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Human Development Final Review
Human Development Final Review
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Chapter 18, 19, 20
Flashcards
96 cards
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Answers
1
28.
d. 6 years old
c. 5 years old
b. 4 years old
a. 3 years old
2
1. The school nurse conducting an in-service program for teachers is asked about general growth and development...
c. Children in this age group have some difficulty with coordination and ba
a. By age 11, blood pressure readings are the same as for an adult.
b. Because of the rapid growth pattern in this age group, snacks are import
d. growth in school-age children is slower than during infancy and adolesc
3
5. A nurse is determining caloric needs for a preschooler who weighs 18 kilograms. daily caloric needs for this child?
d. 1800 calories
a. 1360 calories
c. 1620 calories
b. 1540 calories
4
6. Which of the following is responsible for ensuring that children are up-to-date on their immunizations? (select all)
c. Teacher
b. Parent or caregiver
d. School principal
a. School nurse
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8. A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings is concerning?
c. Has visual acuity that is not 20/20
d. Has a history of recurrent ear infections
a. Uses the word blanky to mean both that he wants to go to bed and that he
b. Refuses to eat something he ate and enjoyed the day before
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10. A 4-year-old girl asks her mother for a second cup of yogurt before eating the first one. What will she do with it?
b. Ask her brother if he wants it.
d. Give it to her imaginary friend.
a. Eat it herself.
c. Feed it to her dog.
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4.
d.
b.
a.
c.
8
25. How many words are in a toddlers receptive language at 24 months of age?
c. 2400 words
b. 1200 words
d. 3600 words
a. 500 words
9
15. A school nurse is planning to assess the visual acuity of the preschool students at the school. which test is used?
d. Cover test
c. Ishiharas test
b. Denver Eye Screening test
a. Snellen Screening test
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6. Which of the following elements is most likely deficient in a school-age childs diet?
d. Vitamin B12
c. Iron
a. Protein
b. Sodium
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26. A mom asks her toddler if she is tired. The toddler responds by saying, Sammy bed. Based on her language, how old?
d. 36 months
b. 24 months
c. 30 months
a. 18 months
12
7. The inability of a toddler to put him- or herself in another's shoes is known as:
b. egocentrism.
a. autonomy.
c. self-perception.
d. integrity.
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2. A nurse is discussing genetic disorders with a local community group. What should the nurse say?
d. Multiple sclerosis is most likely to appear during the preschool years.
c. Cystic fibrosis is most likely to appear during the preschool years.
a. Downs syndrome is most likely to appear during the preschool years.
b. Hemophilia is most likely to appear during the preschool years.
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20. A parent asks the nurse working in a pediatric clinic how she can help her 6-year-old child feel good about himself.
b. Have them help around the house with tasks such as setting the table
d. There is little you can do to increase your childs self-esteem. Their pe
a. Doing most things for your child will give them a sense of security, and
c. Make sure to highly praise even the smallest effort your child makes at
15
7.
d. Lack of emotional response from child to a playground injury
b. Statement by the day care provider that the child was injured by falling
a. Caregivers and parents who are reluctant to take the child for treatment
c. Explanation of the injury from the child and caregiver or parent that ar
16
21. A nurse is discussing with parents how to prevent burns in a preschooler. What should the nurse recomend?
b. Do not cook on a gas grill until the child is a teenager.
a. Do not read to the child while sitting on the sofa in front of the firep
c. Do not leave cigarettes and matches on the kitchen counter.
d. Do not cook with the child in the kitchen.
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13. A nurse is discussing sleep patterns in school-age children. Which of the following should be stressed by the nurse?
b. School-age children need between 6 and 9 hours of sleep a night.
c. Daytime naps are important in children until they reach the age of 9/10
d. School-age children generally agree with and adhere to a regular bedtime
a. Sharing a bed with siblings/parents has a long-lasting psychological imp
18
A nurse is reviewing the chart of a preschool child who has been diagnosed with Aspergers syndrome. what is discovered?
b. Absent crawling at 10 months old
d. Saying ma-ma at 10 months old
c. Separation anxiety at 10 months old
a. Eating finger foods at 10 months old
19
2. A nurse administers the Draw-a-Person and Draw-a-Family tests with a preschool student...
b. Assess intelligence development.
a. Assess verbal development.
c. Assess social development.
d. Assess emotional development.
