Maternal And Child Health Practice Test Part 3- Www.Rnpedia.Com

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Maternal And Child Health Practice Test Part 3- Www.Rnpedia.Com - Quiz

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Questions and Answers
  • 1. 
    While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanelle is still slightly open. Which of the following is the nurse’s most appropriate action?
    • A. 

      Notify the physician immediately because there is a problem.

    • B. 

      Perform an intensive neurologic examination.

    • C. 

      Perform an intensive developmental examination.

    • D. 

      Do nothing because this is a normal finding for the age.

  • 2. 
    When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done?
    • A. 

      1 month

    • B. 

      2 months

    • C. 

      3 months

    • D. 

      4 months

  • 3. 
    The infant of a substance-abusing mother is at risk for developing a sense of which of the following?
    • A. 

      Mistrust

    • B. 

      Shame

    • C. 

      Guilt

    • D. 

      Inferiority

  • 4. 
    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

  • 5. 
    The mother of a 2-month-old is concerned that she may be spoiling her baby by picking her up when she cries. Which of the following would be the nurse’s best response?
    • A. 

      “ Let her cry for a while before picking her up, so you don’t spoil her”

    • B. 

      “Babies need to be held and cuddled; you won’t spoil her this way”

    • C. 

      “Crying at this age means the baby is hungry; give her a bottle”

    • D. 

      “If you leave her alone she will learn how to cry herself to sleep”

  • 6. 
    When assessing an 18-month-old, the nurse notes a characteristic protruding abdomen. Which of the following would explain the rationale for this finding?
    • A. 

      Increased food intake owing to age

    • B. 

      Underdeveloped abdominal muscles

    • C. 

      Bowlegged posture

    • D. 

      Linear growth curve

  • 7. 
    If parents keep a toddler dependent in areas where he is capable of using skills, the toddle will develop a sense of which of the following?
    • A. 

      Mistrust

    • B. 

      Shame

    • C. 

      Guilt

    • D. 

      Inferiority

  • 8. 
    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

  • 9. 
    When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler?
    • A. 

      Demonstrates dryness for 4 hours

    • B. 

      Demonstrates ability to sit and walk

    • C. 

      Has a new sibling for stimulation

    • D. 

      Verbalizes desire to go to the bathroom

  • 10. 
    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

  • 11. 
    Which of the following suggestions should the nurse offer the parents of a 4-year-old boy who resists going to bed at night?
    • A. 

      “Allow him to fall asleep in your room, then move him to his own bed.”

    • B. 

      “Tell him that you will lock him in his room if he gets out of bed one more time.”

    • C. 

      “Encourage active play at bedtime to tire him out so he will fall asleep faster.”

    • D. 

      “Read him a story and allow him to play quietly in his bed until he falls asleep.”

  • 12. 
    When providing therapeutic play, which of the following toys would best promote imaginative play in a 4-year-old?
    • A. 

      Large blocks

    • B. 

      Dress-up clothes

    • C. 

      Wooden puzzle

    • D. 

      Big wheels

  • 13. 
    Which of the following activities, when voiced by the parents following a teaching session about the characteristics of school-age cognitive development would indicate the need for additional teaching?
    • A. 

      Collecting baseball cards and marbles

    • B. 

      Ordering dolls according to size

    • C. 

      Considering simple problem-solving options

    • D. 

      Developing plans for the future

  • 14. 
    A hospitalized schoolager states: “I’m not afraid of this place, I’m not afraid of anything.” This statement is most likely an example of whichof the following?
    • A. 

      Regression

    • B. 

      Repression

    • C. 

      Reaction formation

    • D. 

      Rationalization

  • 15. 
    After teaching a group of parents about accident prevention for schoolagers, which of the following statements by the group would indicate the need for more teaching?
    • A. 

      “Schoolagers are more active and adventurous than are younger children.”

    • B. 

      “Schoolagers are more susceptible to home hazards than are younger children.”

    • C. 

      “Schoolagers are unable to understand potential dangers around them.”

    • D. 

      “Schoolargers are less subject to parental control than are younger children.”

  • 16. 
     Which of the following skills is the most significant one learned during the schoolage period?
    • A. 

      Collecting

    • B. 

      Ordering

    • C. 

      Reading

    • D. 

      Sorting

  • 17. 
     A child age 7 was unable to receive the measles, mumps, and rubella (MMR) vaccine at the recommended scheduled time. When would the nurse expect to administer MMR vaccine?
    • A. 

      In a month from now

    • B. 

      In a year from now

    • C. 

      At age 10

    • D. 

      At age 13

  • 18. 
     The adolescent’s inability to develop a sense of who he is and what he can become results in a sense of which of the following?
    • A. 

      Shame

    • B. 

      Guilt

    • C. 

      Inferiority

    • D. 

      Role diffusion

  • 19. 
     Which of the following would be most appropriate for a nurse to use when describing menarche to a 13-year-old?
    • A. 

      A female’s first menstruation or menstrual “periods”

    • B. 

      The first year of menstruation or “period”

    • C. 

      The entire menstrual cycle or from one “period” to another

    • D. 

      The onset of uterine maturation or peak growth

  • 20. 
    A 14-year-old boy has acne and according to his parents, dominates the bathroom by using the mirror all the time. Which of the following remarks by the nurse would be least helpful in talking to the boy and his parents?
    • A. 

      “This is probably the only concern he has about his body. So don’t worry about it or the time he spends on it.”

    • B. 

      “Teenagers are anxious about how their peers perceive them. So they spend a lot of time grooming.”

    • C. 

      “A teen may develop a poor self-image when experiencing acne. Do you feel this way sometimes?”

    • D. 

      “You appear to be keeping your face well washed. Would you feel comfortable discussing your cleansing method?”

  • 21. 
    Which of the following should the nurse suspect when noting that a 3-year-old is engaging in explicit sexual behavior during doll play?
    • A. 

      The child is exhibiting normal pre-school curiosity

    • B. 

      The child is acting out personal experiences

    • C. 

      The child does not know how to play with dolls

    • D. 

      The child is probably developmentally delayed.

  • 22. 
    Which of the following statements by the parents of a child with school phobia would indicate the need for further teaching?
    • A. 

      “We’ll keep him at home until phobia subsides.”

    • B. 

      “We’ll work with his teachers and counselors at school.”

    • C. 

      “We’ll try to encourage him to talk about his problem.”

    • D. 

      “We’ll discuss possible solutions with him and his counselor.”

  • 23. 
    When developing a teaching plan for a group of high school students about teenage pregnancy, the nurse would keep in mind which of the following?
    • A. 

      The incidence of teenage pregnancies is increasing.

    • B. 

      Most teenage pregnancies are planned.

    • C. 

      Denial of the pregnancy is common early on.

    • D. 

      The risk for complications during pregnancy is rare.

  • 24. 
    When assessing a child with a cleft palate, the nurse is aware that the child is at risk for more frequent episodes of otitis media due to which of the following?
    • A. 

      Lowered resistance from malnutrition

    • B. 

      Ineffective functioning of the Eustachian tubes

    • C. 

      Plugging of the Eustachian tubes with food particles

    • D. 

      Associated congenital defects of the middle ear.

  • 25. 
    While performing a neurodevelopmental assessment on a 3-month-old infant, which of the following characteristics would be expected?
    • A. 

      A strong Moro reflex

    • B. 

      A strong parachute reflex

    • C. 

      Rolling from front to back

    • D. 

      Lifting of head and chest when prone

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