Evolve Questions - HP test 2-27

The nurse teaches new mothers about research on pacifiers and breast-feeding. Which statement by a mother indicates an understanding of the instruction? A. "I have no problem giving a pacifier to a breast-feeding baby." B. "I offer a pacifier after each feeding to satisfy my baby's sucking needs." C. "There is significant research that indicates harm is associated with occasional pacifier use." D. "I do not give my baby a pacifier because I know it is associated with shorter breast-feeding duration."

"I do not give my baby a pacifier because I know it is associated with shorter breast-feeding duration."

Which statement, if made by a parent after attending a teaching session on initiating a toilet training program for toddlers, indicates a need for further teaching? A. "I take my child to the potty after a meal." B. "I offer praise when my child uses the potty." C. "I require my child to sit on the potty until she goes." D. "I have given my child underpants as a reward for using the potty."

"I require my child to sit on the potty until she goes."

A patient and her newborn son are getting ready to go home. The nurse is doing discharge teaching regarding the use of an infant car seat. Which statement by the patient would be correct? A. "The car seat should be secured in the front seat between the parents." B. "The car seat should be secured in the back seat, rear facing until the infant reaches 20 lb." C. "Short trips from home do not require the infant to be placed in the car seat as long as the parents hold him." D. "There are no laws governing the use of infant car seats. It is just standard practice."

"The car seat should be secured in the back seat, rear facing until the infant reaches 20 lb."

A new mother asks the nurse when the baby's anterior fontanel will close. The nurse explains that it will close at: A. 2 months. B. 6 months. C. 12 months. D. 18 months

18 months

During the 1-month well-baby visit, a pediatric nurse explains to the mother that she should expect to hear babbling in her infant by: A. 2 months. B. 4 months. C. 6 months. D. 9 months.

6 months

According to Erikson, what is the developmental task of toddlers? A. Doubt B. Shame C. Autonomy D. Preoperational

Autonomy

A 12-year-old tearfully informs the school nurse that she does not "fit in." What is the most appropriate intervention? A. Immediately make a referral to a mental health professional as the girl is depressed and suicidal. B. Offer suggestions on how to fit in with her peers. C. Be aware that these feelings are common in adolescents and place the girl at risk for substance abuse, depression, and eating disorders. D. Use effective listening techniques to gain further information so the nurse can report to the parents.

Be aware that these feelings are common in adolescents and place the girl at risk for substance abuse, depression, and eating disorders.

The parents of a 1-year-old child are concerned because he places "everything" in his mouth. The nurse informs the parents that aspiration of foreign bodies can lead to asphyxiation. Which statements are true? (Select all that apply.) A. Children older than age 3 are at greatest risk for aspiration of foreign bodies, because hand to mouth activities are common at this age. B. Common foods that can be dangerous are round, such as grapes, hard candy, nuts, popcorn, and hot dogs. C. Objects that can be aspirated are coins, beads, buttons, balloons, small toys, or toy parts. D. Monitor nipples on bottles and pacifiers. Replace if the nipples become worn or detached. E. All toys should be checked for loose objects before use to prevent choking.

Common foods that can be dangerous are round, such as grapes, hard candy, nuts, popcorn, and hot dogs Objects that can be aspirated are coins, beads, buttons, balloons, small toys, or toy parts Monitor nipples on bottles and pacifiers. Replace if the nipples become worn or detached.

The community health nurse is developing a program on obesity in children and adolescents. What does the nurse list as the most common factor contributing to overweight children? A. Fast-food consumption B. Decreased physical activity C. Poverty D. Working mothers

Decreased physical activity

Which play activity would the nurse plan for a 4-year-old girl 2 days after undergoing an appendectomy? A. Playing a game of Monopoly B. Dressing up in a Cinderella gown C. Participating in a game of hopscotch D. Drawing pictures of her mother and father

Drawing pictures of her mother and father

Which actions by the nursing mother will support milk production and promote infant comfort? (Select all that apply.) A. Consume more protein and approximately 1500 extra calories daily. B. Drink 8 to 10 glasses of fluids daily. C. Continue her prenatal vitamins and minerals until they are gone. D. Avoid spicy foods, chocolate, and onions. E. Drink 2 to 3 alcoholic beverages per day.

