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Human Development Chapters 8, 15, 16, 17 Flashcards | StudBud
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Human Development Chapters 8, 15, 16, 17
Human Development Chapters 8, 15, 16, 17
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1
a community there is an elevated high-school dropout rate the community is at highest risk to an alteration in
a. Self-perceptionself-concept pattern
d. Sexuality-reproduction pattern
b. Role-relationships pattern
c. Cognitive-perceptual pattern
2
24. A 15-mo-old was brought into the office by his Spanish-speaking mother for symptoms of a URI. What cam the nurse do?
d. Ask the mother about any allergies the child may have.
b. Ask the mother what home remedies have been used.
a. Ask the mother if she would like an interpreter.
c. Ask the mother how long the child has had these symptoms.
3
A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern.
d. Stress
b. Hearing loss
c. Coronary artery disease
a. Respiratory disorders
4
A new mother has decided to breast-feed her infant after having bottle-fed her other two children. Whats appropriate?
b. Breast-fed infants have smellier bowel movements than bottle-fed babies.
a. Breast-fed infants have darker bowel movements than bottle-fed babies.
d. Breast-fed infants have harder bowel movements than bottle-fed babies.
c. Breast-fed infants have more frequent bowel movements than bottle-fed
5
12.
c. Encourage providing the infant with supervised time outside of the playp
d. Suggest removing all toys from the playpen.
a. Encourage the addition of a few more toys to the playpen.
b. Suggest keeping the infant in the playpen to promote safe play
6
4. The school nurse has been asked to order growth charts. Which growth charts should be selected to for grades 1-5
c. Revised CDC growth chart
b. Height and weight chart
a. Generic body mass index chart
d. WHO international growth chart
7
21. A nurse is encouraging parents to immunize their infants. Which strategy would be the best way to facilitate?
d. Memorize the CDC immunization schedule.
a. Send a reminder for immunizations to the parents.
c. Track clients who have not been immunized.
b. Talk to the parents about immunizations during office visits.
8
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a. Developing enuresis as a toddler
d. Taking longer to toilet train
c. Becoming a picky eater
b. Having difficulty forming relationships
9
20. Where do most accidents occur?
b. In the car
a. In the home
c. At day care
d. On the playground
10
1. A pregnant woman that the first day of her last menstrual period was January 22. Use Ngeles rule to estimate delivery
a. September 16
d. October 17
c. October 29
b. September 22
11
5. In a routine clinic visit, a pregnant woman expresses concern about experiencing reflux. What should the nurse say?
Frequent heartburn is caused by high levels of hormones during pregnancy
Frequent heartburn is a result of gastrointestinal system changes
Frequent heartburn during pregnancy requires immediate consultation
Frequent heartburn may be a sign of fetal distress she needs an ultrasound
12
A child is focused on peer approval and avoidance of not fitting in. According to Kohlberg, this child is experiencing
Conventional moral development
Postconventional moral development
Preoperational moral development
Preconventional moral development
13
1. An infant is lying in a crib watching and listening to a colorful mobile. What is the purpose of having a mobile?
a. Provides stimulation necessary for continued growth and dev for infant
d. Serves as a distractor for the infant, making it easier to fall asleep
c. Serves as inadequate stimulation because it is an inanimate object
b. Provides too much stimulation for infant, making it difficult to focus
14
A school nurse is obtaining the height and weight of a 9-year-old child. Which is the best method to assess growth
b. Use this measurement.
c. Use this measurement and compare it with the childs peers.
a. Use serial measurements over time.
d. Use the WHO growth chart to assess this childs measurements.
15
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b. Going door to door asking people about the community
a. Driving around the neighborhood
c. Searching online to obtain population statistics
d. Talking to the police captain at the local police department
16
A community is considering banning smoking in all schools. Based on the community's current stage of change, What's next
c. Help the community develop a plan to implement the ban.
a. Provide the community with statistics regarding childhood smoking rates.
b. Point out positive outcomes with banning smoking such as lung function
d. Praise the members of the community for their actions.
