Final Exam, Lab Manual Questions, Health Assessment

The nurse is assessing a 1 year old infant who weighted 3.6 kg (8 lbs) at birth. When the nurse prepares to weigh the infant, the nurse anticipates that the infant should weigh approx.

10.8 kg or 24 lbs.

The anterior fontanelle of a neonate closes between

12 and 18 months

A mother brings her 12 year old son to the clinic for a routine physical. The mother tells the nurse that her son seems to be growing taller recently. The nurse should instruct the mother that the peak growth spurt in boys usually occur by age

14 years

While assessing a young infant's musculoskeletal system the nurse anticipates that the anterior curve in t he cervical region will be developed by

3 to 4 months

A mother visits the clinic for a routing visit with her 11 year old daughter. The mother tells the nurse that her daughter just started puberty. The mother asks the nurse when she can expect the daughter to begin menstruation. The nurse should explain to the mother that menstruation usually starts begins about

30 months after the onset of puberty

A mother visits the clinic with her 2 month old son for a routine visit. The mother has been bottle feeding the infant and asks the nurse, "When can I start giving him solid foods?" The nurse should instruct the other that solid foods can be introduced when the infant is

4 to 6 months

A mother visits the clinic for a routine visit with her 5 year old son. The mother asks the nurse when the child's permanent teeth will erupt. The nurse should explain to the mother that permanent teeth usually begin to erupt by age

6 years

The nurse is planning a presentation on childhood growth and development to a group of new parents. Which of the following should the nurse include in the reaching plan?

A child's head reaches 90 % of its full growth by 6 years of age.

Confidentiality is a must in this age group?

Adolescent

Develops ability to think beyond the present

Adolescent

While assessing a newborn infant, the nurse observes yellow-white retention cysts in the newborn's mouth. The nurse should explain to the infant's parents that these spots are usually indicative of

Epstein pearls

The nurse is caring for a hospitalized adolescent with sickle cell crisis. While communicating with the client, the nurse should

give the client control whenever possible

While assessing a 4 year old child, the nurse observes that the child's nails are concave in shape. The nurse should assess the child for a deficiency of

Iron

The nurse is assessing a 4 year old child with a temp. of 37.7 C or 100F. The nurse observes that the client has Koplik spots on his buccal mucosa. The nurse should explain to the client's parents that the child is most likely exhibiting signs of

Measles

The age of magical thinking

Pre-schoolers

Vocabulary ranges from 900 to 2100 words

Pre-schoolers

The nurse is assessing a young adolescent female client using Tanner Sexual Maturity Rating for Breast Development. The nurse determines that the client has enlargement of the breasts and areolae ,with no separation of contours. The client is in Tanner Stage

Tanner Stage 3

Develops lifelong eating patterns

School age

Learns rules and competition

School age

Who likes explanations and demonstrations in health teachings

School aged children

Girls surpass boys in growth during this period?

School-age

Visual capacity reaches adult level at 20/20?

School-age

The nurse is assessing a newborn with the mother present. When the nurse observes an irregularly shaped red patch on the back of the newborn's neck, the nurse should explain to the mother that this is termed.

Stork bite

A parent visits the clinic with her 4 year old child. While communicating with the child, the nurse should

The nurse should talk to the child in simple terms at the child's eye level

Ability to listen and comprehend starts during this stage

Toddlers

Peak age group for separation anxiety

Toddlers

Sensorimotor stage is completed in this period

Toddlers

Who engages in parallel play?

Toddlers

The nurse is preparing to assess the gross motor development of a 4 year old child. The nurse should ask the child to

hop on one foot

The More reflex is

a response to sudden stimulation or an abrupt change in position

Normal breathing pattern for a full-term infant may include

abdominal/chest breathing movements at a rate of 30 to 60 breaths/min

The nurse is caring for an 11 year old child who was hospitalized after an auto accident. While communicating with this child, the nurse should

allow the child to engage in the discussions

The nurse is preparing to inspect a newborn's inner ear with an otoscope. The nurse should pull the pinna

down and back

The nurse is preparing to assess the hear sounds in a 3 year old child. To locate the apical impulse, the nurse should plan to place the stethoscope at the child's

fourth intercostal space

The nurse is planning to instruct a first time mother about her newborn. The nurse should plan to instruct the mother that the newborn

is an obligatory nose breather

The nurse is planning to assess the cognitive development of a 3 year old child. The nurse plans to assess whether or not the child can

make simple classifications

While communicating with an ill 5 year old child, one of the most valuable communication techniques that the nurse can do is

play

A young mother visits the clinic with her 18 month old child. The mother asks the nurse when she should begin toilet training with the child. The nurse should explain to the other that

she can begin bowel training as soon as the child appears ready

The nurse preparing to assess a 5 year old child. To perform the Hirshberg test, the nurse should

shine a light directly into the pupils.

While assessing the skin, hair, and nails of a 4 year old boy, the nurse can anticipate that the child will have

smooth textured skin

A mother visits the clinic with her toddler, who has injured himself in a fall. The nurse caring for the toddler should

tell the child it is ok to cry in the clinic