Question 1

Which of the following structures of the ear equalizes pressure between the outer and middle ear?

Accepted Answer

The eustachian tube connects the middle ear to the nasopharynx and functions to equalize pressure between the middle ear and the external environment, ensuring that the eardrum can vibrate properly.

Question 2

Which of the following structural differences between children and adults predisposes children to middle ear infections?

Accepted Answer

Children have shorter, more horizontal, and more flaccid eustachian tubes compared to adults, which can lead to poor drainage and ventilation of the middle ear, predisposing them to infections.

Question 3

The nurse assessing infants is aware that an infant will not have tears until the lacrimal gland begins to function at about how many months of age?

Accepted Answer

Infants typically begin to produce tears when the lacrimal glands start functioning at about 1 to 3 months of age.

Question 4

Why does the nurse advise a new mother to talk to her baby while the baby is awake?

Accepted Answer

Talking to the baby helps in developing their receptive language skills, which are understood before they can speak.

Question 5

The nurse working with parents of children who stutter will hear from parents a number of beliefs, some of which are true and some of which are false or challenged by research. Which of the following beliefs is true and will be encouraged by the nurse?

Accepted Answer

Stuttering is considered a normal part of language development for many children between the ages of 2 and 4. It often resolves on its own without intervention.

Question 6

The nurse evaluating children for speech or language dysfunction should begin the evaluation with:

Accepted Answer

A hearing test is often the first step in evaluating children for speech or language dysfunction because hearing impairments can significantly affect speech and language development. If a child cannot hear well, it may impact their ability to learn to speak or understand language properly.

Question 7

Which of the following tests is best for the nurse to use to see if a child is color blind?

Accepted Answer

The Ishihara color plates are specifically designed to identify color vision deficiencies, making them the best choice for testing for color blindness.

Question 8

The role of the nurse who is working with a child who is color blind, as well as the child's family and teachers, is mainly one of:

Accepted Answer

Teaching and encouraging the use of alternative methods to discriminate colors is a proactive and supportive approach that empowers the child to adapt to their color blindness in various environments, including home and school.

Question 9

The nurse working with the parents of a child who stutters will advise the parents to do which of the following and model the behavior with children?

Accepted Answer

Adopting a slow rate of speech and avoiding appearing hurried can help reduce the pressure on the child who stutters, making it easier for them to speak more fluently. This approach encourages a calm and patient communication environment.

Question 10

At what stage does the National Institutes of Health and other groups recommend that hearing tests for children at risk for congenital hearing loss first be conducted?

Accepted Answer

The National Institutes of Health and other groups recommend that hearing tests for children at risk for congenital hearing loss be conducted in the newborn stage to ensure early detection and intervention.

Question 11

A parent tells the school nurse that his child has had extensive hearing tests and has been found to have a sensorineural hearing loss. The nurse will respond to the parent based on the knowledge that this type of hearing loss:

Accepted Answer

Sensorineural hearing loss can sometimes be improved with cochlear implants, which are designed to bypass damaged parts of the ear and directly stimulate the auditory nerve.

Question 12

In working with parents who have just learned that their child has a hearing loss, the nurse will realize that before working on the goal of promoting the child's communication, the nurse must do which of the following?

Accepted Answer

Assisting caregivers to accept and adapt to the impairment and go through the grieving process is crucial before focusing on promoting the child's communication. This approach acknowledges the emotional impact of the diagnosis and supports the family in moving forward with a positive mindset towards addressing the child's needs.

Question 13

The parents of a child who has been diagnosed as being deaf report that their child who is 4 months old is babbling. The parents want to know if the diagnosis was wrong. Which of the following is the best response by the nurse?

Accepted Answer

Babbling is a normal developmental milestone that occurs in all infants, including those who are deaf, typically until around 6 months of age. It is not necessarily indicative of the ability to hear.

Question 14

How often should a hearing aid be changed for children less than 4 years of age?

Accepted Answer

Children less than 4 years of age are in a critical period of speech and language development, and their ears are growing rapidly. Therefore, their hearing aids should be checked every 3 to 6 months to ensure they fit properly and are functioning well. This frequency allows for adjustments to be made in response to the child's growth and any changes in their hearing loss.

Question 15

The nurse will advise the parents of a child who has a hearing loss that communication can best be enhanced by doing which of the following?

Accepted Answer

Getting the child's attention and looking into the child's face at eye level helps in enhancing communication by ensuring that the child is focused on the speaker and can use visual cues such as lip reading and facial expressions to better understand the message. This approach is particularly effective for children with hearing loss.

Question 16

Which of the following would the nurse do to care for the hearing aid of a hospitalized child?

Accepted Answer

Hearing aids should not be exposed to extreme temperatures, moisture, or left on when not in use as this can damage the device. Washing the entire hearing aid, even without the battery, can cause damage. If a hearing aid whistles, it may not be fitted properly in the ear, so taking it out, refitting it, and adjusting the volume can solve the issue without causing harm to the device.

Question 17

When a person does lip reading or speech reading what percent of the spoken word is understood?

Accepted Answer

Lip reading or speech reading typically allows a person to understand only about 30% to 40% of spoken words. This is because many speech sounds have similar lip movements, making them difficult to distinguish solely through visual cues.

Question 18

The nurse will advise parents or caregivers that a feeling of adequacy and self-confidence is most likely to be established in children who are deaf if they:

Accepted Answer

Learning to play with other children, especially those with hearing, can help children who are deaf develop a sense of adequacy and self-confidence. This interaction promotes social skills, communication development, and a sense of belonging, which are crucial for their overall development and self-esteem.

Question 19

The parents of a child with a hearing impairment ask the nurse about getting an education for their child. The nurse will explain that the Education of All Handicapped Children Act of 1975, renamed as the Individuals with Disabilities Education Act, provides:

Accepted Answer

The Individuals with Disabilities Education Act (IDEA) includes provisions for early intervention services for children from birth to 3 years with disabilities and their families, ensuring these children have access to appropriate educational and developmental resources from a very young age.

Question 20

At what age is binocularity established?

Accepted Answer

The answer of At what age is binocularity established?
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Quiz 31: Sensory Alterations