17
9. A nurse is caring for a woman in labor and the fetus descends to the lower birth canal. The woman is in which stage
Fourth
a. First
c. Third
b. Second
18
a nurse finds that a community is having difficulty meeting its nutritional-metabolic pattern, what did she discover?
c. Lack of subsidized food programs
d. Inadequate knowledge about proper nutrition
a. Decreased availability of grocery stores
b. Poor nutritional habits
19
8. According to Piagets theory of cognitive development, which of the following statements is correct?
a. Cognitive function continues to become refined throughout life.
d. Learning precedes development.
c. Culture plays a major role in cognitive development.
b. A childs greatest task is to make sense of the world around him or her.
20
A woman usually eats an 1800-cal diet. She is now in the second trimester of her pregnancy. What are her needs?
d. 2700 calories
c. 2400 calories
a. 1800 calories
b. 2100 calories
21
The process of dynamic change w/ adaptation in the systems parts, and how community systems and subsystems interact is:
d. function of a community.
a. structure of a community.
c. community diagnosis.
b. community health promotion.
22
The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her 10-kg infant.
d. 48 grams a day
b. 28 grams a day
a. 18 grams a day
c. 38 grams a day
23
Pregnant woman is nervous about HIV for her TOURCH screening she recently had unprotected sex. What should the nurse say
d. You need to be exposed for at least 6 months before being tested for HIV
a. You will know your HIV status in about 1 week when the results come back
c. You need to be tested after delivery because pregnancy can give false +
b. You will require additional testing for HIV as it is not tested in TORCH
24
23. A new father is installing a car seat for an infant in the car. What should the nurse tell the father?
b. The infant should be in a rear-facing car seat in the back seat.
d. The infant should be in a front-facing car seat in the back seat.
a. The infant should be in a rear-facing car seat in the front seat.
c. The infant should be in a front-facing car seat in the front seat.
25
A new young mother asks the nurse what she should do to play with her 3-month-old infant. What should the nurse suggest?
b. Place several toys around the infant when lying on the floor.
a. Take the infant for a walk outside.
d. Search the Internet for toys highly recommended for infants.
c. Rock the infant in a rocking chair.
26
A woman and the father of her baby are Rh negative. The mom says that a friend said she would need a shot. best response
Yes, you will need the injection because this is your first pregnancy
no, bc the father of the baby is also Rh neg., your baby will not be pos.
Yes you need an injection of RhoGAM at 28 weeks and within 72 hr post birth
No, you will not need the injection because you are White.
27
A nurse has a smoking program for teens and is evaluating the rate of teen smoking in community. Which functions:
d. Dependent function
b. Independent function
a. Codependent function
c. Interdependent function
28
15. A hs sophomore engages in risky behavior to fit in. According to Eriksons theory of human dev. what conflict?
d. Intimacy versus isolation
b. Industry versus inferiority
a. Initiative versus guilt
c. Identity versus role confusion
29
10. A nurse is caring for a woman during the fourth stage of labor. What action should the nurse take?
Explaining unusual interventions such as the use of a fetal heart monitor
Providing constant reinforcement and education about labor/assist pushing
Teaching the mother positioning of the infant to assist with breast-feeding
Assisting with labor discomfort by modeling breathing
30
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a. Gender
d. Socioeconomic level
c. Race
b. Age
31
A nurse caring for a person with the nursing diagnosis of chronic sorrow related to missed opportunities. Intervention?
b. Assuring the person that he or she will be able to cope with the illness
a. Sharing a personal story with the person to demonstrate empathy
d. Contacting a support group representative for the person
c. Encouraging the person to discuss his or her fears
32
A woman is 23weeks pregnant and concerned bc her baby is moving less than it was a few weeks ago. What can the nurse say
d. You probably counted incorrectly.
c. At this point in your pregnancy, the baby moves less bc theres less room
a. Your infant is in distress. We should call an ambulance.
b. You need to be more active; take a dance class once a week.
33
A community nurse develops a plan to address the problem of teenage pregnancies. What actions should be taken next?
b. Evaluate the success of her plan.
d. Determine which factors related to teenage pregnancy require interventio
c. Provide educational programs at local schools regarding pregnancy preven
a. Determine the rate of teenage pregnancies.
