Situation 1: Raphael, a 6 year’s old prep pupil is seen at the school clinic for growth and development
monitoring (Questions 1-5)
1. Which of the following is characterized the rate of growth during this period?
A. most rapid period of growth
B. a decline in growth rate
C. growth spurt
D. slow uniform growth rate
2. In assessing Raphael’s growth and development, the nurse is guided by principles of growth and
development. Which is not included?
A. All individuals follow cephalo-caudal and proximo-distal
B. Different parts of the body grows at different rate
C. All individual follow standard growth rate
D. Rate and pattern of growth can be modified
3. What type of play will be ideal for Raphael at this period?
A. Make believe
B. Hide and seek
C. Peek-a-boo
D. Building blocks
4. Which of the following information indicate that Raphael is normal for his age?
A. Determine own sense self
B. Develop sense of whether he can trust the world
C. Has the ability to try new things
D. Learn basic skills within his culture
5. Based on Kohlberg’s theory, what is the stage of moral development of Raphael?
A. Punishment-obedience
B. “good boy-Nice girl”
C. naïve instrumental orientation
D. social contact
Situation 2 Baby boy Lacson delivered at 36 weeks gestation weighs 3,400 gm and height of 59 cm (6-
10)
6. Baby boy Lacson’s height is
A. Long
B. Short
C. Average
, D. Too short
7. Growth and development in a child progresses in the following ways EXCEPT
A. From cognitive to psychosexual
B. From trunk to the tip of the extremities
C. From head to toe
D. From general to specific
8. As described by Erikson, the major psychosexual conflict of the above situation is
A. Autonomy vs. Shame and doubt
B. Industry vs. Inferiority
C. Trust vs. mistrust
D. Initiation vs. guilt
9. Which of the following is true about Mongolian Spots?
A. Disappears in about a year
B. Are linked to pathologic conditions
C. Are managed by tropical steroids
D. Are indicative of parental abuse
10. Signs of cold stress that the nurse must be alert when caring for a Newborn is:
A. Hypothermia
B. Decreased activity level
C. Shaking
D. Increased RR
Situation 3 Nursing care after delivery has an important aspect in every stages of delivery
11. After the baby is delivered, the cord was cut between two clamps using a sterile scissors and blade, then
the baby is placed at the:
A. Mother’s breast
B. Mother’s side
C. Give it to the grandmother
D. Baby’s own mat or bed
12. The baby’s mother is RH(-). Which of the following laboratory tests will probably be ordered for the
newborn?
A. Direct Coomb’s
B. Indirect Coomb’s
C. Blood culture
D. Platelet count
13. Hypothermia is common in newborn because of their inability to control heat. The following would be
an appropriate nursing intervention to prevent heat loss except: