Prep U quiz (1 - 47 Ch.39) (48 - 117 Peds)
When obtaining information from a teen concerning the reason for seeking health care, which question would be most important?
"What health concerns are you having?"
The clinic nurse is interviewing a parent about the infant's illness and is in the chief concern part of the health interview. Which question will the nurse ask during this part of the interview?
"Why did you bring your infant to the clinic today?"
The nurse is measuring the head circumference of a child during a well-child visit. Until which age should the nurse take this measurement?
36 months
The phases of the human sexual response are listed below. Place them in their proper sequence.
Beginning stimulation of the sympathetic nervous system Leveling off of stimulation Massive sympathetic stimulation Resolution of sympathetic effects
What would a nurse attribute to estrogen?
Breast growth
The nurse is assigned as an admission nurse completing various health histories. Which types of questions will the nurse utilize to complete the required documentation? Select all that apply.
Closed-ended questions Open-ended questions
The nurse is assessing the vital signs of several toddlers in the pediatric medical unit. Which findings are of most concern to the nurse?
Heart rate 60 beats per minute; respiratory rate 14 breaths per minute
The nurse is taking a family history of a 10-year-old child with asthma. Which action would be the most helpful to gather information about the child's family health history?
Helping the family design a genogram.
A nurse is taking a health history on a new family at the pediatric clinic. Which information is the priority information to gather for a complete history database?
Immunization record
The nurse is preparing to assess the abdomen of a preschool-aged child. Which technique should the nurse use first?
Inspection
Which cells in the testes produce testosterone?
Leydig cells
The nurse is examining an infant who is 4 days old. The nurse puts the infant in a semi-upright position and lets the head fall back (with immediate support). What infant reflex is the nurse testing?
Moro
When assessing the eyes of a toddler, the nurse notes the sclera shows above the pupil. Based on this finding what action should the nurse take?
Report the finding to the health care provider.
When performing an assessment for scoliosis the nurse asks the child to let both arms hang to the sides. Which observations would be an indication the child requires further screening? Select all that apply
The elbows are not at the same level. How straight the child is standing The child leans toward one side. The elbows fall below the level of the iliac crest.
What is typical of a grade II heart murmur?
The murmur is soft but easily heard.
The nurse is weighing a 20-month-old child who is in the clinic for a well-child visit. Which action by the nurse would be most appropriate for weighing this child?
The nurse should have the child sit on the scale while keeping a hand close to but not touching the child.
What would a nurse attribute to the effect of testosterone? (Select all that apply.)
Vocal cord thickening Increased hematocrit Facial hair growth
The two hormones released by the ovaries are:
estrogen and progesterone
Regular monthly menstrual cycles cease at the time of:
menopause
The registered nurse (RN) will intervene if the unlicensed assistive personnel (UAP) is noted performing which task?
pulling the earlobe down and back while checking a school-age client's tympanic temperature
By about which day in the menstrual cycle does ovulation occur?
14
Research has found that females who live near the equator mature sexually at an earlier age than females who do not live near the equator. What is thought to be the cause of this?
Light
A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle?
Menarche
During pregnancy, what becomes a massive endocrine gland?
Placenta
The human sexual response involves the activation of which system?
Sympathetic nervous system
The mother tells the nurse her daughter has come to the clinic today because she has been having stomach pain. What should the nurse ask the mother? Select all that apply.
When was the last bowel movement? How long has she had pain? Has the child had fever? Where is the pain located? Have you given her any medication for the pain? (All answers)
The nurse is obtaining a functional history during an admission assessment of a 12-year-old child. Which questions would be appropriate for the nurse to ask during this part of the assessment? Select all that apply.
"Can you tell me if you play any sports or participate in any physical activities?" "Do you wear a seat belt any time you are a passenger in a car?" "Do you use a computer or a smartphone?"
When questioning a 15-year-old about his health history, what would be an appropriate way for the nurse to ask about the child's drug history?
"Have you heard that some teens like to smoke? Have you tried this?"
The nurse is auscultating the lungs of a lethargic, irritable 6-year-old boy and hears wheezing. The nurse will most likely include which teaching point if the child is suspected of having asthma?
"I'm going to have this hospital worker take a picture of your lungs."