Drink 8 to 10 glasses of fluids daily. Continue her prenatal vitamins and minerals until they are gone. Avoid spicy foods, chocolate, and onions.

The school nurse assesses preschoolers for genetic conditions such as: A. Down syndrome. B. congenital hypothyroidism. C. sickle cell disease. D. Duchenne muscular dystrophy.

Duchenne muscular dystrophy

An LPN/LVN is assisting at a community health fair at the immunization booth and needs to be prepared to answer parents' questions regarding immunizations. Which statement is accurate? A. If a child falls behind in the immunization schedule, the child must restart the immunizations. B. Following the recommended immunization schedule will protect children against 10 childhood diseases by age 2. C. Immunizations have eradicated 10 childhood diseases and may not even be necessary in the future because of advances in medical research. D. Immunization is effective and no booster dose is needed to prevent the spread of infectious diseases.

Following the recommended immunization schedule will protect children against 10 childhood diseases by age 2

A nurse is employed in an impoverished area. Nursing responsibilities include teaching proper oral care for infants. What information would the nurse provide regarding prevention of caries? A. Giving the last bottle before bedtime and wiping off the teeth and gums with a damp washcloth before bed. B. Use water in the bedtime bottle and brush the infant's teeth with a soft bristle toothbrush with fluorinated toothpaste. C. Breast-fed infants do not need oral care as breast milk does not promote dental caries because of low lactose content. D. No oral care is necessary, because the infant may have only a few teeth and these teeth are not permanent.

Giving the last bottle before bedtime and wiping off the teeth and gums with a damp washcloth before bed.

What is an appropriate nursing diagnosis for the adolescent who is experimenting with tobacco? A. Potential for injury related to accidental poisoning B. Ineffective health maintenance related to smoking tobacco C. Potential for infection related to tobacco use D. Imbalanced nutrition: less than body requirements related to decreased appetite from cigarette smoking

Ineffective health maintenance related to smoking tobacco

The nurse is teaching parents about typical sleep disturbances of the preschooler. Which recommendation would the nurse make to the parents? A. Bedtime rituals of 1 hour or more should decrease sleep disturbances B. Frightening television shows and stories should be banned before bedtime C. Parents should help the child differentiate between "pretend" and "real" occurrences D. When the child has night wakening events, reassurance occurs when the child is taken to the parent's bed

Parents should help the child differentiate between "pretend" and "real" occurrences

The nurse caring for the infant in the community setting observes for which of the following passive manifestations of abuse? (select all that apply) A. Poor nutrition B. Neglected visits to primary care providers C. Soft tissue injuries D. Fractures in varying stages of healing E. Emotional neglect

Poor nutrition Neglected visits to primary care providers Emotional neglect

The nurse is teaching parents about strategies to help reduce preschooler unintentional poisonings in the home. Instructions would include: which of the following?(select all that apply) A. Post the poison control number near every telephone. B. Administer ipecac syrup immediately to the child suspected of swallowing poison. C. Transfer cleaning supplies to old, unattractive canisters. D. Teach the child about poisons at an early age. E. Use safety latches for drawers and cabinet doors. F. Store products in their original container.

Post the poison control number near every telephone Teach the child about poisons at an early age Use safety latches for drawers and cabinet doors Store products in their original container

The nurse working with the preschool age group educates parents about which of the following nutritional guidelines? (select all that apply) A. Preschool children should eat at least five servings of fruits and vegetables per day. B. Children aged 3 to 5 should receive 1000 to 1200 calories per day. C. Preschool children should consume approximately half of their diet in carbohydrates. D. Fat requirements in preschool children are higher than those for older children. E. Preschool fat intake should consist of saturated fats.

