Maternal And Child Health Review Test- Www.Rnpedia.Com

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Questions and Answers
  • 1. 

    A. 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, which is often associated with chromosomal abnormalities such as Down syndrome. It is important to further assess the neonate for any other signs or symptoms of these abnormalities and consider additional testing or referrals for further evaluation.

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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 nurse explains that the neonate's anterior fontanel will normally close by age 12 to 18 months. The anterior fontanel is a soft spot on a baby's head where the skull bones have not yet fully fused together. It allows for the baby's brain to grow and develop. As the baby grows, the anterior fontanel gradually closes. By the age of 12 to 18 months, it is expected to be fully closed. This closure is an important milestone in a baby's development.

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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 observed all across the sole of the foot, from the heel to the toes. This is a normal finding in a term neonate and indicates that the baby's foot is developing properly. Absence of creases near the heels or presence only under the heels or towards the transverse arch would be abnormal findings and may indicate a potential issue with the baby's foot 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 presence of corneas of unequal size in a neonate's eyes is abnormal and needs further assessment. This could indicate a condition called anisocoria, which can be caused by various factors such as nerve damage, trauma, or underlying medical conditions. It is important to investigate the cause of this finding to ensure proper eye development and function in the neonate.

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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 in a neonate indicates an immature central nervous system. The Babinski reflex is a normal response in infants where the big toe extends and the other toes fan out when the sole of the foot is stroked. This reflex is present in infants due to the immaturity of their central nervous system, specifically the corticospinal tract. As the central nervous system develops, the Babinski reflex typically disappears by the age of 1. Therefore, understanding that a positive Babinski reflex indicates an immature central nervous system demonstrates comprehension of the instructions given by the nurse.

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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 timing allows the nurse to assess the neonate when they are not actively feeding, which can interfere with the assessment. Assessing the neonate's physical condition at this time allows the nurse to observe their overall appearance, behavior, and vital signs without any immediate influence from feeding. This assessment is important to monitor the neonate's health and detect any potential issues or abnormalities.

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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 refers to the swelling on the neonate's scalp that crosses the suture line. It is a common condition that occurs during vaginal delivery due to pressure on the baby's head. It is characterized by soft tissue swelling and may be accompanied by bruising. Cephalic hematoma, on the other hand, refers to a collection of blood under the scalp that does not cross the suture line. Hemorrhage edema and perinatal caput are not accurate terms 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. The answer states that when the two measurements are compared, the head is normally about 2 centimeters larger than the chest. This means that the head circumference is typically larger than the chest circumference by 2 centimeters.

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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 cranial molding is not caused by pressure on the head, but rather by the overriding of the cranial bones. The amount of pressure does not determine the degree of molding. The other statements are correct: the molding will disappear in a few days and the fontanels may be 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. Neonates have a highly developed sense of touch, which is important for their overall development and well-being. Touch helps them to feel secure, bond with their caregivers, and explore their environment. It also plays a crucial role in their physical and emotional development.

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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
    Shortening the nursing time indicates that the infant is becoming more efficient at breastfeeding and may be ready to start weaning. This suggests that the infant is able to consume more milk in a shorter amount of time, which is a sign of readiness for introducing solid foods and transitioning to a cup.

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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 nurse should suggest that the mother give the infant a few minutes of breast and then offer solid food. This approach allows the infant to have some breast milk, which is familiar and comforting, before introducing solid foods. By offering solid food after breastfeeding, the mother can gradually transition the infant to eating solid foods while still providing the necessary nutrition from breast milk.

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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.

    • E.

      Both B and C 

    Correct Answer
    E. Both B and C 
    Explanation
    A 4-month-old infant is typically expected to perform the following abilities from the above list:
    Responding to pleasure with smiles: At this age, babies are becoming more sociable. They might react to sound by making sounds and use the voice to express joy.
    Grasping a rattle when it is offered: Your baby will probably grasp your finger, a rattle, or a soft object. They are also likely to become fascinated with their feet at this age.
    However, they may not be able to perform the following yet:
    Sitting up without support: While a 4-month-old baby can sit upright with support, they typically do not sit alone without support until around 6 months of age.
    Turning from either side to the back: While some babies may start to roll over at this age, it’s not a skill that all 4-month-olds will have mastered. 

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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 gross and fine motor skills, language, and personal-social skills. 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 the age of seven months, an infant is typically able to sit alone using their hands for support. This means that they have developed enough strength and balance to sit up without assistance, although they still need to use their hands to stabilize themselves. 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 begin to demonstrate the ability to turn their head from side to side. This is an important developmental achievement as it indicates the infant's growing neck and head control. It also signifies the infant's increasing awareness and ability to explore their environment by looking in different directions. Smiling and laughing out loud, rolling from back to side, and holding a rattle briefly are developmental milestones that typically occur later in an infant's development, usually around 2-4 months of age.

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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. This is because the DPT vaccine is typically administered into the muscle, specifically the thigh muscle or the deltoid muscle in older children and adults. The intramuscular route allows for better absorption and a more effective immune response compared to other routes such as oral, subcutaneous, or intradermal.

