A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following
... [Show More] should the nurse include when discussing the developmental theory?
A) Describes that stress in inevitable
B) Emphasizes that change with one member affects the entire family
C) Provides guidance to assist families adapting to stress
D) Defines consistencies in how families change
D) Defines consistencies in how families change
A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, "My son knows he better do what I say." Which of the following parenting styles is the parent exhibiting?
A) Authoritarian
B) Permissive
C) Authoritative
D) Passive
A) Authoritarian
A nurse is performing family assessment. Which of the following should the nurse include (select all):
A) Medical history
B) Parent's education level
C) Child's physical growth
D) Support systems
E) Stressors
A) Medical history
B) Parent's education level
D) Support systems
E) Stressors
A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child?
A) Allow the child to role-play using miniature equipment.
B) Use medical terminology to describe what will happen.
C) Separate the child from her parent during the examination.
D) Keep medical equipment visible to the child.
A) Allow the child to role-play using miniature equipment.
A nurse is checking the vital signs of a 3 year old child during a well child visit. Which of the following findings should the nurse report to the provider?
A) Temp 37.2 (99.0)
B) Heart rate 106/min
C) Respiration 30/min
D) Blood Pressure 88/54 mmHg
C) Respiration 30/min
Normal 3yr old values:
Temp - 37.2 or 99.0
HR- 60 to 110
RR- 21 to 25
BP- (86 to 120) / (44-76)
A nurse is assessing a child's ears. Which of the following is an expected finding?
A) Light reflex is located at the 2 o'clock position.
B) Tympanic membrane is red in color.
C) Bony landmarks are not visible.
D) Cerumen is present bilaterally.
D) Cerumen is present bilaterally
The light reflex should be around the 5 to 7 o'clock position, bony landmarks should be visible, and tympanic membrane should be pearly pink or gray.
A nurse is assessing a 6 month old infant. Which of the following reflexes should the infant exhibit?
A) Moro
B) Plantar grasp
C) Stepping
D) Tonic neck
B) Plantar grasp -- birth to 8mths
Moro is birth to 4mths
Stepping is birth to 4wks
Tonic neck is birth to 3/4mths
A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the cranial nerve (select all)?
A) Clenching teeth together tightly
B) Recognizing sour tastes on the back of the tongue
C) Identifying smells through each nostril
D) Detecting facial touches with eyes closed
E) Looking down and in with the eyes
A) Clenching teeth together tightly
D) Detecting facial touches with eyes closed
Sour taste: glossopharyngeal
Scent: olfactory
Down & In: trochlear
A nurse is assessing a 12 month old infant during a well child visit. Which of the following findings should the nurse report to the provider?
A) Closed anterior fontanel
B) Eruption of 6 teeth
C) Birth weight doubled
D) Birth length increased by 50%
C) Birth weight doubled -- should have tripled
A nurse is performing a developmental screening on a 10 month old infant. Which of the following fine motor skills should the nurse expect the infant to perform (select all)?
A) Grasp a rattle by the handle
B) Try building a 2 - block tower
C) Use a crude pincer grasp
D) Place objects into a container
E) Walks with one hand held
A) Grasp a rattle by the handle
C) Use a crude pincer grasp
Blocks and walking 12mth
container 11mths
A nurse is conducting a well baby visit with a 4mth old infant. Which of the following immunizations should the nurse plan to administer to the infant (select all)?
A) Measles, mumps & rubella (MMR)
B) Polio (IPV)
C) Pneumococcal vaccine (PCV)
D) Varicella
E) Rotavirus vaccine (RV)
B) Polio (IPV)
C) Pneumococcal vaccine (PCV)
E) Rotavirus vaccine (RV)
MMR @ 12 to 15 months
Varicella @ 12mths
A nurse is providing education about introducing new foods to the parents of a 4mth old infant. The nurse should recommend that the parents introduce which of the following foods first?
A) Strained yellow vegetables
B) Iron - fortified cereals
C) Pureed fruits
D) Whole milk
B) Iron-fortified cereals
A nurse is providing teaching about dental care and teething to the parent of a 9mth old infant. Which of the following statements by the parent indicates an understanding of the teaching?
A) "I can give my baby a warm teething ring to relieve discomfort."
B) "I should clean my baby's teeth with a cool wet cloth."
C) "I can give Advil for up to 5 days while my baby is teething."
D) "I should place diluted juice in the bottle my baby drinks while falling asleep."
B) "I should clean my baby's teeth with a cool wet cloth."
Advil for no more than 3 days
A nurse is assessing a 2 and a half year old toddler at a well-child visit. Which of the following findings should the nurse report to the provider?
A) Height increased by 7.5 cm (3 in) in the past year
B) Head circumference exceeds chest circumference
C) Anterior and posterior fontanels are closed
D) Current weight equals four times the birth weight.
B) Head circumferences exceeds chest circumference -- should be equal by 1-2years
A nurse is performing a developmental screening of an 18mth old. Which of the following skills should the toddler be able to perform (Select all)?
A) Build a tower with 6 blocks
B) Throw ball overhand
C) Walk up/down stairs
D) Draw circles
E) Use a spoon without rotation
B) Throw ball overhand
E) Use a spoon without rotation
6 block tower and master the stairs by age 2; draw circles by 2 and a half
A nurse is providing teaching about age - appropriate activities to the parent of a 2yr old. Which of the following statement by the parent indicates an understanding of teaching?
