Question 1

Which is the preferred site for administration of the Hib vaccine to an infant?

Accepted Answer

A)  Deltoid 
B)  Anterolateral thigh 
C)  Upper, outer aspect of the arm 
D)  Dorsal gluteal region. 
A)  Deltoid 
B)  Anterolateral thigh 
C)  Upper, outer aspect of the arm 
D)  Dorsal gluteal region. B

Question 2

The nurse is planning a teaching session for a young child and her parents.According to Piaget's theory,the period of cognitive development in which the child is able to distinguish between concepts related to fact and fantasy,such as human beings are incapable of flying like birds,is the _______ period of cognitive development.

Accepted Answer

A)  Sensorimotor 
B)  Formal operations 
C)  Concrete operations 
D)  Preoperational 
A)  Sensorimotor 
B)  Formal operations 
C)  Concrete operations 
D)  Preoperational C

Question 3

A preschool aged child will be receiving immunizations.Which statement identifies an appropriate level of language development for a 4-year-old child?

Accepted Answer

A)  The child has a vocabulary of 300 words and uses simple sentences. 
B)  The child uses correct grammar in sentences. 
C)  The child is able to pronounce consonants clearly. 
D)  The child uses language to express abstract thought. 
A)  The child has a vocabulary of 300 words and uses simple sentences. 
B)  The child uses correct grammar in sentences. 
C)  The child is able to pronounce consonants clearly. 
D)  The child uses language to express abstract thought. B

Question 4

Which statement best describes development in infants and children?

Accepted Answer

A)  Development, a predictable and orderly process, occurs at varying rates within normal limits. 
B)  Development is primarily related to the growth in the number and size of cells. 
C)  Development occurs in a proximodistal direction with fine muscle development occurring first. 
D)  Development is more easily and accurately measured than growth. 
A)  Development, a predictable and orderly process, occurs at varying rates within normal limits. 
B)  Development is primarily related to the growth in the number and size of cells. 
C)  Development occurs in a proximodistal direction with fine muscle development occurring first. 
D)  Development is more easily and accurately measured than growth.

Question 5

Which immunizations should be used with caution in children with an allergy to eggs?

Accepted Answer

A)  HepB 
B)  DTaP 
C)  Hib 
D)  MMR 
A)  HepB 
B)  DTaP 
C)  Hib 
D)  MMR

Question 6

The environment,both physical and psychosocial,is a significant determinate of growth and development outcomes before and after birth.Nurses can assist parents in preventing environmental injury for their 2-year-old toddler by teaching them to avoid the most common sources of exposure.This anticipatory guidance includes teaching related to

Accepted Answer

A)  Avoiding sun exposure, secondhand smoke, and lead 
B)  Socioeconomic status, primarily poverty 
C)  Maternal smoking and alcohol intake during pregnancy 
D)  The passing of environmental toxins through breast milk 
A)  Avoiding sun exposure, secondhand smoke, and lead 
B)  Socioeconomic status, primarily poverty 
C)  Maternal smoking and alcohol intake during pregnancy 
D)  The passing of environmental toxins through breast milk

Question 7

Which child is most likely to be frightened by hospitalization?

Accepted Answer

A)  A 4-month-old infant admitted with a diagnosis of bronchiolitis 
B)  A 2-year-old toddler admitted for cystic fibrosis 
C)  A 9-year-old child hospitalized with a fractured femur 
D)  A 15-year-old adolescent admitted for abdominal pain 
A)  A 4-month-old infant admitted with a diagnosis of bronchiolitis 
B)  A 2-year-old toddler admitted for cystic fibrosis 
C)  A 9-year-old child hospitalized with a fractured femur 
D)  A 15-year-old adolescent admitted for abdominal pain

Question 8

What does the nurse need to know when observing a chronically ill child at play?

Accepted Answer

A)  Play is not important to hospitalized children. 
B)  Children need to have structured play periods. 
C)  Children's play is a form of communication. 
D)  Play is to be discouraged because it tires hospitalized children. 
A)  Play is not important to hospitalized children. 
B)  Children need to have structured play periods. 
C)  Children's play is a form of communication. 
D)  Play is to be discouraged because it tires hospitalized children.

Question 9

Which developmental assessment instrument is appropriate to assess a 5-year-old child?

Accepted Answer

A)  Brazelton Behavioral Scale 
B)  Denver Developmental Screening Test II (DDST-II) 
C)  Dubowitz Scale 
D)  New Ballard Scale 
A)  Brazelton Behavioral Scale 
B)  Denver Developmental Screening Test II (DDST-II) 
C)  Dubowitz Scale 
D)  New Ballard Scale

Question 10

Frequent developmental assessments are important for which reason?

Accepted Answer

A)  Stable developmental periods during infancy provide an opportunity to identify any delays or deficits. 
B)  Infants need stimulation specific to the stage of development. 
C)  Critical periods of development occur during childhood. 
D)  Child development is unpredictable and needs monitoring. 
A)  Stable developmental periods during infancy provide an opportunity to identify any delays or deficits. 
B)  Infants need stimulation specific to the stage of development. 
C)  Critical periods of development occur during childhood. 
D)  Child development is unpredictable and needs monitoring.

