Question 1

Turner syndrome is suspected in an adolescent girl with short stature. What is the cause of this syndrome?

Accepted Answer

A)  Absence of one of the X chromosomes 
B)  Presence of an incomplete Y chromosome 
C)  Precocious puberty in an otherwise healthy child 
D)  Excess production of both androgens and estrogens 
A)  Absence of one of the X chromosomes 
B)  Presence of an incomplete Y chromosome 
C)  Precocious puberty in an otherwise healthy child 
D)  Excess production of both androgens and estrogens

Question 2

A nurse is counseling an adolescent, in her second month of pregnancy, about the risk of teratogens. The adolescent has understood the teaching if she makes which statement?

Accepted Answer

A)  "I will be able to continue taking isotretinoin (Accutane) for my acne." 
B)  "I can continue to clean my cat's litter box." 
C)  "I should avoid any alcoholic beverages." 
D)  "I will ask my physician to adjust my phenytoin (Dilantin) dosage." 
A)  "I will be able to continue taking isotretinoin (Accutane) for my acne." 
B)  "I can continue to clean my cat's litter box." 
C)  "I should avoid any alcoholic beverages." 
D)  "I will ask my physician to adjust my phenytoin (Dilantin) dosage."

Question 3

The nurse is recording a normal interpretation of a Denver II assessment. The nurse understands that the maximum number of cautions determined for a normal interpretation is _____. (Record your answer in a whole number.)

Accepted Answer

1
Interpretation of

Question 4

A nurse has completed a teaching session for adolescents regarding lymphoid tissue growth. Which statement, by the adolescents, indicates understanding of the teaching?

Accepted Answer

A)  The tissue reaches adult size by age 1 year. 
B)  The tissue quits growing by 6 years of age. 
C)  The tissue is poorly developed at birth. 
D)  The tissue is twice the adult size by ages 10 to 12 years. 
A)  The tissue reaches adult size by age 1 year. 
B)  The tissue quits growing by 6 years of age. 
C)  The tissue is poorly developed at birth. 
D)  The tissue is twice the adult size by ages 10 to 12 years.

Question 5

Which following function of play is a major component of play at all ages?

Accepted Answer

A)  Creativity 
B)  Socialization 
C)  Intellectual development 
D)  Sensorimotor activity 
A)  Creativity 
B)  Socialization 
C)  Intellectual development 
D)  Sensorimotor activity

Question 6

Trauma to which site can result in a growth problem for children's long bones?

Accepted Answer

A)  Matrix 
B)  Connective tissue 
C)  Calcified cartilage 
D)  Epiphyseal cartilage plate 
A)  Matrix 
B)  Connective tissue 
C)  Calcified cartilage 
D)  Epiphyseal cartilage plate

Question 7

A nurse is preparing to administer a Denver II. Which is a correct statement about the Denver II? (Select all that apply.)

Accepted Answer

A)  All items intersected by the age line should be administered. 
B)  There is no correction for a child born preterm. 
C)  The tool is an intelligence test. 
D)  Toddlers and preschoolers should be prepared by presenting the test as a game. 
E)  Presentation of the toys from the kit should be done one at a time. 
A)  All items intersected by the age line should be administered. 
B)  There is no correction for a child born preterm. 
C)  The tool is an intelligence test. 
D)  Toddlers and preschoolers should be prepared by presenting the test as a game. 
E)  Presentation of the toys from the kit should be done one at a time.

Question 8

A nurse observes a toddler playing with sand and water. How should the nurse document this type of play?

Accepted Answer

A)  Skill 
B)  Dramatic 
C)  Social-affective 
D)  Sense-pleasure 
A)  Skill 
B)  Dramatic 
C)  Social-affective 
D)  Sense-pleasure

Question 9

An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year?

Accepted Answer

A)  14 
B)  16 
C)  18 
D)  21 
A)  14 
B)  16 
C)  18 
D)  21

Question 10

A nurse is planning play activities for school-age children. Which type of a play activity should the nurse plan?

Accepted Answer

A)  Solitary 
B)  Parallel 
C)  Associative 
D)  Cooperative 
A)  Solitary 
B)  Parallel 
C)  Associative 
D)  Cooperative

Question 11

By what age does birth length usually double?

