Ricci Chapter 34 Test bank || A+ Guaranteed.
1.The nurse is teaching a group of parents with premature infants about the various
medical and developmental problems that may occur. The nurse determines that
additional teaching is needed when the group identifies what as a problem?
A) Sudden infant death syndrome
B) Hydrocephalus
C) Peptic ulcer
D) Bronchopulmonary dysplasia Correct Ans: C
Feedback:
Gastroesophageal reflux disease, not peptic ulcer, is a medical problem that
commonly affects premature infants. Myriad problems may occur, including sudden
infant death syndrome, hydrocephalus, bronchopulmonary dysplasia, cardiac
changes, growth retardation, nutrient deficiencies, bradycardia, rickets, inguinal or
umbilical hernias, visual problems, hearing deficits, delayed dentition, and growth
delays.
2.The nurse is caring for a toddler with special needs. Which developmental tasks
related to toddlerhood might be delayed in the child with special needs?
A) Developing body image
B) Developing peer relationships
C) Developing language and motor skills
D) Learning through sensorimotor exploration Correct Ans: C
Feedback:
In special needs children, developmental delays may occur in all stages. In particular,
motor and language skill development may be delayed if the toddler is not given
adequate opportunities to test his or her limits and abilities. Development of body
image may be hindered in the preschooler due to painful exposures and anxiety.
Development of peer relationships may be delayed in the school-age and adolescent
child. The infant's ability to learn through sensorimotor exploration may be impaired
due to lack of appropriate stimulation, confinement to a crib, or increased contact
with painful experiences.
3.The nurse is providing home care for a 1-year-old girl who is technologically
dependent. Which intervention will best support the family process?
A) Finding an integrated health program for the family
B) Teaching modifications of the medical regimen for vacation
C) Assessing family expectations for the special needs child
D) Creating schedules for therapies and interventions Correct Ans: D
Feedback:
Coordinating care with the schedules and capabilities of the parents provides the
greatest support for the family. It gives them a sense of order and control. Integrated
healthcare programs may not be available in the family's area. Teaching therapy
modifications for travel and assessing family expectations are not supportive
interventions.
, 4.The nurse is caring for families with vulnerable child syndrome. Which situation
would be most likely to predispose the family to this condition?
A) Having a postterm infant
B) Having an infant who is reluctant to feed properly
C) Having a child diagnosed with impetigo at age 10
D) Having a child with juvenile diabetes Correct Ans: B
Feedback:
"Vulnerable child syndrome" is a clinical state in which the parents' reactions to a
serious illness or event in the child's past continue to have long-term psychologically
harmful effects on the child and parents for many years (Fortin, & Downes, 2019).
Risk factors for the development of vulnerable child syndrome include preterm birth,
congenital anomaly, newborn jaundice, handicapping condition, an accident or illness
that the child was not expected to recover from or crying or feeding problems in the
first 5 years of life.
5.A 7-year-old boy has reentered the hospital for the second time in a month. Which
intervention is particularly important at this time?
A) Assessing his parents' coping abilities
B) Seeking his parents' input about their child's needs
C) Educating his family about the procedure
D) Notifying the care team about his hospitalization Correct Ans: A
Feedback:
Transition times, such as when the child reenters the hospital, create additional
stress on the parents and child. Assessing the parents' coping abilities is particularly
important at this time. Seeking parental input, educating about a procedure, and
notifying the care team are basic activities of family-centered care and care
coordination.
6.The nurse is caring for a special needs infant. Which intervention will be most
important in helping the child reach his or her maximum developmental potential?
A) Directing her parents to an early intervention program
B) Monitoring her progress in elementary school
C) Serving on an individualized education program committee
D) Preparing a plan for her to transition to college Correct Ans: A
Feedback:
Early intervention is critical to maximizing the child's developmental potential by
laying the foundation for health and development. While important, intervention in
elementary or secondary school does not have the impact of early intervention. When
the time arrives, it is important to have a written plan for transition to college, if this
is a possibility for the grown child.
7.The nurse is caring for a 4-year-old girl with special care needs in the hospital.
Which intervention would have the most positive effect on this child?
