Maternal And Child Health Review Test (Practice Mode)- Www.Rnpedia.Com

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Questions and Answers
  • 1. 

    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.

      Many crease across the palm.

    • B.

      Absence of creases on the palm.

    • C.

      A single crease on the palm.

    • D.

      Two large creases across the palm.

    Correct Answer
    C. A single crease on the palm.
    Explanation
    A single crease on the palm requires further assessment because it may indicate a condition called simian crease. A simian crease is a single line that runs across the palm instead of the normal multiple creases. It can be associated with certain genetic disorders, such as Down syndrome. Therefore, further assessment is necessary to rule out any underlying medical conditions.

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  • 2. 

    The mother asks when the “soft spots” close? The nurse explains that the neonate’s anterior fontanel will normally close by age…

    • A.

      2 to 3 months.

    • B.

      6 to 8 months.

    • C.

      12 to 18 months.

    • D.

      20 to 24 months.

    Correct Answer
    C. 12 to 18 months.
    Explanation
    The anterior fontanel is a soft spot on a baby's head where the skull bones have not yet fused together. It is important for the fontanel to close to protect the brain and allow for normal development. The nurse explains that the neonate's anterior fontanel will normally close by age 12 to 18 months, indicating that the baby's skull bones have fused together by this time.

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  • 3. 

    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 under the heels only,

    • C.

      Spread over the entire foot.

    • D.

      Evident only towards the transverse arch.

    Correct Answer
    C. Spread over the entire foot.
    Explanation
    In a term neonate, sole creases are spread over the entire foot. This means that the creases can be seen throughout the sole of the foot, from the heel to the toes. This is a normal finding in a healthy newborn. The presence of sole creases indicates proper development and maturation of the foot muscles and tissues. It is important for the nurse to assess the neonate's foot creases as part of the physical examination to ensure normal growth and development.

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  • 4. 

    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.

      The absence of tears.

    • B.

      Corneas of unequal size.

    • C.

      Constriction of the pupils.

    • D.

      The presence of red circles on the pupils.

    Correct Answer
    B. Corneas of unequal size.
    Explanation
    The nurse should further assess the corneas of unequal size. This finding could indicate a condition called anisocoria, which is a difference in pupil size between the two eyes. Anisocoria can be a sign of various underlying issues, such as nerve damage, inflammation, or a problem with the muscles that control the pupils. Further assessment is necessary to determine the cause and appropriate treatment for this condition.

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  • 5. 

    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.

      Immature central nervous system.

    • C.

      Possible lower spinal cord defect.

    • D.

      Possible injury to nerves that innervate the feet.

    Correct Answer
    B. Immature central nervous system.
    Explanation
    A positive Babinski reflex indicates an immature central nervous system. The Babinski reflex is a normal response in newborns where the big toe extends upward and the other toes fan out when the sole of the foot is stroked. This reflex is present in infants because their central nervous system is still developing and the pathways that control movement are not fully matured. As the central nervous system develops, the Babinski reflex typically disappears and is replaced by a more appropriate response. Therefore, a positive Babinski reflex in a neonate indicates that their central nervous system is still immature.

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  • 6. 

    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.

      Midway between feedings.

    • B.

      Immediately after a feeding.

    • C.

      After the neonate has been NPO for three hours.

    • D.

      Immediately before a feeding.

    Correct Answer
    A. Midway between feedings.
    Explanation
    The nurse should plan to assess the neonate's physical condition midway between feedings. This is because assessing the neonate immediately after a feeding may not provide an accurate representation of their physical condition as they may be full and content. Assessing the neonate after they have been NPO for three hours may not be ideal as they may be hungry and irritable. Assessing the neonate immediately before a feeding may also not be ideal as they may be hungry and impatient. Therefore, assessing the neonate midway between feedings allows for a more accurate assessment of their physical condition.

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  • 7. 

    The nurse notes a swelling on the neonate’s scalp that crosses the suture line. The nurse documents this condition as…

    • A.

      Cephallic hematoma.

    • B.

      Caput succedaneum

    • C.

      Hemorrhage edema.

    • D.

      Perinatal caput.

