Deck 16: Child and Adolescent Health

Question 1

Which of the following offers the best explanation as to why it is important for low-income women to seek prenatal care?

A) To provide the extra support from a nurse who listens
B) To begin the process of obtaining hospital care for delivery for a reduced cost
C) To have time to begin healthy behaviors to ensure a healthy infant
D) To obtain referrals for other helpful services

Answer 1

To obtain referrals for other helpful services

Question 2

A mother was very proud that she had cut back smoking from two packs a day, which she had smoked for years, to only half a pack a day. Which of the following would be the most appropriate response by the nurse?

A) "I wish all smoking moms could see your example!"
B) "I'm so proud of you. You're down to only 25% of what you used to smoke!"
C) "That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely."
D) "Your baby will really appreciate your efforts at quitting, especially if you do not resume after the baby is born."

Answer 2

"That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely."

Question 3

Which of the following groups of children is at the highest risk to have poor health?

A) African American children living in a suburb
B) Asian children living in an outer urban area
C) Hispanic children living in the inner city
D) White children living in a rural area

Answer 3

Hispanic children living in the inner city

Question 4

Which of the following statements best describes how the United States compares with other countries on infant mortality rate?

A) Best of all the industrialized nations
B) About in the middle of the industrialized nations
C) Near the bottom of the industrialized nations
D) Gradually improving among the industrialized nations

Question 5

Which of the following indicators would be most informative in assessing the health of a newborn?

A) Apgar score at birth
B) Birth weight and length of gestation
C) Mother's education and income from employment
D) When the mother began prenatal care at her local clinic

Question 6

A school nurse is trying to decrease the effects of an incredible health crisis attacking school children. Which of the following actions would be most appropriate for the nurse to take?

A) Arrange for booster shots to maximize immunization protection against childhood infectious diseases
B) Arrange for swine flu and regular flu shots each year
C) Establish recreational programs that encourage physical exercise each day
D) For those whose parents give permission, teach adolescents about the need for abstinence or "safe sex"

Question 7

Which of the following is consistent with the American Academy of Pediatrics (AAP) recommendations for breastfeeding?

A) A mother combines breastfeeding with the introduction of complementary foods until the infant is 1 year old
B) A mother supplements breastfeeding with formula when then infant is 4 months old
C) A mother stops breastfeeding her infant after introducing solid foods
D) A mother asks her employer to allow her to bring her infant to work so that she may breastfeed

Question 8

A woman confides in the nurse that she and her husband want to become parents as soon as possible. Which of the following statements would be the best reply from the nurse?

A) "Ask some young parents if you can babysit for a while to get in practice."
B) "Can you afford to become parents with all the items a baby will need?"
C) "Consider whether you are really ready to become parents."
D) "Start living as healthy a lifestyle as possible right now."

Question 9

Which of the following best describes why infant mortality rate is used as an international comparison of a country's health status?

A) Every country, regardless of other priorities, focuses on care of infants and their mothers.
B) It is easy to obtain and compare such data.
C) It reflects medical care quality and access and public health practice.
D) The World Health Organization requires these data be reported to them each year.

Question 10

A young mother was very proud because she had been taking her 9-month-old with her to various garage sales where she had purchased a lot of toys for very little money. Which of the following would be the most appropriate response by the nurse?

A) "Be sure there are no small pieces as young children can easily choke."
B) "Fantastic. Saving money on toys will allow you to buy more fresh fruits and vegetables."
C) "Toddlers love new toys; they will help with cognitive development."
D) "You are doing an excellent job of giving your child lots of stimulation with new playthings."

Question 11

A school nurse is developing a health education program for third grade students about how to play safely. Which of the following provides the best rationale for this nursing action?

A) The kids were playing chicken in front of the school buses each day.
B) The students are at the age when they begin to engage in risky behaviors.
C) Toys can have unexpected hazards from lead paint to small swallowable parts.
D) Without proper head protection, many sports can lead to traumatic brain injury (TBI).

Question 12

A nurse is caring for a woman, who has just found out she is pregnant. The woman begins crying and says, "But I'm not trying to get pregnant!" Should this response by the woman be concerning to the nurse?

A) No, because women may not consciously be aware of an unconscious desire to be a mother
B) No, because about half of all pregnancies in the United States are unintended
C) No, because she admitted having unprotected sexual intercourse
D) Yes, because pregnancy can usually be avoided by appropriate precautions

Question 13

A mother explained that she had just dropped her 3-year-old off at her own mother's so she could come in for the required examination for her new job. She excitedly shared her hopes that she would be able to afford a used car rather than having to ride a bus all the time. Which of the following would be the most appropriate response by the nurse?

