Question 1

The parents of a toddler are concerned that their child is so messy during eating,so they feed him instead of allowing him to feed himself.What should the nurse respond to the parents?
A)"That's probably best.I'm sure it makes your mealtime more pleasant."
B)"At least you're sharing meals as a family.That's the most important."
C)"Motor skills keep improving with age.Try not to get frustrated with the mess."
D)"Your child will never learn if you don't let him experience."

Accepted Answer

Allowing the toddler to feed themselves helps improve their motor skills, and it's important for their development. Encouraging parents to be patient with the mess is supportive and promotes the child's growth.

Question 2

A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day.How should the nurse address the parent's concern about this behavior?
A)"Maybe your child should be seen by a specialist,just to make sure there are no physical problems."
B)"It is normal for some children to go through a stage of regression after separation from their family or after an acute illness.Try not to be too discouraged."
C)"You'll have to be very strict with discipline,so your child knows this behavior is not acceptable."
D)"I'd be upset too.It must be hard to go back to using diapers."

Accepted Answer

This response acknowledges the parent's concern while also providing reassurance that this behavior is normal and often occurs after a stressful event. It also encourages the parent to stay positive and not be too discouraged. Option A may cause unnecessary worry and testing, while option C suggests punishment for behavior that is likely beyond the child's control. Option D shows empathy but does not offer any helpful advice.

Question 3

The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion?
Standard Text: Select all that apply.
A)Imitated behavior demonstrated by parents
B)Conceptualized angels and devils with the use of imagination
C)Compartmentalized differences between spiritual beliefs with friends
D)Determined differences between spiritual beliefs as being right or wrong
E)Met with the church priest to talk about the differences in spiritual beliefs

Accepted Answer

C,D,E

Question 4

The parents of a newborn ask what their baby can see.What should the nurse respond to these parents?
A)"Babies aren't able to see until they are around 4 months old."
B)"Babies won't track moving objects until about 5 months."
C)"Newborns blink in response to bright lights and sound and will follow large objects."
D)"Newborns aren't able to focus,so everything looks blurry to them."

Accepted Answer

Newborns are able to see some things, including large objects, and will blink in response to bright lights and sound. While their vision is still developing, they are not completely incapable of sight. Choices A and D are incorrect as newborns do have some visual capability, and choice B is only partially true as some babies may be able to track objects earlier or later than 5 months.

Question 5

The parents of a newborn male ask the nurse about pain during circumcision.What should the nurse respond to these parents?
A)"Newborns can't feel pain,so don't worry about it."
B)"We'll make sure to bring your baby to you right after the procedure,so you can comfort him."
C)"I'll have the pediatrician speak to you about it."
D)"Newborns' pain experience is real.We'll use some medication to help your baby feel more comfortable."

Accepted Answer

The best choice is D because it is important for the nurse to acknowledge the reality of the newborn's pain experience and offer medication to ensure the baby feels more comfortable during the procedure. Option A is incorrect as research shows newborns do feel pain. Option B could be appropriate but does not address the issue of pain management. Option C is unnecessary as the nurse can provide adequate information to the parents.

Question 6

At birth a baby weighed 8 lb.What should the nurse expect this baby to weight at the age of 1?
A)32 lb
B)16 lb
C)20 lb
D)24 lb

Accepted Answer

The answer of At birth a baby weighed 8 lb.What...

Question 7

A client comes to the women's clinic,stating she has had a positive home pregnancy test.The client states that her last menstrual cycle was 2 months ago.According to this time frame,the nurse determines that the client is in which stage of pregnancy?
A)Fetal phase
B)Second trimester
C)Third trimester
D)Embryonic phase

Accepted Answer

The embryonic phase of pregnancy begins at conception and lasts until the end of the eighth week. During this time, the embryo develops from a single-celled zygote into a fetus. The fetal phase begins at the end of the eighth week and lasts until birth. During this time, the fetus grows and develops rapidly, and the organs and body systems begin to function. The second trimester of pregnancy begins at the end of the twelfth week and lasts until the end of the twenty-fourth week. During this time, the fetus continues to grow and develop, and the mother begins to show. The third trimester of pregnancy begins at the end of the twenty-fourth week and lasts until birth. During this time, the fetus continues to grow and mature, and the mother prepares for labor and delivery.

Question 8

Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round,as they thought it should be.How should the nurse respond to these parents?
A)"I don't think it looks unusual;actually the head is beautifully shaped."
B)"Your baby's head had to shape itself to the birth canal.It will look round in a few days."
C)"You're right.We'll make sure your doctor checks this out."
D)"Babies' heads always look funny.Once his hair grows out,you'll hardly notice it."

Accepted Answer

The nurse should reassure the parents that their newborn's head shape is normal and explain that it is common for a newborn's head to be slightly misshapen due to the positioning during the birth process. The nurse should also provide reassurance that the head will likely become more round in a few days. Option A is dismissive of the parents' concerns and could lead to further anxiety. Option C is appropriate if the head shape is significantly abnormal and requires medical attention, but the question does not suggest this is the case. Option D is not accurate and may also lead to the parents feeling dismissed.