    Correct Answer
    B. Caput succedaneum
    Explanation
    Caput succedaneum is the correct answer because it refers to the swelling on the neonate's scalp that crosses the suture line. It is a condition characterized by diffuse edema and swelling of the scalp that occurs during labor and delivery. It is caused by pressure from the birth canal and usually resolves on its own within a few days. Cephalic hematoma is a collection of blood under the scalp, while hemorrhage edema and perinatal caput are not specific terms used to describe this condition.

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  • 8. 

    The nurse measures the circumference of the neonate’s heads and chest, and then explains to the mother that when the two measurements are compared, the head is normally about…

    • A.

      The same size as the chest.

    • B.

      2 centimeter larger than the chest.

    • C.

      2 centimeter smaller than the chest.

    • D.

      4 centimeter larger than chest.

    Correct Answer
    B. 2 centimeter larger than the chest.
    Explanation
    The nurse measures the circumference of the neonate's head and chest to compare their sizes. The correct answer is that the head is normally about 2 centimeters larger than the chest. This is because the head of a newborn is typically larger in proportion to the rest of their body. This difference in size is expected and considered normal in newborns.

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  • 9. 

    After explaining the neonate’s cranial molding, the nurse determines that the mother needs further instructions from which statement?

    • A.

      “The molding is caused by an overriding of the cranial bones.”

    • B.

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

    • C.

      “The molding will disappear in a few days.”

    • D.

      “The fontanels maybe damaged if the molding does not resolved quickly.”

    Correct Answer
    B. “The degree of molding is related to the amount of pressure on the head.”
    Explanation
    The nurse determines that the mother needs further instructions from the statement "The degree of molding is related to the amount of pressure on the head." This statement is incorrect because the degree of molding is actually related to the baby's position in the womb and the process of birth, not the amount of pressure on the head. The molding is caused by the overlapping of the cranial bones and it is a normal process that typically resolves on its own within a few days. The fontanels, which are soft spots on the baby's head, are not at risk of being damaged if the molding does not resolve quickly.

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  • 10. 

    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.

      Task

    • B.

      Smell

    • C.

      Touch

    • D.

      Hearing

    Correct Answer
    C. Touch
    Explanation
    The correct answer is touch. The neonate's sense of touch is the most highly developed sense at birth. This is because the baby's skin is sensitive and responsive to touch, allowing them to feel and respond to different sensations. Touch is important for the baby's development and bonding with the mother, as it provides comfort and promotes a sense of security. Additionally, touch helps the baby to explore their environment and learn about different textures and sensations.

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  • 11. 

    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.

      Taking solid foods well.

    • B.

      Sleeping through the night.

    • C.

      Shortening the nursing time.

    • D.

      Eating on a regular schedule.

    Correct Answer
    C. Shortening the nursing time.
    Explanation
    The correct answer is "Shortening the nursing time." This is because when an infant starts to shorten their nursing time, it indicates that they are becoming more efficient at feeding and may be ready to start transitioning to solid foods and using a cup. It is important to note that each infant is different and readiness to be weaned can vary, so it is always best to consult with a healthcare professional for personalized advice.

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  • 12. 

    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.

      Offering desert followed by vegetable and meat.

    • B.

      Offering breast milk as long as the infant refuses to eat solid food.

    • C.

      Mixing minced food with cow’s milk and feeding it to the infant through a large hole nipple.

    • D.

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

    Correct Answer
    D. Giving the infant a few minutes of breast and then offering solid food.
    Explanation
    The correct answer is giving the infant a few minutes of breast and then offering solid food. This suggestion aligns with the infant's refusal to eat solid food after breastfeeding. By offering a few minutes of breast first, the infant can satisfy their hunger and then be more open to trying solid food. This approach allows for a gradual transition from breastfeeding to solid food.

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  • 13. 

    Which of the following abilities would a nurse expect a 4 month old infant to perform?

    • A.

      Sitting up without support.

    • B.

      Responding to pleasure with smiles.

    • C.

      Grasping a rattle when it is offered.

    • D.

      Turning from either side to the back.

    Correct Answer
    A. Sitting up without support.
    Explanation
    At 4 months old, an infant is typically not able to sit up without support. This ability usually develops around 6-8 months of age. However, infants at this age are able to respond to pleasure with smiles and grasp objects when they are offered, as their fine motor skills and social-emotional development are starting to develop. Turning from either side to the back is a milestone that is usually achieved around 5-6 months of age. Therefore, sitting up without support is the ability that a nurse would not expect a 4 month old infant to perform.

