Deck 12: Conception Through Adolescence

Question 1

The nurse,in working with children of this age,plans to allow a 5-year-old boy who was admitted to the surgical center to have his tonsils removed to:
1) Perform his own preoperative hygienic care
2) Have alone time to relax before the procedure
3) Handle the equipment when taking his blood pressure
4) Have access to age-appropriate magazines and puzzles for diversion

Answer 1

3
Preschool children may cooperate if they are allowed to manipulate the equipment.A preschooler is unable to take responsibility for his or her own preoperative hygienic care.
Leaving the preschooler alone may increase the child's anxiety.Magazines and puzzles would be more appropriate activities for the older child.The preschool child likes to engage in pretend play,using their imagination and imitating adult behavior.

Question 2

Which of the following data is the most important for the nurse to assess when caring for a woman in her second trimester of pregnancy?
1) Detection of fetal movement
2) Observation that the uterus is below the pubis
3) Confirmation of the desire to breast- or bottle-feed
4) Determination of the presence of morning sickness

Answer 2

1
During the second trimester,between 16 and 20 weeks' gestation,the mother begins to feel fetal movement.During the second trimester,the uterus should be above the level of the symphysis pubis.Confirmation of the desire to breast- or bottle-feed is more likely to take place during the third trimester.Morning sickness is most likely to occur during the first trimester.

Question 3

Which one of the following newborn reflexes should the nurse be able to elicit at a 6-month well-baby visit?
1) Moro
2) Startle
3) Babinski
4) Extrusion

Answer 3

3
The Babinski reflex is a normal reflex found in a 6-month-old infant.The Moro reflex is seen in the newborn.The startle reflex is seen in the newborn.Before 6 months of age,the extrusion reflex causes food to be pushed out of the mouth.It is normally present from birth to 4 months.

Question 4

The elementary school nurse is responsible for evaluating each child's overall physical development.During the school-age years,the nurse anticipates that:
1) The child's body weight will almost triple
2) There will be few physical differences among children
3) The child will grow an average of 1 to 2 inches per year
4) Body fat will gradually increase,contributing to a heavier appearance

Question 5

The nurse is teaching parents about probable warning signs that a teenager is considering suicide and tells parents to be alert to:
1) An increase in appetite
2) A sudden interest in school activities
3) An unexplained increase in sleepiness
4) Talking about death and personal harm

Question 6

Which one of the following statements is correct regarding the preadolescence developmental stage?
1) It appears 2 years earlier in boys than in girls.
2) Intimate feelings are confided in the parents.
3) Interest in the opposite sex is not a factor for this group.
4) It signals the development of secondary sex characteristics.

Question 7

The parents of a 3-month-old ask the nurse what behavior they should expect.The nurse informs the parents that the child will be able to:
1) Say Da-da
2) Smile responsively
3) Differentiate strangers
4) Play social peekaboo games

Question 8

Upon evaluation of a 6-month-old infant's developmental status,the nurse expects that the child at this age will be able to:
1) Completely roll over
2) Pull self to a standing position
3) Creep on all four extremities
4) Assume a sitting position independently

Question 9

For a 2-year-old child,cognitive development is characterized by:
1) Recognizing right and wrong
2) Initiating play with other children
3) Having a vocabulary of at least 1000 words
4) Using short sentences to express independence

Question 10

In planning nursing care for an 18-month-old child,the nurse should know that the predominant developmental characteristic of children this age is:
1) Parallel play
2) Peer pressure
3) Mutilation anxiety
4) Imaginary playmates

Question 11

In order to obtain the most information,which of the following is the most appropriate question asked of a 14-year-old female who is visiting the county health center for "birth control help?"
1) "Have you told your parents that you are sexually active?"
2) "Are any of your friends participating in sexual behaviors?"
3) "What can you tell me about any of your past sexual activities?"
4) "Have you been physically protecting yourself with safe sex measures?"

Question 12

The nurse assists the family of a 9-year-old with nutritional information.A recommended after-school snack for a child this age is:
1) Milk shakes
2) Potato chips
3) Plain popcorn
4) Bite-size candy

Question 13

When teaching basic infant safety to the parents of a 3-month-old,the nurse should emphasize:
1) Placing gates at stairways
2) Keeping bathroom doors closed
3) Giving large,hard teething biscuits
4) Removing feeding bibs at bedtime

Question 14

A parent of a 3-year-old boy states that she is concerned because he was potty trained long before hospitalization but now refuses to use the toilet.What is the correct response by the nurse?
1) "Your son is probably feeling neglected,and you should make an effort to spend more time with him."
2) "This is common behavior that is expressed when the hospitalized child is stressed or anxious."
3) "You may need to include discipline because children easily lose the ability to be toilet trained during hospitalization."
4) "Your son was probably not ready to be potty trained,and you may want to continue the training for the next 6 months."

Question 15

A client in her first trimester of pregnancy asks the nurse about how the baby is growing.The nurse responds correctly by telling the client that:
1) "The sex of the baby can be determined."
2) "There is a fine hair that covers the body."
3) "Fingers and toes are differentiated clearly."
4) "The organ systems are beginning to develop."

Question 16

A 6-year-old is hospitalized for asthma.Which of the following activities would be appropriate to help this child resolve the crisis of hospitalization?
1) Crayons and a coloring book
2) A 1000-piece puzzle to complete
3) A CD player with soothing CDs
4) A Nerf football to throw around the room

Question 17

A 4 1/2-year-old child is crying from pain related to her fractured leg.Which of the following is the most appropriate nursing response to her alteration in comfort?
1) "Please try to not move your leg and that will make it feel better."
2) "I'll give you a shot of medicine that will help take the pain away."
3) "It's okay if you need to cry.Would you like to hold your favorite doll?"
4) "Would you like to tell me now where you want me to give you your shot?"