MATERNITY CH 28, 29, 30, 31, 40 QUESTIONS
AND ANSWERS UPDATED 2024 - 2025
1.,The,nurse,is,planning,to,evaluate,the,development,of,a,preschool-
age,child.,On,what,should,the,nurse,focus,when,performing,this,evaluation?
A),Appetite
B),Current,weight
C),Change,in,height
D),Ability,to,perform,a,skill,,ANS,-,,Ans:,D
,Feedback:
,Development,is,measured,by,observing,a,child's,ability,to,perform,specific,skills.,Growth,is,used,to,denot
e,an,increase,in,physical,size,such,as,height,and,weight.,Appetite,is,not,used,to,evaluate,growth,or,develo
pment.
2.,A,patient,asks,if,a,school-
age,child,is,going,to,be,tall,like,others,in,the,family.,What,should,the,nurse,explain,as,having,the,least,impa
ct,on,the,child's,ultimate,height?
A),Participation,in,sports
B),Occupations,of,parents
C),Inherited,genetic,material
D),Ingestion,of,nutritious,food,,ANS,-,,Ans:,A
,Feedback:
,Although,children,cannot,grow,taller,than,their,genetically,programmed,height,potential,,their,adult,heig
ht,can,be,considerably,less,than,their,genetic,potential,if,their,environment,hinders,their,growth.,Environ
mental,influences,on,height,include,socioeconomic,status,or,occupations,of,parents,,genetic,material,inh
erited,,and,availability,and,ingestion,of,nutritious,foods.,Participation,in,sports,will,not,influence,the,child'
s,ultimate,height.
3.,The,mother,of,several,children,is,amazed,that,the,youngest,male,child,achieved,toilet,training,much,ear
lier,than,the,other,children.,What,should,the,nurse,explain,as,the,reason,for,this,early,development?
A),"He,has,exceptional,intelligence."
B),"He,learned,by,watching,your,other,children."
,C),"He,needs,testing,because,he,is,developing,too,quickly."
D),"He,most,likely,will,wet,the,bed,for,many,years,to,come.",,ANS,-,,Ans:,B
,Feedback:
,Children,learn,by,watching,other,children,so,a,youngest,child,who,has,many,examples,to,watch,may,excel
,in,skills,such,as,toilet,training.,The,child,did,not,become,toilet,trained,early,because,of,exceptional,intellig
ence.,The,child,is,not,developing,too,quickly.,There,is,no,way,for,the,nurse,to,know,if,the,child,will,wet,the,
bed.
4.,A,patient,is,concerned,that,the,new,baby,is,going,to,have,a,weight,problem,growing,up,because,other,f
amily,members,are,obese.,What,should,the,nurse,respond,to,this,patient?
A),Restrict,all,fatty,foods,up,until,age,5,years.
B),Restrict,fatty,foods,after,the,age,of,10,years.
C),Do,not,restrict,fatty,foods,until,the,age,of,2,years.
D),Keep,fat,intake,to,less,than,50%,of,total,daily,intake.,,ANS,-,,Ans:,C
,Feedback:
,For,children,,fat,intake,does,not,need,to,be,restricted,for,the,first,2,years,of,life,because,fat,is,necessary,f
or,myelination,of,spinal,nerves.,After,the,age,of,2,years,,fat,intake,can,be,tailored,to,meet,the,guidelines,o
f,30%,total,intake,for,both,children,and,adults.,The,patient,should,not,restrict,all,fatty,foods,up,until,the,ag
e,of,5,years,or,after,the,age,of,10,years.,Fat,intake,after,the,age,of,2,years,should,be,limited,to,30%,of,total
,caloric,intake.
5.,During,a,home,visit,,the,nurse,observes,an,8-year-
old,child,pick,up,toys,and,place,them,in,the,toy,box.,The,child,then,looks,to,the,mother,who,says,,"Thank,y
ou,for,helping,me.",Which,stage,of,Kohlberg's,moral,development,is,this,child,demonstrating?
A),Individualism
B),Maintenance,of,social,order
C),Punishment/obedience,orientation
D),Interpersonal,relations,of,mutuality,,ANS,-,,Ans:,D
,Feedback:
,In,the,stage,of,interpersonal,relations,of,mutuality,,the,child,will,follow,rules,because,of,a,need,to,be,a,"g
ood",person,in,their,own,eyes,and,in,the,eyes,of,others.,The,mother's,praise,reinforces,this,behavior.,In,th
e,punishment/obedience,stage,,the,child,does,"right",to,avoid,punishment.,In,the,individualism,stage,,the
,child,will,carry,out,actions,to,satisfy,own,needs,rather,than,others.,In,the,maintenance,of,social,order,sta
,ge,,the,child,will,follow,rules,of,authority,figures,as,well,as,parents,in,an,effort,to,keep,the,"system",worki
ng.