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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 usually not a cause for concern. Lethargy, diarrhea, and nasal congestion are not typically associated with the DPT immunization reaction.

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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 given developmental skills, the nurse correctly assessed the infant's age as four months. At around four months, infants start to visually track objects and show interest by staring at them. They also develop hand-eye coordination and begin to bring their hands to their mouth. Coos and gurgles are typical vocalizations at this age, and infants may start to bear some weight on their legs when held in a standing position. This combination of skills aligns with the developmental milestones expected at four months.

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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, and it is a gap between the skull bones that allows for the baby's brain to grow and develop. The fontanelle gradually closes as the baby's skull bones fuse together. Typically, the anterior fontanelle closes between 13 to 18 months of age. This is when the bones of the skull have finished growing and have fully fused together, providing protection for the brain.

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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
    At 9 months old, infants may not have developed the fine motor skills required to put an arm through a sleeve while being dressed. This skill typically develops around 12-18 months of age. Creeping and crawling, beginning to use imitative verbal expressions, and holding a bottle with good hand-mouth coordination are all expected developmental milestones for a 9-month old.

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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 mother of the 9-month old says that it is difficult to add new foods to his diet because he spits everything out. The correct answer suggests that the nurse should teach the mother to offer new foods one at a time. This is because introducing new foods gradually and one at a time allows the baby to become familiar with each new taste and texture. By offering new foods one at a time, the mother can observe the baby's reaction and identify any potential allergies or dislikes. This approach may also help the baby to gradually accept and enjoy a wider variety of 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 capable of pulling toys. At this age, their fine motor skills are still developing, making it difficult for them to copy a circle or build a tower of eight blocks. They may not have developed the social skills required to play with other children yet. However, pulling toys is an activity that requires coordination and strength, which is typically within their capabilities at this age.

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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 would be expected to have developed the fine motor skills necessary to tie shoelaces. Riding a bicycle requires more advanced gross motor skills and coordination, which may not be fully developed at this age. Stringing large beads also requires fine motor skills, but tying shoelaces is a more complex task that involves manipulating and coordinating multiple movements. Using blunt scissors may be a skill that a 3-year-old can start to develop, but it is not as advanced as tying shoelaces.

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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 may not have reached the necessary cognitive and emotional milestones to understand and participate in toilet training. It is important for a child to have the cognitive ability to understand the process and the emotional readiness to cooperate and communicate their needs. Without these developmental factors in place, toilet training may not be successful.

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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 likely an expression of their quest for autonomy. At this age, children are starting to assert their independence and test boundaries. Saying "no" and expressing fear of the dark are common ways for them to assert control over their environment. This behavior is a normal part of their development as they strive to become more independent and assert their own choices and preferences.

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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
    Animism is the belief that inanimate objects have feelings and intentions, and this concept is a part of Piaget's cognitive development theory. Children in the preoperational stage, which is the stage characterized by egocentrism and magical thinking, often exhibit animistic thinking. They may attribute human-like qualities and intentions to objects, which can lead to fears and anxieties, such as fear of the dark. Therefore, the nurse would explain to the father that the child's fear of darkness is based on the concept of animism.

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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 providing clear and consistent expectations, setting boundaries, and using positive reinforcement to encourage desired behaviors. Structured interaction helps to establish a routine and structure in the child's life, which can promote discipline and a sense of security. It also allows for open communication and problem-solving between the mother and child, fostering a healthy and respectful relationship.

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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 for assessing pain. Toddlers may not have the verbal skills to accurately describe their pain, and they may not understand the question or be able to communicate their pain effectively. Observing them for restlessness, watching their face for grimness, and listening for pain cues in their cries are all 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. Having a consistent bedtime helps regulate the child's sleep schedule and allows them to develop a routine, which can promote better sleep. Following a routine before bedtime, such as brushing teeth, reading a story, or taking a bath, can also signal to the child that it is time to wind down and prepare for sleep. This can create a calm and soothing environment that helps the child relax and fall asleep more easily.

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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, regardless of whether there are any visible issues. It encourages the mother to be proactive in maintaining her child's oral health and to seek professional dental care.

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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 correct age for a child to start brushing their teeth without help from their mother is 6 years. At this age, most children have developed the necessary motor skills and coordination to effectively brush their teeth on their own. It is important for children to learn proper oral hygiene habits early on to maintain good dental health.

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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
    The correct answer is "Allowing him to make some decisions about the foods he eats." This is because the child's strange eating habits may be a result of a desire for autonomy and control. Allowing him to make decisions about the foods he eats can help him feel more in control and may increase his willingness to try new foods and finish his meals.

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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
    Providing good examples of safety behavior is an effective strategy to teach a four-year-old about safety because young children learn best through observation and imitation. By showing the child positive examples of safe behavior, they can learn what actions to take in different situations to keep themselves safe. This approach focuses on reinforcing and promoting safe behaviors rather than using negative reinforcement or fear tactics. It also helps the child develop a better understanding of what is expected of them in terms of safety.