A) Taking her on an adventure down the hall
B) Helping her do a simple craft project
C) Introducing her to children in the playroom
1.The nurse is teaching a group of parents with premature infants about the various
medical and developmental problems that may occur. The nurse determines that
additional teaching is needed when the group identifies what as a problem?
A) Sudden infant death syndrome
B) Hydrocephalus
C) Peptic ulcer
D) Bronchopulmonary dysplasia Correct Ans: C
Feedback:
Gastroesophageal reflux disease, not peptic ulcer, is a medical problem that
commonly affects premature infants. Myriad problems may occur, including sudden
infant death syndrome, hydrocephalus, bronchopulmonary dysplasia, cardiac
changes, growth retardation, nutrient deficiencies, bradycardia, rickets, inguinal or
umbilical hernias, visual problems, hearing deficits, delayed dentition, and growth
delays.
2.The nurse is caring for a toddler with special needs. Which developmental tasks
related to toddlerhood might be delayed in the child with special needs?
A) Developing body image
B) Developing peer relationships
C) Developing language and motor skills
D) Learning through sensorimotor exploration Correct Ans: C
Feedback:
In special needs children, developmental delays may occur in all stages. In particular,
motor and language skill development may be delayed if the toddler is not given
adequate opportunities to test his or her limits and abilities. Development of body
image may be hindered in the preschooler due to painful exposures and anxiety.
Development of peer relationships may be delayed in the school-age and adolescent
child. The infant's ability to learn through sensorimotor exploration may be impaired
due to lack of appropriate stimulation, confinement to a crib, or increased contact
with painful experiences.
3.The nurse is providing home care for a 1-year-old girl who is technologically
dependent. Which intervention will best support the family process?
A) Finding an integrated health program for the family
B) Teaching modifications of the medical regimen for vacation
C) Assessing family expectations for the special needs child
D) Creating schedules for therapies and interventions Correct Ans: D
Feedback:
Coordinating care with the schedules and capabilities of the parents provides the
greatest support for the family. It gives them a sense of order and control. Integrated
healthcare programs may not be available in the family's area. Teaching therapy
modifications for travel and assessing family expectations are not supportive
interventions.
, 4.The nurse is caring for families with vulnerable child syndrome. Which situation
would be most likely to predispose the family to this condition?
A) Having a postterm infant
B) Having an infant who is reluctant to feed properly
C) Having a child diagnosed with impetigo at age 10
D) Having a child with juvenile diabetes Correct Ans: B
Feedback:
"Vulnerable child syndrome" is a clinical state in which the parents' reactions to a
serious illness or event in the child's past continue to have long-term psychologically
harmful effects on the child and parents for many years (Fortin, & Downes, 2019).
Risk factors for the development of vulnerable child syndrome include preterm birth,
congenital anomaly, newborn jaundice, handicapping condition, an accident or illness
that the child was not expected to recover from or crying or feeding problems in the
first 5 years of life.
5.A 7-year-old boy has reentered the hospital for the second time in a month. Which
intervention is particularly important at this time?
A) Assessing his parents' coping abilities
B) Seeking his parents' input about their child's needs
C) Educating his family about the procedure
D) Notifying the care team about his hospitalization Correct Ans: A
Feedback:
Transition times, such as when the child reenters the hospital, create additional
stress on the parents and child. Assessing the parents' coping abilities is particularly
important at this time. Seeking parental input, educating about a procedure, and
notifying the care team are basic activities of family-centered care and care
coordination.
6.The nurse is caring for a special needs infant. Which intervention will be most
important in helping the child reach his or her maximum developmental potential?
A) Directing her parents to an early intervention program
B) Monitoring her progress in elementary school
C) Serving on an individualized education program committee
D) Preparing a plan for her to transition to college Correct Ans: A
Feedback:
Early intervention is critical to maximizing the child's developmental potential by
laying the foundation for health and development. While important, intervention in
elementary or secondary school does not have the impact of early intervention. When
the time arrives, it is important to have a written plan for transition to college, if this
is a possibility for the grown child.
7.The nurse is caring for a 4-year-old girl with special care needs in the hospital.
Which intervention would have the most positive effect on this child?
A) Taking her on an adventure down the hall
B) Helping her do a simple craft project
C) Introducing her to children in the playroom
