Test Study Guide Peds Exam 1 Questions and Correct Answers with Rationales

Test Study Guide Peds Exam 1 Questions and Correct Answer
with Rationales


1. The nurse is aware that the age at which the posterior fontanelle closes is
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months.
a. 2 to 3 g g



b. 3 to 6 g g



c. 6 to 9 g g



d. 9 to 12: ANS: A g g g g



The posterior fontanelle closes between 2 and 3 months of age.
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2. Which stage of development is most unstable and challenging regarding developmen
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t of personal identity?
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A) Adolescence
B) Toddler hood g



C) Childhood
D) Infancy: A) Adolescence g g



3. A maternity nurse is providing instruction to a new mother regarding the psychosocial d
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evelopment of the newborn infant. Using Erikson's psychoso-
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cial development theory, the nurse would instruct the mother to:
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A) Allow the newborn infant to signal a need
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B) Anticipate all of the needs of the newborn infant g g g g g g g g



C) Avoid the newborn infant during the first 10 minutes of crying
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D) Attend to the newborn infant immediately when crying: A) Allow the newborn infant to sign
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al a need. Trust vs Mistrust stage-This will allow the infant opportunity to gain trust.
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4. A mother of a 3-year-
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old tells a clinic nurse that the child is rebelling constantly and having temper tantrums.
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The nurse most appropriately tells the mother to:
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A) Punish the child every time the child says "no", to change the behavior
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B) Allow the behavior because this is normal at this age period
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,C) Set limits on the child's behavior
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D) Ignore the child when this behavior occurs: C) Set limits on the child's behavior-
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According to Erikson, the child focuses on independence between ages 1 and 3 years. Gaining i
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ndependence often means that the child has to rebel against the parents' wishes. Saying thing
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s like "no" or "mine" and having temper tantrums are common during this period of developme
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nt. Being consistent and setting limits on the child's behavior are the necessary elements.
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5. A nurse is evaluating the developmental level of a 2-year-
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old.Which of the following does the nurse expect to observe in this child?
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A) Uses a fork to eatg g g g



B) Uses a cup to drink
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C) Uses a knife for cutting food
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,D) Pours own milk into a cup: B. By age 2 years, the child can use a cup and can use a spoon co
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rrectly but with some spilling. By ages 3 to 4, the child begins to use a fork. By the end of the pres
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chool period, the child should be able to pour milk into a cup and begin to use a knife for cuttin
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g.
6. A clinic nurse assesses the communication patterns of a 5-month-
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old infant. The nurse determines that the infant is demonstrating the highest level of devel
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opmental achievement expected if the infant: g g g g g



A) Uses simple words such as "mama" g g g g g



B) Uses monosyllabic babbling g g



C) Links syllables together g g



D) Coos when comforted: B. Using monosyllabic babbling occurs between 3 and 6 months of
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age. Using simple words such as "mama" occurs between 9 and 12 months. Linking syllables
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together when communicating occurs between 6 and 9 months. Cooing begins at birth and co
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ntinues until 2 months. g g g



7. A nurse is preparing to care for a 5-year-
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old who has been placed in traction following a fracture of the femur. The nurse plans care, k
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nowing that which of the following is the most appropriate activity for this child?
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A) Large picture books g g



B) A radio g



C) Crayons and coloring book g g g



D) A sports video: C. In the preschooler, play is simple and imaginative and includes activitie
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s such as crayons and coloring books, puppets, felt and magnetic boards, and Play-
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Doh. Large picture books are most appropriate for the infant. A radio and a sports video are m
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ost appropriate for the adolescent.
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8. A 16-year- g



old is admitted to the hospital for acute appendicitis, and an appendectomy is performed
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.Which of the following nursing interventions is most appropriate to facilitate normal gro
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wth and development?
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A) Allow the family to bring in the child's favorite computer games
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B) Encourage the parents to room-in with the child g g g g g g g



C) Encourage the child to rest and read g g g g g g



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, D) Allow the child to participate in activities with other individuals in the same age group
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when the condition permits: D. Adolescents often are not sure whether they want their parent
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s with them when they are hospitalized. Because of the importance of the peer group, separati
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on from friends is a source of anxiety. Ideally, the members of the peer group will support their i
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ll friend. Options a, b, and c isolate the child from the peer group.
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9. The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-
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forward position.The best nursing response is which of the following?
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