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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 is aimed at understanding the girl's ability to form and maintain relationships with peers, which is an important aspect of social development. It allows the nurse to gauge the girl's social skills, ability to interact with others, and her overall social well-being.

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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 indicates that she believes brushing and flossing her teeth is her responsibility. This suggests that she understands the importance of oral hygiene and has likely been taught how to properly care for her teeth. Therefore, it can be concluded 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 behavior of continually telling jokes and riddles indicates a mastery of language ambiguities. This means that the child has developed a strong understanding of language and its multiple meanings, allowing them to create jokes and riddles that play with these ambiguities. This behavior is a positive sign of cognitive development and linguistic skills.

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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 is characteristic of conventional morality because they are starting to identify behaviors that please others as "good behavior." Conventional morality is focused on following societal norms and rules in order to gain approval and avoid disapproval from others. This aligns with the child's understanding of what is considered "good behavior" based on the reactions and feedback they receive from others.

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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 "Should help prepare own snacks". This answer is supported by the information provided in the question, which states that the mother and nurse are developing a nutritional plan for the child. By involving the child in preparing their own snacks, they can learn about healthy food choices and portion control. This can empower the child to make healthier snack choices and develop good eating habits.

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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 in Piaget's theory of cognitive development where children start to think more logically and can perform mental operations on concrete objects and events. This stage typically occurs between the ages of 7 and 11, and during this time, children become more organized and systematic in their thinking. The child's compulsion for collecting things can be seen as a manifestation of their developing cognitive abilities in this stage.

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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 competent in their activities, which contributes to their sense of accomplishment and self-worth. Play allows them to explore different roles and tasks, develop skills, and gain a sense of mastery over their environment. This sense of industry is important for their overall development and lays the foundation for future success and competence in various domains of life.

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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 leading preventive measure for incidental injury and death in this age group. Auto accidents are a common cause of injury and death for children, and wearing seat belts can greatly reduce the risk of injury in the event of a crash. By emphasizing the use of seat belts, the nurse is promoting a safety measure that can significantly protect children from harm while traveling in vehicles.

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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
    By encouraging the mother to include the child in meal planning and preparation, Nurse Katrina is promoting a healthy and balanced approach to eating. This allows the child to have a better understanding of nutrition and make healthier choices. It also creates an opportunity for the mother and child to bond and spend quality time together. This approach focuses on teaching the child about healthy eating habits rather than restricting or prohibiting certain foods, which can be more sustainable and beneficial in the long run.

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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
    An 18-month-old child typically has underdeveloped abdominal muscles. This is because the abdominal muscles continue to develop and strengthen throughout childhood. As a result, the abdomen may appear protruding or rounded in young children. This is a normal finding and not necessarily indicative of any underlying health issue. Increased food intake owing to age, bowlegged posture, and linear growth curve are not likely to cause a protruding abdomen in this age group.

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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
    When parents keep a toddler dependent in areas where he is capable of using skills, the toddler may develop a sense of shame. This is because the toddler is being prevented from exploring and developing his abilities, which can lead to feelings of inadequacy and embarrassment. The toddler may start to believe that he is not capable or competent enough to do things on his own, resulting in a sense of shame about 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
    The nurse would typically associate the fear of going to sleep with toddlerhood. This is because toddlers often experience separation anxiety and may have difficulty transitioning from being awake to falling asleep. They may fear being alone or being separated from their caregivers during sleep, which can cause anxiety and fear.

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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
    The 2 year old is crying inconsolably because they are likely feeling anxious or upset from being separated from their mother. The favorite blanket would provide comfort and familiarity, helping to soothe the child and provide a sense of security in their mother's absence.

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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 engage their senses and encourage creativity and exploration. At this age, children are developing their fine motor skills, and finger painting allows them to practice using their fingers and hands. It also promotes sensory development as they feel the different textures and colors of the paint. Additionally, finger painting can be a fun and interactive activity for parents and toddlers to bond over, fostering social and emotional development.

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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" refers to a toddler's tendency to fixate on a particular food or food group for a period of time and then suddenly lose interest in it. This is a common behavior among toddlers and should be included when teaching parents about typical toddler eating patterns. By understanding food "jags," parents can be reassured that their child's eating habits are normal and that it is common for toddlers to go through phases of liking and disliking certain foods.

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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 is the most appropriate toy for a 5-month old because at this age, babies are developing their fine motor skills and hand-eye coordination. The busy box typically contains various activities such as buttons to push, knobs to turn, and objects to manipulate, which can engage and stimulate the baby's senses. It provides opportunities for the baby to explore different textures, colors, and sounds, promoting cognitive and sensory development. A big red balloon may pose a choking hazard, a teddy bear with button eyes may have small parts that can be dangerous, and a push-pull wooden truck may be too advanced for a 5-month old.

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Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Nov 07, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 25, 2010
    Quiz Created by
    RNpedia.com
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