6.,Which,activity,should,the,nurse,encourage,a,new,mother,to,perform,to,foster,the,developmental,tasks,
of,a,toddler,according,to,Erikson's,developmental,stages?
A),Feed,the,child,lunch.
B),Read,the,child,a,story,every,night.
C),Allow,the,child,to,pull,a,talking,duck,toy.
D),Have,the,child,watch,a,puppet,show,on,television.,,ANS,-,,Ans:,C
,Feedback:
,The,developmental,task,of,the,toddler,is,to,learn,autonomy,versus,shame,or,doubt.,Autonomy,comes,fro
m,the,toddler's,new,motor,and,mental,abilities.,Children,take,pride,in,the,new,things,they,can,accomplish
,,and,they,want,to,do,everything,independently.,Pulling,a,talking,duck,toy,will,support,the,development,of
,autonomy.,Doing,things,such,as,feeding,,reading,,and,watching,television,does,not,foster,autonomy,in,th
e,toddler.
7.,The,nurse,pours,liquid,medication,from,one,tall,container,to,a,shorter,container.,How,would,the,presch
ool-age,child,interpret,this,exchange,of,the,medication?
A),The,amount,of,medicine,is,less.
B),The,glass,changed,shape,to,accommodate,the,medicine.
C),Pouring,medicine,hurts,it,in,some,way,because,it,changes.
D),The,amount,of,medicine,did,not,change,,only,the,appearance.,,ANS,-,,Ans:,A
,Feedback:
,The,preschool-
age,child,has,not,developed,conservation,or,the,ability,to,discern,truth,,even,though,physical,properties,c
hange.,This,is,why,the,child,will,think,that,there,is,less,medicine,in,the,shorter,container.,The,preschool-
age,child,will,not,interpret,this,action,as,the,glass,changing,shape,or,it,is,painful,to,pour,medicine.,An,olde
r,child,will,understand,that,the,appearance,of,the,medication,changed,but,not,the,amount.
8.,The,nurse,is,preparing,to,assess,a,school-
age,child,in,the,community,clinic.,Which,action,supports,the,2020,National,Health,Goals,for,growth,and,d
evelopment,of,children?
A),Helping,the,child,with,math,homework
, B),Measuring,the,child's,height,and,weight
C),Talking,about,favorite,television,programs
D),Asking,the,child,to,name,a,favorite,subject,in,school,,ANS,-,,Ans:,B
,Feedback:
,Recognizing,normal,growth,and,development,patterns,of,children,helps,to,determine,if,children,are,follo
wing,normal,development,and,when,referrals,are,needed.,Nurses,are,the,health,care,providers,who,inter
act,with,children,and,measure,height,and,weight,,which,are,used,to,recognize,developmental,delays.,Hel
ping,with,homework,,talking,about,television,,and,identifying,favorite,subjects,in,school,will,not,support,t
he,2020,National,Health,Goals,for,growth,and,development,of,children.
9.,During,a,home,visit,,the,nurse,observes,a,mother,prepare,a,bottle,for,an,18-month-
old,child,consisting,of,skim,milk.,Which,nursing,diagnosis,should,the,nurse,use,to,base,instruction,for,this,
mother?
A),Imbalanced,nutrition
B),Health-seeking,behaviors
C),Delayed,growth,and,development
D),Readiness,for,enhanced,family,coping,,ANS,-,,Ans:,A
,Feedback:
,The,nursing,diagnosis,of,imbalanced,nutrition,is,appropriate,because,the,child's,fat,intake,should,not,be,r
estricted,up,until,the,age,of,2,years.,The,developing,body,needs,fat,to,ensure,development,of,the,nervous
,system.,The,mother,using,skim,milk,for,the,child's,bottle,does,not,indicate,health-
seeking,behaviors,,delayed,growth,and,development,,or,readiness,for,enhanced,family,coping.
10.,Which,observation,by,the,nurse,indicates,that,an,adolescent's,cognitive,thinking,is,developing,at,an,ex
pected,level?
A),Adolescent,says,that,all,plastic,remote,controls,break,easily.
B),Adolescent,asks,the,mother,to,provide,the,sharp,item,needed,to,cut,meat.
C),Adolescent,explains,how,working,a,part-time,job,will,help,pay,for,a,car.
D),Adolescent,tells,the,parent,that,the,dog,moved,the,bicycle,into,the,driveway.,,ANS,-,,Ans:,C
,Feedback:
,The,adolescent,is,capable,of,abstract,reasoning,,which,would,be,observed,when,the,adolescent,explains,
how,working,a,part-
time,job,will,help,pay,for,a,car.,All,plastic,remote,controls,breaking,would,be,concrete,thinking.,Asking,for,
AND ANSWERS UPDATED 2024 - 2025
1.,The,nurse,is,planning,to,evaluate,the,development,of,a,preschool-
age,child.,On,what,should,the,nurse,focus,when,performing,this,evaluation?
