Unit 7 quiz

The parents of an 8 year-old state, "I am happy that our child is healthy," when the nurse says that the child falls into the 95th percentile for BMI. How should the nurse respond?

"For a child a BMI between the 85th and 95th percentile alerts us to the risk for being overweight. Let's talk about your child's diet and activity level."

The nurse is measuring the head circumference of a 1-year-old infant during a well-child visit. The parent asks the nurse why this assessment is being performed. Which response will the nurse provide to the parent?

"Head circumference is typically assessed until age 2 or 3 to help determine if growth is appropriate."

A nurse is caring for a very shy 4-year-old girl. During the course of a well-child assessment, the nurse must take the girl's blood pressure. Which approach is best?

"Help me take your doll's blood pressure"

A nurse is interviewing a parent regarding the 2-year-old child's recent illness. The nurse would like the parent to elaborate about any symptoms of the illness noticed. Which would be the most effective question for the nurse to ask the parent in this situation?

"What symptoms has your child exhibited?"

Petechiae (vascular lesion)

1. tiny red dots (hemorrhages) 2. pinpoint (<0.5cm) 3. will not blanch (color doesn't go away w pressure)

A nurse realizes the importance of nutritional assessment during the health history. When doing so, the nurse must assess the quality as well as quantity of food eaten. The best way to assess food intake is to do a:

24-hour recall

The nurse is assessing deep tendon reflexes on a child admitted for severe dehydration. The assessment reveals hyperactive reflexes. How should the nurse document this finding?

4+

Keloid (secondary lesion)

A thick scar resulting from excessive growth of fibrous tissue (collagen). Keloids are usually found in those that are genetically predisposed to them and may occur following an injury or surgery.

The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum?

All the ova a female will ever have are present at birth

The nurse is collecting data on a 9-year-old child being admitted to the pediatric unit. What is the most appropriate way to gather information from the child's caregiver?

Ask the caregiver questions and document the answers.

A 12-year-old client comes to the clinic for an annual checkup. The nurse needs to take a health history and perform a physical exam. Which method would be the most appropriate when obtaining the client's health history?

Ask the client if it's OK for the parent to be in the room.

The nurse should education a client prescribed which classification of medication about its affect on sexual function?

Beta-blockers

Ulcer (secondary lesion)

Deeper depression extending into dermis, irregular shape; may bleed; leaves scar when heals. Examples: stasis ulcer, pressure sore, chancre.

During anatomy class, the students learn that what structure in the body is a muscular tube with a ciliated lining that is constantly moving?

Fallopian tube

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?

Fallopian tube

Scales (secondary lesion)

Flakes or dry patches made up of excess dead epidermal cells Examples: Dry skin, dandruff, psoriasis, eczema

The nurse is assessing a 4-year-old child who reports having ear pain. What would the nurse incorporate into the assessment?

Grasp the pinna and pull up and back gently in order to assess the ear

The nurse is assessing the vital signs of several toddlers in the pediatric medical unit. Which findings are of most concern to the nurse?

Heart rate 60 beats per minute; respiratory rate 14 breaths per minute

A nurse caring for a 43-year-old client explains to the client that ovarian functions gradually decrease around this age. What is the implication of decreased ovarian function?

Inability to become pregnant

The nursing instructor is monitoring the nursing students as they role-play conducting assessments on children and their caregivers. The instructor determines the session is successful after witnessing the students collect the necessary subjective data during which portion of the assessment process?

Interviewing the child's caregiver

Which cells in the testes produce testosterone

Leydig cells

Fissure (secondary lesion)

Linear crack with abrupt edges, extends into dermis, dry or moist. Examples: cheilosis - at corners of mouth due to excess moisture; athlete's foot.

A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the client's next menses to begin on:

May 24

A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle?

Menarche

A full-term gestation infant weighed 8 pounds 1 ounce (3700 g) at birth. The baby's weight at the 4-month-old well-child visit is 10 pounds 2 ounces (5000 g). Which intervention should the nurse implement first?

Notify the healthcare provider of the findings.

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?

Penile vasodilation

The nursing instructor is conducting a clinical session on the proper techniques for assessing a child's head circumference. The instructor should point out which factor concerning this assessment?

Place the tape measure around the head just above the eyebrows.

During pregnancy, what becomes a massive endocrine gland?

Placenta

When stimulation levels off during the human sexual response, the person is said to be in which of the following phases?

