Arnad, Ed – Robert D.C.
June PNLE 2013 – Maternal and Child
1. While performing physical assessment of B. “Babies need to be held and cuddled;
a 12 month-old, the nurse notes that the you won’t spoil her this way”
infant’s anterior fontanelle is still slightly C. “Crying at this age means the baby is
open. Which of the following is the nurse’s hungry; give her a bottle”
most appropriate action? D. “If you leave her alone she will learn how
A. Notify the physician immediately to cry herself to sleep”
because there is a problem.
B. Perform an intensive neurologic
examination. 6. When assessing an 18-month-old, the
C. Perform an intensive developmental nurse notes a characteristic protruding
examination. abdomen. Which of the following would
D. Do nothing because this is a normal explain the rationale for this finding?
finding for the age. - 12- 18 mos A. Increased food intake owing to age
posterior 8-12 wks B. Underdeveloped abdominal muscles
C. Bowlegged posture
D. Linear growth curve
2. When teaching a mother about
introducing solid foods to her child, which of
the following indicates the earliest age at 7. If parents keep a toddler dependent in
which this should be done? areas where he is capable of using skills,
A. 1 month the toddle will develop a sense of which of
B. 2 months the following?
C. 3 months - hindi ba 6 mos A. Mistrust
D. 4 months B. Shame
C. Guilt
D. Inferiority
3. The infant of a substance-abusing mother
is at risk for developing a sense of which of
the following? infant trust vs mistrust 8. Which of the following is an appropriate
A. Mistrust toy for an 18-month-old?
B. Shame A. Multiple-piece puzzle
C. Guilt B. Miniature cars
D. Inferiority C. Finger paints
D. Comic book
4. Which of the following toys should the
nurse recommend for a 5-month-old? 9. When teaching parents about the child’s
A. A big red balloon readiness for toilet training, which of the
B. A teddy bear with button eyes following signs should the nurse instruct
C. A push-pull wooden truck - palmar grasp them to watch for in the toddler?
D. A colorful busy box- fine motor A. Demonstrates dryness for 4 hours
development B. Demonstrates ability to sit and walk
C. Has a new sibling for stimulation
D. Verbalizes desire to go to the
5. The mother of a 2-month-old is bathroom
concerned that she may be spoiling her
baby by picking her up when she cries.
Which of the following would be the nurse’s 10. When teaching parents about typical
best response? toddler eating patterns, which of the
A. “ Let her cry for a while before picking her following should be included?
up, so you don’t her spoil”
, Arnad, Ed – Robert D.C.
June PNLE 2013 – Maternal and Child
A .Food “jags”
B. Preference to eat alone
C. Consistent table manners 15. After teaching a group of parents about
D. Increase in appetite accident prevention for schoolagers, which
of the following statements by the group
would indicate the need for more teaching?
11. Which of the following suggestions (-)
should the nurse offer the parents of a 4- A. “Schoolagers are more active and
year-old boy who resists going to bed at adventurous than are younger children.”
night? B. “Schoolagers are more susceptible to
A. “Allow him to fall asleep in your room, home hazards than are younger children.”
then move him to his own bed.” C. “Schoolagers are unable to
B. “Tell him that you will lock him in his understand potential dangers around
room if he gets out of bed one more time.” them.”
C. “Encourage active play at bedtime to tire D. “Schoolargers are less subject to
him out so he will fall asleep faster.” parental control than are younger children.”
D. “Read him a story and allow him to
play quietly in his bed until he falls
asleep.” 16. Which of the following skills is the most
significant one learned during the schoolage
period?
