INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

Chapter 15: An Overview of Growth, Development, and Nutrition MULTIPLE CHOICE 1. What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit? a. Specific to general b. Proximodistal c. Cephalocaudal d. General to specific ANS: C Cephalocaudal development proceeds from head to toe. DIF: Cognitive Level: Comprehension REF: Page 357 OBJ: 1 TOP: Cephalocaudal Development KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 2. What is a unique organization of characteristics that determines an individuals pattern of behavior? a. Environment b. Heredity c. Personality d. Experience ANS: C One definition of personality states that it is a unique organization of characteristics that determines the individuals typical or recurrent pattern of behavior. DIF: Cognitive Level: Knowledge REF: PageN3U64RSINGTB.COM TOP: Personality Development KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 3. An infants birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months? a. 12 pounds b. 15 pounds c. 18 pounds d. 22 pounds ANS: B An infant usually doubles his or her birth weight by 5 to 6 months. DIF: Cognitive Level: Analysis REF: Page 357 OBJ: 4 TOP: Weight Prediction KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 4. What would the nurse further investigate when assessing patterns of growth in a child? a. Previous weight was in the 75th percentile, and present weight is in the 25th percentile. b. Height is in the 90th percentile, and weight is in the 75th percentile. c. Last weight was in the 5th percentile, and present weight is in the 10th percentile. d. Weight is in the 50th percentile, and siblings weight at the same age was in the 75th percentile. ANS: A The child showing a difference of two or more percentile levels from an established growth pattern should undergo further evaluation. DIF: Cognitive Level: Analysis REF: Page 360 TOP: Growth KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 5. A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family? a. Nuclear b. Blended c. Alternate d. Extended ANS: B A blended family involves the remarriage of persons with children. DIF: Cognitive Level: Comprehension REF: Page 363 OBJ: 6 | 7 TOP: The Family KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation 6. The mother of a 7-month-old reports that the first lower central incisor has erupted. She asks the nurse, How many teeth will he have by his first birthday? The nurse explains that the infant will have how many teeth by 1 year of age? a. 2 b. 4 c. 6 d. 8 ANS: C The 1-year-old infant usually has about 6 teeth, 4 above and 2 below. DIF: Cognitive Level: Knowledge REF: Page 384 TOP: Dentition KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and MainteNnaUnRcSe:INGGroTwBt.Ch OanMd Development 7. At a well-baby visit, parents of a 6-month-old ask when to take the infant for the first dental visit. What is the nurses best response? a. If the teeth are brushed regularly, the child should see a dentist by 3 years of age. b. The first dental visit should be arranged after the first tooth erupts. c. The child should have a dental examination when all deciduous teeth have erupted. d. A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry. ANS: D The Academy of Pediatric Dentistry recommends that the first dental visit occur by 1 year of age. DIF: Cognitive Level: Application REF: Page 384 TOP: Dentition KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 8. The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at what age? a. 4 years old b. 6 years old c. 8 years old d. 10 years old ANS: B Permanent teeth do not erupt through the gums until the sixth year. DIF: Cognitive Level: Knowledge REF: Page 385 TOP: Dentition KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 9. A mother asks the nurse how much food should be offered to her 2-year-old. What is a good rule of thumb for serving size (in tablespoons) per year of age? a. 2 b. 3 c. 4 d. 5 ANS: A The rule of thumb for serving sizes is to offer 1 tablespoon of each food group per year of age. DIF: Cognitive Level: Comprehension REF: Page 384 TOP: Rule of Thumb for Serving Sizes KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 10. An assessment of a childs nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. How would this childs nutritional status be described? a. Overnourished b. Undernourished c. Well nourished d. Borderline ANS: C Well-nourished children show steady gains in height and weight and have shiny hair, firm gums and mucous membranes, and regular elimination. DIF: Cognitive Level: Analysis REF: Page 383 TOP: Nutrition KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiological Integrity: Physiological Adaptation 11. The nurse encourages a Puerto Rican famiNlyUtRoSbIrNinGgTfBo.oCdOtMo a child because he is not eating the food served on his hospital tray. What can the nurse expect the child to eat? a. Dried beans mixed with rice b. Crisp vegetables c. Spaghetti and meatballs d. Wild berries, roots, and seeds ANS: A A common food choice of Americans of Puerto Rican descent is dried beans mixed with rice. DIF: Cognitive Level: Comprehension REF: Page 376 OBJ: 7 TOP: Feeding the Ill Child KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 12. The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime. What does self-feeding help to develop in the toddler? a. Good nutrition b. A sense of independence c. Adequate height and weight d. Healthy teeth ANS: B By the end of the second year, toddlers can feed themselves. This helps them to develop a sense of independence. DIF: Cognitive Level: Comprehension REF: Page 372 OBJ: 2 TOP: Feeding the Healthy Child KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 13. What activity would the nurse choose to meet Eriksons developmental task of industry when caring for a 7- year-old? a. Completing a 50-piece jigsaw puzzle b. Looking at a comic book c. Playing a game of I Spy with the nurse d. Coloring a picture in a coloring book ANS: A In the developmental period of late childhood, children are striving to develop a sense of industry. The completion of a jigsaw puzzle is industrious play. DIF: Cognitive Level: Analysis REF: Page 372 OBJ: 11 TOP: Personality Development KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 14. What does the nurse recognize as an example of Piagets concrete operational thinking? a. 2-year-old says, Its nighttime when his room is darkened. b. 4-year-old refers to the hospital as my house. c. 5-year-old coloring a picture of a puppy says, This is my puppy. d. 7-year-old says, I am sick because I have germs in my chest. ANS: D The 7-year-olds remark reflecting the cause and effect of germs and illness is an example of operational thinking. All other options are examples of preoperational thought, which is egocentric and symbolic. DIF: Cognitive Level: Analysis REF: Page 373 OBJ: 8 TOP: Cognitive Development KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and MainteNnaUnRcSe:INGGroTwBt.Ch OanMd Development 15. The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant. What statement by the mother leads the nurse to determine that learning has taken place? a. I will give my infant rice cereal first. b. I will give my infant yellow vegetables first. c. I will give my infant egg yolks first. d. I will give my infant fruits first. ANS: A Solid foods are usually introduced at about 6 months of age, starting with rice cereal, which is the least allergenic. DIF: Cognitive Level: Comprehension REF: Page 379 OBJ: 9 TOP: Feeding the Healthy Child KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 16. What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain? a. Give him an ice cube to suck on. b. Have him wash his mouth out with peroxide and water. c. Wrap the tooth in a clean tissue. d. Wash off the tooth and place it in a container of milk. ANS: D The tooth should be washed off and put in a container of milk to preserve it for possible reimplantation. DIF: Cognitive Level: Application REF: Page 387 OBJ: 10 TOP: Loss of Tooth