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  • 14. 

    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.

      Intelligence quotient.

    • B.

      Emotional development.

    • C.

      Social and physical activities.

    • D.

      Pre-disposition to genetic and allergic illnesses.

    Correct Answer
    C. Social and physical activities.
    Explanation
    The Denver Developmental Screening Test (DDST) is used to measure a five-month-old infant's social and physical activities. It assesses their developmental milestones and determines if they are meeting age-appropriate goals in areas such as motor skills, language, and social interaction. The test does not measure intelligence quotient, emotional development, or pre-disposition to genetic and allergic illnesses.

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  • 15. 

    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.

      Walk with support.

    • B.

      Eat with a spoon.

    • C.

      Stand while holding unto a furniture

    • D.

      Sit alone using the hands for support.

    Correct Answer
    D. Sit alone using the hands for support.
    Explanation
    By seven months old, an infant is typically able to sit alone using their hands for support. This means that they have developed enough strength and control in their muscles to sit up without assistance, although they still rely on their hands for stability. Walking with support, eating with a spoon, and standing while holding onto furniture are typically achieved at later stages of development.

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  • 16. 

    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.

      Rolling from back to side.

    • C.

      Holding a rattle briefly.

    • D.

      Turning the head from side to side.

    Correct Answer
    D. Turning the head from side to side.
    Explanation
    At one month old, infants typically start to gain more control over their neck muscles. They are able to turn their head from side to side, which is an important developmental achievement as it shows that their neck muscles are getting stronger. This ability allows them to explore their environment and interact with their surroundings. Smiling and laughing out loud, rolling from back to side, and holding a rattle briefly are developmental milestones that usually occur at later stages of infancy.

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  • 17. 

     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.

      Intramascular

    • C.

      Subcutaneous

    • D.

      Intradermal

    Correct Answer
    B. Intramascular
    Explanation
    The correct answer is intramuscular. The DPT vaccine is typically administered via the intramuscular route because it allows for optimal absorption and immune response. Intramuscular injections are given deep into the muscle tissue, usually in the deltoid muscle in adults or the anterolateral thigh muscle in infants. This route ensures that the vaccine is delivered directly into the muscle, where it can be effectively absorbed and stimulate the immune system.

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  • 18. 

    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.

      Lethargy.

    • B.

      Mild fever.

    • C.

      Diarrhea

    • D.

      Nasal Congestion

    Correct Answer
    B. Mild fever.
    Explanation
    The nurse would discuss mild fever as a normal reaction that the infant might experience 12 to 24 hours after the DPT immunization. This is a common side effect of vaccinations and is typically not a cause for concern. Lethargy, diarrhea, and nasal congestion are not typically associated with the DPT immunization.

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  • 19. 

    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.

      Two months.

    • B.

      Four months

    • C.

      Six months

    • D.

      Eight months.

    Correct Answer
    B. Four months
    Explanation
    Based on the observed developmental skills, the nurse correctly assessed the infant's age as four months. At this age, infants typically start to stare at objects, bring their hands to their mouth and take them off, coo and gargle when spoken to, and can sustain part of their own weight when held in a standing position. These milestones indicate that the infant is progressing appropriately for a four-month-old.

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  • 20. 

    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.

      5 to 8 months.

    • C.

      9 to 12 months.

    • D.

      13 to 18 months. prop

    Correct Answer
    D. 13 to 18 months. prop
    Explanation
    The soft spot near the front of a baby's head is called the anterior fontanelle. It is a gap between the skull bones that allows for the baby's brain to grow and develop. The fontanelle typically closes by the time the baby is 13 to 18 months old. This is the correct answer because it provides the appropriate timeframe for when the soft spot will close.

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  • 21. 

    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.

      Creep and crawl.

    • B.

      Begin to use imitative verbal expressions.

    • C.

      Put an arm through a sleeve while being dressed.

    • D.

      Hold a bottle with good hand – mouth coordination.

    Correct Answer
    C. Put an arm through a sleeve while being dressed.
    Explanation
    A normal 9-month old infant would not be expected to have the fine motor skills required to put an arm through a sleeve while being dressed. At this age, infants are still developing their gross motor skills and may not have the coordination and dexterity needed for such a task. Creeping and crawling, beginning to use imitative verbal expressions, and holding a bottle with good hand-mouth coordination are all developmental milestones that a 9-month old should be able to achieve.