A nursing instructor is teaching about taking a health history and how to elicit a chief concern. The instructor realizes a need for further education when a student makes which statement?
"Intensity refers to how often the concern occurs during the day."
The father of a toddler tells the nurse that his child had a fever the previous night. During the assessment, which statement by the father indicates further discussion is necessary regarding temperature measurement?
"My mother said she always used a glass thermometer when I was a kid and it was very accurate. Maybe that would be better."
A 14-year-old boy has come to his primary care physician's office for a routine well-child visit with his parent. Which statement by the parent should the nurse prioritize for further investigation after noting the father has a history of alcohol use disorder?
"Our next door neighbor is older than my son, and he drinks when they hang out together."
The nurse is taking the health history of a 15-year-old client. What would be an appropriate way for the nurse to ask about the client's drug use history?
"Some teens like to smoke. Have you tried this?"
The nurse is caring for a 10-year-old girl and is trying to obtain clues about the child's state of physical, emotional, and moral development. Which question is most likely to elicit the desired information?
"Tell me about your favorite activity at school?"
A 15-year-old female is being seen for an annual physical examination. The teen asks the nurse if what they talk about will be kept private. What is the appropriate response by the nurse?
"There are some things I may need to share with your parents or physician."
The nurse is preparing to obtain anthropometric measurements on a child. The child's mother asks the nurse, "What are these measurements?" Which response by the nurse would be most appropriate?
"These are measurements that tell us how your child is growing."
The nurse is preparing to see a 14-month-old child and needs to establish the chief purpose of the visit. Which approach with the parents would be best?
"What can I help you with today?"
The nurse is teaching a group of novice nurses how to assess bowel sounds. Which statement will the nurse include in the education?
"You should auscultate all four quadrants for a full minute each."
In an ideal 28-day menstrual cycle, the secretory phase occurs during which days?
15 to 28
A nurse is reviewing the physical exam of a child. The nurse notes that the child's deep tendon reflexes were normal, because they were graded as:
2+
A nurse realizes the importance of nutritional assessment during the health history. When doing so, the nurse must assess the quality as well as quantity of food eaten. The best way to assess food intake is to do a:
24-hour recall.
Blood pressure monitoring becomes part of the routine health assessment at what age and older?
3 years
The nurse is interviewing an adolescent. What should the nurse recognize as an important aspect of interviewing the adolescent?
Adolescents will share more about themselves in a private conversation.
A boy is learning about his body. Where would this boy learn that androgens are released into the bloodstream?
Adrenal gland
The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum?
All the ova a female will ever have are present at birth
A 4-year-old is ordered to have a hearing test. How should the nurse best prepare the child for this exam?
Allow the child to play with the tuning fork.
When 12-year-old Chelsie comes in for her annual check-up, the nurse must take a health history and do a physical exam. What is the most appropriate manner for the nurse to obtain a health history?
Ask Chelsie if she minds if her mother is in the room with her.
The nurse is collecting data on a 9-year-old child being admitted to the pediatric unit. What is the most appropriate way to gather information from the child's caregiver?
Ask the caregiver questions and document the answers.
The nurse is obtaining the health history for a 9-year-old child who has been brought to the ambulatory care clinic with reports of a backache. Which initial action by the nurse is most appropriate?
Ask the child when the pain started.
The nurse should education a client prescribed which classification of medication about its affect on sexual function?
Beta-blockers
Which phase of the human sexual response results from massive sympathetic stimulation?
Climax
The charge nurse observes a new graduate nurse assess the cremasteric reflex in an 8-month-old boy. The new graduate nurse strokes the lateral aspect of the thigh. Which action should the charge nurse take?
Demonstrate the appropriate technique.
A 6-month-old infant is admitted to the hospital because of a fever. When the nurse obtains a health history, what data would be obtained first?
Details about the fever
An 18-month-old infant is brought to the emergency room and the nurse notes a strong camphor-like smell. What should the nurse do first?
Determine the type of ingestion.
A toddler is brought to the pediatric clinic by the caregiver because the child "doesn't feel well." As the nurse interviews the caregiver about why the client is there, which goal is the nurse prioritizing at this point?
Determining the chief complaint
The nurse is examining the back and spinal area of a 14-year-old female. A small dimple is noted. What action is most appropriate?
