NR 222 Unit 6 Test Bank Chapter 12; Conception Through Adolescence
MULTIPLE CHOICE
1. A mother has delivered a healthy newborn. Which action is
... [Show More] priority?
a.Encourage close physical contact as soon as possible after birth.
b.Isolate the newborn in the nursery during the first hour after delivery.
c.Never leave the newborn alone with the mother during the first 8 hours after delivery.
d.Do not allow the newborn to remain with parents until the second hour after delivery.
2. A nurse teaches a new mother about the associated health risks to the infant. Which statement by the mother indicates a correct understanding of the teaching?
a.“I will feed my baby every 4 hours around-the-clock.”
b.“I need to leave the blankets off my baby to prevent smothering.”
c.“I need to remind friends who want to hold my baby to wash their hands.”
d.“I will throw away the bulb syringe now because my baby is breathing fine.”
3. A nurse is working in the delivery room. Which action is priority immediately after birth?
a.Open the airway.
b.Determine gestational age.
c.Monitor infant-parent interactions.
d.Promote parent-newborn physical contact.
4. A nurse is assessing a newborn that was just born. Which newborn finding will cause the nurse to intervene immediately?
a.Molding
b.A lack of reflexes
c.Cyanotic hands and feet
d.A soft, protuberant abdomen
5. A nurse performs an assessment on a healthy newborn. Which assessment finding will the nurse document as normal?
a.Cyanosis of the feet and hands for the first 48 hours
b.Triangle-shaped anterior fontanel
c.Sporadic motor movements
d.Weight of 4800 grams
6. A nurse is teaching the staff about development. Which information indicates the nurse needs to follow up?
a.“Development proceeds in a cephalocaudal pattern.”
b.“Development proceeds in a proximal-distal pattern.”
c.“Development proceeds at a slower rate during the embryonic stage.”
d.“Development proceeds at a predictive rate from the moment of conception.”
7. A nurse is comparing physical growth patterns between school-aged children and adolescents. Which principle should the nurse consider?
a.Physical growth usually slows during the adolescent period.
b.Secondary sex characteristics usually develop during the adolescent years.
c.Boys usually exceed girls in height and weight by the end of the school years.
d.The distribution of muscle and fat remains constant during the adolescent years.
8. The parent brings a child to the clinic for a 12-month well visit. The child weighed 6 pounds 2 ounces and was 21 inches long at birth. Which finding will cause the nurse to intervene?
a.Height of 30 inches
b.Weight of 16 pounds
c.Is not yet potty-trained
d.Is not yet walking up stairs
9. A nurse is assessing the cognitive changes in a preschooler. Which standard will the nurse use to determine normal?
a.The ability to think abstractly and deal effectively with hypothetical problems
b.The ability to think in a logical manner about the here and now
c.The ability to assume the view of another person
d.The ability to classify objects by size or color
10. The nurse is teaching a parenting class. One of the topics is development. Which statement from a parent indicates more teaching is needed?
a.“The toddler may use parallel play.”
b.“The preschooler has the ability to play in small groups.”
c.“The school-aged child still needs total assistance in all safety activities.”
d.“The toddler may have temper tantrums from parent’s acting on safety rules.”
11. The nurse is observing a 2-year-old hospitalized patient in the playroom. Which activity will the nurse most likely observe?
a.Seeking out same sex children to play with
b.Participating as the leader of a small group activity
c.Sitting beside another child while playing with blocks
d.Separating building blocks into groups by size and color
12. A nurse is communicating with a newly admitted teenaged patient. Which action should the nurse take?
a.Avoid questioning the patient about cigarette use when the nurse observes a cigarette lighter lying on the bedside table.
b.Complete the admission database as quickly as possible by asking yes and no questions.
c.Look for meaning behind the patient’s words and actions.
d.Ignore the patient’s withdrawn behavior.
13. A nurse is caring for a preschooler. Which fear should the nurse most plan to minimize?
a.Fear of bodily harm
b.Fear of weight gain
c.Fear of separation
d.Fear of strangers
14. A nurse is teaching a class about the effects of nutrition on fetal growth and development. A pregnant patient asks the nurse how much weight should normally be gained over the pregnancy. Which information should the nurse share with the patient?
a.About 10 to 20 pounds
b.About 15 to 25 pounds
c.About 20 to 30 pounds
d.About 25 to 35 pounds
15. The nurse is caring for an infant. Which activity is most appropriate for the nurse to offer to the infant?
a.Set of cards to organize and separate into groups
b.Set of sock puppets with movable eyes
c.Set of plastic stacking rings
d.Set of paperback book
16. A mother expresses concern because her 5-year-old child frequently talks about friends who don’t exist. What is the nurse’s best response to this mother’s concern?
a.“Have you considered a child psychological evaluation?”
b.“You should stop your child from playing electronic games.”
c.“Pretend play is a sign your child watches too much television.”
d.“It’s very normal for a child this age to have imaginary playmates.”
17. A school nurse is encouraging children to play a game of kickball. Which group of children is the nurse most likely addressing?
a.Infant
b.Toddler
c.Preschool
d.School-aged
18. Which assessment finding of a school-aged patient should alert the nurse to a possible developmental delay?
a.Verbalization of “I have no friends”
b.Absence of secondary sex characteristics
c.Curiosity about sexuality
d.Lack of group identity
19. The nurse is teaching a parent about developmental needs of a 9-month-old infant. Which statement from the parent indicates a correct understanding of the teaching?
a.“My child will begin to speak in sentences by 1 year of age.”
b.“My child will probably enjoy playing peek-a-boo.”
c.“My child will sleep about 7 to 8 hours a night.”
d.“My child will be ready to try low-fat milk.”
20. A nurse is teaching the parents of a school-aged child about accidents most common in this age group. Which topic should the nurse address?
a.Falls
b.Fires
c.Drownings
d.Poisonings [Show Less]