Chapter 18: Conception Through Young Adult

Alexandra Bozan
Quiz by , created about 2 years ago

Unit IV: Promoting Health Across the Lifespan Chapter 18: Conception Through Young Adult

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Alexandra Bozan
Created by Alexandra Bozan about 2 years ago
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Question 1

Question
A nurse performing an assessment of a newborn in the neonatal unit records these findings: heart rate 85 bpm, irregular respiratory rare, normal muscle tone, weak crying, and bluish tint to skin. Using the APGAR scoring chart (pg. 389) what would be the score for this newborn?
Answer
  • 5
  • 7
  • 8
  • 10

Question 2

Question
The nurse records an APGAR score of 4 for a newborn. What would be the priority intervention for this newborn.
Answer
  • No interventions are necessary, this is a normal score
  • Provide respiratory assistance
  • Perform CPR
  • Wait 5 minutes and repeat the scoring process

Question 3

Question
A school nurse is preparing a talk on safety issues for parents of school-aged children to present at a parent-teacher meeting. Which topics should the nurse include based on the age of the children?
Answer
  • child proofing their home
  • choosing a car seat
  • teaching pedestrian traffic safety
  • providing swimming lessons and water safety rules
  • discussing alcohol and drug consumption related to motor vehicle safety
  • teaching child how to "stop, drop, and roll"

Question 4

Question
The nurse encourages parents of hospitalized infants and toddlers to stay with their child to help decrease what potential problem?
Answer
  • Problem with attachment
  • Separation anxiety
  • Risk for injury
  • Failure to thrive

Question 5

Question
A nurse is teaching parents of toddlers how to spend quality time with their children. Which activity would be developmentally appropriate for this age group?
Answer
  • Playing video games
  • Playing peek-a-boo
  • Playing in a sand box
  • Playing board games

Question 6

Question
A mother tells the nurse that she is worried about her 4 year old daughter because "she is overly attached to her father and won't listen to anything I tell her to do". What would be he nurses's best response to this parental concern.
Answer
  • tell the mother that this is normal behavior for a preschooler
  • tell the mother that she and her family should see a counselor
  • tell the mother that she should try to spend more time with her daughter
  • tell the mother that her child should be tested for autism

Question 7

Question
A high school nurse is counseling parents of teenagers who are beginning high school Which issues would be priority topics of discussion for this age group?
Answer
  • The influence of peer groups
  • Bullying
  • Water Safety
  • Eating disorders
  • Risk taking behavior
  • Immunizations

Question 8

Question
A nurse working with adolescents in a group home discusses the developmental tasks appropriate for adolescents with the staff. What is an example of a primary developmental task of the adolescent?
Answer
  • Working hard to succeed in school
  • Spending time developing relationships with peers
  • Developing athletic activities and skills
  • Accepting the decisions of parents

Question 9

Question
Following assessment of an obese adolescent, a nurse considers nursing diagnoses for the patient. Which diagnosis would be most appropriate?
Answer
  • Risk for injury
  • Risk for delayed development
  • Social isolation
  • Disturbed body image

Question 10

Question
A nurse is teaching new mothers about infant care and safety. What would the nurse accurately include as a teaching point?
Answer
  • Keep infants younger than 6 months out of direct sunlight
  • Use honey instead of sugar in homemade baby food
  • Place the baby on his or her stomach for sleeping
  • Keep crib rails down at all times

Question 11

Question
Which of the following characteristics of a neonate would be reflected in her APGAR score?
Answer
  • The infant is hypersensitive to noise
  • The infant does not open her eyes to verbal stimulus
  • The infant coughs up mucus shortly after delivery
  • The infant's hand and feet appear blue

Question 12

Question
Which of the following points should the nurse prioritize when educating school-aged children about their nutrition?
Answer
  • Sources of calcium and vitamin D
  • The importance of organic food
  • Limiting complex carbohydrate intake
  • Sources of iron and folate

Question 13

Question
The nurse is caring for a female client 15 years of age who is hospitalized with a fractured ankle. Her father tells the nurse that this happened during a gymnastic lesson. He goes on to explain that every 6-8 months it seems his daughter is trying something different. You know that this behavior fits with which of the following theorists developmental tasks for adolescents?
Answer
  • Freud
  • Piaget
  • Havighurst
  • Erikson