Preschool children should eat at least five servings of fruits and vegetables per day Preschool children should consume approximately half of their diet in carbohydrates Fat requirements in preschool children are higher than those for older children

The vital signs of a newborn baby girl are: T-97.9, P-140, R-34 with brief periods of apnea, and B/P-80/40 with an increase in systolic pressure when crying. What is the nurse's next intervention? A. Notify the physician, because the baby's heart rate reveals tachycardia. B. Assess lung sounds due to a high respiratory rate with apnea. C. Check the baby's blood glucose level as her temperature is low for a newborn. D. Realize these vital signs are normal for a newborn and document the data on the flow sheet.

Realize these vital signs are normal for a newborn and document the data on the flow sheet.

The nurse is educating a parent group regarding accidental poisoning. What will the nurse be sure to include as a measure of prevention? A. Place medications in a medicine cabinet. B. Remind grandparents to keep their medications out of reach when children visit. C. Tighten caps on cleaning supplies under the sink. D. Keep syrup of ipecac on hand for all types of suspected poisonings.

Remind grandparents to keep their medications out of reach when children visit.

Which of the following techniques will help the infant development of trust vs. mistrust? (select all that apply) A. Respond to the infant in a consistent manner. B. Allow the infant to cry to avoid spoiling the child, particularly if the infant has just been fed and diapered. C. Respond to the infant in a prompt manner even if the child has physical needs met. D. Use a pacifier to soothe the infant when crying. E. Provide the infant with predictable and organized routines.

Respond to the infant in a consistent manner. Respond to the infant in a prompt manner even if the child has physical needs met. Provide the infant with predictable and organized routines.

Which of the following physical activities are most appropriate for the preschool age group? (select all that apply) A. Ring around the Rosy B. Watching television C. Electronic video games D. Tee ball E. Paintball

Ring around the Rosy Tee ball

The nurse, teaching a class to primiparas about risk factors associated with sudden infant death syndrome (SIDS), explains that prevention strategies include: (select all that apply) A. Prone sleeping position B. Supine sleeping position C. Postnatal smoking D. Sleeping on soft surfaces E. Sleeping on firmer surface F. Overwrapping the baby G. Allowing the baby to sleep with the parents H. Breast-feeding the baby

Supine sleeping position Sleeping on firmer surface Breast-feeding the baby

A mother brings her 2-year-old to the medical clinic with burns to his arms. Based on the risk factors, which statements are correct? (Select all that apply.) A. The burns occurred at his home. B. The burns are from scalding. C. Toddlers are more vulnerable to accidental burns. D. The burns are a result of a flame. E. The burns are a result of chemicals.

The burns occurred at his home The burns are from scalding Toddlers are more vulnerable to accidental burns. The burns are a result of chemicals

Which physical growth and development change in toddlers places them at risk for airway obstruction? A. The diameter of the upper respiratory tract is small. B. The respiratory rate decreases to 25 breaths per minute. C. All 20 primary or deciduous teeth erupt be the end of toddlerhood. D. The swallowing pattern using the tongue is fully developed.

The diameter of the upper respiratory tract is small

Which statement is true in regards to nutrition in children? A. Fat restriction is an appropriate intervention for overweight toddlers. B. The most important role a nurse can play related to overweight and obese children is education. C. Cigarette smoking is prevalent among 55% of senior high school students. D. Environmental tobacco smoke does not result in increased risk of heart and lung disease among children.

The most important role a nurse can play related to overweight and obese children is education.