12. When providing therapeutic play, which A. Collecting
of the following toys would best promote B. Ordering
imaginative play in a 4-year-old? C. Reading
A. Large blocks D. Sorting
B. Dress-up clothes
C. Wooden puzzle
D. Big wheels 17. A child age 7 was unable to receive the
measles, mumps, and rubella (MMR)
vaccine at the recommended scheduled
13. Which of the following activities, when time. When would the nurse expect to
voiced by the parents following a teaching administer MMR vaccine?
session about the characteristics of school- A. In a month from now - ok late bawal early
age cognitive development would indicate B. In a year from now
the need for additional teaching? (-) C. At age 10 - MMR
A. Collecting baseball cards and marbles D. At age 13 - DPT for late
B. Ordering dolls according to size
C. Considering simple problem-solving
options 18. The adolescent’s inability to develop a
D. Developing plans for the future sense of who he is and what he can
become results in a sense of which of the
following?
14. A hospitalized schoolager states: “I’m A. Shame
not afraid of this place, I’m not afraid of B. Guilt
anything.” This statement is most likely an C. Inferiority
example of whichof the following? D. Role diffusion
A. Regression
B. Repression
C. Reaction formation 19. Which of the following would be most
D. Rationalization appropriate for a nurse to use when
describing menarche to a 13-year-old?
, Arnad, Ed – Robert D.C.
June PNLE 2013 – Maternal and Child
A. A female’s first menstruation or C. “We’ll try to encourage him to talk about
menstrual “periods” his problem.”
B. The first year of menstruation or “period” D. “We’ll discuss possible solutions with him
C. The entire menstrual cycle or from one and his counselor.”
“period” to another
D. The onset of uterine maturation or peak
growth 23. When developing a teaching plan for a
group of high school students about
teenage pregnancy, the nurse would keep
20. A 14-year-old boy has acne and in mind which of the following?
according to his parents, dominates the A. The incidence of teenage pregnancies is
bathroom by using the mirror all the time. increasing.
Which of the following remarks by the nurse B. Most teenage pregnancies are planned.
would be least helpful in talking to the boy C. Denial of the pregnancy is common
and his parents? early on.
A. “This is probably the only concern he D. The risk for complications during
has about his body. So don’t worry pregnancy is rare.
about it or the time he spends on it.”
B. “Teenagers are anxious about how their
peers perceive them. So they spend a lot of 24. When assessing a child with a cleft
time grooming.” palate, the nurse is aware that the child is at
C. “A teen may develop a poor self-image risk for more frequent episodes of otitis
when experiencing acne. Do you feel this media due to which of the following?
way sometimes?” A. Lowered resistance from malnutrition
D. “You appear to be keeping your face well B. Ineffective functioning of the
washed. Would you feel comfortable Eustachian tubes
discussing your cleansing method?” C. Plugging of the Eustachian tubes with
food particles
D. Associated congenital defects of the
21. Which of the following should the nurse middle ear.
suspect when noting that a 3-year-old is
engaging in explicit sexual behavior during
doll play? 25. While performing a neurodevelopmental
A. The child is exhibiting normal pre-school assessment on a 3-month-old infant, which
curiosity of the following characteristics would be
B. The child is acting out personal expected?
experiences - starts at schoolage 4-6 yrs A. A strong Moro reflex
old B. A strong parachute reflex
C. The child does not know how to play with C. Rolling from front to back
dolls D. Lifting of head and chest when prone
D. The child is probably developmentally
delayed.
26. By the end of which of the following
would the nurse most commonly expect a
22. Which of the following statements by the child’s birth weight to triple?
parents of a child with school phobia would A. 4 months
indicate the need for further teaching? B. 7 months
A. “We’ll keep him at home until phobia C. 9 months
subsides.” D. 12 months
B. “We’ll work with his teachers and
counselors at school.”
, Arnad, Ed – Robert D.C.
June PNLE 2013 – Maternal and Child
27. Which of the following best describes the student nurse and states, “You idiot, you
parallel play between two toddlers? have no idea how to care for my sick child”?
A. Sharing crayons to color separate A. Displacement
pictures B. Projection
B. Playing a board game with a nurse C. Repression
C. Sitting near each other while playing D. Psychosis
with separate dolls
D. Sharing their dolls with two different
nurses 32. Which of the following should the nurse
expect to note as a frequent complication
for a child with congenital heart disease?
