FINAL!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

6) What activity would the nurse expect to find in an 18-month-old? A) Standing on tiptoes B) Pedaling a tricycle C) Climbing stairs with assistance D) Carrying a large toy while walking

C) Climbing stairs with assistance

13) The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance? A) Substituting cow's milk if breast milk is not available B) Advocating iron supplements with bottle-feeding C) Advising fluid intake per feeding of 5 or 6 ounces D) Discouraging the addition of fruit juice to the diet

D) Discouraging the addition of fruit juice to the diet

14) The nurse is assessing a 3-year-old boy's development during a well-child visit. Which response by the child indicates the need for further assessment? A) He says a swear word when he hurts himself playing. B) He says "pew" when his sister has soiled her diaper. C) He laughs when his brother cries getting vaccinated. D) He constantly asks "why?" whenever he is told a fact.

C) He laughs when his brother cries getting vaccinated.

12) The nurse is performing a health assessment of a 3-month-old African-American boy. For what condition should this infant be monitored based on his race? A) Jaundice B) Iron deficiency C) Lactose intolerance D) Gastroesophageal reflux disease (GERD)

C) Lactose intolerance

25) The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3- week-old baby. Which recommended guideline might be included in the teaching plan? A) Place the baby on a soft mattress with a firm, flat pillow for the head. B) Place the head of the bed near the window to provide fresh air, weather permitting. C) Place the baby on his or her back when sleeping. D) If the baby sleeps through the night, wake him or her up for the night feeding.

C) Place the baby on his or her back when sleeping

7) The pediatric nurse is planning quiet activities for a hospitalized 18-month-old. What would be an appropriate activity for a child of this age group? A) Painting by number B) Putting shapes into appropriate holes C) Stacking blocks D) Using crayons to color in a coloring book

C) Stacking blocks

1) The nurse is examining a 10-month-old boy who was born 10 weeks early. Which finding is cause for concern? A) The child has double his birth weight B) The child exhibits plantar grasp reflex C) The child's head circumference is 49.53 cm D) No primary teeth have erupted yet

C) The child's head circumference is 49.53 cm

11) The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. What might alert the nurse to a potential problem with the child's sensory development? A) The toddler places the nurse's stethoscope in his mouth. B) The toddler's vision tests at 20/50 in both eyes. C) The toddler does not respond to commands whispered in his ear. D) The toddler's taste discrimination is not at adult levels yet.

C) The toddler does not respond to commands whispered in his ear.

1) The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse? A) The toddler gained 4 lb in weight since last year. B) The toddler gained 3 in in height since last year. C) The toddler's anterior fontanel is not fully closed. D) The circumference of the child's head increased 1 in since last year.

C) The toddler's anterior fontanel is not fully closed

24) A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate? A) "Put the infant in an infant seat after eating." B) "Limit burping to once during a feeding." C) "Feed the same amount but space out the feedings." D) "Keep the baby sitting up for about 30 minutes afterward."

D) "Keep the baby sitting up for about 30 minutes afterward."

7) The neonatal nurse assesses newborns for iron deficiency anemia. Which newborn is at highest risk for this disorder? A) A postterm newborn B) A term newborn with jaundice C) A newborn born to a diabetic mother D) A premature newborn

D) A premature newborn

17) The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which safety intervention should the nurse address? A) Encourage parents to enroll toddlers in swimming classes to avoid the need for constant supervision around water. B) Advise parents to keep pot handles on stoves turned outward to avoid accidental burns. C) Encourage parents to smoke only in designated rooms in the house or outside the house. D) Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the back seat of the car.

D) Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the back seat of the car

22) A 6-month-old girl weighs 14.7 lb during a scheduled check-up. Her birth weight was 8 lb. What is the priority nursing intervention? A) Talking about solid food consumption B) Discouraging daily fruit juice intake C) Increasing the number of breastfeedings D) Discussing the child's feeding patterns

D) Discussing the child's feeding patterns

15) The nurse is providing discharge teaching regarding formula preparation for a new mother. Which guideline would the nurse include in the teaching plan? A) Always wash bottles and nipples in hot soapy water and rinse well; do not wash them in the dishwasher. B) Store tightly covered ready-to-feed formula can after opening in refrigerator for up to 24 hours. C) Warm bottle of formula by placing bottle in a container of hot water, or microwaving formula. D) Do not add cereal to the formula in the bottle or sweeten the formula with honey.