Which of the following physical changes are expected during the toddler years? (select all that apply) A. Growth in height of 4 to 6 inches per year B. Weight gain of 4 to 6 pounds per year C. Urine specific gravity lower than that of an adult D. Bowel control generally occurs before urinary control E. Increase in heart rate because of increase in size

Weight gain of 4 to 6 pounds per year Bowel control generally occurs before urinary control

The nurse offers interventions to parents to enhance toddlers' nutritional pattern by telling the parents to (select all that apply) A. avoid foods that may cause choking. B. serve the toddlers' favorite foods when he or she refuses to eat. C. send the toddler to bed if he or she does not want to eat. D. do not use food to bribe, reward, or punish the toddler. E. serve small portions, and let the toddler ask for more. F. serve single foods as mixtures of foods.

avoid foods that may cause choking do not use food to bribe, reward, or punish the toddler. serve small portions, and let the toddler ask for more

The nurse assesses the preschooler's coping mechanisms as being developmentally appropriate through observation of: A. temper tantrums. B. fantasy play. C. separation anxiety. D. flexible bedtime rituals.

fantasy play

The hallmark of the first substage of Piaget's preoperational stage is the ability of the preschooler to function using: A. abstract thinking. B. concrete thinking. C. auditory cues. D. language.

language

The nurse in the well-baby clinic informs the mother of a 6-month-old infant about introducing solid foods by instructing her to: A. feed the baby solids before the milk. B. make the baby's solid foods smooth and runny. C. introduce solid foods by adding it to the baby's formula bottle. D. mix a little honey in the fruit to stimulate the infant's taste buds.

make the baby's solid foods smooth and runny.

Nurses caring for the toddler population instruct parents that one of the leading causes of visits to health care providers is: A. amblyopia. B. otitis media. C. burns. D. neglect.

otitis media

When the nurse is assessing a toddler for signs of child abuse, observations of parental behavior may include: A. difficulty leaving the child. B. parental delays in seeking help. C. spontaneous reporting of the details of the injury. D. parental questions about progress and discharge.

parental delays in seeking help.

The nurse is teaching a group of mothers about toddlers and their play activities by explaining that toddlers: A. participate in parallel play. B. demonstrate skill in sharing and cooperative play. C. enjoy playing together with a group of toddlers. D. learn best with intensive drill during play.

participate in parallel play

When evaluating the health perception of a preschooler, the nurse understands that this age group views pain or illness as: A. punishment. B. separation anxiety. C. a result of their actions. D. painful regardless of the intervention.

punishment

The time during which infants develop the coordination to master activities which allow them to interact with the environment is known as the: A. reflexive period. B. psychosocial period. C. sensorimotor period. D. immunological period.

sensorimotor period

The nurse suggests stimulating experiences for development of their infant to the parents of a 6-month-old infant. These experiences would include: A. singing lullabies to the baby. B. inviting another infant over to play. C. keeping the top of the crib free of hanging mobiles. D. providing a toy that emits animal sounds when the buttons are pushed.

singing lullabies to the baby

The nurse assessing a 24-month-old toddler expects expressive language to include: A. repeats 2 digits from memory. B. jargon and echolalia are predominately used. C. talks in word phrases, and 2 to 3 word sentences. D. average sentence length is approximately 2½ words.

talks in word phrases, and 2 to 3 word sentences

The nurse is teaching prenatal couples about the critical principles of attachment. These principles include: A. parents of sick infants become attached as quickly as those of healthy infants. B. the mother and father should have close contact with their infant within minutes after birth. C. it is mandatory for the father to witness the birth process so that bonding and attachment will occur. D. parents take on the active role when interacting with their infant, realizing that their infant will be unresponsive.

the mother and father should have close contact with their infant within minutes after birth.

The preoperative stage of thinking is displayed by the child as: A. transductive reasoning. B. the trait of irreversibility. C. understanding the perspectives of others. D. an ability to consider more than one factor when solving simple problems.

transductive reasoning

The nurse, presenting a class on strategies to prevent drowning in toddlers, instructs parents to: A. teach their toddler how to swim. B. place the toddler in the tub with 1 or 2 inches of water. C. make sure pails of water are less than ½ full. D. use personal flotation devices on the toddler when boating.

use personal flotation devices on the toddler when boating