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  • 22. 

    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 formula

    • B.

      Mix new foods with more familiar foods.

    • C.

      Offer new foods one at a time.

    • D.

      Offer new foods after formula has been offered.

    Correct Answer
    C. Offer new foods one at a time.
    Explanation
    The correct answer is to offer new foods one at a time. This is because introducing new foods gradually allows the baby to get used to different flavors and textures. By offering one new food at a time, the mother can observe any adverse reactions or allergies that the baby may have to that specific food. This method also helps the baby to develop preferences and gradually expand their diet. Mixing new foods with formula or more familiar foods may not allow the baby to fully experience and accept the taste and texture of the new food. Offering new foods after formula has been offered may result in the baby being too full to try new foods.

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  • 23. 

    Which of the following tasks is typical for an 18-month old baby?

    • A.

      Copying a circle

    • B.

      Pulling toys

    • C.

      Playing toy with other children

    • D.

      Building a tower of eight blocks

    Correct Answer
    B. Pulling toys
    Explanation
    An 18-month old baby is typically able to pull toys. At this age, they have developed enough strength and coordination to grasp and pull objects towards themselves. This is an important milestone in their physical development as it helps them explore their environment and improve their fine motor skills. Copying a circle, playing with other children, and building a tower of eight blocks require more advanced cognitive and motor skills that are typically seen in older children.

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  • 24. 

    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.

      Riding a bicycle

    • B.

      Tying shoelaces

    • C.

      Stringing large beads

    • D.

      Using blunt scissors

    Correct Answer
    B. Tying shoelaces
    Explanation
    At the age of 3, a child is typically expected to be skilled in tying shoelaces. This is because it requires fine motor skills and hand-eye coordination, which develop around this age. Riding a bicycle may be too advanced for a 3-year-old, as it requires balance and coordination skills that are still developing. Stringing large beads and using blunt scissors also require fine motor skills, but these skills may not be as developed as the ability to tie shoelaces at this age. Therefore, tying shoelaces is the most appropriate skill to expect from a 3-year-old.

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  • 25. 

    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.

      Training equipment is inappropriate

    • C.

      Parents ignore “accidents” that occur during training

    • D.

      The child is not develop mentally ready to be trained

    Correct Answer
    D. The child is not develop mentally ready to be trained
    Explanation
    The correct answer is that the child is not mentally ready to be trained. This means that the child has not reached the necessary developmental stage to understand and participate in toilet training. Toilet training requires a certain level of cognitive and physical development, including the ability to recognize bodily sensations, communicate needs, and follow instructions. If a child is not mentally ready, attempts at toilet training may be unsuccessful and frustrating for both the child and the parent.

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  • 26. 

    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.

      Quest for autonomy

    • B.

      Hyperactivity

    • C.

      Separation anxiety

    • D.

      Sibling rivalry

    Correct Answer
    A. Quest for autonomy
    Explanation
    The negativism demonstrated by the toddler is frequently an expression of their quest for autonomy. At around 2-1/2 years old, children begin to assert their independence and test boundaries. They may start saying "no" more often and showing resistance to certain tasks or requests. This behavior is a normal part of their development as they strive to gain a sense of control over their own actions and decisions.

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  • 27. 

    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.

      Reversibility

    • B.

      Animism

    • C.

      Conservation of matter

    • D.

      Object permanence

    Correct Answer
    B. Animism
    Explanation
    The nurse would explain to the father that the concept of animism in Piaget's cognitive development is the basis for the child's fear of darkness. Animism is the belief that inanimate objects have thoughts, feelings, and intentions just like humans do. Children at a certain stage of cognitive development may attribute life-like qualities to objects and believe that they have the ability to harm them. In the case of the child's fear of darkness, they may believe that there are monsters or other scary entities hiding in the dark, which is a result of their animistic thinking.

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  • 28. 

    Mother asks the nurse for advice about discipline. The nurse would suggest that the mother would first use…

    • A.

      Structured interaction

    • B.

      Spanking

    • C.

      Reasoning

    • D.

