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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
Pregnant woman is nervous about HIV for her TOURCH screening she recently had unprotected sex. What should the nurse say
b. You will require additional testing for HIV as it is not tested in TORCH
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 +
d. You need to be exposed for at least 6 months before being tested for HIV
2
19. A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which statement is concerning?
b. My husband complains every time I ask him to do something for me.
a. I have been feeling more tired lately.
c. Sometimes, the smell of food makes me nauseous.
d. I need to get up two times a night to go to the bathroom.
3
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.
b. community health promotion.
c. community diagnosis.
4
Which factor has the greatest implication for a community nurse when developing a health promotion program for a church
b. The majority of members are African American.
c. The majority of members are high school graduates.
a. The majority of members live within a 3-mile radius.
d. The majority of members are employed.
5
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.
b. You need to be more active; take a dance class once a week.
a. Your infant is in distress. We should call an ambulance.
c. At this point in your pregnancy, the baby moves less bc theres less room
6
A nurse is completing a well-child assessment of a 6mo-old. Which of the following guidelines should be used for ht & wt
b. CDC body mass index (BMI) charts
c. WHO growth standards
d. Denver Developmental Screening height and weight standards
a. CDC growth charts
7
8. According to Piagets theory of cognitive development, which of the following statements is correct?
b. A childs greatest task is to make sense of the world around him or her.
a. Cognitive function continues to become refined throughout life.
c. Culture plays a major role in cognitive development.
d. Learning precedes development.
8
A nurse is assessing the language development of a 6-mo-old. Which of the following findings would the nurse anticipate?
c. The infant babbles.
a. The infant forms two-syllable sounds.
d. The infant says ma-ma and bye-bye.
b. The infant coos and makes vowel sounds.
9
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
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10. Kohlbergs theory of moral development is based on:
a. Eriksons theory of psychosocial development
d. Gilligans theory of moral development
b. Piagets theory of cognitive development
c. Vygotskys theory of cognitive development
11
8. The study of a population is referred to as (a):
c. demography.
d. community diagnosis.
b. windshield survey.
a. community pattern.
12
9. Which of the following statements summarizes Vygotskys theory of development?
a. All children develop cognitively at the same rate.
d. Experience creates learning.
b. Social and cultural influences are not major factors in cognitive devpmt
c. Learning is an individual activity.
13
15. Which functional health pattern provides information about problem-solving and decision-making within communities?
b. Self-perceptionself-concept pattern
a. Cognitive-perceptual pattern
d. Health-perceptionhealth-management pattern
c. Coping-stress tolerance pattern
14
18. A nurse is assessing a 4-mo-old infant during a well-child visit. Which of the following require nurse to get data?
b. The infant has gained one pound since her 2-month well-child visit.
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.
15
15. A hs sophomore engages in risky behavior to fit in. According to Eriksons theory of human dev. what conflict?
a. Initiative versus guilt
c. Identity versus role confusion
b. Industry versus inferiority
d. Intimacy versus isolation
16
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
c. The absence of health clinics on the local bus route
a. The limited recreational areas identified through a windshield survey
b. The high crime rate reported in the town records
17
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.
b. Invite local experts to participate in a health fair at the parish.
d. Hand out free nicotine-replacement systems.
c. Find literature about smoking cessation.
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12. During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is
d. Values-beliefs pattern
c. Health-perceptionhealth-management pattern
a. Cognitive-perceptual pattern
b. Self-perceptionself-concept pattern
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24. A client is 36 weeks the nurse tells the client that she will be screened for group B Streptococcus.
necessary as this infection can cause complications with pregnancy & fetus
screening is necessary to determine if any Rh blood group incompatiblity
screening will determine if unborn infant will be susceptible to distress
Screening will help us identify if you have been exposed to this/ infection
20
A mother asks the nurse when she should start feeding her infant solid foods. Of the following what is appropriate?
d. You should wait until your child is 1 year old to start solid foods.
c. You should wait until your child is 9 months old to start solid foods.
b. It is recommended that solid foods are introduced no earlier than 6 mo
a. It is recommended that solid foods are introduced no earlier than 3 mo
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7. A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. What should be instructed
c. You should gain 25 to 35 pounds during your pregnancy.
d. You should gain 28 to 40 pounds during your pregnancy.
b. You should gain 15 to 25 pounds during your pregnancy.
a. You should gain 11 to 20 pounds during your pregnancy.
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d. Taking longer to toilet train
a. Developing enuresis as a toddler
c. Becoming a picky eater
b. Having difficulty forming relationships
23
a community there is an elevated high-school dropout rate the community is at highest risk to an alteration in
c. Cognitive-perceptual pattern
b. Role-relationships pattern
d. Sexuality-reproduction pattern
a. Self-perceptionself-concept pattern
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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.