A) "I'm sure the exam won't show any problems. I'm so excited for you."
B) "Don't forget to buy a child's seat when you get your car."
C) "How do you think your child will adapt to you being at work all day?"
D) "It's fantastic that you have a new job in this rough economy. Will your mother be able to continue to babysit?"

Question 14

What proportion of U.S. citizens are children?

A) 12%
B) 16%
C) 20%
D) 24%

Question 15

Which of the following actions should be taken by a typical community preparing for the expected demographic changes in the United States?

A) Build more elementary schools
B) Build more high schools
C) Build more colleges
D) Build more adult condominiums

Question 16

A woman vows to quit smoking and drinking immediately upon the surprising news that she is 2 months pregnant. Which of the following concerns would the nurse have for this woman?

A) Those with whom she shares living quarters might smoke or drink.
B) Fetal damage may already have occurred.
C) Peers may encourage her to resume old habits, and peer pressure is very strong.
D) She won't be able to keep her vow.

Question 17

A school nurse at a high school suggests that all students have an educational unit on newborn care in their required health class. Which of the following provides the best rationale for this suggestion?

A) Because all adults should be knowledgeable in basic child care
B) Because the first year of life is the most hazardous until old age
C) To help convince students not to engage in sexual intercourse
D) To demonstrate the incredible responsibilities in parenthood

Question 18

A mother was concerned about her child dying of some childhood disease, because that is how some of her siblings died before her family came to the United States. Which of the following would be the most appropriate response by the nurse?

A) "You should see your doctor immediately if you ever think your child is ill."
B) "Your child has been immunized, so the biggest danger is from accidents."
C) "You have made sure your child has all the right immunizations so you can quit worrying."
D) "You're right to be concerned, since susceptibility runs in families."

Question 19

If most students have no intention of ever leaving their local community, which of the following languages should be chosen as the required foreign language in high school?

A) French, as it is a very romantic language
B) German, because many of the students' names are German
C) Latin, as it is the basis for many other languages
D) Spanish, to improve employment opportunities

Question 20

Which of the following statements best explains why parents and nurses are often concerned about adolescents?

A) Adolescents engage in sexual acts without using protection.
B) Adolescents engage in very high-risk behaviors.
C) Adolescents love driving but are not as skilled as they believe.
D) Adolescents often experiment with alcohol or drugs.

Question 21

According to the U. S. Department of Commerce, which of the following rules must be followed by makers of toy guns?

A) Darts from toy guns must be made of materials that will not penetrate skin.
B) Toy guns cannot contain parts made of lead or lead-based paint.
C) Reflective paint must be used on toy guns.
D) Toy guns must be distinguishable from real guns.

Question 22

A school nurse has identified that there has been an increase in sexually transmitted infections (STIs) among the adolescents attending the school. Which of the following interventions should be completed by the nurse?

A) Arrange for the health department to come to the school to give information and treatment on a confidential basis
B) Encourage the athletic coaches to distribute condoms in such a way that a boy can obtain them in private
C) Have English teachers assign stories about the problems that result from adolescent pregnancy
D) Have the bus drivers put a comic book about sexuality, STIs, and preventive measures on each seat

Question 23

When considering the benefits for the recipients, which is more beneficial: Medicaid or private insurance?

A) Private insurance, because it is accepted by all providers, whereas Medicaid is not
B) Private insurance, because it gives its beneficiaries more benefits than Medicaid gives
C) Medicaid, because it includes early and periodic screening, diagnosis, and treatment services
D) Medicaid, because it is available for all children

Question 24

Which of the following individuals is most likely to be the victim of violent crime?

A) A 10-year-old white female
B) A 15-year-old black female
C) A 15-year -old black male
D) A10-year-old white male

Question 25

Which of the following factors is the single largest threat to child health?

A) Child abuse
B) Obesity
C) Poor nutrition
D) Poverty

Question 26

When the school health nurse suggested the school health clinic include sexual counseling and free condoms if requested, an angry woman yelled, "Why do I care if some girls have no morals and sleep around?" Which of the following would be the most appropriate response by the nurse?

A) "Because taxpayers spend billions each year for teenage moms and their babies."
B) "Because your son may have to pay child support to that girl for the next 18 years!"
C) "I understand your point of view, but since some parents don't teach their children morals, the school has to help."
D) "We all should care for our neighbors and our neighbors' children."

