Deck 18: Conception Through Young Adult

Question 1

What social group prepares the school-aged child to get along in the larger world and teaches appropriate sex role behavior?

A) Parents
B) Peers
C) Siblings
D) Grandparents

Answer 1

Peers

Question 2

At birth, the neonate must adapt to extrauterine life through several significant physiologic adjustments. Which of the following is the most important adjustment that occurs?

A) Body temperature responds to the environment
B) Reflexes develop
C) Stool and urine are eliminated
D) Breathing begins

Answer 2

Breathing begins

Question 3

A nurse documents the following data upon assessment of a neonate: heart rate 89 BPM, slow respiratory effort, flaccid muscle tone, weak cry, and pale skin tone. What would be the Apgar score for this neonate?

A) 2
B) 3
C) 4
D) 5

Answer 3

3

Question 4

A student nurse reading a client's chart notes that the physician has documented an adolescent as prepubescent. What does the term prepubescent mean?

A) Adult secondary sex characteristics are present
B) Ova and sperm are produced by the reproductive organs
C) Reproductive organs do not yet produce ova and sperm
D) Active sexual behavior has been initiated

Question 5

Which of the following sets of terms best characterizes the school-aged child?

A) Reflexes, alert state, temperament
B) Negativism, regression, anal stage
C) Preoperational, asking "why," fears
D) Doing, succeeding, accomplishing

Question 6

A nurse is teaching a young woman about healthy behaviors during the embryonic stage of pregnancy. Which of the following should the nurse emphasize to prevent congenital anomalies?

A) Adequate intake of food and fluids
B) Importance of rest and sleep
C) Avoid alcohol and nicotine
D) Progression of stages during delivery

Question 7

A nurse is teaching a pregnant woman about nutritional needs. Which of the following nutritional deficiencies during pregnancy might result in neural tube defects in the developing fetus?

A) Vitamin D
B) Iodine
C) Calcium
D) Folic acid

Question 8

A nurse is explaining ADHD to a community parents group. What characteristics of this disorder are exhibited by an affected child?

A) Daydreams, math difficulties, speech problems
B) Inattention, impulsiveness, hyperactivity
C) Enuresis, shyness, scoliosis
D) Separation anxiety, reading difficulties, boredom

Question 9

An adolescent client tells the nurse, "I just don't want to live anymore." What should the nurse do next?

A) Document the adolescent's statement in the client record.
B) Sit down and discuss all the reasons there are for living.
C) Make an immediate referral to a suicide-prevention professional.
D) Laughingly, teach the adolescent about making scary statements.

Question 10

A nurse is teaching a group of parents about the dangers of Sudden Infant Death Syndrome (SIDS). The nurse recommends that parents place their children on a firm surface laying on their:

A) left side.
B) right side.
C) abdomen.
D) back.

Question 11

A college student 20 years of age is preparing for a career as a teacher. What need initially influences the decision to establish a career?

A) Overcoming low self-esteem
B) Becoming independent of one's family
C) Establishing one's own moral philosophy
D) Demonstrating industry and spirituality

Question 12

A nurse is teaching a young couple about the normal changes during pregnancy. What should be included in the teaching sessions about the expectant father's role?

A) Nothing, the mother's preparation is more important.
B) In a traditional family, the mother is responsible for child care.
C) The importance of feeling pride as a future parent.
D) The provision of support in meeting maternal needs.

Question 13

A preschooler is in Kohlberg's preconventional phase of moral reasoning. What is the focus of the phase?

A) To learn sex differences and modesty
B) A sexual desire for the opposite sex
C) Obeying rules to avoid punishment
D) Literal concept of God as a male human

Question 14

A nurse is educating the parents of an infant about possible health problems during infancy. Which of the following health problems during infancy is most serious?

A) Colic
B) Seborrheic dermatitis
C) Failure to thrive
D) SIDS

Question 15

A nurse is teaching a group of expectant parents about infant safety. Which of the following is mandated by the law to promote infant safety?

A) Lowering temperatures on hot water heaters
B) Covering electrical outlets with safety prongs
C) Removing all cords from mini-blinds and drapes
D) Using special car safety seats and restraints

Question 16

A mother of three children under the age of 4 tells the nurse, "I don't understand why my children are so hard to toilet train before they are 2." How should the nurse respond?

A) "Bladder control during the day usually occurs by ages 2.5 to 3 years."
B) "Do you think you are doing something wrong? They should be trained."
C) "I don't know. I will have to talk to your doctor, and I will let you know."
D) "I had that same problem. You just have to try harder."

Question 17

A nurse watches as a child continuously tells her mother "no!" to each comment the mother makes. The nurse knows that this behavior, termed negativism, is characteristic of which of the following developmental groups?

A) Toddler
B) Preschooler
C) School-aged child
D) Adolescent

Question 18

A nurse is observing a group of toddlers at play. What behavior illustrates normal physiologic development in children of this age?

A) Attempting to feed self
B) Using fingers to pick up small objects
C) Throwing and catching a ball
D) Understanding the feelings of others

Question 19

What is the primary risk to the developing fetus during pregnancy if there is cocaine use by the mother?