25
20. Where do most accidents occur?
b. In the car
d. On the playground
c. At day care
a. In the home
26
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.
c. Breast-fed infants have more frequent bowel movements than bottle-fed
a. Breast-fed infants have darker bowel movements than bottle-fed babies.
d. Breast-fed infants have harder bowel movements than bottle-fed babies.
27
A community nurse develops a plan to address the problem of teenage pregnancies. What actions should be taken next?
d. Determine which factors related to teenage pregnancy require interventio
b. Evaluate the success of her plan.
c. Provide educational programs at local schools regarding pregnancy preven
a. Determine the rate of teenage pregnancies.
28
a pregnant woman states she's been taking Tylenol for 3 days and wouldn't have had she know of her pregnancy. What now?
b.say not to worry because research indicates its safe in recommended doses
c. its okay but in the future use herbal products
d. Tell the client that there is a high probability of a stillbirth.
a. say there's a high probability that her baby will have a birth defect
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4. Which of the following changes is experienced by the urinary system during pregnancy?
a. Increased urinary output secondary to total body water increase
b. Decreased bladder capacity
Decrease glomerular filtration rate resulting of estrogen and progesterone
d. Increased renal excretion of acidic drugs
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b. Accident prevention activities
a. Health promotion activities
d. Pregnancy prevention activities
c. Drug prevention activities
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11. Which of the following statements about race and culture in the United States is correct?
d. Whites have more fraternal twin pregnancies than non-Whites.
b. Ethnic minority populations have higher rates of low-birth-weight infant
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
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a. Leave and tell the mother to call her to reschedule the appointment.
c. Weigh the infant and offer community resources to the mother.
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.
33
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
d. Values-beliefs pattern
c. Health-perceptionhealth-management pattern
b. Self-perceptionself-concept pattern
34
A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities?
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
a. Providing appropriate treatment for the flu to an elderly man
35
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
36
5. In a routine clinic visit, a pregnant woman expresses concern about experiencing reflux. What should the nurse say?
Frequent heartburn during pregnancy requires immediate consultation
Frequent heartburn is caused by high levels of hormones during pregnancy
Frequent heartburn may be a sign of fetal distress she needs an ultrasound
Frequent heartburn is a result of gastrointestinal system changes
37
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.
38
A nurse caring for a person with the nursing diagnosis of chronic sorrow related to missed opportunities. Intervention?
c. Encouraging the person to discuss his or her fears
d. Contacting a support group representative for the person
a. Sharing a personal story with the person to demonstrate empathy
b. Assuring the person that he or she will be able to cope with the illness
39
A woman is 30weeks pregnant and says that she and her husband are having sexual difficulties. What should the nurse do?
c. Tell her that they should modify their positions during sex
a. Tell the woman she should not be sexually active at 30 weeks
d. Tell her men like the way pregnant women look.
b. Ask her to elaborate on the difficulties.
40
A child is focused on peer approval and avoidance of not fitting in. According to Kohlberg, this child is experiencing
Preoperational moral development
Conventional moral development
Preconventional moral development
Postconventional moral development
41
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
c. Interdependent function
a. Codependent function
42
A nurse is collecting data regarding the number of crosswalks within a community. Which perspective is being used:
Developmental perspective
Systems perspective
Risk-factor perspective
Functional perspective
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17. Which of the following infants is most at risk to experience child abuse?
d. Has been adopted
a. Father has experienced paternal engrossment
b. Responds to parental touch
c. Parents have low-self esteem
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17. The nurse is caring for a person who donated a kidney to a stranger in need. Which Gilligan stage are the in?
d. Midconventional
b. Conventional
a. Preconventional
c. Postconventional
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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
b. 6
c. 8
d. 10
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1. An infant is lying in a crib watching and listening to a colorful mobile. What is the purpose of having a mobile?
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
a. Provides stimulation necessary for continued growth and dev for infant
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17. Which of the following mothers would be most likely to bond appropriately with their infant?
A mom who feels great about herself will show love to the infant and bond
A mom who feels ugly will bond appropriately bc the child brings selfesteem
A mom who feels empty by the birth will bond when she holds the baby
A mom who feels unloved will bond appropriately because the baby love her
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7. Which of the following statements describes Eriksons theory of development?
d. An individual must successfully accomplish one stage before the next
b. Stages of development advance based on psychosocial factors.
c. The main premise of the theory is that individuals are interdependent
a. A healthy personality is defined by the lack of pathology.
49
3. By what age is an infants retina fully developed?
c. 4 months
b. 2 months
a. Birth
d. 6 months
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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.
a. It is unusual for siblings not to reach developmental milestones togethe
d. Dont worry; hell crawl soon enough.
b. All babies reach developmental milestones at different rates.