Question 27

A school nurse brought a young boy back into a private office and asked him to remove his shirt. Fresh welts across his back were seen. Which of the following would most likely cause the nurse to be concerned about the parents? (Select all that apply.)

A) The child had a tendency to act out frequently and really did "ask for it."
B) The parents did not like their own child and had trouble hiding that fact.
C) The parents were dealing with a lot of stress and lacked support.
D) The parents were themselves abused as children.
E) The parents may be substance abusers.
F) The parents probably did not have health insurance for the boy.

Question 28

A nurse is trying to determine who would be the most appropriate person to make a health care decision for an adolescent, the adolescent or the parent. Which of the following considerations will the nurse need to make?

A) The need for cultural competence
B) The need for access to care
C) The need for client autonomy
D) The need for client privacy and confidentiality

Question 29

How do the policies on children's health in the United States differ from the policies on children's health in other industrialized nations?

A) Most industrialized nations, including the United States, have similar policies.
B) U.S. policies are more market based and less social justice based.
C) U.S. policies are voluntary, whereas in most countries they are required by law.
D) Although industrialized nations have policies on children's health, the United States does not.

Question 30

Using a public health perspective, which of the following has responsibility for a child's health?

A) The child's family
B) The businesses in the community
C) The entire community
D) The school system

Question 31

Which of the following best describes the screening tests that are completed on all newborns in the United States?

A) It varies from state to state, somewhere between 0 and 25 tests.
B) It varies from state to state, but all states have a common 26 conditions that are
Tested.
C) Federal legislation mandates 29 tests.
D) The number varies greatly by state and by hospital policy.

Question 32

Which of the following best explains why an employer would care about the health needs of local children?

A) The children are the employer's future workforce.
B) The employer needs positive media coverage and no scandals.
C) The community will provide greater support to employers that have family-based policies.
D) Staying home to take care of sick children will impact the productivity of the workplace.

Question 33

A mother was debating whether or not to take her son to the clinic. His temperature was 104° F and rising so she gave him acetaminophen (Tylenol). Which of the following will most likely be the deciding factor in the mother's decision?

A) Whether or not the child is crying
B) Whether or not the fever goes down after the Tylenol
C) Whether or not the child seems to be getting better
D) Whether or not the child is covered under insurance

Question 34

Which of the following would be a source of care if families are employed at a salary above the poverty line, but at too low of an income for health insurance?

A) Local health department clinics that provide care on a sliding scale
B) Health care providers who donate time and pharmaceutical samples to free clinics
C) School health clinics
D) The state Children's Health Insurance Program (CHIP)

Question 35

A nurse is developing a community education program about how to prevent sudden infant death syndrome (SIDS). Which of the following information would be included in the presentation? (Select all that apply.)

A) Always place a baby on his or her back to sleep.
B) Use a semi-firm sleep surface.
C) Allow the baby to sleep in a position that provides the most comfort.
D) Allow the baby to sleep with a favorite toy or blanket.
E) Do not let the baby get too hot during sleep.
F) Avoid exposing the baby to cigarette or cigar smoke.

Question 36

A school nurse is trying to determine health trends when making plans for health programming in the school for the upcoming school year. Which of the following would be the most appropriate action for the nurse to take?

A) Conduct a survey in the community
B) Do an online search of groups that might collect and analyze such data
C) Examine records in the school health office to determine trends
D) Interview local health officials regarding problems beginning to occur

Question 37

A man, who looked about 45 years old, gave a cashier at a grocery store the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) vouchers for some of the food he had just selected. Which of the following conclusions can be drawn from this scenario?

A) He had a teenage daughter who was pregnant or with a young child.
B) He met the requirement for Aid to Dependent Families.
C) He really knew how to beat the welfare system.
D) He was handicapped, although his handicap was not immediately apparent.

Question 38

Because of county need, a school nurse was transferred from a new suburban school to a large inner-city school in an older low-income neighborhood. Which of the following changes in role should be anticipated by the nurse? (Select all that apply.)

A) An increased absentee rate because of infectious diseases
B) Cooperating with the school meal program to be sure fruits and vegetables and other healthy choices are included
C) Regularly checking each child for visible signs of child abuse
D) Emphasizing to parents that their child cannot attend school until immunizations are done
E) Need for lead poisoning screening and education
F) Screening for head lice several times a year