34
Which factor has the greatest implication for a community nurse when developing a health promotion program for a church
c. The majority of members are high school graduates.
b. The majority of members are African American.
a. The majority of members live within a 3-mile radius.
d. The majority of members are employed.
35
3. By what age is an infants retina fully developed?
c. 4 months
a. Birth
d. 6 months
b. 2 months
36
14. During a prenatal visit, a nurse finds that a Black woman has been craving and eating clay. What should the nurse do
Stress importance of an appropriate diet and avoiding pica sensitively
Ignore the comment because pica is acceptable in some rural Black cultures
Tell her that many pregnant women crave such nonfood substances, its okay
Encourage the client to eat it with plenty of water bc of constipation risk
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9. Which of the following statements summarizes Vygotskys theory of development?
c. Learning is an individual activity.
d. Experience creates learning.
a. All children develop cognitively at the same rate.
b. Social and cultural influences are not major factors in cognitive devpmt
38
A nurse is assessing the language development of a 6-mo-old. Which of the following findings would the nurse anticipate?
d. The infant says ma-ma and bye-bye.
b. The infant coos and makes vowel sounds.
c. The infant babbles.
a. The infant forms two-syllable sounds.
39
In a prenatal visit, pregnant parents ask how to prepare their 4-year-old child for a new baby. What's appropriate?
b. Do not make any plans regarding the baby in front of the 4-year-old
c. Provide him with very detailed information about the pregnancy and birth
a. Discourage negative comments the child makes about the baby or pregnancy
d. Ask the 4-year-old boy to help decorate the new baby's room.
40
A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this?
a. Ban smoking on parish property.
c. Find literature about smoking cessation.
b. Invite local experts to participate in a health fair at the parish.
d. Hand out free nicotine-replacement systems.
41
A Latina woman comes to the office for a visit. She is found to be 30 weeks pregnant. What can the nurse conclude
c. This culture does not believe in traditional medicine.
b. Client education may require a different approach because of culture
a. The woman does not value prenatal care.
d. Signs of pregnancy were not recognized by the woman.
42
15. Which functional health pattern provides information about problem-solving and decision-making within communities?
b. Self-perceptionself-concept pattern
c. Coping-stress tolerance pattern
a. Cognitive-perceptual pattern
d. Health-perceptionhealth-management pattern
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2. Which of the following best describes an abnormality in structure or function that occurs during fetal development?
b. Genetic defect
c. Embryonic defect
d. Chromosomal defect
a. Congenital defect
44
community exposure to pollutants examined contaminated soil, air, water, and food.Which functional health pattern:
b. Elimination pattern
a. Nutritional-metabolic pattern
d. Values-beliefs pattern
c. Health-perceptionhealth management pattern
45
A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities?
a. Providing appropriate treatment for the flu to an elderly man
c. Ensuring that the family members of the man with the flu get tested for
b. Providing education to the community about prevention of the flu
d. Ensuring that the family members of the man with the flu receive the flu
46
24. A client is 36 weeks the nurse tells the client that she will be screened for group B Streptococcus.
screening will determine if unborn infant will be susceptible to distress
Screening will help us identify if you have been exposed to this/ infection
screening is necessary to determine if any Rh blood group incompatiblity
necessary as this infection can cause complications with pregnancy & fetus
47
10. Kohlbergs theory of moral development is based on:
b. Piagets theory of cognitive development
c. Vygotskys theory of cognitive development
d. Gilligans theory of moral development
a. Eriksons theory of psychosocial development
48
22. Which of the following is the most common poison ingested by infants?
a. Houseplants
d. Aspirin
c. Cleaning agents
b. Lead
49
17. The nurse is caring for a person who donated a kidney to a stranger in need. Which Gilligan stage are the in?
b. Conventional
d. Midconventional
c. Postconventional
a. Preconventional
50
7. A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. What should be instructed
a. You should gain 11 to 20 pounds during your pregnancy.
c. You should gain 25 to 35 pounds during your pregnancy.
b. You should gain 15 to 25 pounds during your pregnancy.
d. You should gain 28 to 40 pounds during your pregnancy.
