Maternity & Child Exam 7

A two month old infant is brought to the clinic for the first immunization against DPT. The nurse should administer the vaccine via what route? A Oral. B Subcutaneous C Intradermal D Intramascular

Intramascular

The mother asks when the "soft spots" close? The nurse explains that the neonate's anterior fontanel will normally close by age... A 6 to 8 months. B 20 to 24 months. C 2 to 3 months. D 12 to 18 months.

12 to 18 months

The mother says, "the soft spot near the front of her baby's head is still big, when will it close?" Nurse Lilibeth's correct response would be at... A 2 to 4 months. B 9 to 12 months. C 5 to 8 months. D 13 to 18 months. prop

13 to 18 months. prop

The mother says that she will be glad to let her child brush her teeth without help, but at what age should this begin? Nurse Roselyn should respond at... A 7 years B 5 years C 3 years D 6 years

6 years

Which of the following toys should the nurse recommend for a 5-month old? A A big red balloon B A colorful busy box C A push-pull wooden truck D A teddy bear with button eyes

A colorful busy box

A term neonate is to be released from hospital at 2 days of age. The nurse performs a physical examination before discharge. Nurse Valerie examines the neonate's hands and palms. Which of the following findings requires further assessment? A A single crease on the palm. B Many crease across the palm. C Two large creases across the palm. D Absence of creases on the palm.

A single crease on the palm.

The mother tells the nurse that her other child, a 4-year old boy, has developed some "strange eating habits", including not finishing her meals and eating the same foods for several days in a row. She would like to develop a plan to connect this situation. In developing such a plan, the nurse and mother should consider... A Not allowing him to play with friends until he eats all the food she served. B Allowing him to make some decisions about the foods he eats C Deciding on a good reward for finishing a meal D Requiring him to eat the foods served at meal times.

Allowing him to make some decisions about the foods he eats

When a nurse assesses for pain in toddlers, which of the following techniques would be least effective? A Listen for pain cues in their cries. B Ask them about the pain C Observe them for restlessness D Watch their face for grimness

Ask them about the pain

The school nurse is planning a series of safety and accident prevention classes for a group of third grades. What preventive measures should the nurse stress during the first class, knowing the leading cause of incidental injury and death in this age? A Auto seat belts B Flame-retardant clothing C Life preserves D Protective eyewear

Auto seat belts

The nurse notes a swelling on the neonate's scalp that crosses the suture line. The nurse documents this condition as... A Perinatal caput. B Caput succedaneum C Hemorrhage edema. D Cephallic hematoma.

Caput succedaneum

The mother is concerned about the child's compulsion for collecting things. The nurse explains that this behavior is related to the cognitive ability to perform. A Formal operations B Concrete operations C Tertiary circular reactions D Coordination of

Concrete operations

The mother relates that the child is beginning to identify behaviors that pleases others as "good behavior". The child's behavior is characteristics of which Kohlberg's level of moral development? A Conventional morality B Pre-conventional morality C Autonomous morality D Post conventional morality

Conventional morality

When assessing the neonate's eyes, the nurse notes the following: absence of tears, corneas of unequal size, constriction of the pupils in response to bright light, and the presence of red circles on the pupils on ophthalmic examination. Which of these findings needs further assessment? A Constriction of the pupils. B The absence of tears. C Corneas of unequal size. D The presence of red circles on the pupils

Corneas of unequal size.

The mother reports that her child creates a quite scene every night at bedtime and asks what she can do to make bedtime a little more pleasant. The nurse should suggest that the mother to... A Let the child play toy just before bedtime B Allow the child to stay up later one or two nights a week. C Establish a set bedtime and follow a routine D Give the child a cookie if bedtime is pleasant.