Question 11

You are preparing immunizations for a 12-month-old child who is immunocompromised.Which immunizations cannot be given? Select all that apply.

Accepted Answer

A)  DTaP 
B)  HepA 
C)  IPV 
D)  Varicella 
E)  MMR 
A)  DTaP 
B)  HepA 
C)  IPV 
D)  Varicella 
E)  MMR

Question 12

Which expected outcome is developmentally appropriate for a hospitalized 4-year-old child?

Accepted Answer

A)  The child will be dressed and fed by the parents. 
B)  The child will independently ask for play materials or other personal needs. 
C)  The child will be able to verbalize an understanding of the reason for the hospitalization. 
D)  The child will have a parent stay in the room at all times. 
A)  The child will be dressed and fed by the parents. 
B)  The child will independently ask for play materials or other personal needs. 
C)  The child will be able to verbalize an understanding of the reason for the hospitalization. 
D)  The child will have a parent stay in the room at all times.

Question 13

What should the nurse evaluate before administering the Denver Developmental Screening Test II (DDST-II)? Select all that apply.

Accepted Answer

A)  The child's height and weight 
B)  The parent's ability to comprehend the results 
C)  The child's mood 
D)  The parent-child interaction 
E)  The child's chronologic age 
A)  The child's height and weight 
B)  The parent's ability to comprehend the results 
C)  The child's mood 
D)  The parent-child interaction 
E)  The child's chronologic age

Question 14

The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is

Accepted Answer

A)  Erikson 
B)  Freud 
C)  Kohlberg 
D)  Piaget 
A)  Erikson 
B)  Freud 
C)  Kohlberg 
D)  Piaget

Question 15

When counseling parents and children about the importance of increased physical activity,the nurse can emphasize

Accepted Answer

A)  Anaerobic exercise should comprise a major component of the child's daily exercise. 
B)  All children should be physically active for at least 2 hours per day. 
C)  It is not necessary to participate in physical education classes at school if a student is taking part in other activities. 
D)  Making exercise fun and a habitual activity. 
A)  Anaerobic exercise should comprise a major component of the child's daily exercise. 
B)  All children should be physically active for at least 2 hours per day. 
C)  It is not necessary to participate in physical education classes at school if a student is taking part in other activities. 
D)  Making exercise fun and a habitual activity.

Question 16

Which children are at greater risk for not receiving immunizations?

Accepted Answer

A)  Children who attend licensed daycare programs 
B)  Children entering school 
C)  Children who are home schooled 
D)  Young adults entering college 
A)  Children who attend licensed daycare programs 
B)  Children entering school 
C)  Children who are home schooled 
D)  Young adults entering college

Question 17

A type of play that allows children to act out roles and experiences that may have happened to them,that they fear may happen,or that they have observed in others is known as ______ play.

Accepted Answer

dramatic
This type of play can be sponta

Question 18

A 2-month-old child has not received any immunizations.Which immunizations should the nurse give?

Accepted Answer

A)  DTaP, Hib, HepB, MCV, varicella 
B)  DTaP, Hib, HepB, HPV, IPV, Rota 
C)  DTaP, Hib, HepB, PCV, Rota 
D)  DTaP, Hib, HepB, PCV, HepA 
A)  DTaP, Hib, HepB, MCV, varicella 
B)  DTaP, Hib, HepB, HPV, IPV, Rota 
C)  DTaP, Hib, HepB, PCV, Rota 
D)  DTaP, Hib, HepB, PCV, HepA

Question 19

Which factor has the greatest influence on child growth and development?

Accepted Answer

A)  Culture 
B)  Environment 
C)  Genetics 
D)  Nutrition 
A)  Culture 
B)  Environment 
C)  Genetics 
D)  Nutrition

Question 20

Breastfeeding is the ideal method for providing nutrition to the human infant and is recommended by the American Heart Association,the American Academy of Pediatrics,and the World Health Organization.Infants should be exclusively breastfed for a minimum of 4 months and preferably 6 months.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Exam 5: Health Promotion for the Developing Child

Which is the preferred site for administration of the Hib vaccine to an infant?

A preschool aged child will be receiving immunizations.Which statement identifies an appropriate level of language development for a 4-year-old child?

Which statement best describes development in infants and children?

Which immunizations should be used with caution in children with an allergy to eggs?

Which child is most likely to be frightened by hospitalization?

What does the nurse need to know when observing a chronically ill child at play?

Which developmental assessment instrument is appropriate to assess a 5-year-old child?

Frequent developmental assessments are important for which reason?

You are preparing immunizations for a 12-month-old child who is immunocompromised.Which immunizations cannot be given? Select all that apply.

Which expected outcome is developmentally appropriate for a hospitalized 4-year-old child?

What should the nurse evaluate before administering the Denver Developmental Screening Test II (DDST-II)? Select all that apply.

The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is

When counseling parents and children about the importance of increased physical activity,the nurse can emphasize

Which children are at greater risk for not receiving immunizations?

A type of play that allows children to act out roles and experiences that may have happened to them,that they fear may happen,or that they have observed in others is known as ______ play.

A 2-month-old child has not received any immunizations.Which immunizations should the nurse give?

Which factor has the greatest influence on child growth and development?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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