Question 9

The nurse is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?
A)Having taken a medication that is a known teratogen
B)Smoking
C)Having low levels of folic acid
D)Genetic history

Accepted Answer

Smoking increases the risk of spontaneous abortion and other adverse pregnancy outcomes, such as preterm labor and low birth weight. A, C, and D may also be risk factors, but they are not specifically related to spontaneous abortion.

Question 10

A school nurse is working with teachers in helping them address the developmental needs of grade school students,according to Erikson's theory of industry versus inferiority.Which activities should the nurse suggest?
A)Providing time for running and playing sports,such as basketball,to increase gross motor skills
B)Allowing "pretend" time during their classes,such as for dress-up or role-playing activities
C)Presenting diversity in culture and practices as part of classroom study
D)Helping them develop skills needed in the adult world,such as allowance budgeting

Accepted Answer

According to Erikson's theory, the stage of industry versus inferiority focuses on developing competence and skills. Helping students develop skills needed in the adult world, such as allowance budgeting, aligns with fostering a sense of industry.

Question 11

While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this question?
A)"Yes,if your son is ejaculating,he also possesses fertility."
B)"Sexual maturity does not occur until age 18,so don't worry about anything until then."
C)"Fertility follows several months after the first ejaculation."
D)"You'll have to ask your physician about this because it is a sensitive subject."

Accepted Answer

Fertility typically follows several months after the first ejaculation as the reproductive system continues to mature.

Question 12

During an auditory screening of third graders,the school nurse identifies a hearing deficit for one of the students.When the parents ask the nurse about the findings,how should the nurse respond?
A)"Hearing acuity is not fully developed in your child.Let's recheck next year."
B)"I'd like to recheck at the clinic.Then we may need to have your child be seen by an auditory specialist."
C)"It was too noisy when we were testing,so I wouldn't be concerned if I were you."
D)"Your child will probably need a hearing aid."

Accepted Answer

The school nurse should refer the child to a clinic for recheck and further evaluation by an auditory specialist to confirm the hearing deficit and determine appropriate interventions. It is important not to dismiss or delay follow-up on concerns about a child's hearing. Choice A is not appropriate since hearing acuity is expected to be fully developed by age 3. Choice C is dismissive and not a thorough response. Choice D is premature and should only be recommended after a thorough evaluation by an auditory specialist.

Question 13

The parents of a baby born prematurely during the sixth month of pregnancy the nurse about the hair all over their baby.What is the nurse's best response?
A)"All babies are hairy.It is more noticeable on preemies."
B)"Fine downy hair helps keep the baby insulated in utero."
C)"You should be more concerned with the baby's respiratory function."
D)"Don't worry about how the baby looks.All preemies look funny."

Accepted Answer

The fine downy hair called lanugo serves the purpose of keeping the fetus warm in utero. It is also normal for premature babies to have more of this hair, which often falls off within the first few weeks of life. This explanation provides education and reassurance to the parents.

Answer: A and B
 Choice A provides reassurance that the baby's hairiness is not a cause for concern and is a common occurrence in all babies. Choice B explains the purpose of lanugo hair and why premature babies may have more of it. Together, these choices provide education and reassurance to the parents.

Question 14

A teenage girl spends most of her free time with friends.In sharing their concerns about this behavior with the school nurse,the parents are worried about their child seeming to draw away from them.What should the nurse respond to the parents?
A)"You should really keep better track of your child.It's hard to tell what kinds of trouble she may be getting into."
B)"Independence is really important for this age group.Try to be extra attentive when your child does spend time at home."
C)"Use stricter guidelines for curfew and punishment if curfew is broken."
D)"Is it possible that your child might be taking drugs?"

Accepted Answer

The nurse emphasizes the importance of independence at this age and suggests that the parents should take advantage of the time their child is home to reinforce their relationship. This response acknowledges the parents' concerns while offering a perspective that understands the developmental needs of adolescents.

Question 15

A school health nurse is working on education programs for high school students.As part of the plan,the nurse wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse.Which class topic should the nurse present to these students?
A)Warning signs of depression for peers to identify among their classmates
B)Injury prevention
C)Early signs of cancer and heart disease
D)Normal physiological changes of this age group

Accepted Answer

Addressing the warning signs of depression is crucial for high school students, as mental health is a significant concern during adolescence. It empowers students to support peers and seek help when needed.

Question 16

New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?
A)The Denver Developmental Screening Test (DDST-II)
B)Growth and development charts from the Centers for Disease Control and Prevention (CDC)
C)Assessment tools utilized by the state education department
D)The Apgar scoring system

Accepted Answer

The Denver Developmental Screening Test (DDST-II) is a validated tool for screening the developmental level of children ages birth to 6 years old. It assesses four domains of development: gross motor, fine motor-adaptive, language, and personal-social. It is the most appropriate choice for screening an 8-month-old baby's developmental level. The other choices are not appropriate tools for this purpose.