D) Do not add cereal to the formula in the bottle or sweeten the formula with honey

4) The nurse is caring for a toddler who is in Piaget's sensorimotor stage of cognitive development. Which task would the nurse expect the toddler to be able to perform? A) Completing puzzles with four pieces B) Winding up a mechanical toy C) Playing make-believe with dolls D) Knowing which are his or her toys

D) Knowing which are his or her toys

15) The nurse is designing a nursing care plan for a toddler with lymphoma, who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan? A) Limiting visitors to scheduled visiting hours B) Planning physical therapy for the child C) Introducing the toddler to other toddlers in the unit D) Monitoring the toddler for developmental delays

D) Monitoring the toddler for developmental delays

22) The nurse is choosing foods for a toddler's diet that are high in vitamin A. What foods could be added to the menu? Select all that apply. A) Applesauce B) Avocados C) Broccoli D) Sweet potatoes E) Spinach F) Carrots

D) Sweet potatoes E) Spinach F) Carrots

8) The nurse is performing a cognitive assessment of a 2-year-old. Which behavior would alert the nurse to a developmental delay in this area? A) The child cannot say name, age, and gender. B) The child cannot follow a series of two independent commands. C) The child has a vocabulary of 40 to 50 words. D) The child does not point to named body parts.

D) The child does not point to named body parts

31) The nurse is assessing the developmental milestones of an infant. The infant was born 8 weeks ago and was 4 weeks premature. The nurse anticipates that the infant will be meeting milestones for what age of child? Record your answer in weeks. (fill in the blank)

4 weeks

18) The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well- baby visit. Which topic would be most appropriate? A) Advising how to create a toddler-safe home B) Warning about small objects left on the floor C) Cautioning about putting the baby in a walker D) Telling about safety procedures during baths

A) Advising how to create a toddler-safe home

19) The nurse in a community clinic is caring for a 6-month-old boy and his mother. Which intervention is priority to promote adequate growth? A) Monitoring the child's weight and height B) Encouraging a more frequent feeding schedule C) Assessing the child's current feeding pattern D) Recommending higher-calorie solid foods

A) Monitoring the child's weight and height

2) The nurse is describing the maturation of various organ systems during toddlerhood to the parents. What would the nurse correctly include in this description? A) Myelination of the brain and spinal cord is complete at about 24 months. B) Alveoli reach adult numbers by 3 years of age. C) Urine output in a toddler typically averages approximately 30 mL/hour. D) Toddlers typically have strong abdominal muscles by the age of 2.

A) Myelination of the brain and spinal cord is complete at about 24 months

17) The nurse is providing anticipatory guidance to a mother of a 5-month-old boy about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred? A) "I'll start with baby oatmeal cereal mixed with low-fat milk." B) "The cereal should be a fairly thin consistency at first." C) "I can puree the meat that we are eating to give to my baby." D) "Once he gets used to the cereal, then we'll try giving him a cup."

B) "The cereal should by a fairly thin consistency at first"

4) A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information? A) "This is a primitive reflex known as the plantar grasp." B) "This is a primitive reflex known as the palmar grasp." C) "This is a protective reflex known as rooting." D) "This s a protective reflex known as the Moro reflex."

B) "This is a primitive reflex known as the palmar grasp."

23) The nurse is educating a first-time mother who has a 1-week-old boy. Which is the most accurate anticipatory guidance? A) Describing the effect of neonatal teeth on breastfeeding B) Explaining that the stomach holds less than 1 ounce C) Informing that fontanels will close by 6 months D) Telling that the step reflex persists until the child walks

B) Explaining that the stomach holds less than 1 ounce

9) The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child? A) The newborn's eyes wander and occasionally are crossed B) The newborn does not respond to a loud noise C) The newborn's eyes focus on near objects D) The newborn becomes more alert with stroking when drowsy

B) The newborn does not respond to loud noises

21) The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish- speaking mother. The boy does not say mama or dada yet. What is the priority intervention? A) Performing a developmental evaluation of the child B) Encouraging the parents to speak English to the child C) Asking the mother if the child uses Spanish words D) Referring the child to a developmental specialist

C) Asking the mother if the child uses Spanish words

14) The nurse is teaching a new mother the proper techniques for breastfeeding her newborn. Which is a recommended guideline that should be implemented? A) Wash the hands and breasts thoroughly prior to breastfeeding B) Stroke the nipple against the baby's chin to stimulate wide opening of the baby's mouth C) Bring the baby's wide-open mouth to the breast to form a seal around all of the nipple and areola D) When finished, the mother can break the suction by firmly pulling the baby's mouth away from the nipple

C) Bring the baby's wide-open mouth to the breast to form a seal around all of the nipple and areola

13) The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. What is a recommended intervention for this age group? A) Remove children's security blankets at this stage to help them assert their autonomy. B) Distract toddlers from exploring their own body parts, particularly their genitals. C) Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior. D) Offer toddlers many choices to foster control over their environment.

C) Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior

9) The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern? A) "This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech." B) "This is considered a developmental delay in the 3-year-old and we should consult a speech therapist." C) "This is a condition known as echolalia and can be corrected if you work with your daughter on language skills." D) "This is a condition known as stuttering and it is a normal pattern of speech development in the toddler."