28. Which of the following would the nurse A. Susceptibility to respiratory infection
identify as the initial priority for a child with B. Bleeding tendencies
acute lymphocytic leukemia? C. Frequent vomiting and diarrhea
A. Instituting infection control D. Seizure disorder
precautions
B. Encouraging adequate intake of iron-rich 33. Which of the following would the nurse
foods do first for a 3-year-old boy who arrives in
C. Assisting with coping with chronic illness the emergency room with a temperature of
D. Administering medications via IM 105 degrees, inspiratory stridor, and
injections restlessness, who is learning forward and
drooling?
A. Auscultate his lungs and place him in a
29. Which of the following information, when mist tent.
voiced by the mother, would indicate to the B. Have him lie down and rest after
nurse that she understands home care encouraging fluids.
instructions following the administration of a C. Examine his throat and perform a throat
diphtheria, tetanus, and pertussis injection? culture
A. Measures to reduce fever D. Notify the physician immediately and
B. Need for dietary restrictions prepare for intubation.
C. Reasons for subsequent rash
D. Measures to control subsequent diarrhea
34. Which of the following would the nurse
need to keep in mind as a predisposing
30. Which of the following actions by a factor when formulating a teaching plan for
community health nurse is most appropriate child with a urinary tract infection?
when noting multiple bruises and burns on A. A shorter urethra in females
the posterior trunk of an 18-month-old child B. Frequent emptying of the bladder
during a home visit? C. Increased fluid intake
A. Report the child’s condition to D. Ingestion of acidic juices
Protective Services immediately.
B. Schedule a follow-up visit to check for
more bruises. 35. Which of the following should the nurse
C. Notify the child’s physician immediately. do first for a 15-year-old boy with a full leg
D. Don nothing because this is a normal cast who is screaming in unrelenting pain
finding in a toddler. and exhibiting right foot pallor signifying
compartment syndrome?
A. Medicate him with acetaminophen.
31. Which of the following is being used B. Notify the physician immediately
when the mother of a hospitalized child calls C. Release the traction
D. Monitor him every 5 minutes
June PNLE 2013 – Maternal and Child
1. While performing physical assessment of B. “Babies need to be held and cuddled;
a 12 month-old, the nurse notes that the you won’t spoil her this way”
infant’s anterior fontanelle is still slightly C. “Crying at this age means the baby is
open. Which of the following is the nurse’s hungry; give her a bottle”
most appropriate action? D. “If you leave her alone she will learn how
A. Notify the physician immediately to cry herself to sleep”
because there is a problem.
B. Perform an intensive neurologic
examination. 6. When assessing an 18-month-old, the
C. Perform an intensive developmental nurse notes a characteristic protruding
examination. abdomen. Which of the following would
D. Do nothing because this is a normal explain the rationale for this finding?
finding for the age. - 12- 18 mos A. Increased food intake owing to age
posterior 8-12 wks B. Underdeveloped abdominal muscles
C. Bowlegged posture
D. Linear growth curve
2. When teaching a mother about
introducing solid foods to her child, which of
the following indicates the earliest age at 7. If parents keep a toddler dependent in
which this should be done? areas where he is capable of using skills,
A. 1 month the toddle will develop a sense of which of
B. 2 months the following?
C. 3 months - hindi ba 6 mos A. Mistrust
D. 4 months B. Shame
C. Guilt
D. Inferiority
3. The infant of a substance-abusing mother
is at risk for developing a sense of which of
the following? infant trust vs mistrust 8. Which of the following is an appropriate
A. Mistrust toy for an 18-month-old?
B. Shame A. Multiple-piece puzzle
C. Guilt B. Miniature cars
D. Inferiority C. Finger paints
D. Comic book
4. Which of the following toys should the
nurse recommend for a 5-month-old? 9. When teaching parents about the child’s
A. A big red balloon readiness for toilet training, which of the
B. A teddy bear with button eyes following signs should the nurse instruct
C. A push-pull wooden truck - palmar grasp them to watch for in the toddler?
D. A colorful busy box- fine motor A. Demonstrates dryness for 4 hours
development B. Demonstrates ability to sit and walk
C. Has a new sibling for stimulation
D. Verbalizes desire to go to the
5. The mother of a 2-month-old is bathroom
concerned that she may be spoiling her
baby by picking her up when she cries.