Establish a set bedtime and follow a routine

A mother of a 2 year old has just left the hospital to check on her other children. Which of the following would best help the 2 year old who is now crying inconsolably? A Large cuddly dog B Taking a nap C Favorite blanket D Peer play group

Favorite blanket

Which of the following is an appropriate toy for an 18 month old? A Multiple-piece puzzle B Miniature Cars C Comic Book D Finger paints

Finger paints

When teaching parents about typical toddler eating patterns, which of the following should be included? A Food "jags" B Increase in appetite C Consistent table manners D Preference to eat alone

Food "jags"

An infant is observed to be competent in the following developmental skills: stares at an object, place her hands to the mouth and takes it off, coos and gargles when talk to and sustains part of her own weight when held to in a standing position. The nurse correctly assessed infant's age as... A Eight months. B Two months. C Six months D Four months

Four months

Mother Arlene says the infant's physician recommends certain foods but the infant refuses to eat them after breastfeeding. The nurse should suggest that the mother alter the feeding plan by... A Mixing minced food with cow's milk and feeding it to the infant through a large hole nipple. B Offering breast milk as long as the infant refuses to eat solid food. C Offering desert followed by vegetable and meat. D Giving the infant a few minutes of breast and then offering solid food.

Giving the infant a few minutes of breast and then offering solid food.

Which of the following fears would the nurse typically associate with toddlerhood? A Ghosts B Going to sleep C Mutilation D The dark

Going to sleep

After teaching the mother about the neonate's positive Babinski reflex, the nurse determines that the mother understands the instructions when she says that a positive Babinski reflex indicates.... A Immature muscle coordination. B Possible injury to nerves that innervate the feet. C Possible lower spinal cord defect. D Immature central nervous system

Immature central nervous system

The mother of a 10-year old boy expresses concern that he is overweight. When developing a plan of care with the mother, Nurse Katrina should encourage her to... A Limit child's between-,meal snacks B Prohibit the child from playing outside if he eat snacks C Include the child in meal planning and preparation D Limit the child's calories intake to 1,200kCal/day

Include the child in meal planning and preparation

The nurse explained to the mother that according to Erickson's framework of psychosocial development, play as a vehicle of development can help the school age child develop a sense of... A Intimacy B Identity C Industry D Initiative

Industry

The child probably tells the nurse that brushing and flossing her teeth is her responsibility. When responding to this information, the nurse should realize that the child... A Should have assumed this responsibility much sooner B Is too young to be given this responsibility C Is most likely quite capable of this responsibility D Is probably just exaggerating the responsibility

Is most likely quite capable of this responsibility

The mother tells the nurse that the child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain that this behavior is a sign of... A Excessive television watching B Mastery of language ambiguities C Inappropriate peer influence D Inadequately parental attention

Mastery of language ambiguities

Nurse Kris is responsible for assessing a male neonate approximately 24 hours old. The neonate was delivered vaginally. The nurse should plan to assess the neonate's physical condition.... A Immediately before a feeding. B Immediately after a feeding. C After the neonate has been NPO for three hours. D Midway between feedings.

Midway between feedings.

The nurse teaches the client's mother about the normal reaction that the infant might experience 12 to 24 hours after the DPT immunization, which of the following reactions would the nurse discuss? A Diarrhea B Nasal Congestion C Lethargy. D Mild fever.

Mild fever.

The mother of the 9-month old says, "it is difficult to add new foods to his diet, he spits everything out", she says. The nurse should teach the mother to... A Mix new foods with more familiar foods. B Mix new foods with formula C Offer new foods after formula has been offered. D Offer new foods one at a time.

Offer new foods one at a time.

Which of the following tasks is typical for an 18-month old baby? A Copying a circle B Playing toy with other children C Pulling toys D Building a tower of eight blocks

Pulling toys

The mother tells the nurse that she is having problem toilet-training her 2-year old child. The nurse would tell the mother that the number one reason that toilet training in toddlers fails because the... A Rewards are too limited B The child is not develop mentally ready to be trained C Parents ignore "accidents" that occur during training D Training equipment is inappropriate

The child is not develop mentally ready to be trained

When instructing the mother about the neonate's need for sensory and visual stimulation, the nurse should plan to explain that the most highly develop sense in the neonate is... A Smell B Hearing C Task D Touch

Touch

A mother brings her one month old infant to the clinic for check-up. Which of the following developmental achievements would the nurse assess for? A Smiling and laughing out loud. B Holding a rattle briefly. C Turning the head from side to side. D Rolling from back to side.

Turning the head from side to side.