Accepted Answer

A)  1 year 
B)  2 years 
C)  4 years 
D)  6 years 
A)  1 year 
B)  2 years 
C)  4 years 
D)  6 years

Question 12

According to Kohlberg, children develop moral reasoning as they mature. Which statement is most characteristic of a preschooler's stage of moral development?

Accepted Answer

A)  Obeying the rules of correct behavior is important. 
B)  Showing respect for authority is important behavior. 
C)  Behavior that pleases others is considered good. 
D)  Actions are determined as good or bad in terms of their consequences. 
A)  Obeying the rules of correct behavior is important. 
B)  Showing respect for authority is important behavior. 
C)  Behavior that pleases others is considered good. 
D)  Actions are determined as good or bad in terms of their consequences.

Question 13

How is a child's skeletal age best determined?

Accepted Answer

A)  Assessment of dentition 
B)  Assessment of height over time 
C)  Facial bone development 
D)  Radiographs of the hand and wrist 
A)  Assessment of dentition 
B)  Assessment of height over time 
C)  Facial bone development 
D)  Radiographs of the hand and wrist

Question 14

What factors indicate parents should seek genetic counseling for their child? (Select all that apply.)

Accepted Answer

A)  Abnormal newborn screen 
B)  Family history of a hereditary disease 
C)  History of hypertension in the family 
D)  Severe colic as an infant 
E)  Metabolic disorder 
A)  Abnormal newborn screen 
B)  Family history of a hereditary disease 
C)  History of hypertension in the family 
D)  Severe colic as an infant 
E)  Metabolic disorder

Question 15

Parents are asking the clinic nurse about an appropriate toy for their toddler. Which response by the nurse is appropriate?

Accepted Answer

A)  "Your child would enjoy playing a board game." 
B)  "A toy your child can push or pull would help develop muscles." 
C)  "An action figure toy would be a good choice." 
D)  "A 25-piece puzzle would help your child develop recognition of shapes." 
A)  "Your child would enjoy playing a board game." 
B)  "A toy your child can push or pull would help develop muscles." 
C)  "An action figure toy would be a good choice." 
D)  "A 25-piece puzzle would help your child develop recognition of shapes."

Question 16

Play serves many purposes. In teaching parents about appropriate activities, the nurse should inform them that play serves which of the following function? (Select all that apply.)

Accepted Answer

A)  Intellectual development 
B)  Physical development 
C)  Socialization 
D)  Creativity 
E)  Temperament development 
A)  Intellectual development 
B)  Physical development 
C)  Socialization 
D)  Creativity 
E)  Temperament development

Question 17

Which is probably the single most important influence on growth at all stages of development?

Accepted Answer

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

Exam 3: Developmental and Genetic Influences on Child Health Promotion

Turner syndrome is suspected in an adolescent girl with short stature. What is the cause of this syndrome?

A nurse is counseling an adolescent, in her second month of pregnancy, about the risk of teratogens. The adolescent has understood the teaching if she makes which statement?

The nurse is recording a normal interpretation of a Denver II assessment. The nurse understands that the maximum number of cautions determined for a normal interpretation is _____. (Record your answer in a whole number.)

A nurse has completed a teaching session for adolescents regarding lymphoid tissue growth. Which statement, by the adolescents, indicates understanding of the teaching?

Which following function of play is a major component of play at all ages?

Trauma to which site can result in a growth problem for children's long bones?

A nurse is preparing to administer a Denver II. Which is a correct statement about the Denver II? (Select all that apply.)

A nurse observes a toddler playing with sand and water. How should the nurse document this type of play?

An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year?

A nurse is planning play activities for school-age children. Which type of a play activity should the nurse plan?

By what age does birth length usually double?

According to Kohlberg, children develop moral reasoning as they mature. Which statement is most characteristic of a preschooler's stage of moral development?

How is a child's skeletal age best determined?

What factors indicate parents should seek genetic counseling for their child? (Select all that apply.)

Parents are asking the clinic nurse about an appropriate toy for their toddler. Which response by the nurse is appropriate?

Play serves many purposes. In teaching parents about appropriate activities, the nurse should inform them that play serves which of the following function? (Select all that apply.)

Which is probably the single most important influence on growth at all stages of development?

Perspectives of Pediatric Nursing

Family, Social, Cultural, and Religious Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic and Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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