Which of the following would be the nurse’s 10. When teaching parents about typical
best response? toddler eating patterns, which of the
A. “ Let her cry for a while before picking her following should be included?
up, so you don’t her spoil”
, Arnad, Ed – Robert D.C.
June PNLE 2013 – Maternal and Child
A .Food “jags”
B. Preference to eat alone
C. Consistent table manners 15. After teaching a group of parents about
D. Increase in appetite accident prevention for schoolagers, which
of the following statements by the group
would indicate the need for more teaching?
11. Which of the following suggestions (-)
should the nurse offer the parents of a 4- A. “Schoolagers are more active and
year-old boy who resists going to bed at adventurous than are younger children.”
night? B. “Schoolagers are more susceptible to
A. “Allow him to fall asleep in your room, home hazards than are younger children.”
then move him to his own bed.” C. “Schoolagers are unable to
B. “Tell him that you will lock him in his understand potential dangers around
room if he gets out of bed one more time.” them.”
C. “Encourage active play at bedtime to tire D. “Schoolargers are less subject to
him out so he will fall asleep faster.” parental control than are younger children.”
D. “Read him a story and allow him to
play quietly in his bed until he falls
asleep.” 16. Which of the following skills is the most
significant one learned during the schoolage
period?
12. When providing therapeutic play, which A. Collecting
of the following toys would best promote B. Ordering
imaginative play in a 4-year-old? C. Reading
A. Large blocks D. Sorting
B. Dress-up clothes
C. Wooden puzzle
D. Big wheels 17. A child age 7 was unable to receive the
measles, mumps, and rubella (MMR)
vaccine at the recommended scheduled
13. Which of the following activities, when time. When would the nurse expect to
voiced by the parents following a teaching administer MMR vaccine?
session about the characteristics of school- A. In a month from now - ok late bawal early
age cognitive development would indicate B. In a year from now
the need for additional teaching? (-) C. At age 10 - MMR
A. Collecting baseball cards and marbles D. At age 13 - DPT for late
B. Ordering dolls according to size
C. Considering simple problem-solving
options 18. The adolescent’s inability to develop a
D. Developing plans for the future sense of who he is and what he can
become results in a sense of which of the
following?
14. A hospitalized schoolager states: “I’m A. Shame
not afraid of this place, I’m not afraid of B. Guilt
anything.” This statement is most likely an C. Inferiority
example of whichof the following? D. Role diffusion
A. Regression
B. Repression
C. Reaction formation 19. Which of the following would be most
D. Rationalization appropriate for a nurse to use when
describing menarche to a 13-year-old?
, Arnad, Ed – Robert D.C.
June PNLE 2013 – Maternal and Child
A. A female’s first menstruation or C. “We’ll try to encourage him to talk about
menstrual “periods” his problem.”
B. The first year of menstruation or “period” D. “We’ll discuss possible solutions with him
C. The entire menstrual cycle or from one and his counselor.”
“period” to another
D. The onset of uterine maturation or peak
growth 23. When developing a teaching plan for a
group of high school students about
teenage pregnancy, the nurse would keep
20. A 14-year-old boy has acne and in mind which of the following?
according to his parents, dominates the A. The incidence of teenage pregnancies is
bathroom by using the mirror all the time. increasing.
Which of the following remarks by the nurse B. Most teenage pregnancies are planned.
would be least helpful in talking to the boy C. Denial of the pregnancy is common
and his parents? early on.
A. “This is probably the only concern he D. The risk for complications during
has about his body. So don’t worry pregnancy is rare.
about it or the time he spends on it.”
