OB/PEDS NCLEX Study Guide|Questions with Correct Answers Graded A+

OB/PEDS NCLEX Study Guide|Questions with Correct Answers Graded A+ A nurse is providing information to a group of pregnant clients and their partners about the psychosocial development of an infant. Using Erikson's theory of psychosocial development, the nurse tells the group that infants: Rely on the fact that their needs will be met A nurse is weighing a breastfed 6-month-old infant who has been brought to the pediatrician's office for a scheduled visit. The infant's weight at birth was 6 lb 8 oz. The nurse notes that the infant now weighs 13 lb. The nurse should Tell the mother that the infant's weight is increasing as expected A nurse performing a physical assessment of a 12-month-old infant notes that the infant's head circumference is the same as the chest circumference. On the basis of this finding, the nurse should: Document these measurements in the infant's health-care record A new mother asks the nurse, "I was told that my infant received my antibodies during pregnancy. Does that mean that my infant is protected against infections?" Which statement should the nurse make in response to the mother? The immune system of an infant is immature, and the infant is at risk for infection." A nurse is assessing the language development of a 9-month-old infant. Which developmental milestone does the nurse expect to note in an infant of this age? The infant says "Mama." The mother of a 9-month-old infant calls the nurse at the pediatrician's office, tells the nurse that her infant is teething, and asks what can be done to relieve the infant's discomfort. The nurse instructs the mother to: Give the infant cool liquids or a Popsicle and hard foods such as dry toast A nurse is teaching the mother of an 11-month-old infant how to clean the infant's teeth. The nurse tells the mother to Use water and a cotton swab and rub the teeth A nurse provides information about feeding to the mother of a 6-month-old infant. Which statement by the mother indicates an understanding of the information? "Egg white should not be given to my infant because of the risk for an allergy." A nurse provides instructions to a mother of a newborn infant who weighs 7 lb 2 oz about car safety. The nurse tells the mother: To secure the infant in the middle of the back seat in a rear-facing infant safety seat A nurse provides instructions to a mother about crib safety for her infant. Which statement by the mother indicates a need for further instructions? "The distance between the slats needs to be no more than 4 inches wide to prevent entrapment of my infant's head or body." The mother of a 2-year-old tells the nurse that she is very concerned about her child because he has developed "a will of his own" and "acts as if he can control others." The nurse provides information to the mother to alleviate her concern, recalling that, according to Erikson, a toddler is confronting which developmental task? Autonomy versus doubt and shame A nurse is planning care for a hospitalized toddler. To best maintain the toddler's sense of control and security and ease feelings of helplessness and fear, the nurse should: Keep hospital routines as similar as possible to those at home A nurse in a daycare setting is planning play activities for 2- and 3-year-old children. Which of the following toys are most appropriate for these activities? Blocks and push-pull toys A mother of twin toddlers tells the nurse that she is concerned because she found her children involved in sex play and didn't know what to do. The nurse should tell the mother: That if she notes the behavior again she should casually tell her children to dress and to direct them to another activity A nurse is assessing the motor development of a 24-month-old child. Which of the following activities would the nurse expect the mother to report that the child can perform? Select all that apply. • Align two or more blocks • Turn the pages of a book one at a time. A nurse is assessing language development in a toddler from a bilingual family. The nurse expects that the child's language development: Is slower than expected A mother asks the nurse when her child should have his first dentist visit. The nurse tells the mother: Soon after the first primary tooth erupts, usually around 1 year of age The mother of a toddler asks the nurse when she will know that her child is ready to start toilet training. The nurse tells the mother that which of the following observations is a sign of physical readiness? The child can remove his or her own clothing. The mother of a child who weighs 45 lb asks a nurse about car safety seats. The nurse tells the mother to place the child in a: Booster seat with one of the car's seat belts placed over the child The mother of a 5-year-old asks the nurse how often her child should undergo a dental examination. The nurse tells the mother that the child should have a dental examination: Every 6 months A nurse, planning play activities for a hospitalized school-age child, uses Erikson's theory of psychosocial development to select an appropriate activity. The nurse selects an activity that will assist the child in developing A sense of industry A nurse, assigned to care for a hospitalized child who is 8 years old, plans care, taking into account Erik Erikson's theory of psychosocial development. According to Erikson's theory, which of the following tasks represents the primary developmental task of this child? Mastering useful skills and tools A school nurse provides information to the parents of school-age children regarding appropriate dental care. The nurse tells the parents that their children should: Brush and floss their teeth after meals and at bedtime The parents of an adolescent tell the school nurse that they are frustrated because their daughter has become self-centered, lazy, and irresponsible. The nurse should tell the parents: That this is normal behavior for an adolescent A nurse is preparing to care for a hospitalized teenage girl who is in skeletal traction. The nurse plans care knowing that the most likely primary concern of the teenager is: Body image The mother of an adolescent calls the clinic nurse and reports that her daughter wants to have her navel pierced. The mother asks the nurse about the dangers associated with body piercing. The nurse tells the mother that: Body piercing is generally harmless as long as it is performed under sterile conditions A sexually active adolescent asks the school nurse about the use of latex condoms and the prevention of sexually transmitted infections (STIs). The nurse tells the adolescent that: Use of a latex condom can prevent transmission of STIs A nurse helps a young adult conduct a personal lifestyle assessment. The nurse carefully reviews the assessment with the young adult because such clients: Ignore physical symptoms and postpone seeking health care A nurse is conducting a psychosocial assessment of a young adult. Which of the following observations would lead the nurse to determine that the client is demonstrating a sign of emotional health? • The young adult verbalizes satisfaction with friendships. • The young adult has a sense of meaning and direction in life. C According to Erik Erikson's developmental theory, which of the following choices are developmental tasks of the middle adult? Providing guidance during interactions with his children A nurse is planning dietary measures for an older client who is experiencing dysphagia. Which of the following actions should the nurse include in the plan of care? Monitoring the client during meals to ensure that food is swallowed A nurse is obtaining assessment data from an older client about sleep patterns. The client reports that she has been awakening during the night, awakens early in the morning and is unable to fall back to sleep, and feels sleepy during the daytime. On the basis of these reported data, the nurse should: Document the findings in the medical record A nurse is developing a plan of care for an older client that will help maintain an adequate sleep pattern. Which of the following actions should the nurse include in the plan? Encouraging bedtime reading or listening to music A nurse is performing an admission assessment on an older client who will be seen by a physician in a health care clinic. When the nurse asks the client about sexual and reproductive function, he reports concern about sexual dysfunction. The nurse's next action should be to: Ask the client about medications he is taking A community health nurse is providing information to a group of older clients about measures to decrease the risk of contracting influenza during peak flu season. The nurse tells the clients that: Wearing a scarf around the nose and mouth will help reduce the transmission of airborne viruses A nurse is caring for an older client who has a bronchopulmonary infection. The nurse monitors the client's ability to maintain a patent airway because the normal aging process: Decreases an older client's ability to clear secretions An older female client asks a nurse why her hair has turned gray. Which of the following responses is most appropriate for the nurse to make to the client? "A loss of melanin occurs in the normal aging process." A nurse provides instructions to an older adult about measures to prevent heatstroke. Which statement by the client indicates a need for further instruction? "I need to wear additional antiperspirant and deodorant in warm weather." A nurse is performing an external and ophthalmoscopic examination of an older client. Which age-related change would the nurse would expect to note?