20
16. A parent expresses frustration over constant fighting between her toddler & preschooler. What should the nurse do?
c. Say to the mother, Dont you remember fighting with your sibling? Dont wo
d. Say to the mother, Dont worry; this behavior will all end soon.
b. say it's normal for them, and she should be firm but not take sides
a. Tell the mother not to worry about it and continue with the office visit
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8. A school nurse is planning a series on nutrition. Which of the following factors should the nurse take into account?
d. A child is three times more likely to eat in a restaurant than at home.
c. Each day, approximately 60% of children eat fast food.
b. Children watch approximately two hours of television a day.
a. Television commercials frequently advertise food-related products.
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27.
b. Regulation of the use of electronic devices used by preschoolers
c. Regulation of the paint allowed for use with toys
d. Elimination of WIC programs
a. Elimination of the school requirement for the MMR vaccine
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17. A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest
b. Tell the child about blood work right before leaving for the appointment
c. Tell the child when they are in the office right before the phlebotomist
d. Do not tell the child about the blood work.
a. Tell the child about the blood work on when the appointment is scheduled
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12.
a. Nightmares
d. Hunger
c. Enuresis
b. Night terrors
25
12. A nurse is providing anticipatory guidance to parents about the self-perception pattern. What should she suggest?
d. Always provide your toddler with challenging toys.
c. Childproof your home.
b. Put your toddler in time out if he has a temper tantrum.
a. Temper tantrums are expected, so always give in to them.
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14. Parents of an 8-yr-old tell a nurse they are concerned about their son's sleepwalking. What is the best response?
a. Sleepwalking is much more common in girls than boys.
b. I am glad you mentioned this. Sleepwalking is sometimes a sign of a neur
c. Does he also have nightmares? Do the two problems often occur together?
d. This is not abnormal for a child of this age. He will most likely outgro
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23. a school nurse is conducting a community awareness program about accidents that impact school-age kids. include?
c. The majority of accidents happen in the home.
b. Drowning and motor vehicle accidents are the leading causes of fatality.
d. Burn accidents are more common in the summer months.
a. Poisonings and falls are the leading causes of death.
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11.
b. There is not much you can do to stop this problem until he gets older.
a. Ill be sure to mention this to the doctor because we rarely see a child
c. This is a common disease in children his age. Lets talk about some optio
d. Im going to collect a urine sample from him, then talk about bed wetting
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17. Which of the following statements concerning hearing in school-age children is correct?
d. The use of tympanograms has improved the accuracy of hearing screenings.
b. Hearing and visual problems occur with the same frequency.
c. All 50 states require routine hearing evaluations.
a. The rate of otitis media infections met Healthy People 2010 targets.
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13. Which of the following is a hallmark of Piagets preconceptual substage?
c. Using mental abstracting
b. Using concrete thought processes
d. Using transductive reasoning
a. Using language to function symbolically
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24. nurse suspects a 5-yr-old has asthma. Which information from the childs past medical history is a risk factor?
a. The child was breast-fed.
d. The child had pressure equalizer tubes as an infant.
b. The child had respiratory infections as an infant.
c. The child was born via a C-section.
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4. Which of the following kids may have difficulty with Eriksons industry versus inferiority stage of development?
d. Cannot speak his or her native language fluently
a. Poor motor skills and is rarely chosen for team play during recess
b. Difficulty with math homework
c. Difficulty making friends
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17. A 4-year-old child tells the school nurse that he invented a new song. What should the nurse say?
d. Ask the child to come back later when there is more time to listen to th
a. Congratulate the child on a job well done.
c. Nicely tell the child that it does not sound like a song.
b. Tell the child that he is too young to invent anything.
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27.
b. The school district has a health insurance policy that you can access.
d. You will need to find coverage through another member of your family.
c. The state has an insurance program to assist you.
a. Currently, there is no health care program available for your child.
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2.
d. Hand-washing booth with colored soap
c. Research poster showing germ transmission
b. Games such as find the germs in a cartoon picture
a. Microscopes set up to show bacteria on common objects
36
18. A 3rd grade teacher asks a school nurse what she can expect from kids in her classroom related to language ability.
a. Children in the second grade should have about a 4000-word vocabulary.
d. You can evaluate the cognitive ability of the children in your classroom
c. The children will write b and d without reversing them
b. Research has shown that children will learn to read more quickly if you
37
1. Which of the following children should the school nurse monitor closely for hypertension (HTN)? (select all that appl
c. 6-year-old Black child with no family history of HTN
a. 7-year-old White male with no known family history of HTN
d. 10-year-old Mexican American child with known family history of HTN
b. 9-year-old White female whose maternal grandfather has HTN
38
5. Which of the following statements is correct?
a. Tonsils in a school-age child are smaller than in an adult.
d. Overweight kids have muscle pain more often than average-weight kids
b. The nervous system generally matures between ages 11 to 13.
c. Fractures heal more slowly in a 10-year-old child than in an adult.