B. “Teenagers are anxious about how their
peers perceive them. So they spend a lot of 24. When assessing a child with a cleft
time grooming.” palate, the nurse is aware that the child is at
C. “A teen may develop a poor self-image risk for more frequent episodes of otitis
when experiencing acne. Do you feel this media due to which of the following?
way sometimes?” A. Lowered resistance from malnutrition
D. “You appear to be keeping your face well B. Ineffective functioning of the
washed. Would you feel comfortable Eustachian tubes
discussing your cleansing method?” C. Plugging of the Eustachian tubes with
food particles
D. Associated congenital defects of the
21. Which of the following should the nurse middle ear.
suspect when noting that a 3-year-old is
engaging in explicit sexual behavior during
doll play? 25. While performing a neurodevelopmental
A. The child is exhibiting normal pre-school assessment on a 3-month-old infant, which
curiosity of the following characteristics would be
B. The child is acting out personal expected?
experiences - starts at schoolage 4-6 yrs A. A strong Moro reflex
old B. A strong parachute reflex
C. The child does not know how to play with C. Rolling from front to back
dolls D. Lifting of head and chest when prone
D. The child is probably developmentally
delayed.
26. By the end of which of the following
would the nurse most commonly expect a
22. Which of the following statements by the child’s birth weight to triple?
parents of a child with school phobia would A. 4 months
indicate the need for further teaching? B. 7 months
A. “We’ll keep him at home until phobia C. 9 months
subsides.” D. 12 months
B. “We’ll work with his teachers and
counselors at school.”
, Arnad, Ed – Robert D.C.
June PNLE 2013 – Maternal and Child
27. Which of the following best describes the student nurse and states, “You idiot, you
parallel play between two toddlers? have no idea how to care for my sick child”?
A. Sharing crayons to color separate A. Displacement
pictures B. Projection
B. Playing a board game with a nurse C. Repression
C. Sitting near each other while playing D. Psychosis
with separate dolls
D. Sharing their dolls with two different
nurses 32. Which of the following should the nurse
expect to note as a frequent complication
for a child with congenital heart disease?
28. Which of the following would the nurse A. Susceptibility to respiratory infection
identify as the initial priority for a child with B. Bleeding tendencies
acute lymphocytic leukemia? C. Frequent vomiting and diarrhea
A. Instituting infection control D. Seizure disorder
precautions
B. Encouraging adequate intake of iron-rich 33. Which of the following would the nurse
foods do first for a 3-year-old boy who arrives in
C. Assisting with coping with chronic illness the emergency room with a temperature of
D. Administering medications via IM 105 degrees, inspiratory stridor, and
injections restlessness, who is learning forward and
drooling?
A. Auscultate his lungs and place him in a
29. Which of the following information, when mist tent.
voiced by the mother, would indicate to the B. Have him lie down and rest after
nurse that she understands home care encouraging fluids.
instructions following the administration of a C. Examine his throat and perform a throat
diphtheria, tetanus, and pertussis injection? culture
A. Measures to reduce fever D. Notify the physician immediately and
B. Need for dietary restrictions prepare for intubation.
C. Reasons for subsequent rash
D. Measures to control subsequent diarrhea
34. Which of the following would the nurse
need to keep in mind as a predisposing
30. Which of the following actions by a factor when formulating a teaching plan for
community health nurse is most appropriate child with a urinary tract infection?
when noting multiple bruises and burns on A. A shorter urethra in females
the posterior trunk of an 18-month-old child B. Frequent emptying of the bladder
during a home visit? C. Increased fluid intake
A. Report the child’s condition to D. Ingestion of acidic juices
Protective Services immediately.
B. Schedule a follow-up visit to check for
more bruises. 35. Which of the following should the nurse
C. Notify the child’s physician immediately. do first for a 15-year-old boy with a full leg
D. Don nothing because this is a normal cast who is screaming in unrelenting pain
finding in a toddler. and exhibiting right foot pallor signifying
compartment syndrome?
A. Medicate him with acetaminophen.
31. Which of the following is being used B. Notify the physician immediately
when the mother of a hospitalized child calls C. Release the traction
D. Monitor him every 5 minutes
