Chapter 54: The Child with an
Intellectual Disability or
Developmental Disability - McKinney:
Evolve Resources for Maternal-Child
Nursing, 5th Edition Test Bank
Question and Actual Answers 2025.
1. A parent whose child has been diagnosed with a cognitive deficit should be counseled that
intellectual impairment
a. is usually due to a genetic defect.
b. may be caused by a variety of factors.
c. is rarely due to first trimester events.
d. is usually caused by parental intellectual impairment. - Answer ANS: B
There are a multitude of causes for intellectual impairment. In most cases, a specific cause has
not been identified. Only a small percentage of children with intellectual impairment are
affected by a genetic defect. One third of children with intellectual impairment are affected by
first trimester events. Intellectual impairment can be transmitted to a child only if the parent
has a genetic disorder.
5. Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should
include information about
a.
institutional placement.
b.
sexual development.
c.
sterilization.
d.
appropriate clothing. - Answer ANS: B
Preadolescents who have a cognitive dysfunction may have normal sexual development without
the emotional and cognitive abilities to deal with it. It is important to assist the family and child
through this developmental stage. The child may or may not need institutional placement at
some point. Sterilization is not an appropriate intervention when a child has a cognitive
dysfunction. By the time a child reaches preadolescence, the family should have received
, impaired social interaction.
b.
deficient knowledge.
c.
risk for injury.
d.
ineffective coping.
P - Answer ANS: C
The nurse needs to know that limited cognitive abilities to anticipate danger lead to risk for
injury. Safety is a priority for all children with cognitive dysfunction. Impaired social interaction
is indeed a concern for the child with a cognitive disorder but does not address the limited
ability to anticipate danger. Because of the child's cognitive deficit, knowledge will not be
retained and will not decrease the risk for injury. Ineffective individual coping does not address
the limited ability to anticipate danger.
9. The infant with Down syndrome is closely monitored during the first year of life for what
serious condition?
a.
Thyroid complications
b.
Orthopedic malformations
c.
Dental malformation
d.
Cardiac abnormalities - Answer NS: D
The high incidence of cardiac defects in children with Down syndrome makes assessment for
signs and symptoms of these defects important during the first year. Clinicians recommend the
child be monitored frequently throughout the first 12 months of life, including a full cardiac
workup. Infants with Down syndrome are not known to have thyroid complications although
they can manifest later. Orthopedic malformations may be present, but special attention is given
to assessment for cardiac and gastrointestinal abnormalities. Dental malformations are not a
major concern compared with the life-threatening complications of cardiac defects.
Intellectual Disability or
Developmental Disability - McKinney:
Evolve Resources for Maternal-Child
Nursing, 5th Edition Test Bank
Question and Actual Answers 2025.
1. A parent whose child has been diagnosed with a cognitive deficit should be counseled that
intellectual impairment
a. is usually due to a genetic defect.
b. may be caused by a variety of factors.
c. is rarely due to first trimester events.
d. is usually caused by parental intellectual impairment. - Answer ANS: B
There are a multitude of causes for intellectual impairment. In most cases, a specific cause has
not been identified. Only a small percentage of children with intellectual impairment are
affected by a genetic defect. One third of children with intellectual impairment are affected by
first trimester events. Intellectual impairment can be transmitted to a child only if the parent
has a genetic disorder.
5. Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should
include information about
a.
institutional placement.
b.
sexual development.
c.
sterilization.
d.
appropriate clothing. - Answer ANS: B
Preadolescents who have a cognitive dysfunction may have normal sexual development without
the emotional and cognitive abilities to deal with it. It is important to assist the family and child
through this developmental stage. The child may or may not need institutional placement at
some point. Sterilization is not an appropriate intervention when a child has a cognitive
dysfunction. By the time a child reaches preadolescence, the family should have received
, impaired social interaction.
b.
deficient knowledge.
c.
risk for injury.
d.
ineffective coping.
P - Answer ANS: C
The nurse needs to know that limited cognitive abilities to anticipate danger lead to risk for
injury. Safety is a priority for all children with cognitive dysfunction. Impaired social interaction
is indeed a concern for the child with a cognitive disorder but does not address the limited
ability to anticipate danger. Because of the child's cognitive deficit, knowledge will not be
retained and will not decrease the risk for injury. Ineffective individual coping does not address
the limited ability to anticipate danger.
9. The infant with Down syndrome is closely monitored during the first year of life for what
serious condition?
a.
Thyroid complications
b.
Orthopedic malformations
c.
Dental malformation
d.
Cardiac abnormalities - Answer NS: D
The high incidence of cardiac defects in children with Down syndrome makes assessment for
signs and symptoms of these defects important during the first year. Clinicians recommend the
child be monitored frequently throughout the first 12 months of life, including a full cardiac
workup. Infants with Down syndrome are not known to have thyroid complications although
they can manifest later. Orthopedic malformations may be present, but special attention is given
to assessment for cardiac and gastrointestinal abnormalities. Dental malformations are not a
major concern compared with the life-threatening complications of cardiac defects.