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1. At a well-child visit, a 2 yr toddler measures 2 feet 8 inches. A nurse estimates the toddlers approximate adult ht:
c. 5 feet 2 inches.
a. 4 feet 8 inches.
b. 5 feet.
d. 5 feet 4 inches.
40
20. A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler.
a. Encourage the toddler to drink orange juice and eat yogurt.
b. Encourage the toddler to eat plenty of cakes and cookies to help absorb
c. Limit foods high in iron such as spinach to help reduce lead levels.
d. Encourage dark-chocolatecontaining products that contain antioxidants to
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14.
c. Ask the mother about the bruises.
b. Assume the bruises are the result of a fall.
a. Report the suspected child abuse to the Department of kids and Families
d. Schedule a follow-up appointment in 2 weeks to see if bruises present
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A mom expresses her concern & frustration over her toddler that hasn't been successful at toilet training. Best response
a. Dont worry; it will happen eventually.
b. How long does the child stay dry during the day?
d. Here is a training schedule to follow.
c. Train him on a regular toilet instead of a potty chair.
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19. nurse is assessing the home environment of a toddler. Which of the following poses the greatest/most immediate risk?
b. An entertainment center with the remote control on the top shelf
d. A toy box overflowing with toys
a. A fenced-in pool in the backyard
c. A closed window in the childs bedroom
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4. A 5-year-old is consuming a daily caloric intake of 1400 calories. How much should be carbohydrates?
a. 300 calories
d. 1200 calories
900 calories
b. 700 calories
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nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding is a risk
d. Leaky roof
c. Hardwood flooring
a. Radiator heating system
b. Air conditioner
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21. Which of the following statements made by a parent is most helpful when discussing rules of the household?
c. Why did you forget to feed the dog? Would you like me to forget to feed
a. You did not feed the dog like you promised, so you cannot have ice cream
d. What you did was bad. We all need to care for the dog.
b. I was upset when you did not feed the dog Lets talk about what happened.
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14.
b. Concrete thinking
d. A temper tantrum
a. Abstract thinking
c. Jealousy
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3.
a. Have him learn it at school.
b. Model the behavior at home.
c. Lecture him about hygiene.
d. Punish him when he forgets to brush his teeth.
49
10. A toddler has been diagnosed with amblyopia. What would most likely be prescribed for the child?
c. Applying artificial tears to the eye
b. Patching of the eye
a. Using corrective lenses
d. Allowing the passage of time
50
nurse is conducting a physical exam on a 3-yr-old child. What's the best way to approach the child during the exam?
c. Ask his parents to leave the room to minimize distractions.
b. Tell him to sit quietly while the nurse examines him.
d. Ask another nurse to hold him while the nurse examines him.
a. Let the child listen to the nurses heart with the stethoscope.
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23. Which of the following is the most common intraocular tumor in young children?
b. Wilms tumor
a. Neuroblastoma
d. Leukemia
c. Retinoblastoma
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5.
c. 12-year-old boy who has started lifting weights
a. 11-year-old girl who has been involved in fighting during the past month
d. 9-year-old girl who visits the nurse on a daily basis for vague complain
b. 10-year-old boy who no longer wants to play on the schools soccer team
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23. A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals.
d. Dont worry about it.
b. This behavior is developmentally normal.
c. Tell him to stop touching himself.
a. This is a sign that he is not ready to toilet train yet.
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29. How old is a preschooler with a receptive vocabulary of up to 5600 words?
c. 54 months old
b. 48 months old
a. 42 months old
d. 60 months old
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7. A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic react
c. Jelly sandwich
b. Oatmeal raisin cookies
a. Apple juice
d. Banana
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2. According to the American Heart Association, at what age should blood pressure screening begin?
3
12
6
9
57
3. Parents of a toddler ask the nurse how to stress the importance of dental hygiene. What should the nurse recommend
d. Have the toddler watch an educational cartoon video on the teeth brushin
c. Schedule a time to brush their own teeth with their toddler.
a. Remind the toddler to brush his teeth every day.
b. Have the dentist tell the toddler about the importance of dental hygiene
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21. 18-mo-old toddler is being seen for a visit. Which of the following strategies would the nurse use for cooperation
c. Have him hold the stethoscope diaphragm on his chest while nurse listens
d. Have his mother hold him down while the nurse examines him.
b. Ask his mother leave the room while the nurse examines him.
a. Ask the toddler if he wants to be examined today.