51
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention
a. Highlight past successes
d. Provide information
b. Discuss the benefits of changing
c. Develop strategies to prevent relapse
52
8. The study of a population is referred to as (a):
a. community pattern.
c. demography.
d. community diagnosis.
b. windshield survey.
53
A nurse is discussing the harmful effects that chemical agents can have on an unborn child. What needs further education
c. Consumption of one drink per day will not cause any harm to my unborn
b. I should avoid using caffeine during pregnancy.
d. Use of nicotine during pregnancy may cause my child to be born premature
a. It is safe to eat up to 12 ounces of cooked fish weekly.
54
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a. Leave and tell the mother to call her to reschedule the appointment.
d. Offer to go pick up the other children at the bus stop.
b. Weigh the infant and contact the Department of Children and Families.
c. Weigh the infant and offer community resources to the mother.
55
12. During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is
c. Health-perceptionhealth-management pattern
a. Cognitive-perceptual pattern
d. Values-beliefs pattern
b. Self-perceptionself-concept pattern
56
23. A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. What is most concerning?
b. She has a pet cat.
c. There is an area rug in the living room.
d. She has a 1-year-old child.
a. The bedroom is located on the second floor.
57
A nurse is using mapping while implementing the nursing process in the community setting. Which nursing process aspect:
Planning
Analysis
Collection
Implementation
58
11. Which of the following statements about Gilligans theory of moral development is accurate?
b. This theory is gender specific.
a. This theory is based on a sense of absolute right and wrong.
d. This theory is based on the premise that women view situations in terms
c. This theory is dependent on ones stage of cognitive development.
59
19. A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which statement is concerning?
c. Sometimes, the smell of food makes me nauseous.
b. My husband complains every time I ask him to do something for me.
d. I need to get up two times a night to go to the bathroom.
a. I have been feeling more tired lately.
60
A nurse is collecting data regarding the number of crosswalks within a community. Which perspective is being used:
Systems perspective
Risk-factor perspective
Developmental perspective
Functional perspective
61
A nurse is completing a well-child assessment of a 6mo-old. Which of the following guidelines should be used for ht & wt
a. CDC growth charts
c. WHO growth standards
d. Denver Developmental Screening height and weight standards
b. CDC body mass index (BMI) charts
62
5.
a. Yes, you just delivered a healthy, beautiful baby girl.
c. Dont worry, many parents often feel the same way you do.
d. You are tired. I think you should get some rest.
b. This is your first baby. You can always try again for a boy.
63
a pregnant woman states she's been taking Tylenol for 3 days and wouldn't have had she know of her pregnancy. What now?
d. Tell the client that there is a high probability of a stillbirth.
b.say not to worry because research indicates its safe in recommended doses
a. say there's a high probability that her baby will have a birth defect
c. its okay but in the future use herbal products
64
17. Which of the following mothers would be most likely to bond appropriately with their infant?
A mom who feels unloved will bond appropriately because the baby love her
A mom who feels great about herself will show love to the infant and bond
A mom who feels empty by the birth will bond when she holds the baby
A mom who feels ugly will bond appropriately bc the child brings selfesteem
65
14.
d. You should place the infant on her stomach.
a. You should place the infant in the bed with you until 6 months of age.
b. You should never give the infant a pacifier while she is sleeping.
c. You should try to stop smoking.
66
mom is worried about her 11-mo-old baby because he isn't crawling, and his brother was at 11 mo. what should a nurse say
c. This may be something to worry about. Ill have the doctor examine him.
d. Dont worry; hell crawl soon enough.
a. It is unusual for siblings not to reach developmental milestones togethe
b. All babies reach developmental milestones at different rates.
67
25. A nurse would like to be involved in promoting change in health care policies. What should the nurse do?
d. Learn about community resources.
c. Enroll in a health policy class.
b. Vote for political leaders in favor of health care reform.
a. Be an active member of a national nursing organization.
