Chapter 22 Conception -----> Young Adult

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."

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 parent brings the 18-month-old to the clinic for treatment of a head cold. The child has been coughing for the last two days and nights. The parent says, "When my older kids were this age, the only thing that would stop their cough was a cough syrup containing codeine." How should the nurse respond?

"We have discovered that codeine does not work well with young children."

A pregnant woman is at the end of her first trimester. What developments does the nurse educate the client about what is occuring with the fetus? Select all that apply.

-Some reflexes are present. -Kidney secretion begins. -The sex of the infant is distinguishable.

A nurse performing an assessment of a newborn in the neonatal unit records these findings: heart rate 85 bpm, irregular respiratory rate, normal muscle tone, weak crying, and bluish tint to skin. Using the APGAR scoring chart (Table 22-1 on page 529) what would be the score for this newborn?

5

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

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

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

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 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

A nurse is preparing a presentation for a group of students who are entering high school in the fall. During the presentation, one of the students asks, "I've heard all sorts of things about puberty. But what exactly is it?" Which information would the nurse incorporate into the response?

The time when a person's ability to reproduce begins

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

At which stage of pregnancy is the developing fetus most at risk for developing congenital anomalies?

embryonic stage

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.

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 lb

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

Following assessment of an obese adolescent, a nurse considers nursing diagnoses for the patient. Which diagnosis would be most appropriate?

Disturbed body image

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

A nurse is providing care to a 2 1/2-year-old girl recently admitted to the hospital for an exacerbation of asthma. When developing this child's care plan, which intervention would the nurse likely include?

Encouraging the parents to provide care to the child

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

In which developmental stage are genetic malformations most likely to occur?

First trimester

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 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.

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 nurse is teaching new mothers about infant care and safety. What would the nurse include as a teaching point? Keep infants younger than 6 months out of direct sunlight.

Keep infants younger than 6 months out of direct sunlight.

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?

Negative self-concept

Which of the following topics for the client education of a pregnant woman should the nurse prioritize in an effort to promote healthy fetal development?

Nutrition

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 nurse is providing care to an adolescent recently hospitalized for a sports-related injury. When planning this client's care, which group would the nurse identify as being extremely important to him or her?

Peers

A nurse is teaching parents of toddlers how to spend quality time with their children. Which activity would be developmentally appropriate for this age group?

Playing in a sand box

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.

The nurse records an APGAR score of 4 for a newborn. What would be the priority intervention for this newborn? No interventions are necessary; this is a normal score.

Provide respiratory assistance.

The nurse encourages parents of hospitalized infants and toddlers to stay with their child to help decrease what potential problem?

Separation anxiety

Which of the following points should the nurse prioritize when educating school-aged children about nutrition?

Sources of calcium and vitamin D

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

A school nurse is developing a safety class for high school students. In preparation for this class, the nurse has reviewed statistics regarding injuries in this age group. Which information will the nurse include? Select all that apply.

-"The highest cause of death in your age group is some sort of injury." -"Fatal motor vehicle accidents are more likely to occur if a teenager is driving." -"Kids who use alcohol are more likely to also participate in risk-taking behaviors."

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 fatalities -Instructing them about the dangers of bullying and gang involvement -Reviewing the use of protection during sexual activity

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 school nurse is teaching a sexuality class to 5th- and 6th-grade girls. The nurse 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 boys

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.

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 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

The school nurse is teaching parents of adolescents about the development of self-concept in their children. What would the nurse state is most influential in stabilizing self-concept in this age group?

Peers

A nurse working with adolescents in a group home discusses the developmental tasks appropriate for adolescents with the staff. What is an example of a primary developmental task of the adolescent?

Spending time developing relationships with peers

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."

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 educating parents of a newborn about expected changes in the first year of life. Which milestones will the nurse discuss with the parents? Select all that apply.

-Deciduous teeth begin to erupt -Heart doubles in weight -Body temperature stabilizes -Birth weight usually triples by 1 year

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

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

A nurse is working as part of a community health team addressing the issue of child abuse in the community. The team assesses the community for possible risk factors that may be contributing to the increased incidence. Which factor would the team likely identify? Select all that apply.

-Substance use by caregivers -Poverty -Community violence -Social isolation of families

A school nurse is preparing a talk on safety issues for parents of school-aged children to present at a parent- teacher meeting. Which topics should the nurse include based on the age of the children? Select all that apply.

-Teaching pedestrian traffic safety -Providing swimming lessons and water safety rules -Teaching child how to "stop, drop, and roll"

A high school nurse is counseling parents of teenagers who are beginning high school. Which issues would be priority topics of discussion for this age group? Select all that apply.

-The influence of peer groups -Bullying -Eating disorders -Risk-taking behavior

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

A mother tells the nurse that she is worried about her 4-year-old daughter because she is "overly attached to her father and won't listen to anything I tell her to do." What would be the nurse's best response to this parental concern?

Tell the mother that this is normal behavior for a preschooler.

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.

The nurse is providing care for an 11-year-old child who has been diagnosed with central auditory processing disorder. Which strategy should the nurse use when teaching this child how to apply a wrist brace?

Demonstration-return demonstration

A newborn is scheduled for a circumcision and the parent is concerned with the baby feeling pain. What is the best response by the nurse?

"Baby's feel the sensation of touch and pain."