NURSING 2362 - MODULE 1 EXAM. QUESTIONS & ANSWERS. RATIONALES PROVIDED.
Questions
1.ID: 8482548610A nurse is providing information to a group of
... [Show More] pregnant clients
and their partners about the psychosocial development of an infant. Using Erikson's theory of
psychosocial development, what should the nurse tell the group about the infants?
Rely on the fact that their needs will be met Correct
Need to tolerate a great deal of frustration and discomfort to develop a healthy personality
Must have needs ignored for short periods to develop a healthy personality
Need to experience frustration, so it is best to allow an infant to cry for a while before meeting
his or her needs
Rationale: According to Erikson’s theory of psychosocial development, infants
struggle to establish a sense of basic trust rather than a sense of basic mistrust in their world,
their caregivers, and themselves. If provided with consistent satisfying experiences that are
delivered in a timely manner, infants come to rely on the fact that their needs are met and that, in
turn, they will be able to tolerate some degree of frustration and discomfort until those needs are
met. This sense of confidence is an early form of trust and provides the foundation for a healthy
personality. Therefore the other options are incorrect.
Test-Taking Strategy: Eliminate the option that contains the closed-ended word
"must." Eliminate the options that are comparable or alike and indicate that experiencing
frustration is necessary. Review: Erikson’s theory of psychosocial development as it relates to the
infant.
Reference:
McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013). Maternalchild
nursing (4th ed., pp. 74-75). St. Louis: Elsevier.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages
Giddens Concepts: Development, Reproduction
HESI Concepts: Developmental, Sexuality/Reproduction Awarded 1.0 points out
of 1.0 possible points.
2.ID: 8482544657A nurse is weighing a breastfed 6-month-old infant who has
been brought to the pediatrician's office for a scheduled visit. The infant's weight at birth was 6
lb 8 oz. The nurse notes that the infant now weighs 13 lb. Which action should the nurse take?
Tell the mother that the infant's weight is increasing as expected Correct
Tell the mother to decrease the daily number of feedings because the weight gain is excessive
Tell the mother that semisolid foods should not be introduced until the infant's weight stabilizes
Tell the mother that the infant should be switched from breast milk to formula because the
weight gain is inadequate
Rationale: Infants usually double their birth weight by 6 months and triple it by 1
year of age. If the infant is 6 lb 8 oz, at birth, a weight of 13 lb at 6 months of age is to be
expected. Semisolid foods are usually introduced between 4 and 6 months of age.
Test-Taking Strategy: Focus on the subject in the question, the current weight of
the infant. Recalling that infants double their weight by 6 months of age will direct you to the
correct option. Review: the growth rate of an infant.
Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013).
Maternal-child nursing (4th ed., pp. 488-489). St. Louis: Elsevier.
Potter, P., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013). Fundamentals of
nursing. (8th ed., p. 143). St. Louis: Mosby.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Giddens Concepts: Development, Nutrition
HESI Concepts: Developmental, Nutrition Awarded 1.0 points out of 1.0 possible
points.
3.ID: 8482548652A nurse performing a physical assessment of a 12-month-old
infant notes that the infant's head circumference is the same as the chest circumference. Based on
this finding, what should the nurse do?
Suspect the presence of hydrocephalus
Suggest to the pediatrician that a skull x-ray be performed
Tell the mother that the infant is growing faster than expected
Document these measurements in the infant's health-care record Correct
Rationale: The head circumference growth rate during the first year is
approximately 0.4 inch (1 cm) per month. By 10 to 12 months of age, the infant’s head and chest
circumferences are equal. Therefore, suspecting the presence of hydrocephalus, telling the
mother that the infant is growing faster than expected, and suggesting that a skull x-ray be
performed are incorrect.
Test-Taking Strategy: Eliminate the options that are comparable or alike and
indicate that the infant has a physiological problem. Review: the expected growth rate of an
infant.
Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013).
Maternal-child nursing (4th ed., p. 69, 489-490). St. Louis: Elsevier.
Level of Cognitive Ability: Applying
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