Plateau

Lichenification (secondary lesion)

Prolonged, intense scratching eventually thickens the skin and produces tightly packed sets of papules; looks like surface of moss (or lichen)

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus?

Receives the fertilized ovum and provides housing and nourishment for a fetus

Erosion (secondary lesion)

Scooped out but shallow depression. Superficial; epidermis lost; moist but no bleeding; heals without scar because erosion does not extend into dermis.

The pubescent girl exhibits many changes as a result of estrogen production. Her mother asks the nurse what secondary sexual characteristics to look for in her daughter. What is the best information for the nurse to provide to the mother about secondary sexual characteristics? (Select all that apply.)

Spinal curvature Lower percentage of body fat tissue X Wider hip structure X Pubic and axillary hair X Breast development

What factor might influence the release of the hormones necessary for the human reproductive cycle?

Stress

The human sexual response involves the activation of which system?

Sympathetic nervous system

To obtain an accurate heart rate in an infant, what would be most important for the nurse to do?

Take the apical pulse.

The nurse is taking the health history for a toddler in the emergency department. The child's parent informs the nurse that the toddler has been vomiting for the last 3 days, has a history of asthma, and was hospitalized with pneumonia and a urinary tract infection (UTI) 6 weeks ago. What would the nurse recognize as is the client's chief concern/complaint?

Vomiting

Patch (primary lesion)

a flat, discolored area on the skin larger than 1 cm

cherry angioma (vascular lesion)

a small, round, bright red blood vessel tumor on the skin, often on the trunk of the elderly

plaque (primary lesion)

a solid mass on the surface of the skin

telangiectasia (spider angioma)

a tiny, red blood vessel lesion formed by the dilation of a group of blood vessels radiating from a central arteriole, most commonly on the face, neck, or chest

After puberty, secondary male sexual characteristics can be maintained by:

androgens.

Ecchymosis (vascular lesion)

bruising (won't blanch)

If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the:

corpus albicans

pustule (primary lesion)

elevation of skin containing pus

Macule (primary lesion)

flat, colored spot on the skin (freckle)

The nurse suspects that a female client is experiencing a decline in estrogen. Which assessment finding caused the nurse to make this clinical determination?

hot flashes

Tumor (primary lesion)

mass of rapidly dividing cells that can damage surrounding tissue

Cyst (primary lesion)

sac containing fluid

Which of these terms describes changes in the uterus between days 15-28 of an ideal menstrual cycle?

secretory phase

vesicle (primary lesion)

small blister

Wheal (primary lesion)

small, round, raised area on the skin that may be accompanied by itching; usually seen in allergic reactions

papule (primary lesion)

small, solid skin elevation

The emergency department nurse is caring for a child who is showing signs of anaphylaxis. The nurse evaluates how comprehensive the history of the child should be and determines that which action takes priority?

stabilizing the child's physical status

The nurse is examining the genitals of a healthy newborn girl. The nurse should observe which normal finding?

swollen labia minora

Crust (secondary lesion)

the thickened, dried-out exudate left when vesicles/pustules burst or dry up. Coor can be red-brown, honey, or yellow, depending on the fluid's ingredients (blood, serum, pus). Examples: Impetigo (dry-honey colored), weeping eczematous dermatitis, scab after abrasion.

The nursing students are learning how to perform a health assessment on a pediatric client. The nursing instructor identifies a need for further teaching when a student states:

"I should take blood pressure on a child beginning at age 2 years."

Atrophy (secondary lesion)

- Thinning of epidermis - Appears wrinkly and shiny - If loss of dermal collagen or elastin can appear depressed

Spider Angioma (Vascular lesion)

-red center with radiating red legs -up to 2 cm -can be raised

Tanner stages of breast development

1. Preadolescent- small slightly elevated nipple 2. Breast Bud- small mound, areola enlarges 3. Adolescent- breast and areola enlarge, menses begins 4.Late adolescent- nipple and areola form secondary mound over breast 5. Adult- nipple protrudes, areola flush with breast shape

The charge nurse observes a new graduate nurse assess the cremasteric reflex in an 8-month-old boy. The new graduate nurse strokes the lateral aspect of the thigh. Which action should the charge nurse take?

Demonstrate the appropriate technique.

What would castration prior to puberty result in? (Select all that apply.)

Increased testosterone production X Sterility X Failure to develop normal male characteristics Viable sperm production All the above

The nurse is preparing to assess the abdomen of a preschool-aged child. Which technique should the nurse use first?

Inspection