      Scolding

    Correct Answer
    A. Structured interaction
    Explanation
    The nurse would suggest that the mother first use structured interaction as a form of discipline. This means creating a consistent and predictable environment for the child, with clear rules and expectations. Structured interaction involves setting boundaries, providing positive reinforcement, and using effective communication techniques to guide the child's behavior. It focuses on teaching the child appropriate behavior and problem-solving skills, rather than resorting to punishment or negative reinforcement. This approach promotes a healthy parent-child relationship and helps the child develop self-discipline and self-control.

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  • 29. 

    When a nurse assesses for pain in toddlers, which of the following techniques would be least effective?

    • A.

      Ask them about the pain

    • B.

      Observe them for restlessness

    • C.

      Watch their face for grimness

    • D.

      Listen for pain cues in their cries.

    Correct Answer
    A. Ask them about the pain
    Explanation
    Asking toddlers about their pain would be the least effective technique to assess pain in this scenario. Toddlers may not have the vocabulary or communication skills to effectively express their pain. They may not understand the question or be able to accurately describe their pain. Therefore, other techniques such as observing for restlessness, watching their facial expressions for grimness, and listening for pain cues in their cries would be more reliable indicators of pain in toddlers.

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  • 30. 

    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.

      Allow the child to stay up later one or two nights a week.

    • B.

      Establish a set bedtime and follow a routine

    • C.

      Let the child play toy just before bedtime

    • D.

      Give the child a cookie if bedtime is pleasant.

    Correct Answer
    B. Establish a set bedtime and follow a routine
    Explanation
    Establishing a set bedtime and following a routine is the best suggestion for making bedtime more pleasant for the child. Having a consistent bedtime helps regulate the child's internal clock and promotes better sleep. Following a routine, such as brushing teeth, reading a book, or listening to calming music, signals to the child that it is time to wind down and prepare for sleep. This can create a sense of security and predictability, making bedtime less stressful and more enjoyable for the child.

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  • 31. 

    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.

      “Your child does not need to see the dentist until she starts school”

    • D.

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

    Correct Answer
    D. “A dental check-up is a good idea, even if no noticeable problems are present”
    Explanation
    The correct answer is "A dental check-up is a good idea, even if no noticeable problems are present." This response is the most appropriate because it emphasizes the importance of regular dental check-ups for overall oral health, regardless of whether any noticeable problems are present. It encourages the mother to prioritize preventive care and ensures that any potential issues can be identified and addressed early on.

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  • 32. 

    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.

      3 years

    • B.

      5 years

    • C.

      6 years

    • D.

      7 years

    Correct Answer
    C. 6 years
    Explanation
    The mother wants to know at what age her child can start brushing her teeth without any assistance. Nurse Roselyn should respond at 6 years. This suggests that at this age, the child will have developed enough coordination and dexterity to brush their teeth effectively on their own.

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  • 33. 

     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.

      Deciding on a good reward for finishing a meal

    • B.

      Allowing him to make some decisions about the foods he eats

    • C.

      Requiring him to eat the foods served at meal times.

    • D.

      Not allowing him to play with friends until he eats all the food she served.

    Correct Answer
    B. Allowing him to make some decisions about the foods he eats
    Explanation
    In order to address the 4-year old boy's "strange eating habits," the nurse and mother should consider allowing him to make some decisions about the foods he eats. By giving him a sense of autonomy and allowing him to have some control over his food choices, it may help to alleviate any resistance or aversion he may have towards finishing his meals or trying new foods. This approach promotes a positive and empowering environment for the child, which may ultimately lead to healthier eating habits.

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  • 34. 

    Nurse Bryan knows that one of the most effective strategies to teach a Four year old about safety is to…

    • A.

      Show him potential dangers to avoid

    • B.

      Tell him he is bad when they do something dangerous

    • C.

      Provide good examples of safety behavior

    • D.

      Show him pictures of children who have involve with accidents

    Correct Answer
    C. Provide good examples of safety behavior
    Explanation
    One of the most effective strategies to teach a four-year-old about safety is to provide good examples of safety behavior. This approach allows the child to observe and learn from positive role models, which can help them understand the importance of safety and how to behave in a safe manner. By showing them what is considered safe behavior, the child can then apply these examples to their own actions and make better choices when it comes to avoiding potential dangers.

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  • 35. 

    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.

      Language development

    • B.

      Motor development

    • C.

      Neurological development

    • D.

      Social development

    Correct Answer
    D. Social development
    Explanation
    The nurse is assessing the girl's social development by asking about her best friend. This question helps to evaluate the child's ability to form and maintain friendships, which is an important aspect of social development.