68
15. A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following is concerning?
b. The woman works out at the gym daily.
d. The woman usually eats three meals a day in addition to two snacks a day
c. The woman does not like vegetables.
a. The woman drinks about 1 gallon of water a day.
69
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a. Walk around the neighborhood.
b. Interview members of the community.
d. Go to the town hall to obtain the number of parks in the community.
c. Obtain town morbidity and mortality rates.
70
Which of the following best describes the primary goal of community nurses?
Create a culture of health promotion/health protection with the community.
Create plans for community health promotion programs.
Create evaluation tools for health promotion programs.
Create charts/graphs of data collected.
71
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c. Drug prevention activities
b. Accident prevention activities
a. Health promotion activities
d. Pregnancy prevention activities
72
26. A mother asks a nurse what the best toy would be for her 2-mo-old. Based on the growth and dev. of the infant.
b. Rattle
c. Stuffed teddy bear
a. Colorful mobile with music
d. Play telephone
73
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a. Examining high sexually transmitted disease rates recorded by the health
b. Listening to community members discuss the high smoking rate among teena
d. Discussing the high rate of teenage motor vehicle crashes recorded by th
c. Analyzing the high infant mortality rate reported by state hospitals
74
4. Which of the following changes is experienced by the urinary system during pregnancy?
a. Increased urinary output secondary to total body water increase
d. Increased renal excretion of acidic drugs
b. Decreased bladder capacity
Decrease glomerular filtration rate resulting of estrogen and progesterone
75
3.At birth, the child weighed 7 lb. 3 oz. During the 12 mo. visit, the child weighs 21 lb. 10 oz. What can be concluded?
d. The infant is having a growth spurt.
c. The infant is at the expected weight for his or her age.
a. The infant is gaining weight faster than anticipated.
b. The infant is malnourished.
76
.
a. codependent function.
b. independent function.
d. dependent function.
c. interdependent function.
77
A pregnant woman at 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight is alarming
a. 6 pound increase
c. 14 pound increase
d. 20 pound increase
b. 11 pound increase
78
6. how can a nurse work with a family of an infant to improve their health-perception and health management pattern
c. Demonstrate effective parenting skills.
d. Encourage appropriate stimulation of the infant.
b. Teach parents appropriate coping mechanisms.
a. Assess the home for safety hazards.
79
A mother asks the nurse when she should start feeding her infant solid foods. Of the following what is appropriate?
b. It is recommended that solid foods are introduced no earlier than 6 mo
c. You should wait until your child is 9 months old to start solid foods.
a. It is recommended that solid foods are introduced no earlier than 3 mo
d. You should wait until your child is 1 year old to start solid foods.
80
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a. Structure of a community
d. Interaction of a community
b. Subsystem of a community
c. Supra system of a community
81
3. During which week would pregnancy begin to pose health concerns for the fetus?
d. 42 weeks
c. 40 weeks
b. 38 weeks
a. 36 weeks
82
A nurse conducting a parenting class is asked how to select a good day care center for an 18-month-old child. Response?
a. Day care centers that schedule age-appropriate educational videos
b. select a day care center that values adult-to-toddler interaction
c. select a day care center that has an extensive library of age appropriat
There really is no difference in the quality of day care centers based DVDs
83
A nurse is completing a home visit of a new mom who is breast-feeding. What's the best instruction provided
a. Consume 500 kcal/day above pre-pregnancy energy intake to avoid wt loss
c. Use formula to provide the infant supplementation between feedings.
b. Drink 1 quart of fluids daily to produce sufficient quantity of milk
d. Use a pacifier to help the infant to fall asleep
84
13. A nurse is teaching parents of a toddler about nutrition. Which of the following statements should the nurse make?
d. A small piece of chewing gum will help strengthen jaw muscle;
c. Hot dogs are not a safe food choice because they may cause choking.
Grapes are a good snack because they help toddlers meet their daily fruit
a. Raisins are a good finger food because they provide fiber.