Question 17

The school nurse determines that a 14-year-old student has reached an expected level of cognitive development.What did the nurse assess to come to this conclusion?
Standard Text: Select all that apply.
A)Thinks logically
B)Thinks about the future
C)Makes rational statements
D)Uses a trial-and-error process
E)States things as they could be

Accepted Answer

The answer of The school nurse determines that a 14-year-old...

Question 18

The nurse is preparing to instruct a client about nutritional needs before and during pregnancy.What should the nurse encourage the patient to consume in order to meet the requirements for folic acid?
A)Meats,fish,and poultry
B)A mix of vegetables and fiber
C)Oranges and green leafy vegetables
D)Low-fat and high-protein foods

Accepted Answer

Oranges and green leafy vegetables are good sources of folic acid, which is important for fetal development and can reduce the risk of neural tube defects. While meat, fish, poultry, and other foods can provide some nutrients needed during pregnancy, they do not contain as much folic acid as fruits and vegetables. Fiber, low-fat, and high-protein foods are also important for a healthy pregnancy, but they do not directly contribute to folic acid requirements.

Question 19

An expectant parent asks the nurse about health problems of newborns.On what should the nurse provide information to this client?
Standard Text: Select all that apply.
A)Infant colic
B)Respiratory tract infections
C)Failure to thrive
D)Injuries
E)SIDS

Accepted Answer

The nurse should provide information on infant colic, failure to thrive, and SIDS as these are common health concerns for newborns. Respiratory tract infections and injuries are more common in older infants and children.

Question 20

The parents of a school-age child are concerned about the child learning right from wrong.In which order should the nurse instruct the parents of a school-age child that moral development will develop in their child?
Standard Text: Click and drag the options below to move them up or down.
A)Punishment and obedience 
B)Law-and-order orientation 
C)Instrumental-relativist orientation 
D)"Good boy-nice girl" stage

Accepted Answer

D) "Good boy-nice girl" stage: This is the first stage of moral development in school-age children, which is characterized by the child trying to please authority figures and avoid punishment.

C) Instrumental-relativist orientation: In this stage, children start to recognize that different people may have different beliefs and values, and they start to take these into account when making moral decisions.

B) Law-and-order orientation: At this stage, children become more focused on following rules and obeying authority figures, rather than just trying to please them or avoid punishment.

A) Punishment and obedience: This is the earliest stage of moral development, in which children's behavior is guided by the fear of punishment.

By instructing the parents on this order of moral development, they can better understand what to expect from their child and how to support their moral growth.

Quiz 21: Promoting Health From Conception Through Adolescence

The parents of a toddler are concerned that their child is so messy during eating,so they feed him instead of allowing him to feed himself.What should the nurse respond to the parents?

A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day.How should the nurse address the parent's concern about this behavior?

The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion? Standard Text: Select all that apply.

The parents of a newborn ask what their baby can see.What should the nurse respond to these parents?

The parents of a newborn male ask the nurse about pain during circumcision.What should the nurse respond to these parents?

At birth a baby weighed 8 lb.What should the nurse expect this baby to weight at the age of 1?

A client comes to the women's clinic,stating she has had a positive home pregnancy test.The client states that her last menstrual cycle was 2 months ago.According to this time frame,the nurse determines that the client is in which stage of pregnancy?

Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round,as they thought it should be.How should the nurse respond to these parents?

The nurse is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?

A school nurse is working with teachers in helping them address the developmental needs of grade school students,according to Erikson's theory of industry versus inferiority.Which activities should the nurse suggest?

While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this question?

During an auditory screening of third graders,the school nurse identifies a hearing deficit for one of the students.When the parents ask the nurse about the findings,how should the nurse respond?

The parents of a baby born prematurely during the sixth month of pregnancy the nurse about the hair all over their baby.What is the nurse's best response?

A teenage girl spends most of her free time with friends.In sharing their concerns about this behavior with the school nurse,the parents are worried about their child seeming to draw away from them.What should the nurse respond to the parents?

A school health nurse is working on education programs for high school students.As part of the plan,the nurse wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse.Which class topic should the nurse present to these students?

New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?

The school nurse determines that a 14-year-old student has reached an expected level of cognitive development.What did the nurse assess to come to this conclusion? Standard Text: Select all that apply.

The nurse is preparing to instruct a client about nutritional needs before and during pregnancy.What should the nurse encourage the patient to consume in order to meet the requirements for folic acid?

An expectant parent asks the nurse about health problems of newborns.On what should the nurse provide information to this client? Standard Text: Select all that apply.

The parents of a school-age child are concerned about the child learning right from wrong.In which order should the nurse instruct the parents of a school-age child that moral development will develop in their child? Standard Text: Click and drag the options below to move them up or down.