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  • 36. 

    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.

      Is too young to be given this responsibility

    • B.

      Is most likely quite capable of this responsibility

    • C.

      Should have assumed this responsibility much sooner

    • D.

      Is probably just exaggerating the responsibility

    Correct Answer
    B. Is most likely quite capable of this responsibility
    Explanation
    The child's statement suggests that she believes brushing and flossing her teeth is her responsibility. This indicates that she understands the importance of oral hygiene and is likely capable of performing these tasks on her own. Therefore, the nurse should realize that the child is most likely quite capable of this responsibility.

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  • 37. 

    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.

      Inadequately parental attention

    • B.

      Mastery of language ambiguities

    • C.

      Inappropriate peer influence

    • D.

      Excessive television watching

    Correct Answer
    B. Mastery of language ambiguities
    Explanation
    The child's continuous telling of jokes and riddles indicates a mastery of language ambiguities. This behavior suggests that the child has a good understanding of language and its nuances, as jokes and riddles often rely on wordplay and double meanings. It shows that the child is able to comprehend and manipulate language in a creative and nuanced way, which is a positive sign of language development.

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  • 38. 

    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.

      Pre-conventional morality

    • B.

      Conventional morality

    • C.

      Post conventional morality

    • D.

      Autonomous morality

    Correct Answer
    B. Conventional morality
    Explanation
    The child's behavior of identifying behaviors that please others as "good behavior" aligns with Kohlberg's conventional morality. In this stage, individuals conform to societal norms and rules in order to gain approval from others and maintain social order. The child's understanding of what is considered "good behavior" is based on external factors and the expectations of others, indicating a conventional level of moral development.

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  • 39. 

    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.

      Does not need to eat between meals

    • B.

      Should eat snacks his mother prepares

    • C.

      Should help prepare own snacks

    • D.

      Will instinctively select nutritional snacks

    Correct Answer
    C. Should help prepare own snacks
    Explanation
    The correct answer is that the child should help prepare their own snacks. This option is the most empowering and educational choice for the child. By involving the child in the preparation of their own snacks, they can learn about nutrition, make healthier choices, and develop a sense of responsibility for their own health and well-being. This approach promotes independence and teaches the child valuable skills that they can apply throughout their life.

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  • 40. 

    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.

      Concrete operations

    • B.

      Formal operations

    • C.

      Coordination of

    • D.

      Tertiary circular reactions

    Correct Answer
    A. Concrete operations
    Explanation
    The nurse explains that the child's compulsion for collecting things is related to their cognitive ability to perform concrete operations. Concrete operations is a stage of cognitive development in which children can think logically about concrete objects and events. They are able to understand concepts such as conservation, classification, and seriation. The child's compulsion for collecting things may be a result of their newfound ability to categorize and organize objects based on their similarities and differences.

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  • 41. 

    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.

      Initiative

    • B.

      Industry

    • C.

      Identity

    • D.

      Intimacy

    Correct Answer
    B. Industry
    Explanation
    According to Erickson's framework of psychosocial development, play as a vehicle of development can help the school-age child develop a sense of industry. This means that through play, children at this stage learn to be productive and develop a sense of competence and accomplishment. They begin to understand the importance of hard work and perseverance, which contributes to their overall sense of self-esteem and confidence. Play allows them to explore different roles and tasks, fostering their cognitive, social, and emotional development.

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  • 42. 

    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.

      Flame-retardant clothing

    • B.

      Life preserves

    • C.

      Protective eyewear

    • D.

      Auto seat belts

    Correct Answer
    D. Auto seat belts
    Explanation
    The nurse should stress the importance of auto seat belts during the first class because they are the most effective preventive measure for reducing the risk of injury and death in car accidents, which is the leading cause of incidental injury and death in this age group. Seat belts help to restrain and protect children in the event of a collision, preventing them from being thrown around or ejected from the vehicle. By emphasizing the use of seat belts, the nurse can help educate the students on the importance of buckling up for their safety.

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  • 43. 