85
21. In a prenatal visit, a pregnant woman informs she's chosen godparents for the baby. what functional health pattern?
a. Cognitive-perceptual pattern
d. Values-beliefs pattern
b. Self-perceptionself-concept pattern
c. Health-perceptionhealth-management pattern
86
A woman is 30weeks pregnant and says that she and her husband are having sexual difficulties. What should the nurse do?
b. Ask her to elaborate on the difficulties.
c. Tell her that they should modify their positions during sex
d. Tell her men like the way pregnant women look.
a. Tell the woman she should not be sexually active at 30 weeks
87
A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. What is next?
Partner with school nurses to educate students about risks of drunk driving
a plan to address the high rates of alcohol-related motor vehicle accident
Diagnose community w/ ineffective health management bc of drunk driving
Establish support groups for teenagers with alcohol abuse.
88
8.
b. Assure the mother that he is growing fine.
c. Tell the mother that half a bottle is probably enough for him.
d. Tell the mother she should start to add solids to his diet.
a. Ask the mother about the infants feeding schedule.
89
At 1 min. old, an infant's heart rate is 95, a strong cry, some flexion of extremities, a cry reflex, and is pink. Score
a. 4
c. 8
b. 6
d. 10
90
Which of the following health concerns should the nurse have as a priority when planning care for a community?
d. The lack of grocery stores within walking distance identified by the com
a. The limited recreational areas identified through a windshield survey
c. The absence of health clinics on the local bus route
b. The high crime rate reported in the town records
91
7. Which of the following statements describes Eriksons theory of development?
d. An individual must successfully accomplish one stage before the next
c. The main premise of the theory is that individuals are interdependent
a. A healthy personality is defined by the lack of pathology.
b. Stages of development advance based on psychosocial factors.
92
17. Which of the following infants is most at risk to experience child abuse?
a. Father has experienced paternal engrossment
d. Has been adopted
b. Responds to parental touch
c. Parents have low-self esteem
93
A nurse is developing an educational program abt SIDS for a moms support group in the community. What should be included
SIDS is associated with infants who have had difficulty sleeping at night
Parents are encouraged to limit the amount of tummy time of their infant
SIDS is the leading cause of death among infants age 6 months to 1 yr old
Parents are encouraged to place infants in the supine sleeping position
94
6. The client who is taking prescribed _____ would require preconception management to prevent drug-related birth defect
d. non-narcotic analgesics
c. iron
b. antiepileptics
a. antiemetics
95
In the 1st prenatal visit, a pregnant woman informs the nurse that she can't wait to wear maternity clothes-What pattern
a. Cognitive-perceptual pattern
b. Self-perceptionself-concept pattern
d. Values-beliefs pattern
c. Health-perceptionhealth-management pattern
96
11. Which of the following statements about race and culture in the United States is correct?
a. The United States ranks 22nd in the world for infant mortality rate.
c. Black infants are more likely to have cleft palates than Native American
b. Ethnic minority populations have higher rates of low-birth-weight infant
d. Whites have more fraternal twin pregnancies than non-Whites.
97
2. Which of the following statements is correct related to the concept of growth
Older adults do not experience growth-related changes..
Growth refers only to the increase in the size of specific organs /systems
Growth occurs throughout the life cycle.
Growth occurs mainly during early childhood.
98
8. A nurse is caring for a woman in labor. The nurse anticipates that the labor will progress through which sequence?
a. Dilation stage, pressure stage, placental stage, recovery stage
c. Dilation stage, pushing stage, placental stage, recovery stage
b. Dilation stage, pushing stage, pain stage, recovery stage
d. Dilation stage, pushing stage, placental stage, refractory stage
99
18. A nurse is assessing a 4-mo-old infant during a well-child visit. Which of the following require nurse to get data?
c. The infant holds his or her head steady when in a sitting position.
a. The infants shirt is wet from drooling.
d. The infant grasps objects with two hands.
b. The infant has gained one pound since her 2-month well-child visit.
100
1. The nurse is explaining the concept of growth to a parent. Which of the following statements should nurse make?
c. How much we grow is based on gender.
b. We continue to grow in various ways throughout life.
d. Growth stops when we are young adults.
a. Growth means adding height and weight to your body.
