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

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

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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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.”

  • 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

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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

  • 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

  • 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.

  • 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

  • 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.

  • 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.

  • 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

  • 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

  • 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

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