adjusting to parenting. What is a contributing factor to this level of maladjustment?

Limited time in learning to be a marital partner

The school nurse is teaching parents how to build self-esteem in children. Which strategies would the nurse include? Select all that apply.

Notice examples of your child's ability in many different circumstances and point this out to the child. Find occasions to frequently and honestly praise your child. Ask yourself what need is being expressed by your child's negative behavior and address that behavior. Let your child know what to expect; let your child practice the necessary skills; be patient; and make it safe to fail.

The nurse is examining a child with fetal alcohol spectrum disorder. Which assessment finding should the nurse expect?

low nasal bridge with short upturned nose

The mother of a 3-year-old tells the nurse that she is concerned that her child is not developing motor skills quickly enough. She states that, "My son can't skip and cannot stand on one foot for any length of time while playing." How should the nurse respond?

"Your child is not expected to be able to perform those activities at 3 years of age."

A 70-year-old patient who is to undergo surgery arrives at the operating room (OR). The nurse, when reviewing the patient's medical record, understands that this patient will require a lower dose of anesthetic agent because of which of the following?

Decreased lean tissue mass

During the postpartum period, a nurse should assess for signs of normal involution. Which statement would indicate that a client is progressing normally?

The uterus is descending at the rate of one fingerbreadth per day.

Which guideline does the nurse apply to discussion of sleep patterns with older adult clients?

Total sleep time decreases as the clients age.

The nurse is providing prenatal education to a group of pregnant teenagers. One of the group members asks what the baby can do physically right after birth. Which is an accurate statement about neonatal ability following birth?

The newborn can suck, swallow, sneeze, and yawn

Which factor is related to developmental changes in bowel habits for older adult clients?

Weakened pelvic muscles lead to constipation.

A male child asks the nurse what chromosomes he would receive from his father. The best response would be:

Y

A nurse is caring for an 18-month-old client after a tracheostomy. The client is recovering well and noted a desire to be more active. The nurse selects a toy from the playroom for the client to play with. Which toy is most developmentally appropriate?

a rocking horse

The nursing student asks the instructor when the immune system is fully mature. The instructor responds:

adolescence

Which statement is true about recessive gene inheritance?

A carrier is a nonaffected person with a single copy of a recessive gene.

Which is a true statement regarding pharmacologic aspects of aging?

Absorption may be affected by changes in gastric pH.

What medication teaching should be done for a woman of childbearing age with a seizure disorder?

Antiseizure drugs increase the risk for congenital abnormalities.

The nurse is conducting a physical examination of an 8-month-old infant. Which observation may be cause for concern about the infant's neurologic development?

The infant displays an asymmetric tonic neck reflex (fencing reflex).

A nurse is caring for an adolescent girl experiencing menstruation for the first time. What are the changes that occur in the body at this stage that the nurse should share with the adolescent girl?

breast development

An 18-year-old male is diagnosed with Klinefelter syndrome. What signs and symptoms are consistent with this diagnosis?

hypogonadism and gynecomastia

A young client has a significant height deficit and is to be evaluated for diagnostic purposes. What could be the cause of this client's disorder?

pituitary disorder

A nurse visits an older adult client at home and assesses the safety of the client's environment. Multiple small rugs are located in the home. Which statement by the nurse is appropriate when addressing the client's safety?

"I am concerned that the small rugs in your home can be a tripping hazard."

A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities that become more striking as it develops. What might you expect to find in the mother's pregnancy history?

Chronic alcohol use

Abnormalities of body structure, function, or metabolism that are present at birth are known as:

Congenital

Gould viewed the middle years as a time when adults increase their feelings of self-satisfaction, value their spouse as a companion, and become more concerned with health. Which nursing action best facilitates this process?

Encouraging a client to have regular checkups

An infant whose mother had myxedema during the pregnancy has failed to meet standards for growth and is developmentally delayed. Which hormonal imbalance is this child exhibiting?

Hypothyroidism

Caregivers of a hospitalized toddler are being given safety instructions upon admission to the pediatric floor. Which action by the caregiver would be most important to the toddler's safety?

Keep the crib side rails up at all times.

The nurse is caring for a woman 68 years of age who is admitted for fixation of an ankle fracture related to a fall at home. The client states that she is thinking of selling her home and moving to a smaller place. Her husband died six months ago and she is unable to physically maintain her home without him. She sounds accepting of this. According to Robert Havighurst, in which of the following developmental stages is the client?

Later Maturity