Maternal and Child Health Nursing Exam
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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 - Answer✔Ans: D
Feedback:
Development is measured by observing a child's ability to perform specific skills. Growth is
used to denote an increase in physical size such as height and weight. Appetite is not used to
evaluate growth or development.
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 impact on the child's ultimate height?
A) Participation in sports
B) Occupations of parents
C) Inherited genetic material
D) Ingestion of nutritious food - Answer✔Ans: A
Feedback:
Although children cannot grow taller than their genetically programmed height potential, their
adult height can be considerably less than their genetic potential if their environment hinders
their growth. Environmental influences on height include socioeconomic status or occupations
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of parents, genetic material inherited, 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 earlier 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." - Answer✔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 intelligence. 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 family 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. - Answer✔Ans: C
Feedback:
For children, fat intake does not need to be restricted for the first 2 years of life because fat is
necessary for myelination of spinal nerves. After the age of 2 years, fat intake can be tailored to
meet the guidelines of 30% total intake for both children and adults. The patient should not
restrict all fatty foods up until the age 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 you for helping me." Which stage
of Kohlberg's moral development is this child demonstrating?
A) Individualism
B) Maintenance of social order
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C) Punishment/obedience orientation
D) Interpersonal relations of mutuality - Answer✔Ans: D
Feedback:
In the stage of interpersonal relations of mutuality, the child will follow rules because of a need
to be a "good" person in their own eyes and in the eyes of others. The mother's praise
reinforces this behavior. In the 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 stage, the child will follow rules of
authority figures as well as parents in an effort to keep the "system" working.
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. - Answer✔Ans: C
Feedback:
The developmental task of the toddler is to learn autonomy versus shame or doubt. Autonomy
comes from 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 the toddler.
7. The nurse pours liquid medication from one tall container to a shorter container. How would
the preschool-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. - Answer✔Ans: A
Feedback:
The preschool-age child has not developed conservation or the ability to discern truth, even
though physical properties change. 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
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changing shape or it is painful to pour medicine. An older 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 development 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 - Answer✔Ans: B
Feedback:
Recognizing normal growth and development patterns of children helps to determine if
children are following normal development and when referrals are needed. Nurses are the
health care providers who interact with children and measure height and weight, which are
used to recognize developmental delays. Helping with homework, talking about television, and
identifying favorite subjects in school will not support the 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 - Answer✔Ans: A
Feedback:
The nursing diagnosis of imbalanced nutrition is appropriate because the child's fat intake
should not be restricted 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 expected 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.
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