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NURSING
MATERNITY AND PEDIATRIC NURSING 1
5TH EDITION BY RICCI, KYLE & CARMAN |
COMPLETE TEST BANK ALL CHAPTERS (1–
51) | QUESTIONS, ANSWERS &
RATIONALES
1 A preschool aged child is in the clinic for a well-child checkup. Which statement identifies an
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appropriate level of language development in this child? (Select all that apply.)
a. Vocabulary of 300 words
b. Relates elaborate tales
c. Uses correct grammar in sentences
d. Able to pronounce consonants clearly
e. Expresses abstract thought
- Correct Answer :B, C
The 4-year-old child is able to use correct grammar in sentence structure and can tell
elaborate
tales and stories. A vocabulary of 300 words is appropriate for a 2-year-old. The 4-year-old
child typically has difficulty in pronouncing consonants. The use of language to express
abstract thought is developmentally appropriate for the adolescent.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 62 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
4. A 2-month-old child has not had any immunizations. Which ones should the nurse prepare
to
give? (Select all that apply.)
a. Hib
b. HepB
c. MCV
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d. Varicella
e. HPV –
Correct Answer :A, B, C, D
Hib, HepB, MCV, and varicella are all appropriate vaccinations for this child. HPV is for
adolescents. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 75 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
Chapter 06: Health Promotion for the Infant
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE
1. A nurse assessing a 2-month-old infant notes that the child can briefly hold the head erect
when held against the shoulder. What action by the nurse is best?
a. Document the findings in the child's chart.
b. Notify the provider immediately.
c. Conduct a lead-exposure assessment.
d. Prepare the parents for genetic testing. –
Correct Answer :A
A 2-month-old infant is able to briefly hold the head erect. If a parent were holding the infant
against the parent's shoulder, the infant would be able to lift his or her head briefly. Since this
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is normal behavior, all that is required of the nurse is documentation. There is no need to
notify the provider immediately, conduct a lead-exposure assessment, or prepare the parents
for genetic testing. PTS: 1
DIF: Cognitive Level: Application/Applying
REF: Table 6.1 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
2. Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth
weigh at
1 year of age?
a. 14 3/4 lb
b. 22 1/8 lb
c. 29 1/2 lb
d. Unable to estimate weigh at 1 year –
Correct Answer :B
An infant triples birth weight by 1 year of age. The other calculations are incorrect. PTS: 1 DIF:
Cognitive Level: Application/Applying
REF: p. 83 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
3. Which statement made by a mother is consistent with a developmental delay?
a. "I notice my 9-month-old infant responds consistently to his name."
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