Document the finding as normal.
Which are estrogens produced by the ovaries? (Select all that apply.)
Estradiol Estrone Estriol
A group of nursing students are reviewing information about the structure and function of the female reproductive system in preparation for an examination. The students demonstrate understanding when they identify what as an internal structure?
Fallopian tube
The production of sperm would be affected if which hormone produced by the anterior pituitary gland was lacking?
Follicle stimulating hormone (FSH)
Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones? (Select all that apply.)
Follicle-stimulating hormone (FSH) Luteinizing hormone (LH)
Which hormone would be initially responsible for hormone secretion from the ovaries and testes?
Gonadotropin-releasing hormone
Which hormones are not released during childhood?
Gonadotropin-releasing hormone (GnRH)
A 4-year-old child is brought to the clinic by the parent, who reports the child is experiencing ear pain. How would the nurse most likely examine the child's ears?
Grasp the pinna and pull up and back.
A nurse is performing a health history on a 6-year-old child with asthma. When it comes to identifying if the child is up to date on the immunization schedule, which question would be avoided as it is considered leading?
Have you kept the child up to date on all of the immunizations suggested?
What happens with the hormones associated with pregnancy once the fetus and the placenta have been expelled from the uterus?
Hormone levels decrease significantly.
Fertilization of the ovum and implantation in the uterine wall result in the production of what hormone?
Human chorionic gonadotropin
When the nurse is interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as:
Menarche
The nurse is conducting a physical examination of a healthy 6-year-old. Which action should the nurse do first?
Observe the skin for its overall color and characteristics.
A young client is admitted with a fever, vomiting, and diarrhea. Upon taking the health history, the nurse asks the client's parent, "What did you do to help your child before coming to health facility?" This is an example of which type of question?
Open-ended
The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?
Penile Vasodilation
The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?
Penile vasodilation
After teaching a group of students about the events that occur with fertilization and implantation of an ovum, the instructor determines that the teaching has been effective when the students identify what as an endocrine structure?
Placenta
When stimulation levels off during the human sexual response, the person is said to be in which of the following phases?
Plateau
What is the function of the corpus luteum after the release of a mature ovum during ovulation?
Produces both estrogen and progesterone
After teaching a group of students about female reproductive hormones, the instructor determines that the teaching was successful when the students identify which hormone as being primarily responsible for maintaining pregnancy?
Progesterone
Which hormone is involved if a couple engages in the rhythm method of birth control?
Progesterone
When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?
Proliferative
The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus?
Receives the fertilized ovum and provides housing and nourishment for a fetus
The mother of a 9-month-old child reports her child's eyes are often crossed. The nurse confirms this during the examination. What action is indicated?
Report the findings to the physician.
A parent has brought the child into the clinic for a routine health assessment. The parent asks when routine screening for back symmetry will begin. Which response by the nurse is most accurate?
School age
After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries?
Secretion of estrogen and progesterone
What would castration prior to puberty result in? (Select all that apply.)
Sterility Failure to develop normal male characteristics
The nurse is discussing the human response to sexual stimulation with a client experiencing an arousal problem. In which phase of sexual response should the client begin to feel the effects of the sympathetic nervous system?
Stimulation
The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful?
Teste
Castration involves the removal of what structure of the male reproductive system?
Testes
The nurse is gathering data on a child being admitted. Which would be considered collecting subjective data? Select all that apply.
The nurse interviews the child's caregiver. The nurse asks questions about the child's history. The nurse finds out the reason for the child's visit to the health care setting.
A nurse is packing a bag with all of the equipment she will need to perform a complete physical assessment at a client's home. What will the nurse need? Select all that apply.
Thermometer Stethoscope Tongue depressor Ophthalmoscope
The nurse is discussing infertility issues with a couple. What information should the nurse provide the couple concerning the effect of Sertoli cells of male sperm?
They produce inhibin a substance that in turn affects sperm production
The nurse collects a client history including biographical data regarding the child being admitted. Which responsibility is most important related to the data collected?
This information is part of the legal record and should be treated as confidential.
The nurse is assessing a 6-year-old child. The nurse instructs the child, "Let me see all of your pretty white teeth." Which cranial nerve is the nurse assessing?