51
1. The nurse is explaining the concept of growth to a parent. Which of the following statements should nurse make?
a. Growth means adding height and weight to your body.
d. Growth stops when we are young adults.
b. We continue to grow in various ways throughout life.
c. How much we grow is based on gender.
52
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
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
Yes, you will need the injection because this is your first pregnancy
No, you will not need the injection because you are White.
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6. The client who is taking prescribed _____ would require preconception management to prevent drug-related birth defect
a. antiemetics
d. non-narcotic analgesics
b. antiepileptics
c. iron
54
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
b. Drink 1 quart of fluids daily to produce sufficient quantity of milk
d. Use a pacifier to help the infant to fall asleep
c. Use formula to provide the infant supplementation between feedings.
55
3. During which week would pregnancy begin to pose health concerns for the fetus?
b. 38 weeks
d. 42 weeks
a. 36 weeks
c. 40 weeks
56
22. Which of the following is the most common poison ingested by infants?
a. Houseplants
b. Lead
d. Aspirin
c. Cleaning agents
57
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.
a. Be an active member of a national nursing organization.
b. Vote for political leaders in favor of health care reform.
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b. Going door to door asking people about the community
c. Searching online to obtain population statistics
a. Driving around the neighborhood
d. Talking to the police captain at the local police department
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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?
c. The infant is at the expected weight for his or her age.
d. The infant is having a growth spurt.
b. The infant is malnourished.
a. The infant is gaining weight faster than anticipated.
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A nurse is using mapping while implementing the nursing process in the community setting. Which nursing process aspect:
Collection
Analysis
Implementation
Planning
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d. Socioeconomic level
c. Race
b. Age
a. Gender
62
A pregnant woman at 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight is alarming
d. 20 pound increase
b. 11 pound increase
c. 14 pound increase
a. 6 pound increase
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5.
d. You are tired. I think you should get some rest.
c. Dont worry, many parents often feel the same way you do.
b. This is your first baby. You can always try again for a boy.
a. Yes, you just delivered a healthy, beautiful baby girl.
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A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern.
b. Hearing loss
a. Respiratory disorders
d. Stress
c. Coronary artery disease
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a. Structure of a community
c. Supra system of a community
b. Subsystem of a community
d. Interaction of a community
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d. Discussing the high rate of teenage motor vehicle crashes recorded by th
c. Analyzing the high infant mortality rate reported by state hospitals
b. Listening to community members discuss the high smoking rate among teena
a. Examining high sexually transmitted disease rates recorded by the health
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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
a. Congenital defect
d. Chromosomal defect
c. Embryonic defect
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A nurse conducting a parenting class is asked how to select a good day care center for an 18-month-old child. Response?
b. select a day care center that values adult-to-toddler interaction
a. Day care centers that schedule age-appropriate educational videos
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
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14. During a prenatal visit, a nurse finds that a Black woman has been craving and eating clay. What should the nurse do
Tell her that many pregnant women crave such nonfood substances, its okay
Ignore the comment because pica is acceptable in some rural Black cultures
Stress importance of an appropriate diet and avoiding pica sensitively
Encourage the client to eat it with plenty of water bc of constipation risk
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1. A pregnant woman that the first day of her last menstrual period was January 22. Use Ngeles rule to estimate delivery
d. October 17
b. September 22
a. September 16
c. October 29
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6. how can a nurse work with a family of an infant to improve their health-perception and health management pattern
d. Encourage appropriate stimulation of the infant.
a. Assess the home for safety hazards.
c. Demonstrate effective parenting skills.
b. Teach parents appropriate coping mechanisms.
72
A nurse is developing an educational program abt SIDS for a moms support group in the community. What should be included
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
SIDS is associated with infants who have had difficulty sleeping at night
Parents are encouraged to place infants in the supine sleeping position
73
13. A nurse is teaching parents of a toddler about nutrition. Which of the following statements should the nurse make?
c. Hot dogs are not a safe food choice because they may cause choking.
a. Raisins are a good finger food because they provide fiber.
d. A small piece of chewing gum will help strengthen jaw muscle;
Grapes are a good snack because they help toddlers meet their daily fruit
74
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?
c. Ask the mother how long the child has had these symptoms.
a. Ask the mother if she would like an interpreter.
b. Ask the mother what home remedies have been used.
d. Ask the mother about any allergies the child may have.
75
2. Which of the following statements is correct related to the concept of growth
Growth occurs throughout the life cycle.
Growth occurs mainly during early childhood.
Growth refers only to the increase in the size of specific organs /systems
Older adults do not experience growth-related changes..