Mother Riza brings her normally developed 3-year old to the clinic for a check-up. The nurse would expect that the child would be at least skilled in... A Stringing large beads B Tying shoelaces C Riding a bicycle D Using blunt scissors

Tying shoelaces

When assessing an 18-month old, the nurse notes a characteristics protruding abdomen. Which of the following would explain the rationale for this findings? A Increased food intake owing to age B Linear growth curve C Bowlegged posture D Underdeveloped abdominal muscles

Underdeveloped abdominal muscles

The mother asks about dental care for her child. She says that she helps brush the child's teeth daily. Which of the following responses by the nurse would be most appropriate? A "Since you help brush her teeth, there's no need to see a dentist now" B "You should have begun dental appointments last year but it is not too late" C "A dental check-up is a good idea, even if no noticeable problems are present" D "Your child does not need to see the dentist until she starts school"

"A dental check-up is a good idea, even if no noticeable problems are present"

After explaining the neonate's cranial molding, the nurse determines that the mother needs further instructions from which statement? A "The degree of molding is related to the amount of pressure on the head." B "The fontanels maybe damaged if the molding does not resolved quickly." C "The molding is caused by an overriding of the cranial bones." D "The molding will disappear in a few days."

"The degree of molding is related to the amount of pressure on the head."

Nurse Bryan knows that one of the most effective strategies to teach a Four year old about safety is to... A Tell him he is bad when they do something dangerous B Show him pictures of children who have involve with accidents C Provide good examples of safety behavior D Show him potential dangers to avoid

Provide good examples of safety behavior

A mother states that she thinks her 9-month old is 'developing slowly'. When evaluating the infant's development, the nurse would not expect a normal 9-month old to be able to... A Begin to use imitative verbal expressions. B Creep and crawl. C Hold a bottle with good hand - mouth coordination. D Put an arm through a sleeve while being dressed.

Put an arm through a sleeve while being dressed.

A child is not developmentally ready to be trained. A 2-1/2 year old child is brought to the clinic by his father who explains that the child is afraid of the dark and says "no" when asked to do something. The nurse would explain that the negativism demonstrated by toddler is frequently an expression of... A Sibling rivalry B Hyperactivity C Quest for autonomy D Separation anxiety

Quest for autonomy

If parents keep a toddler dependent in areas where he is capable of using skills, the toddler will develop a sense of which of the following? A Mistrust B Guilt C Inferiority D Shame

Shame

Nurse Joan works in a children's clinic and helps with the care for well and ill children of various ages. A mother brings her 4 month old infant to the clinic. The mother asks the nurse when she should wean the infant from breastfeeding and begin using a cup. Nurse Joan should explain that the infant will show readiness to be weaned by... A Sleeping through the night. B Taking solid foods well. C Eating on a regular schedule. D Shortening the nursing time.

Shortening the nursing time.

The mother asks the nurse about the child's apparent need for between-meals snacks, especially after school. The nurse and mother develop a nutritional plan for the child, keeping in mind that the child.. A Will instinctively select nutritional snacks B Does not need to eat between meals C Should help prepare own snacks D Should eat snacks his mother prepare

Should help prepare own snacks

When discussing a seven month old infant's mother regarding the motor skill development, the nurse should explain that by age seven months, an infant most likely will be able to... A Eat with a spoon. B Stand while holding unto a furniture C Sit alone using the hands for support. D Walk with support.

Sit alone using the hands for support.

Which of the following abilities would a nurse expect a 4 month old infant to perform? A Grasping a rattle when it is offered. B Sitting up without support. C Responding to pleasure with smiles. D Turning from either side to the back.

Sitting up without support.

The nurse plans to administer the Denver Developmental Screening Test (DDST) to a five month old infant. The nurse should explain to the mother that the test measures the infants... A Pre-disposition to genetic and allergic illnesses. B Intelligence quotient. C Emotional development. D Social and physical activities.

Social and physical activities.

The nurse would explain to the father which concept of Piaget's cognitive development as the basis for the child's fear of darkness? A Object permanence B Animism C Conservation of matter D Reversibility

Animism

A 9 year old girl is brought to the pediatrician's office for an annual physical checkup. She has no history of significant health problems. When the nurse asks the girl about her best friend, the nurse is assessing... A Motor development B Language development C Neurological development D Social development

Social development

When performing the physical assessment, the nurse explains to the mother that in a term neonate, sole creases are... A Absent near the heels. B Evident only towards the transverse arch. C Evident under the heels only, D Spread over the entire foot.

Spread over the entire foot.

Mother asks the nurse for advice about discipline. The nurse would suggest that the mother would first use... A Structured interaction B Reasoning C Scolding D Spanking

Structured interaction