A) "This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."

6. A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation? A) "This is normal behavior for infants unless the stool passed is hard and dry." B) "This is normal behavior for infants due to the immaturity of the gastrointestinal system." C) "This indicates a blockage in the intestine and must be reported to the health care provider." D) "This is normal behavior for infants unless the stool passed is black or green."

A) "This is normal behavior for infant unless the stoop passed is hard and dry."

27) The parent of a 6-month-old infant asks the nurse for advice about his son's thumb sucking. What would be the nurse's best response to this parent? A) "Thumb sucking is a healthy self-comforting activity." B) "Thumb sucking leads to the need for orthodontic braces." C) "Caregivers should pay special attention to the thumb sucking to stop it." D) "Thumb sucking should be replaced with the use of a pacifier."

A) "Thumb sucking is a health self-comforting activity."

10) After teaching a group of parents about language development in toddlers, what if stated by a member of the group indicates successful teaching? A) "When my 3-year-old asks 'why?' all the time, this is completely normal." B) "A 15-month-old should be able to point to his eyes when asked to do so." C) "At age 2 years, my son should be able to understand things like under or on." D) "An 18-month-old would most likely use words and gestures to communicate."

A) "When my 3-year-old asks 'why?' all the time, this is completely normal."

29) The nurse is assessing the infants in the nursery for the six stages of consciousness. The nurse becomes concerned when assessing which infants? Select all that apply. A) An infant rapidly moves from deep sleep to crying. B) An infant moves from active alert state to drowsiness. C) An infant progresses slowly from deep sleep to light sleep. D) An infant frequently skips the quiet alert state during the six stages of consciousness. E) An infant ends the stages of consciousness with crying.

A) An infant rapidly moves from deep sleep to crying B) An infant moves from an active alert state to drowsiness D) An infant frequently skips the quiet alert state during the six stages of consciousness

8) The nurse is caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones? (select all that apply) A) At 1 month, the infant lifts and turns the head to the side in the prone position B) At 2 months, the infant rolls from supine to prone to back again C) At 6 months, the infant pulls to stand up D) At 7 months, the infant sits alone with some use of hands for support E) At 9 months, the infant crawls with the abdomen off the floor F) At 12 months, the infant walks independently

A) At 1 month, the infant lifts and turns the head to the side in the prone position D) At 7 months, the infant sits alone with some use of hands for support E) At 9 months, the infant crawls with the abdomen off the floor F) At 12 months, the infant walks independently

2) The nurse is teaching a new mother about the drastic growth and developmental changes her infant will experience in the first year of life. Which statement describes a developmental milestone occurring in infancy? A) By 6 months of age, the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth B) Most infants triple their birth weight by 4-6 months of age and quadruple their birth weight by the time they are 1 year old C) The head circumference increases rapidly during the first 6 months: the average increase is about 1 in per month D) The hear triples in size over the first year of life; the average pulse rate decreases from 120 to 140 in the newborn to about 100 in the 1-year-old

A) By 6 months of age, the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth

20) The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child? A) Discussing the type of sippy cup to use B) Advising about increased caloric needs C) Explaining how to prepare table meats D) Describing the tongue extrusion reflex

A) Discussing the type of sippy cup to use

24) The nurse is teaching the parents of an overweight 18-month-old girl about diet. Which intervention will be most effective for promoting proportionate growth? A) Remove high-calorie, low-nutrient foods from the diet. B) Ensure 30 minutes of unstructured activity per day. C) Avoid sharing your snacks and candy with the child. D) Reduce the amount of high-fat food the child eats.

A) Remove high-calorie, low-nutrient foods from the diet

20) The parents of a 1-year-old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. Which is the best advice the nurse can provide? A) Tell the parents to limit the child's eating to meal and snack times. B) Urge the parents to take the child to a dentist for a check-up. C) Advise the parents to reduce carbohydrates in the child's diet. D) Advise the parents to use fluoride toothpaste.

A) Tell the parents to limit the child's eating to meal and snack times.

30) A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply. A) The mother carefully washes her breasts prior to feeding the infant. B) The mother feeds the infant every hour. C) The mother supplements feedings with water. D) The mother holds her breast in the "C" position. E) The mother strokes the nipple against the infant's face.

A) The mother carefully washes her breasts prior to feeding the infant B) The mother feeds the infant every hour C) The mother supplements feedings with water

3) The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the infant at risk for respiratory compromise? (select all that apply) A) The nasal passages are narrower B) The trachea and chest wall are less complaint C) The bronchi and bronchioles are shorter and wider D) The larynx is more funnel shaped E) The tongue is smaller E) There are significantly fewer alveoli

A) The nasal passage are narrower D) The larynx is more funnel shaped F) The tongue is smaller

12) The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior? A) The need for separation and control B) The need for love and belonging C) The need for safety and security D) The need for peer approval

A) The need for separation and control

16) The nurse is watching toddlers at play. Which normal behavior would the nurse observe? A) Toddlers engage in parallel play. B) Toddlers engage in solitary play. C) Toddlers engage in cooperative play. D) Toddlers do not engage in play outside the home.