76
21. A nurse is encouraging parents to immunize their infants. Which strategy would be the best way to facilitate?
a. Send a reminder for immunizations to the parents.
d. Memorize the CDC immunization schedule.
b. Talk to the parents about immunizations during office visits.
c. Track clients who have not been immunized.
77
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention
b. Discuss the benefits of changing
c. Develop strategies to prevent relapse
a. Highlight past successes
d. Provide information
78
21. In a prenatal visit, a pregnant woman informs she's chosen godparents for the baby. what functional health pattern?
d. Values-beliefs pattern
b. Self-perceptionself-concept pattern
c. Health-perceptionhealth-management pattern
a. Cognitive-perceptual pattern
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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
80
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b. independent function.
a. codependent function.
d. dependent function.
c. interdependent function.
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8. A nurse is caring for a woman in labor. The nurse anticipates that the labor will progress through which sequence?
b. Dilation stage, pushing stage, pain stage, recovery stage
d. Dilation stage, pushing stage, placental stage, refractory stage
c. Dilation stage, pushing stage, placental stage, recovery stage
a. Dilation stage, pressure stage, placental stage, recovery stage
82
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.
c. Rock the infant in a rocking chair.
a. Take the infant for a walk outside.
d. Search the Internet for toys highly recommended for infants.
83
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.
c. The infant should be in a front-facing car seat in the front 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.
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8.
b. Assure the mother that he is growing fine.
d. Tell the mother she should start to add solids to his diet.
c. Tell the mother that half a bottle is probably enough for him.
a. Ask the mother about the infants feeding schedule.
85
10. A nurse is caring for a woman during the fourth stage of labor. What action should the nurse take?
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
Explaining unusual interventions such as the use of a fetal heart monitor
86
A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. What is next?
Establish support groups for teenagers with alcohol abuse.
a plan to address the high rates of alcohol-related motor vehicle accident
Partner with school nurses to educate students about risks of drunk driving
Diagnose community w/ ineffective health management bc of drunk driving
87
23. A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. What is most concerning?
c. There is an area rug in the living room.
a. The bedroom is located on the second floor.
b. She has a pet cat.
d. She has a 1-year-old child.
88
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.
a. It is safe to eat up to 12 ounces of cooked fish weekly.
d. Use of nicotine during pregnancy may cause my child to be born premature
89
In a prenatal visit, pregnant parents ask how to prepare their 4-year-old child for a new baby. What's appropriate?
c. Provide him with very detailed information about the pregnancy and birth
b. Do not make any plans regarding the baby in front of the 4-year-old
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.
90
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.
d. Play telephone
c. Stuffed teddy bear
b. Rattle
a. Colorful mobile with music
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12.
a. Encourage the addition of a few more toys to the playpen.
d. Suggest removing all toys from the playpen.
b. Suggest keeping the infant in the playpen to promote safe play
c. Encourage providing the infant with supervised time outside of the playp
92
15. A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following is concerning?
c. The woman does not like vegetables.
d. The woman usually eats three meals a day in addition to two snacks a day
b. The woman works out at the gym daily.
a. The woman drinks about 1 gallon of water a day.
93
11. Which of the following statements about Gilligans theory of moral development is accurate?
a. This theory is based on a sense of absolute right and wrong.
c. This theory is dependent on ones stage of cognitive development.
d. This theory is based on the premise that women view situations in terms
b. This theory is gender specific.
94
4. The school nurse has been asked to order growth charts. Which growth charts should be selected to for grades 1-5
d. WHO international growth chart
b. Height and weight chart
a. Generic body mass index chart
c. Revised CDC growth chart
95
A school nurse is obtaining the height and weight of a 9-year-old child. Which is the best method to assess growth
d. Use the WHO growth chart to assess this childs measurements.
b. Use this measurement.
c. Use this measurement and compare it with the childs peers.
a. Use serial measurements over time.
96
A woman usually eats an 1800-cal diet. She is now in the second trimester of her pregnancy. What are her needs?
a. 1800 calories
b. 2100 calories
c. 2400 calories
d. 2700 calories
97
Which of the following best describes the primary goal of community nurses?
Create plans for community health promotion programs.
Create a culture of health promotion/health protection with the community.
Create evaluation tools for health promotion programs.
Create charts/graphs of data collected.
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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.
a. Walk around the neighborhood.
99
community exposure to pollutants examined contaminated soil, air, water, and food.Which functional health pattern:
a. Nutritional-metabolic pattern
b. Elimination pattern
c. Health-perceptionhealth management pattern
d. Values-beliefs pattern
100
A Latina woman comes to the office for a visit. She is found to be 30 weeks pregnant. What can the nurse conclude
b. Client education may require a different approach because of culture
c. This culture does not believe in traditional medicine.
a. The woman does not value prenatal care.
d. Signs of pregnancy were not recognized by the woman.