A),Appetite
B),Current,weight
C),Change,in,height
D),Ability,to,perform,a,skill,,ANS,-,,Ans:,D
,Feedback:
,Development,is,measured,by,observing,a,child's,ability,to,perform,specific,skills.,Growth,is,used,to,denot
e,an,increase,in,physical,size,such,as,height,and,weight.,Appetite,is,not,used,to,evaluate,growth,or,develo
pment.
2.,A,patient,asks,if,a,school-
age,child,is,going,to,be,tall,like,others,in,the,family.,What,should,the,nurse,explain,as,having,the,least,impa
ct,on,the,child's,ultimate,height?
A),Participation,in,sports
B),Occupations,of,parents
C),Inherited,genetic,material
D),Ingestion,of,nutritious,food,,ANS,-,,Ans:,A
,Feedback:
,Although,children,cannot,grow,taller,than,their,genetically,programmed,height,potential,,their,adult,heig
ht,can,be,considerably,less,than,their,genetic,potential,if,their,environment,hinders,their,growth.,Environ
mental,influences,on,height,include,socioeconomic,status,or,occupations,of,parents,,genetic,material,inh
erited,,and,availability,and,ingestion,of,nutritious,foods.,Participation,in,sports,will,not,influence,the,child'
s,ultimate,height.
3.,The,mother,of,several,children,is,amazed,that,the,youngest,male,child,achieved,toilet,training,much,ear
lier,than,the,other,children.,What,should,the,nurse,explain,as,the,reason,for,this,early,development?
A),"He,has,exceptional,intelligence."
B),"He,learned,by,watching,your,other,children."
,C),"He,needs,testing,because,he,is,developing,too,quickly."
D),"He,most,likely,will,wet,the,bed,for,many,years,to,come.",,ANS,-,,Ans:,B
,Feedback:
,Children,learn,by,watching,other,children,so,a,youngest,child,who,has,many,examples,to,watch,may,excel
,in,skills,such,as,toilet,training.,The,child,did,not,become,toilet,trained,early,because,of,exceptional,intellig
ence.,The,child,is,not,developing,too,quickly.,There,is,no,way,for,the,nurse,to,know,if,the,child,will,wet,the,
bed.
4.,A,patient,is,concerned,that,the,new,baby,is,going,to,have,a,weight,problem,growing,up,because,other,f
amily,members,are,obese.,What,should,the,nurse,respond,to,this,patient?
A),Restrict,all,fatty,foods,up,until,age,5,years.
B),Restrict,fatty,foods,after,the,age,of,10,years.
C),Do,not,restrict,fatty,foods,until,the,age,of,2,years.
D),Keep,fat,intake,to,less,than,50%,of,total,daily,intake.,,ANS,-,,Ans:,C
,Feedback:
,For,children,,fat,intake,does,not,need,to,be,restricted,for,the,first,2,years,of,life,because,fat,is,necessary,f
or,myelination,of,spinal,nerves.,After,the,age,of,2,years,,fat,intake,can,be,tailored,to,meet,the,guidelines,o
f,30%,total,intake,for,both,children,and,adults.,The,patient,should,not,restrict,all,fatty,foods,up,until,the,ag
e,of,5,years,or,after,the,age,of,10,years.,Fat,intake,after,the,age,of,2,years,should,be,limited,to,30%,of,total
,caloric,intake.
5.,During,a,home,visit,,the,nurse,observes,an,8-year-
old,child,pick,up,toys,and,place,them,in,the,toy,box.,The,child,then,looks,to,the,mother,who,says,,"Thank,y
ou,for,helping,me.",Which,stage,of,Kohlberg's,moral,development,is,this,child,demonstrating?
A),Individualism
B),Maintenance,of,social,order
C),Punishment/obedience,orientation
D),Interpersonal,relations,of,mutuality,,ANS,-,,Ans:,D
,Feedback:
,In,the,stage,of,interpersonal,relations,of,mutuality,,the,child,will,follow,rules,because,of,a,need,to,be,a,"g
ood",person,in,their,own,eyes,and,in,the,eyes,of,others.,The,mother's,praise,reinforces,this,behavior.,In,th
e,punishment/obedience,stage,,the,child,does,"right",to,avoid,punishment.,In,the,individualism,stage,,the
,child,will,carry,out,actions,to,satisfy,own,needs,rather,than,others.,In,the,maintenance,of,social,order,sta
,ge,,the,child,will,follow,rules,of,authority,figures,as,well,as,parents,in,an,effort,to,keep,the,"system",worki
ng.
