Ch. 11 NCLEX Questions Foundations of Nursing

The single most important factor in maintaining a healthy pregnancy is: 1. Early and regular prenatal care 2. High nutritional consumption during pregnancy 3. Finding an OB that you trust 4. Planning to do the right thing for the baby

1. Early and regular prenatal care Rationale: The single most important factor in maintaining a healthy pregnancy is early and regular prenatal health care. Visits with health professionals help expectant mothers understand what is happening and how they can contribute to healthy fetal growth. Prenatal care also allows the health professional to detect signs of potential problems and intervene before the problems become serious.

Parents of children ages 3-6 years may need guidance in: 1. Making the child feel secure when a newborn arrives 2. Helping the child cope with peers 3. Effective methods of toilet training 4. Allowing the child to make more of his or her own decisions

1. Making the child feel secure when a newborn arrives Rationale: A new sibling often arrives in a family during a child's early years, leading to a natural rivalry to compete for parental attention. Parents may need guidance in preparing the soon-to-be older sibling for this enormous change.

An effective discipline measure for a adolescent is: (SATA) 1. Restricting social activities for a limited time 2. Grounding them to the house for several weeks 3. Assigning extra chores 4. Fining them a portion of their allowance 5. Taking away the cell phone for 1 week

1. Restricting social activities for a limited time 5. Taking away the cell phone for 1 week Rationale: The most effective discipline for an adolescent is anything that would temporarily interfere with the adolescent's social network.

A parent who insists that the child stay in his or her room for the full 4 minute time-out and then smiles and hugs the child when the time is up is showing a parenting style that is: 1. Authoritative 2. Passive 3. Authoritarian 4. Punitive

1. Authoritative Rationale: The authoritative parent has firm rules that must be followed, and consequences if they are not; however, unlike the authoritarian parent, the authoritative parent is warm, loving, and encouraging, not distant and uncaring.

Which adolescent is an example of a current trend? 1. A high school athlete is taking his grandmother's Vicodin to self-treat a recent back injury 2. A 16 year old girl is expecting a baby in 2 months 3. A 17 year old high school student has withdrawn from school because he is in the end stages of AIDS 4. A high school senior has begun taking amphetamines to help increase her study time

1. A high school athlete is taking his grandmother's Vicodin to self-treat a recent back injury Rationale: Prescription drug abuse by teens is a trend that is increasing.

A mother brings her 9 month old baby into the clinic for a well-baby check. While gathering data, you notice the baby appears to be communicating in two-word sentences. The mother affirms your observation when you ask her about her baby's language development. You inform the mother that: 1. The baby's language development seems to be occurring more quickly than expected 2. The baby might be experiencing developmental delays 3. The baby's language development seems to be right on track 4. It is part of the require information on the well-baby check up form

1. The baby's language development seems to be occurring more quickly than expected Rationale: Babies often say their first word at 11 to 13 months and begin using two-word sentences at 18 to 24 months. This is not an expected finding at 9 months of age.

Growth and development should be monitored regularly for every child to: 1. Provide statistics needed for proper research 2. Detect abnormal growth patterns so that early care and treatment of problems can begin 3. Provide data to establish norms for growth and development at various ages 4. Reassure parents that their children are healthy

2. Detect abnormal growth patterns so that early care and treatment of problems can begin Rationale: It is important to monitor the child's growth so that any problems can be treated before they become serious. Growth progress should be steady.

The adolescent who is thinking in logical and abstract ways as he completes a term paper shows: 1. Aspects of industry 2. Identity confusion 3. Appropriate cognitive development 4. Appropriate psychosocial development

3. Appropriate cognitive development Rationale: Cognitively, the adolescent is capable of deep logical and abstract thought. Creative writing often accelerates during the adolescent period of life.