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Text Mode – Text version of the exam A. A term neonate is to be released from hospital at 2 days of age. The nurse performs a physical examination before discharge. 2.The mother asks when the “soft spots” close? The nurse explains that the neonate’s anterior fontanel will normally close by age… 3. When performing the physical assessment, the nurse explains to the mother that in a term neonate, sole creases are… 4. When assessing the neonate’s eyes, the nurse notes the following: absence of tears, corneas of unequal size, constriction of the pupils in response to bright light, and the presence of red circles on the pupils on ophthalmic examination. Which of these findings needs further assessment? 5. After teaching the mother about the neonate’s positive Babinski reflex, the nurse determines that the mother understands the instructions when she says that a positive Babinski reflex indicates…. B. Nurse Kris is responsible for assessing a male neonate approximately 24 hours old. The neonate was delivered vaginally. 7. The nurse notes a swelling on the neonate’s scalp that crosses the suture line. The nurse documents this condition as… 8. The nurse measures the circumference of the neonate’s heads and chest, and then explains to the mother that when the two measurements are compared, the head is normally about… 9. After explaining the neonate’s cranial molding, the nurse determines that the mother needs further instructions from which statement? 10. When instructing the mother about the neonate’s need for sensory and visual stimulation, the nurse should plan to explain that the most highly develop sense in the neonate is… C. Nurse Joan works in a children’s clinic and helps with the care for well and ill children of various ages. 11. A mother brings her 4 month old infant to the clinic. The mother asks the nurse when she should wean the infant from breastfeeding and begin using a cup. Nurse Joan should explain that the infant will show readiness to be weaned by… 12. Mother Arlene says the infant’s physician recommends certain foods but the infant refuses to eat them after breastfeeding. The nurse should suggest that the mother alter the feeding plan by… 13. Which of the following abilities would a nurse expect a 4 month old infant to perform? 14. The nurse plans to administer the Denver Developmental Screening Test (DDST) to a five month old infant. The nurse should explain to the mother that the test measures the infants… 15. When discussing a seven month old infant’s mother regarding the motor skill development, the nurse should explain that by age seven months, an infant most likely will be able to… 16. A mother brings her one month old infant to the clinic for check-up. Which of the following developmental achievements would the nurse assess for? 17. A two month old infant is brought to the clinic for the first immunization against DPT. The nurse should administer the vaccine via what route? 18. The nurse teaches the client’s mother about the normal reaction that the infant might experience 12 to 24 hours after the DPT immunization, which of the following reactions would the nurse discuss? 19. An infant is observed to be competent in the following developmental skills: stares at an object, place her hands to the mouth and takes it off, coos and gargles when talk to and sustains part of her own weight when held to in a standing position. The nurse correctly assessed infant’s age as… 20. The mother says, “the soft spot near the front of her baby’s head is still big, when will it close?” Nurse Lilibeth’s correct response would be at… 21. A mother states that she thinks her 9-month old is ‘developing slowly’. When evaluating the infant’s development, the nurse would not expect a normal 9-month old to be able to… 22. The mother of the 9-month old says, “it is difficult to add new foods to his diet, he spits everything out”, she says. The nurse should teach the mother to… 23. Which of the following tasks is typical for an 18-month old baby? 24. Mother Riza brings her normally developed 3-year old to the clinic for a check-up. The nurse would expect that the child would be at least skilled in… 25. The mother tells the nurse that she is having problem toilet-training her 2-year old child. The nurse would tell the mother that the number one reason that toilet training in toddlers fails because the… 26. A child is not developmentally ready to be trained. A 2-1/2 year old child is brought to the clinic by his father who explains that the child is afraid of the dark and says “no” when asked to do something. The nurse would explain that the negativism demonstrated by toddler is frequently an expression of… 27. The nurse would explain to the father which concept of Piaget’s cognitive development as the basis for the child’s fear of darkness? 28. Mother asks the nurse for advice about discipline. The nurse would suggest that the mother would first use… 29. When a nurse assesses for pain in toddlers, which of the following techniques would be least effective? 30. The mother reports that her child creates a quite scene every night at bedtime and asks what she can do to make bedtime a little more pleasant. The nurse should suggest that the mother to… 31. The mother asks about dental care for her child. She says that she helps brush the child’s teeth daily. Which of the following responses by the nurse would be most appropriate? 32. The mother says that she will be glad to let her child brush her teeth without help, but at what age should this begin? Nurse Roselyn should respond at… 33. The mother tells the nurse that her other child, a 4-year old boy, has developed some “strange eating habits”, including not finishing her meals and eating the same foods for several days in a row. She would like to develop a plan to connect this situation. In developing such a plan, the nurse and mother should consider… 34. Nurse Bryan knows that one of the most effective strategies to teach a Four year old about safety is to… 35. A 9 year old girl is brought to the pediatrician’s office for an annual physical checkup. She has no history of significant health problems. When the nurse asks the girl about her best friend, the nurse is assessing… 36. The child probably tells the nurse that brushing and flossing her teeth is her responsibility. When responding to this information, the nurse should realize that the child… 37. The mother tells the nurse that the child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain that this behavior is a sign of… 38. The mother relates that the child is beginning to identify behaviors that pleases others as “good behavior”. The child’s behavior is characteristics of which Kohlberg’s level of moral development? 39. The mother asks the nurse about the child’s apparent need for between-meals snacks, especially after school. The nurse and mother develop a nutritional plan for the child, keeping in mind that the child.. 40. The mother is concerned about the child’s compulsion for collecting things. The nurse explains that this behavior is related to the cognitive ability to perform. 41. The nurse explained to the mother that according to Erickson’s framework of psychosocial development, play as a vehicle of development can help the school age child develop a sense of… 42. The school nurse is planning a series of safety and accident prevention classes for a group of third grades. What preventive measures should the nurse stress during the first class, knowing the leading cause of incidental injury and death in this age? 43. The mother of a 10-year old boy expresses concern that he is overweight. When developing a plan of care with the mother, Nurse Katrina should encourage her to… 44. When assessing an 18-month old, the nurse notes a characteristics protruding abdomen. Which of the following would explain the rationale for this findings? 45. If parents keep a toddler dependent in areas where he is capable of using skills, the toddler will develop a sense of which of the following? 46. Which of the following fears would the nurse typically associate with toddlerhood? 47. A mother of a 2 year old has just left the hospital to check on her other children. Which of the following would best help the 2 year old who is now crying inconsolably? 48. Which of the following is an appropriate toy for an 18 month old? 49. When teaching parents about typical toddler eating patterns, which of the following should be included? 50. Which of the following toys should the nurse recommend for a 5-month old?Practice Mode
Exam Mode
Text Mode
1. Nurse Valerie examines the neonate’s hands and palms. Which of the following findings requires further assessment?
6. The nurse should plan to assess the neonate’s physical condition….
Answers
Maternal & Child Practice Exam 7
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