A) Toddlers engage in parallel play

5) The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development? A) The child has trouble undressing himself. B) The child is unable to push a toy lawnmower. C) The child is unable to unscrew a jar lid. D) The child falls when he bends over.

B) The child is unable to push a toy lawnmower

19) The nurse is teaching good sleep habits for toddlers to the mother of a 3-year-old boy. Which response indicates the mother understands sleep requirements for her son? A) "I'll put him to bed at 7 PM, except Friday and Saturday." B) "He needs 12 hours of sleep per day including his nap." C) "I need to put the side down on the crib so he can get out." D) "His father can give him a horseback ride into his bed."

B) "He needs 12 hours of sleep per day including his nap."

18) During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his parents. Which statement from the parents reflects a recommended guideline for promoting healthy sleep in this age group? A) "Our son sleeps through the night, and we insist that he takes two naps a day." B) "We keep a strict bedtime ritual for our son, which includes a bath and bedtime story." C) "Our son still sleeps in a crib because we feel it is the safest place for him at night." D) "Our son occasionally experiences night walking so we allow him to stay up later when this happens."

B) "We keep a strict bedtime ritual for our son, which includes a bath and bedtime story."

28) At which age would the nurse expect to find the beginning of object permanence? A) 1 month B) 6 months C) 9 months D) 12 months

B) 6 months

23) When instructing the parents of a toddler about appropriate nutrition, what would the nurse recommend? A) About 12 to 16 ounces of fruit juice per day B) Approximately 16 to 24 ounces of milk per day C) Fat intake of 30% to 40% of total calories D) An average of 10 to 12 grams of fiber per day

B) Approximately 16 to 24 ounces of milk per day

11) The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? (select all that apply) A) Around 5 months, the infant may develop stranger anxiety B) Around 2 months, the infant exhibits a first real smile C) Around 3 months, the infant smiles widely and gurgles when interacting with the caregiver D) Around 3 months, the infant will mimic the parent's facial movements, such as sticking out the tongue E) Around 3 to 6 months of age, the infant may enjoy socially interactive games such as patty-cake and peek-a-boo F) Separation anxiety may also start in the last few months of infancy

B) Around 2 months, the infant exhibits a first real smile C) Around 3 months, the infant smiles widely and gurgles when interacting with the caregiver D) Around 3 months, the infant will mimic the parent's facial movements, such as sticking out the tongue F) Separation anxiety may also start in the last few months of infancy

3) The nurse is teaching the parents of a 2-year- old toddler methods of dealing with their child's "negativism." Based on Erikson's theory of development, what would be an appropriate intervention for this child? A) Discourage solitary play; encourage playing with other children. B) Encourage the child to pick out his own clothes. C) Use "time-outs" whenever the child says "no" inappropriately. D) Encourage the child to take turns when playing games.

B) Encourage the child to pick out his own clothes

21. The nurse is helping parents prepare a healthy meal plan for their toddler. Which guidelines for promoting nutrition should be followed when planning meals? Select all that apply. A) The child younger than 2 years of age should have his or her fat intake restricted. B) Extending breastfeeding into toddlerhood is believed to be beneficial to the child. C) Weaning from the bottle should occur by 6 to 12 months of age. D) Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization. E) The toddler requires an average intake of 700 mg calcium per day. F) Toddlers tend to have the highest daily iron intake of any age group.

B) Extending breastfeeding into the toddlerhood is believed to be beneficial to the child D) Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization E) The toddler requires an average intake of 700 mg calcium per day

26) The nurse is counseling the mother of a newborn who is concerned about her baby's constant crying. What teaching would be appropriate for this mother? A) Carrying the baby may increase the length of crying. B) Reducing stimulation may decrease the length of crying. C) Using vibration, white noise, or swaddling may increase crying. D) Using a swing or car ride may increase the incidence of crying episodes.

B) Reducing stimulation may decrease the length of crying

5) Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned? A) Plantar grasp B) Step C) Babinski D) Neck righting

B) Step

16) The nurse is caring for a 4-week-old girl and her mother. Which is the most appropriate subject for anticipatory guidance? A) Promoting the digestibility of breast milk B) Telling how and when to introduce rice cereal C) Describing root reflex and latching on D) Advising how to choose a good formula

B) Telling how and when to introduce rice cereal

10) The nurse is assessing a 4-month-old body during a scheduled visit. Which findings might suggest a developmental problem? A) The child does not babble B) The child does not vocally respond to voices C) The child never squeals or yells D) The child does not say dada or mama

B) The child does not vocally respond to voices