    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

    Correct Answer
    C. Include the child in meal planning and preparation
    Explanation
    Encouraging the mother to include the child in meal planning and preparation can be beneficial for several reasons. Firstly, involving the child in these activities can increase their awareness and understanding of healthy food choices. This can empower the child to make better decisions regarding their own nutrition. Additionally, meal planning and preparation can be a bonding experience for the mother and child, creating an opportunity for open communication about healthy eating habits. By including the child in these activities, the mother can also serve as a role model and provide guidance on portion sizes and balanced meals.

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  • 44. 

    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.

      Underdeveloped abdominal muscles

    • C.

      Bowlegged posture

    • D.

      Linear growth curve

    Correct Answer
    B. Underdeveloped abdominal muscles
    Explanation
    The protruding abdomen in an 18-month old can be explained by underdeveloped abdominal muscles. At this age, the abdominal muscles are still developing and may not be strong enough to provide adequate support to the abdominal organs. This can result in a protruding abdomen. Increased food intake owing to age would not directly cause a protruding abdomen, and bowlegged posture and linear growth curve are unrelated to this finding.

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  • 45. 

    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.

      Shame

    • C.

      Guilt

    • D.

      Inferiority

    Correct Answer
    B. Shame
    Explanation
    If parents keep a toddler dependent in areas where he is capable of using skills, the toddler will develop a sense of shame. This means that the toddler will feel embarrassed or humiliated for not being able to do things independently, even though he is capable of doing them. This can lead to a negative self-image and a lack of confidence in his abilities.

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  • 46. 

    Which of the following fears would the nurse typically associate with toddlerhood?

    • A.

      Mutilation

    • B.

      The dark

    • C.

      Ghosts

    • D.

      Going to sleep

    Correct Answer
    D. Going to sleep
    Explanation
    During toddlerhood, children often develop separation anxiety, which can lead to a fear of going to sleep. This fear is commonly associated with toddlers because they may feel anxious or scared about being separated from their parents or caregivers during the night. The fear of going to sleep can be a result of their growing independence and awareness of their surroundings, which can lead to feelings of vulnerability when they are alone in their beds.

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  • 47. 

    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.

      Taking a nap

    • B.

      Peer play group

    • C.

      Large cuddly dog

    • D.

      Favorite blanket

    Correct Answer
    D. Favorite blanket
    Explanation
    A favorite blanket would best help the 2 year old who is crying inconsolably because it provides comfort and a sense of security. The child may be feeling anxious or overwhelmed by the change in environment, and having their familiar blanket can help to soothe and calm them.

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  • 48. 

    Which of the following is an appropriate toy for an 18 month old?

    • A.

      Multiple-piece puzzle

    • B.

      Miniature Cars

    • C.

      Finger paints

    • D.

      Comic Book

    Correct Answer
    C. Finger paints
    Explanation
    Finger paints are an appropriate toy for an 18-month-old because they promote sensory exploration and creativity. At this age, children are developing their fine motor skills and finger painting allows them to practice using their fingers and hands. It also encourages self-expression and imagination as they experiment with different colors and textures. Additionally, finger paints are safe for young children and can be easily cleaned up, making them a suitable choice for this age group.

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  • 49. 

    When teaching parents about typical toddler eating patterns, which of the following should be included?

    • A.

      Food “jags”

    • B.

      Preference to eat alone

    • C.

      Consistent table manners

    • D.

      Increase in appetite

    Correct Answer
    A. Food “jags”
    Explanation
    Food "jags" refer to a common behavior in toddlers where they become fixated on one or a few particular foods and refuse to eat anything else. This is a normal part of toddler eating patterns and should be included when teaching parents about typical behavior. It is important for parents to understand that food "jags" are temporary and that their child's appetite and food preferences will vary over time.

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  • 50. 

    Which of the following toys should the nurse recommend for a 5-month old?

    • A.

      A big red balloon

    • B.

      A teddy bear with button eyes

    • C.

      A push-pull wooden truck

    • D.

      A colorful busy box

    Correct Answer
    D. A colorful busy box
    Explanation
    A colorful busy box would be the most appropriate toy for a 5-month old. At this age, babies are developing their fine motor skills and hand-eye coordination. A busy box typically contains various shapes, buttons, and textures that can engage and stimulate the baby's senses. It allows them to explore and manipulate objects, promoting their cognitive and physical development. On the other hand, a big red balloon may pose a choking hazard, a teddy bear with button eyes may have small parts that can be pulled off and swallowed, and a push-pull wooden truck may be too advanced for a 5-month old.

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