Carman Essentials of Pediatric Nursing 3rd Ed - Ch. 9 Health Supervision Exam Questions and Answers
Graded A+
During the health history of a 2-month-old infant, the nurse identified a risk factor for developmental
delay and is preparing to screen the child's development. Which risk might the nurse have found?
a. The child had neonatal conjunctivitis
b. The parents are both in college
c. The child was born at 36 weeks
d. The child has small eyes and chin - Answers Answer: d
Congenital facial malformations are developmental warning signs. Neonatal conjunctivitis, when
properly treated, has no long-term effects on development. Parents who are college students are not
risk factors as would be high school dropouts. A 36-week birth is not a warning sign, but 33 weeks or less
is.
The nurse is promoting the benefits of achieving a healthy weight to an overweight 12-year-old child
and her parents. Which approach is best?
a. Show the family the appropriate weight for the child
b. Ask what activities she enjoys such as dance or sports
c. Suggest that the child join a little league softball team
d. Point out fattening foods and excesses in their diet - Answers Answer: b
Asking what activities to promote exercise for the child is best for several reasons. It provides
assessment of the child's activity preferences and whether the child is health-centered (positive) or
weight-centered (negative). It also offers variety. If one sport doesn't work, others might. Emphasizing
appropriate weight or dietary shortcomings can lead to eating disorders or body hatred. Suggesting only
softball limits the success of the healthy weight promotion.
The nurse is discussing Varicella immunization with a mother of a 13-month old. The mother is reluctant
to vaccinate because she feels it is "not necessary." Which comment by the nurse will be most
persuasive for immunization?
a. "Mild reactions occur in 5% to 10% of children."
b. "Varicella is a highly contagious herpes virus."
c. "Children not immunized are at risk if exposed to the disease."
d. "Risk of Varicella is greater than the risk of vaccine." - Answers Answer: c
, The most compelling argument for vaccinating for Varicella is that children not immunized are at risk if
exposed to the disease. The mother needs to know about the chance of her child contracting the illness
if not immunized. The contagious nature of the disease, low risk of the vaccine, or the low incidence of
reactions is not appropriate explanation for why the child should have the vaccine.
The nurse is doing a health history for a 14-year-old boy during a health supervision visit. The boy says
he has outgrown his clothes recently. For which condition should the nurse check, based on this
information?
a. Developmental problems
b. Hyperlipidemia
c. Iron deficiency anemia
d. Systemic hypertension - Answers Answer: c
Iron deficiency anemia could be present because the iron stores in the boy's body may have diminished
by the adolescent's growth spurt. This would be checked for by blood work. Developmental problems
are not caused by the adolescent's growth spurt. Hyperlipidemia could be possible if the child's diet
included an excessive amount of fat. Hypertension might be a problem if a family member had the
condition in early adulthood or if many family members had this condition.
A mother and her 2-week-old infant have arrived for a health supervision visit. Which activity will the
nurse perform?
a. Assess the child for an upper respiratory infection
b. Take a health history for a minor injury
c. Administer a Varicella injection
d. Warn against putting the baby to bed with a bottle - Answers Answer: d
The nurse will provide information to prevent injury or disease such as discussing the hazards of putting
the baby to sleep with a bottle. Assessing for an infection and taking a health history for an injury are
not part of a health supervision visit. Administering a vaccination for Varicella would not occur until 12
months of age.
During a physical assessment of a 6-year-old child, the nurse observes the child has lost a tooth. The
nurse uses the opportunity to promote oral health care with the child and parents. Which comment
should the nurse include in this discussion?
a. "Oral health can affect general health."
b. "Fluoridated water has significantly reduced cavities."
Graded A+
During the health history of a 2-month-old infant, the nurse identified a risk factor for developmental
delay and is preparing to screen the child's development. Which risk might the nurse have found?
a. The child had neonatal conjunctivitis
b. The parents are both in college
c. The child was born at 36 weeks
d. The child has small eyes and chin - Answers Answer: d
Congenital facial malformations are developmental warning signs. Neonatal conjunctivitis, when
properly treated, has no long-term effects on development. Parents who are college students are not
risk factors as would be high school dropouts. A 36-week birth is not a warning sign, but 33 weeks or less
is.
The nurse is promoting the benefits of achieving a healthy weight to an overweight 12-year-old child
and her parents. Which approach is best?
a. Show the family the appropriate weight for the child
b. Ask what activities she enjoys such as dance or sports
c. Suggest that the child join a little league softball team
d. Point out fattening foods and excesses in their diet - Answers Answer: b
Asking what activities to promote exercise for the child is best for several reasons. It provides
assessment of the child's activity preferences and whether the child is health-centered (positive) or
weight-centered (negative). It also offers variety. If one sport doesn't work, others might. Emphasizing
appropriate weight or dietary shortcomings can lead to eating disorders or body hatred. Suggesting only
softball limits the success of the healthy weight promotion.
The nurse is discussing Varicella immunization with a mother of a 13-month old. The mother is reluctant
to vaccinate because she feels it is "not necessary." Which comment by the nurse will be most
persuasive for immunization?
a. "Mild reactions occur in 5% to 10% of children."
b. "Varicella is a highly contagious herpes virus."
c. "Children not immunized are at risk if exposed to the disease."
d. "Risk of Varicella is greater than the risk of vaccine." - Answers Answer: c
, The most compelling argument for vaccinating for Varicella is that children not immunized are at risk if
exposed to the disease. The mother needs to know about the chance of her child contracting the illness
if not immunized. The contagious nature of the disease, low risk of the vaccine, or the low incidence of
reactions is not appropriate explanation for why the child should have the vaccine.
The nurse is doing a health history for a 14-year-old boy during a health supervision visit. The boy says
he has outgrown his clothes recently. For which condition should the nurse check, based on this
information?
a. Developmental problems
b. Hyperlipidemia
c. Iron deficiency anemia
d. Systemic hypertension - Answers Answer: c
Iron deficiency anemia could be present because the iron stores in the boy's body may have diminished
by the adolescent's growth spurt. This would be checked for by blood work. Developmental problems
are not caused by the adolescent's growth spurt. Hyperlipidemia could be possible if the child's diet
included an excessive amount of fat. Hypertension might be a problem if a family member had the
condition in early adulthood or if many family members had this condition.
A mother and her 2-week-old infant have arrived for a health supervision visit. Which activity will the
nurse perform?
a. Assess the child for an upper respiratory infection
b. Take a health history for a minor injury
c. Administer a Varicella injection
d. Warn against putting the baby to bed with a bottle - Answers Answer: d
The nurse will provide information to prevent injury or disease such as discussing the hazards of putting
the baby to sleep with a bottle. Assessing for an infection and taking a health history for an injury are
not part of a health supervision visit. Administering a vaccination for Varicella would not occur until 12
months of age.
During a physical assessment of a 6-year-old child, the nurse observes the child has lost a tooth. The
nurse uses the opportunity to promote oral health care with the child and parents. Which comment
should the nurse include in this discussion?
a. "Oral health can affect general health."
b. "Fluoridated water has significantly reduced cavities."