Question 14

Question
The mother of a girl 6 years of age is exasperated at her daughter's enuresis. How can the nurse best respond to this mother's concern?
Answer
  • Have you spoken to your primary care provider about a referral to a specialist?
  • This is especially common among girls, and is very normal.
  • Does your girl ever complain of pain or burning when she urinates?
  • Most children outgrow their bedwetting at round your daughter's age, or shortly there after

Question 15

Question
While providing education to a young adult during an annual health exam, the nurse discusses health problems common during this stage of development. What is the most common cause of mortality during this stage?
Answer
  • Motor vehicle crashes
  • Eating disorders
  • Suicide
  • Drug overdose

Question 16

Question
The nurse is caring for a male client 17 years of age who was admitted to the intensive care unit with a gun shot to the head. He and his 17 year old girlfriend carried out a suicide pact. She died at the scene and he survived. The nurse recalls what she has read about the nation's teenagers and suicide. Which of the following are correct?
Answer
  • Males succeed at suicide more often
  • More prevalent in teenagers than other age groups
  • Rate of teenage suicide is decreasing
  • Females attempt suicide more often
  • Third leading cause of death in ages 15-24

Question 17

Question
A pediatric nurse inquires about an infant's ability to feed himself. The ability to feed one self is an example of what type of development?
Answer
  • Cognitive development
  • Psychosocial development
  • Spiritual development
  • Physiologic development

Question 18

Question
The nurse is conducting a preoperative assessment of a 5 year old girl who is scheduled for surgery later that day. The nurse should be aware that the client's imminent surgery is likely to cause what?
Answer
  • Separation anxiety and fear of pain
  • Impaired psychosocial development
  • Mistrust of authority
  • Risk for shame and guilt

Question 19

Question
The clinic nurse is seeing a female client 18 years of age who needs to renew her asthma prescription. The client tells the nurse that she is going to another state in a few weeks to attend college and will be living in a dorm. The nurse recommends which of the following while the client is being seen in the clinic?
Answer
  • Meningococcal vaccine
  • Hep B series
  • TB skin test
  • Polio Booster

Question 20

Question
A school aged child is attentive to following the rules at school, respect his teachers, and views justice as a means of fair play. These are characteristics of which type of development typical of this age group?
Answer
  • Moral development
  • Physiologic development
  • Spiritual development
  • Psychosocial development

Question 21

Question
Of the following components of psychosocial development in the neonate and infant, which one facilitates emotional linkage between a baby and caregiver?
Answer
  • Play
  • Temperament
  • Attachment
  • Bonding

Question 22

Question
The nurse documents the following data upon assessment of a neonate; heart rate 89 BPM, slow respiratory effort, flaccid muscle tone weak cry, and a pale skin tone. What is the APGAR score?
Answer
  • 3
  • 2
  • 5
  • 4

Question 23

Question
A neonate has a heartbeat of 92 bpm, good respiratory effort, active motion, a vigorous cry, a pink body and blue extremities. Based upon these findings, what is the APGAR score?
Answer
  • 10
  • 9
  • 7
  • 8

Question 24

Question
The nurse is assessing a preschooler who just turned 6 years of age. The nurse expects which of the following as typical development?
Answer
  • The child begins to draw by drawing stick figures
  • The head is close to adult size by age 6
  • Play is related to fantasy instead of real life events
  • Egocentrism increases as socialism increases

Question 25

Question
Adolescent sexual development occurs in 3 stage: prepubescence, pubescence, postpubescence. Characteristics common to the phase of pubescence include which of the following?
Answer
  • Slight enlargement of sex organs, and appearance of downy pubic hair
  • Increase in the amount, pigmentation, and curling of pubic hair, and growth spurt in height and weight
  • Appearance of breast buds in females and increase in length circumference of penis in males
  • Completion of sexual growth and development, as well as fertility

Question 26

Question
[blank_start]Attachment[blank_end] is an active, affectionate, reciprocal relationship between two people, which is somewhat different from [blank_start]bonding[blank_end].
Answer
  • Attachment
  • bonding

Question 27

Question
[blank_start]Bonding[blank_end] occurs during a sensitive period in the first few hours after birth (although it may occur later in the first few months) and is necessary for later [blank_start]attachment[blank_end].
Answer
  • Bonding
  • attachment

Question 28

Question
[blank_start]Bonding[blank_end] might be considered the emotional linkage of two people and [blank_start]attachment[blank_end] the long-term maintenance and strengthening of the linked state.
Answer
  • Bonding
  • attachment