VII
The nurse is conducting a physical examination of a 10-year-old child. The nurse whispers the child's name from behind the child so that the child does not see the nurse's lips moving. Which cranial nerve is the nurse assessing?
VIII
The nurse is assisting with the physical examination on a sleeping 10-month-old infant being held by the parent against the parent's shoulder. In what sequence would the nurse complete the assessment?
back and extremities; head and neck; then the ears, nose, mouth, and eyes
The nurse is performing an assessment on a teen's clavicle strength. The teen is asked to shrug and raise the shoulders while the nurse applies gentle pressure to them. When documenting the findings, this should be identified as an assessment of which cranial nerve?
cranial nerve XI
A 6-month-old has fanning of the toes and dorsiflexion of the big toe seen on physical exam. Based on this finding the nurse should:
document as a normal finding.
A nurse is preparing to examine the ear of a 2-year-old child. The nurse would pull the pinna in which direction?
down and back
The nurse suspects that a female client is experiencing a decline in estrogen. Which assessment finding caused the nurse to make this clinical determination?
hot flashes
When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in:
luteinizing hormone.
Surgical castration is part of a patient's prostate cancer treatment. The patient asks what physical changes he can expect because of this surgery. Since the patient is well past puberty, the nurse tells the patient that he should maintain his previous testosterone related changes and he can expect to:
maintain his deep voice.
The nurse is performing an examination of the eyes of a 7-year-old child. Which finding would indicate that the third cranial nerve is intact?
pupil constriction in response to light
A nurse assesses the skin of a child and documents evidence of plethora. Which finding did the nurse observe?
redness of the cheeks and lips
The nurse is conducting a skin assessment of a newborn. The examination reveals a light pink macule on the back of the neck. The nurse understands that this is a normal variation and is most likely which type of birthmark?
salmon nevus
Which of these terms describes changes in the uterus between days 15-28 of an ideal menstrual cycle?
secretory phase
A nurse is interviewing a parent regarding the 2-year-old child's recent illness. The nurse would like the parent to elaborate about any symptoms of the illness noticed. Which would be the most effective question for the nurse to ask the parent in this situation?
"What symptoms has your child exhibited?"
When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?
Fallopian tube
After teaching a group of students about hormonal secretion of the reproductive system, the instructor determines that the teaching was successful when the students identify what as initiating hormone secretion from the ovaries and testes?
Gonadotropin releasing hormone
To obtain an accurate heart rate in an infant, what would be most important for the nurse to do?
Take the apical pulse.
The nurse is caring for a 13-year-old girl. As part of a routine health assessment the nurse needs to address areas relating to sexuality and substance use. Which statement or question should the nurse say first to encourage communication?
Tell me about some of your current activities at school.
Due to casts on both arms, the nurse must measure an 11-year-old client's blood pressure in the thigh. After placing the blood pressure cuff on the thigh, which action by the nurse demonstrates understanding of the procedure?
The nurse places the stethoscope over the popliteal artery.
The nurse is assessing a 5-year-old's oral temperature. Which actions by the nurse indicate knowledge of the procedure? Select all that apply
The nurse waits to measure the child's temperature 30 minutes after a nebulizer treatment. The nurse encourages the child to keep the mouth closed during temperature measurement. The nurse asks the mother if the child has had anything to drink recently.
The nurse is completing an assessment on a 2-year-old child. The nurse notes the presence of a raised reddish purple spot on the back of the child's neck. Which statement about this finding is correct?
These lesions will normally fade as the child ages.
A 14-year-old male adolescent is brought to the clinic by his parent who is concerned the adolescent is developing an excessive amount of breast tissue. The examination confirms that the adolescent has slight enlargement of the breast tissue. What information should be relayed to the adolescent and his parent?
This is a normal and transient condition of adolescent males.
The nurse is doing an assessment of a 10-year-old girl. She whispers the girl's name from behind the girl. Which cranial nerve is the nurse assessing for?
VIII
All infants should have their head circumference measured at health assessment visits. Where should the nurse place the tape measure to obtain this measurement?
just above the eyebrows through the prominent part of the occiput
The nurse is preparing to perform a physical examination of a toddler. Which is the preferred location to complete the assessment?
with the child seated on the caregiver's lap