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24. A school nurse is assessing a childs social environment. Which of the following strategies would the nurse implement
d. Evaluate the childs activity and rest patterns.
b. Conduct a windshield assessment.
a. Interview family members.
c. Review the childs past medical history.
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22. A nurse has recently accepted a position as a school nurse at a middle school and plans to offer sex education to th
a. Offer gender-segregated sex education classes.
b. Develop information to teach about abstinence and condom use.
c. Determine how this education has been provided in the past.
d. Survey parents to determine their desire for this education to be provid
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28.
d.
a.
b.
c.
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18.
a. He gives his brother the ball when he is tired of playing with it.
c. He plays well with a group of neighborhood children.
d. He moves from one activity to another.
b. He never engages in any activity until his mother tells him to.
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11. Which of the following behaviors exemplifies a toddler working through his developmental task?
c. Playing quietly with one toy
a. Clinging to his mother
d. Having no interest in a new toy
b. Refusing to take a bath
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8. A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?
b. Take away one video game
a. Have him change his own pajamas before going to bed
c. Tell his 6-year-old sister about the incident.
d. Make him wear his diaper to bed.
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4. A mother is concerned because her 22-mo-old has been skipping meals. What should the nurse recommend?
b. Offer him foods he likes such as cookies and chips.
d. Talk to the child about how important it is to eat three meals a day.
c. Limit the childs consumption of juices and cookies.
a. Put the child in time out whenever he skips a meal.
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13. The mother of a 2-year-old toddler recently lost her job and is getting a divorce. What should the nurse do?
d. Help the mother find a job.
c. Do not offer any advice unless the mother asks.
a. Give the mother information about local support groups.
b. Provide the mother the name of a prominent local attorney.
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1. A mother tells the nurse her 3-year-old child has not been himself lately. The nurse examines the child....
d. Hives
a. Bruises
c. Enlarged lymph nodes
b. Pale skin
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20.
b. Encourage the father to have the child sit in the back seat instead.
d. Provide the parent with educational materials about car seat safety.
a. Report the father to the Department of Human Services.
c. Instruct the father on the dangers of having small children in the front
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6. Which of the following foods will a 5-year-old child need help eating?
b. Macaroni and cheese
c. Chicken
a. Pudding
d. Jelly sandwich
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3. Which of the following behaviors by a preschooler indicates use of an effective coping mechanism? (select all that ap
a. The preschooler walks away from the situation.
c. The preschooler states what he is upset about.
d. The preschooler has a temper tantrum.
b. The preschooler blames a friend for causing the problem.
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19.
c. 12-year-old with a 4000-word vocabulary
b. 10-year-old who cannot sit still longer than 15 minutes
a. 9-year-old whose parents recently divorced
d. 11-year-old who scored 102 on an IQ test
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15.Individuals style of emotional and behavioral response across situations, especially those involving change or stress
a. ritual.
b. temperament.
c. coping.
d. autonomy.
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19. A nurse is using primary prevention strategies to prevent child abuse in the community. What should the nurse do?
c. Report a case of child abuse.
a. Educate the public about violence and the potential for abuse.
b. Remove a child who has been abused from the home.
d. Refer a parent who abused their child to counseling.
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7. Which of the following initiatives related to childhood nutrition outlined in Healthy People 2010 was most successful
d. Reducing obesity rates
b. Increase in consumption of fruit
c. Adequate food supplies at home
a. Reduction of fat consumption
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22. A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?
c. Call the Poison Control Center.
b. Give ipecac syrup.
d. Wait to see if the child will vomit.
a. Call the pediatrician on call.