A) "I will send my child's favorite stuffed animal when she will be napping away from home."
B) "My child should be able to stand on one ft for a second."
C) "The soccer team my child will be playing on starts practicing next week."
D) "I should expect my child to be able to draw circles."
A) "I will send my child's favorite stuffed animal when she will be napping away from home." --- sense of security
Stand on 1 ft and draw circles by 2 and a half
Play alongside others, not with
A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include (select all)?
A) Develop food habits that will prevent dental caries.
B) Meeting caloric needs results in an increased appetite.
C) Expression of bedtime fears is common.
D) Expect behaviors associated with negativism and ritualism.
E) Annual screenings for phenylketonuria are important.
A) Develop food habits that will prevent dental caries.
C) Expression of bedtime fears is common.
D) Expect behaviors associated with negativism and ritualism.
Toddlers experience physiologic anorexia due to decreased appetite and fussy eating.
Screening for PKU is done to a newborn.
A nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep. Which of the following statements by the parent indicates an understanding of the teaching?
A) "I will sleep in the bed with my child if she wakes up during the night."
B) "I will let my child stay up an additional 2 hrs on weekend nights."
C) "I will let my child watch tv for 30min just before bed each night."
D) "I will keep a dim lamp on in my child's room during the night."
D) "I will keep a dim lamp on in my child's room during the night." -- promotes sleep and comfort/security
Maintain consistency with a reasonable bedtime, tv can cause a child to resist/delay sleep.
A nurse is conducting a well-child visit with a 5yr old. Which of the following immunizations should the nurse plan to administer ( Select all)?
A) Diphtheria, tetanus, and pertussis (DTaP)
B) Inactivated poliovirus (IPV)
C) Measles, mumps, and rubella (MMR)
D) Pneumococcal (PCV)
E) Haemohilus influenza type B (Hib)
A) Diphtheria, tetanus, and pertussis (DTaP)
B) Inactivated poliovirus (IPV)
C) Measles, mumps, and rubella (MMR)
PCV & Hib are done being given by 15mths
A nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching?
A) Sat. fats should equal 20% of total daily caloric intake
B) Av. cal intake should be 1800 cal/day
C) Daily intake of fruits and veg should total 2 servings
D) Healthy diets include a total of 8g protein/day
B) Av. cal intake should be 1800 cal/day
Sat. fats should be less than 10%
Need 5 servings of fruits and veg
Need 13 - 19g protein/day
A nurse is performing a developmental screening on a 3yr old. Which of the following skills should the nurse expect the child to perform?
A) Ride a tricycle
B) Hop on 1 foot
C) Jump rope
D) Throw a ball overhead
A) Ride a tricycle
Hop on 1ft & throw ball overhead -- 4yr old
Jump rope -- 5yr old
A nurse is caring for a preschool-age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting?
A) Egocentrism
B) Centration
C) Animism
D) Magical Thinking
C) Animism -- give living qualities to inanimate objects
Egocentrism: unable to see another's perspective
Centration: focuses on one aspect rather than whole
Magical Thinking: believes thoughts cause events to occur
A nurse is discussing prepubescence and preadolescence with a group of parents of school-age children. Which of the following information should the nurse include in the discussion?
A) Initial physiologic changes appear during early childhood.
B) Changes in height and weight occur slowly during this period.
C) Growth differences between boys & girls become evident.
D) Signs of sexual maturation become highly visible in boys.
C) Growth differences between boys & girls become evident.
Initial physiologic changes appear around age 9
Height and weight changes will be rapid
Visible signs of sexual maturation are minimal in boys
A nurse is conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11 to 12yr olds. Which of the following immunizations should the nurse administer (select all)?
A) Trivalent inactivated influenza (TIV)
B) Pneumococcal (PCV)
C) Meningococcal (MCV4)
D) Tetantus & diphtheria toxoids and pertussis (Tdap)
E) Rotavirus (RV)
A) Trivalent inactivated influenza (TIV)
C) Meningococcal (MCV4)
D) Tetantus & diphtheria toxoids and pertussis (Tdap)
PCV is given by 15mths
RV is given by 6mths
A nurse is providing education about age-appropriate activities for the parents of a 6yr old. Which of the following activities should the nurse include in teaching?
A) Jumping rope
B) Playing card games
C) Solving jigsaw puzzles
D) Joining competitive sports
A) Jumping rope --- hopscotch, riding bikes, and organized sports
Cards & jigsaws not appropriate
Competitive sports are for 9 - 12 yr olds
A nurse is teaching a course about safety during the school-age years to a group of parents. Which of the following information should the nurse include in the course (select all)?
A) Gating stairs at top & bottom
B) Wearing helmets when riding bicycles or skateboarding
C) Riding safely in bed of pickup truck
D) Implementing firearm safety
E) Wearing seat belts
B) Wearing helmets when riding bicycles or skateboarding
D) Implementing firearm safety
E) Wearing seat belts
Gating is for toddlers
Bed of truck is never safe
A nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching?
A) "Girls usually stop growing about 2yrs after menarche."
B) "Girls are expected to gain about 65lbs during puberty."
C) "Girls experience menstruation prior to breast development."
D) "Girls typically grow more than 10in during puberty."
A) "Girls usually stop growing about 2yrs after menarche."
Gain 7 -25kg or 15.5 to 55lbs
Breast development happens before menstruation
Grow 5-20 cm or 2-8inches [Show Less]