A) Decreased fetal circulation and oxygenation
B) Increased maternal weight gain and edema
C) Neural tube defects and low birth weight
D) Respiratory difficulties and excess mucus

Question 20

A student nurse is assigned to care for a preschool child who is scheduled for surgery. How can the student decrease the child's fears about the surgery?

A) Explain that nothing is going to hurt and that it will soon be over.
B) Be honest about pain and use words the child can understand.
C) Ask the child's parents to pretend that nothing is going to be done.
D) Ignore the child's fears and focus on teaching the parents.

Question 21

Which of the following would be an appropriate topic for a nurse to present at an elementary school PTA meeting?

A) Prevention of congenital anomalies
B) Dangers of smoking and drinking during pregnancy
C) Importance of bonding and attachment
D) Commonality of communicable diseases

Question 22

The nurse is providing education on childhood safety to a group of parents. In response to a question, the nurse relates that the major causes of death in toddlers include which of the following? Choose all that apply.

A) Infections
B) Childhood diseases
C) Drowning
D) Motor vehicle crashes
E) Accidents

Question 23

The nurse is providing education on child growth and development to a group of parents at a public health clinic. In answer to a question about childhood enuresis, the nurse verifies that this can be a significant issue to the child and the parents. The nurse should be sure to inform the group that this condition is which of the following?

A) A benign and self-limiting disorder
B) Increasing in incidence in the United States
C) Of significant concern to pediatricians
D) Due to a lack of physical activity

Question 24

A nurse is teaching the care of the newborn class and one of the members makes a comment about keeping the baby too warm. She says, My mother always said to go by how I feel; if I'm cold, the baby needs more clothing and if I'm too warm, so is the baby." Which of the following is the nurse's best response?

A) That is correct; you should go by how warm you are feeling.
B) Always keep the baby bundled up to keep warm.
C) The baby's temperature responds quickly to the environmental temperature.
D) If the baby shivers, add more layers of clothing.

Question 25

A school nurse is concerned about the almost skeletal appearance of one of the high school students. Although all of the following nutritional problems can occur in adolescents, which one is most often associated with a negative self-concept?

A) Eating fast foods
B) Obesity
C) Fad dieting
D) Anorexia nervosa

Question 26

The nurse provides prenatal education to a group of pregnant teenagers. One of the group members asks the nurse to talk about the possible complications for a newborn. An accurate statement about neonatal complications would be which of the following?

A) Respiratory difficulties
B) Physiologic jaundice
C) Caput succedaneum
D) Subconjunctival hemorrhage

Question 27

An girl age 18 years has chosen not to attend a party in which alcohol will be consumed. Which value system is she most likely adhering to?

A) Role modeling
B) Intimacy versus isolation
C) Law-and-order orientation
D) Autonomy versus shame and doubt

Question 28

The nurse is providing prenatal education for a group of young pregnant women. One woman asks about the advantages of breastfeeding her infant. Which of the following would the nurse include in answer to this question? Choose all that apply.

A) Has high lactose and low protein content
B) Permanent immunity from certain infections
C) Acidic environment which inhibits bacterial growth
D) Contains antibodies, immunoglobulins, and leukocytes
E) Alkaline environment which inhibits microbe growth

Question 29

A woman is visiting the office and is in her third trimester of pregnancy. She asks the nurse about the development that is occurring at this stage of pregnancy. Which is accurate to tell her about the fetus?

A) The lungs are mature.
B) The fetus is 11 to 14 inches.
C) The arms and legs are reflexive.
D) The head circumference is 34 cm.

Question 30

The nurse is educating the mother of an infant age 4 months on safety concepts in child rearing. Which of the following statements by the mother suggests that she may require some repetition and reinforcement of the information?

A) I must keep small objects out of the baby's reach.
B) The baby will sleep in her crib, not with me and my husband."
C) I must keep appointments for the baby's immunizations.
D) The baby can sleep on her stomach during naps.

Question 31

The nurse is educating a Young Childcare class and one of the parents asks what kinds of actions on his part may increase safety for his 14-month-old daughter during the next 2 years. Which of the following responses would be appropriate? Choose all that apply.

A) Keep medications locked away
B) Keep plastic bags out of reach
C) Use approved car seats
D) Teach to chew small food well
E) Do not swing by arms or legs

Question 32

A school nurse often observes adolescents challenging the decision making of their parents and teachers. Which of these developmental theorists relates this as an expected occurrence?

A) Piaget
B) Freud
C) Havighurst
D) Erikson

Question 33

The nursing student is assessing a neonate who has been brought to the clinic for a well-baby visit. Which of the following would the nursing student expect as normal development for a neonate?

A) Reaching for objects
B) Staring at objects
C) Kicking at objects
D) Selecting specific objects

Question 34

A young adult tells the nurse that he has been sexually active with his girlfriend. What teaching is most important for this individual?

A) Proper hygiene
B) Condom use
C) Relationships
D) Stress

Question 35

The nurse is visiting with the mother of a child age 20 months. The mother reports concern about the frequency of the toddler's loud outbursts of temper and saying no. The nurse recalls Erikson's theory about negativism and tells the mother which of the following?

A) This is normal, and this is how your child tries to exert control over his environment.
B) This is unacceptable and you must provide appropriate discipline.
C) This has to do with regression and is a response to stress.
D) This is normal and has to do with learning right from wrong.