1. A 9-month-old child is seen in the well clinic. Which of the following behaviors
would the nurse expect to see? SATA
(A) Plays peek-a-boo
(B) Walks independently
(C) Feeds self with a spoon
(D) Stacks 2 blocks together
(E) Transfers objects from hand to hand
Answer A, E
-walks independently at 15 months
-feeds self with spoon at 18 months
-stacks 2 blocks together at 18 months
2. The mother of a six-year-old child arrives at the clinic because the child has
been experiencing red and swollen eyes. The nurse notes a discharge from the
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,eyes and sends a culture to the lab. Chlamydia conjunctivitis is diagnosed. On
the basis of this diagnosis, the nurse determines that which requires further
investigation?
(A) Possible trauma to the eye
(B) Possible sexual abuse
(C) Presence of an allergy
(D) Presence of a respiratory infection
Answer (B) Possible sexual abuse
-Chlamydia is sexual transmitted disease. The diagnosis of chlamydia in a child not sexually active should signal the
health care provider to assess the signs of possible sexual abuse
3. The school nurse determines a group of young women are in early adoles-
cents based on the following observation. All of the women
(A) Have decided on their career path
(B) Are dressed in the same-style clothes and have the same hair style
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, (C) Broke curfew by staying out late at a party they went to
(D) Brag about drinking beer when their parents were at work
Answer (B) Peer identity is important at this age
4. The nurse is watching two siblings, ages 7 and 9 years of age, verbally arguing
over a toy. The nurse has counseled the parents before about how to handle
the situation. The nurse should judge that the teaching has been effective when
the parent takes which action?
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