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1. Which scenario places a toddler at risk for injury? (select all that apply)
b. Mop and a bucket of clean water in the kitchen
a. Toddler playing with his preschool siblings toy
c. Cup of hot coffee on the kitchen counter
d. Twenty-five pound toddler sitting in a forward-facing car seat in the ba
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3.
d. Library outings
b. Family activity days that promote nature walks and biking
c. Co-ed organized sports
a. Highly competitive games that focus on individual accomplishment and win
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5. Which of the following toddlers would require further investigation from the nurse?
d. Exploring his environment and playing with new toys
c. Playing with a toy next to another child also playing with a toy
a. Sitting quietly on a couch
b. Experiencing a temper tantrum
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24. Which is a common temperament pattern described by Chess and Thomas?
c. The unhappy child
b. The happy child
a. The fussy child
d. The slow-to-warm-up child
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3. The school nurse has seen several students in the health office.who should the nurse set a follow up exam for?
b. A 7-year-old boy who has grown 2 inches in a year
a. A 14-year-old girl who has not experienced menarche
d. An 8-year-old boy who has lost four deciduous teeth in the past year
c. A 10-year-old girl who has gained 11 pounds in a year
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15. During a school gift fair, a parent asks the school nurse what gift would be most appropriate for her 6-yr-old
a. A box of wooden blocks of various sizes for sorting
c. A world map
d. A beginning encyclopedia of animals
b. A jar of sea shells in various shapes, colors, and textures
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9. deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as:
a. amblyopia.
d. strabismus.
c. nearsightedness.
b. farsightedness.
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18. What would be the best way for a parent to explain to a toddler that he needs to receive the influenza vaccine at to
a. You need the shot to keep you healthy. You will feel a little pinch
c. You need a shot, but dont worry, you wont feel a thing.
d. No, you will not get any needles today.
b. You need the shot to prevent the flu. They will use a small needle to ad
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11. Which sleep ritual is age appropriate for a preschooler?
c. Going right to sleep
b. Saying gn to all 20 stuffed animals in the room before going to sleep
d. Asking the parent to read all books on the bookshelf before going to bed
a. Asking for every light in the home to be turned on at bedtime
85
1. A 5-year-old is prescribed a medication that is renally excreted. Which consideration should be made in dosage
d. The medication should not be administered.
a. The dosage should be lower than the recommended dose.
c. The dosage should be higher than the recommended dose.
b. The dosage should be at the recommended dose.
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26. Which of the following statements about smoking is true?
a. Black children begin smoking at an earlier age than do White children.
b. Almost 80% of schools prohibit tobacco use in all locations.
c. Each day over 6000 children try smoking.
d. Tobacco use prevention programs should be initiated in eighth grade.
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2. A -1yr-old toddler is in for an office visit. He was born at 6 lbs, 10 oz. At todays visit, the nurse expects his wt:
b. 19 pounds, 14 ounces.
a. 13 pounds, 4 ounces.
d. 33 pounds, 2 ounces.
c. 26 pounds, 8 ounces.
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9. nurse is planning activities to help children learn about good nutritional practices. What should the nurse implement
b. Find a book about nutrition to read the students.
a. Coordinate a Try This food day offering a variety of nutritious snacks.
d. Search on-line for a video about nutrition to the students.
c. Plan a game using the concept of MyPlate.
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12. Which of the following children is at risk for developing encopresis?
c. A 5-year-old child who has been in four foster care homes since age 3
b. A 3-year-old child who is not fully toilet-trained
d. A 4-year old child who sleeps soundly at night
a. A 6-year-old child who takes Colace on a daily basis to soften stool
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6. Approximately how much sleep do toddlers require each day?
13 hours
12 hours
10 hours
11 hours
91
16.
a. Many preschool children are hyperopic and need glasses to prevent headac
c. Vision screening can diagnose vision/eye problems before they become sev
b. Fewer than 10% of children entering school have had eye exams.
d. Approximately one in four children has a vision problem.
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29.
c. Obesity
a. Hypertension
d. Type 2 diabetes
b. Hyperactivity
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25. A school nurse is caring for a child with an upper respiratory tract infection. How should the nurse intervene?
d. Ask parent of a kid with a mild fever&sore throat to take them to doctor
b. Advise the parent of a child with a group A strep throat infection that
a. Send the child with a mild sore throat back to class.
c. Educate the parent that treatment of group A strep infections usually re
94
10. A kid with a BMI of 34 visits the school nurse. What factor does the nurse recognize the kid may be experiencing?
c. Increased resiliency
d. Increased motivation to lose weight
a. Increased bullying by peers
b. Increased self-esteem
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nurse is assessing a toddler during a visit. Which of the following findings warrant further investigation (select all)
c. Burns with sharply demarcated edges
a. Bare spots on the scalp, and broken hair
d. Bruises anywhere on the body
b. Overly concerned parents
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9.
c. Taking the children swimming at the neighborhood pool
d. Playing on the outdoor preschool equipment while being supervised by day
a. Having the children bring their bikes to the center so they can go for b
b. Playing hopscotch on the sidewalk in front of the daycare center