6.,Which,activity,should,the,nurse,encourage,a,new,mother,to,perform,to,foster,the,developmental,tasks,
of,a,toddler,according,to,Erikson's,developmental,stages?
A),Feed,the,child,lunch.
B),Read,the,child,a,story,every,night.
C),Allow,the,child,to,pull,a,talking,duck,toy.
D),Have,the,child,watch,a,puppet,show,on,television.,,ANS,-,,Ans:,C
,Feedback:
,The,developmental,task,of,the,toddler,is,to,learn,autonomy,versus,shame,or,doubt.,Autonomy,comes,fro
m,the,toddler's,new,motor,and,mental,abilities.,Children,take,pride,in,the,new,things,they,can,accomplish
,,and,they,want,to,do,everything,independently.,Pulling,a,talking,duck,toy,will,support,the,development,of
,autonomy.,Doing,things,such,as,feeding,,reading,,and,watching,television,does,not,foster,autonomy,in,th
e,toddler.
7.,The,nurse,pours,liquid,medication,from,one,tall,container,to,a,shorter,container.,How,would,the,presch
ool-age,child,interpret,this,exchange,of,the,medication?
A),The,amount,of,medicine,is,less.
B),The,glass,changed,shape,to,accommodate,the,medicine.
C),Pouring,medicine,hurts,it,in,some,way,because,it,changes.
D),The,amount,of,medicine,did,not,change,,only,the,appearance.,,ANS,-,,Ans:,A
,Feedback:
,The,preschool-
age,child,has,not,developed,conservation,or,the,ability,to,discern,truth,,even,though,physical,properties,c
hange.,This,is,why,the,child,will,think,that,there,is,less,medicine,in,the,shorter,container.,The,preschool-
age,child,will,not,interpret,this,action,as,the,glass,changing,shape,or,it,is,painful,to,pour,medicine.,An,olde
r,child,will,understand,that,the,appearance,of,the,medication,changed,but,not,the,amount.
8.,The,nurse,is,preparing,to,assess,a,school-
age,child,in,the,community,clinic.,Which,action,supports,the,2020,National,Health,Goals,for,growth,and,d
evelopment,of,children?
A),Helping,the,child,with,math,homework
, B),Measuring,the,child's,height,and,weight
C),Talking,about,favorite,television,programs
D),Asking,the,child,to,name,a,favorite,subject,in,school,,ANS,-,,Ans:,B
,Feedback:
,Recognizing,normal,growth,and,development,patterns,of,children,helps,to,determine,if,children,are,follo
wing,normal,development,and,when,referrals,are,needed.,Nurses,are,the,health,care,providers,who,inter
act,with,children,and,measure,height,and,weight,,which,are,used,to,recognize,developmental,delays.,Hel
ping,with,homework,,talking,about,television,,and,identifying,favorite,subjects,in,school,will,not,support,t
he,2020,National,Health,Goals,for,growth,and,development,of,children.
9.,During,a,home,visit,,the,nurse,observes,a,mother,prepare,a,bottle,for,an,18-month-
old,child,consisting,of,skim,milk.,Which,nursing,diagnosis,should,the,nurse,use,to,base,instruction,for,this,
mother?
A),Imbalanced,nutrition
B),Health-seeking,behaviors
C),Delayed,growth,and,development
D),Readiness,for,enhanced,family,coping,,ANS,-,,Ans:,A
,Feedback:
,The,nursing,diagnosis,of,imbalanced,nutrition,is,appropriate,because,the,child's,fat,intake,should,not,be,r
estricted,up,until,the,age,of,2,years.,The,developing,body,needs,fat,to,ensure,development,of,the,nervous
,system.,The,mother,using,skim,milk,for,the,child's,bottle,does,not,indicate,health-
seeking,behaviors,,delayed,growth,and,development,,or,readiness,for,enhanced,family,coping.
10.,Which,observation,by,the,nurse,indicates,that,an,adolescent's,cognitive,thinking,is,developing,at,an,ex
pected,level?
A),Adolescent,says,that,all,plastic,remote,controls,break,easily.
B),Adolescent,asks,the,mother,to,provide,the,sharp,item,needed,to,cut,meat.
C),Adolescent,explains,how,working,a,part-time,job,will,help,pay,for,a,car.
D),Adolescent,tells,the,parent,that,the,dog,moved,the,bicycle,into,the,driveway.,,ANS,-,,Ans:,C
,Feedback:
,The,adolescent,is,capable,of,abstract,reasoning,,which,would,be,observed,when,the,adolescent,explains,
how,working,a,part-
time,job,will,help,pay,for,a,car.,All,plastic,remote,controls,breaking,would,be,concrete,thinking.,Asking,for,
