Question 1

The nurse should suspect a hearing impairment in an infant who demonstrates which of the following?

Accepted Answer

A)  Absence of intelligible speech by 12 months 
B)  Cessation of babbling at age 7 months 
C)  Lack of eye contact when being spoken to 
D)  Lack of gesturing to indicate wants after age 15 months 
A)  Absence of intelligible speech by 12 months 
B)  Cessation of babbling at age 7 months 
C)  Lack of eye contact when being spoken to 
D)  Lack of gesturing to indicate wants after age 15 months

Question 2

The nurse is preparing new parents for discharge home with their well newborn.The nurse explains that the newborn cannot be discharged until the mandatory hearing screening is performed.

Accepted Answer

A) True 
 B)False

Question 3

Parents of a 4-year-old child are concerned because the child continues to stutter.What nursing intervention is correct?

Accepted Answer

A)  Remind the parents that stuttering is normal in children younger than 10 years. 
B)  Facilitate a speech evaluation performed if the stuttering continues beyond age 5 years. 
C)  Reinforce the fact that this common speech defect requires no treatment. 
D)  Tell the parents that speech problems are most treatable during the child's teen years. 
A)  Remind the parents that stuttering is normal in children younger than 10 years. 
B)  Facilitate a speech evaluation performed if the stuttering continues beyond age 5 years. 
C)  Reinforce the fact that this common speech defect requires no treatment. 
D)  Tell the parents that speech problems are most treatable during the child's teen years.

Question 4

What manifestation in a 5-month-old child could indicate visual problems?

Accepted Answer

A)  Lack of binocularity 
B)  Visual acuity of 20/50 
C)  Strabismus 
D)  Hyperopia 
A)  Lack of binocularity 
B)  Visual acuity of 20/50 
C)  Strabismus 
D)  Hyperopia

Question 5

An adolescent goes to the primary care provider complaining of difficulty with vision.When the nurse asks the adolescent to explain the visual deficits,the adolescent states,"I am having difficulty seeing distant objects; they are less clear than things that are close." What disorder does the nurse suspect the adolescent has?

Accepted Answer

A)  Hyphema 
B)  Astigmatism 
C)  Amblyopia 
D)  Myopia 
A)  Hyphema 
B)  Astigmatism 
C)  Amblyopia 
D)  Myopia

Question 6

A nurse is providing anticipatory guidance to parents of a 2 1/2-year-old.What instruction is best to help the child's language development?

Accepted Answer

A)  Have the child's hearing tested at 3 years. 
B)  Use clear speech and avoid baby talk. 
C)  Speak with different voice inflections. 
D)  Insist the child listen when you are talking. 
A)  Have the child's hearing tested at 3 years. 
B)  Use clear speech and avoid baby talk. 
C)  Speak with different voice inflections. 
D)  Insist the child listen when you are talking.

Question 7

A child just returned from cataract eye surgery.What is the most significant nursing intervention to prevent increasing intraocular pressure in this child?

Accepted Answer

A)  Monitor for hypertension. 
B)  Prevent coughing and vomiting. 
C)  Lower the head of the bed slightly. 
D)  Avoid use of steroids after the surgery. 
A)  Monitor for hypertension. 
B)  Prevent coughing and vomiting. 
C)  Lower the head of the bed slightly. 
D)  Avoid use of steroids after the surgery.

Question 8

Adequate hearing depends on intact auditory structures and quality of sound.Failure to hear at 40 to 69 dB would be categorized as a __________ hearing loss.

Accepted Answer

moderate
Normal hearing ranges from -10

Question 9

The teaching plan for the parents of a 3-year-old child with amblyopia ("lazy eye")should include what instruction?

Accepted Answer

A)  Apply a patch to the child's eyeglass lenses. 
B)  Apply a patch only during waking hours. 
C)  Apply a patch over the "bad" eye to strengthen it. 
D)  Cover the "good" eye completely with a patch. 
A)  Apply a patch to the child's eyeglass lenses. 
B)  Apply a patch only during waking hours. 
C)  Apply a patch over the "bad" eye to strengthen it. 
D)  Cover the "good" eye completely with a patch.

Question 10

The school nurse is caring for a child with a penetrating eye injury.Emergency treatment includes which of the following?

Accepted Answer

A)  Taping the eye shut 
B)  Patching the affected eye with any reasonable item 
C)  Applying ice until the physician is seen 
D)  Irrigating the eye copiously with a sterile saline solution 
A)  Taping the eye shut 
B)  Patching the affected eye with any reasonable item 
C)  Applying ice until the physician is seen 
D)  Irrigating the eye copiously with a sterile saline solution

Question 11

Which statement best describes how a cataract affects a child's vision?

Accepted Answer

A)  It increases intraocular pressure. 
B)  It alters the ability to distinguish among colors. 
C)  It causes double vision. 
D)  It prevents a clear image from forming on the retina. 
A)  It increases intraocular pressure. 
B)  It alters the ability to distinguish among colors. 
C)  It causes double vision. 
D)  It prevents a clear image from forming on the retina.

Question 12

A 10-year-old patient is talking to the nurse about wanting to try contact lenses instead of wearing glasses.The child states that the other children at school call her "four-eyes." Contact lenses should be prescribed for a child who is

Accepted Answer

A)  at least 12 years of age. 
B)  able to read all the written information and instructions. 
C)  able to independently care for the lenses in a responsible manner. 
D)  confident that she really wants contact lenses. 
A)  at least 12 years of age. 
B)  able to read all the written information and instructions. 
C)  able to independently care for the lenses in a responsible manner. 
D)  confident that she really wants contact lenses.

Exam 55: The Child with a Sensory Alteration

The nurse should suspect a hearing impairment in an infant who demonstrates which of the following?

The nurse is preparing new parents for discharge home with their well newborn.The nurse explains that the newborn cannot be discharged until the mandatory hearing screening is performed.

Parents of a 4-year-old child are concerned because the child continues to stutter.What nursing intervention is correct?

What manifestation in a 5-month-old child could indicate visual problems?

A nurse is providing anticipatory guidance to parents of a 2 1/2-year-old.What instruction is best to help the child's language development?

A child just returned from cataract eye surgery.What is the most significant nursing intervention to prevent increasing intraocular pressure in this child?

Adequate hearing depends on intact auditory structures and quality of sound.Failure to hear at 40 to 69 dB would be categorized as a __________ hearing loss.

The teaching plan for the parents of a 3-year-old child with amblyopia ("lazy eye")should include what instruction?

The school nurse is caring for a child with a penetrating eye injury.Emergency treatment includes which of the following?

Which statement best describes how a cataract affects a child's vision?

A 10-year-old patient is talking to the nurse about wanting to try contact lenses instead of wearing glasses.The child states that the other children at school call her "four-eyes." Contact lenses should be prescribed for a child who is

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 Developing Child

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 HealthCare

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 an Intellectual Disability or Developmental Disability

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