Chapter 12: Conception Through Adolescence
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MULTIPLE CHOICE ra
1. A mother has delivered a healthy newborn. Which action is priority?
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a. Encouraging skin-to-skin contact as soon as possible after birth ra ra ra ra ra ra ra ra
b. Keeping the newborn in the nursing attendant ry during the first hour after delivery
ra ra ra ra ra ra ra ra ra ra ra ra ra
c. Avoid leaving the newborn alone with the mother during the first 8 hours after delivery
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
d. Closely supervising the interaction between newborn and parents until the secon
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d hour after delivery
ar ra ra
ACCURATE ra
ANSWER:-A
After immediate physical evaluation and application of identification bracelets, the nursing at
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tendant promotes the parents’ and newborn’s need for close physical contact. Early parent child i
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nteraction encourages parent- ra ra
child attachment. Most healthy newborns are awake and alert for the first halfhour after birth. T
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
his is a good time for parentchild interaction to begin. No evidence in the scenario suggests that t
ra ra ra ra ra ra ra ra ra ar ra ra ra ra ra ra ra
he baby cannot be left alo
ra ra ra ra ra
ne with the parents during the first 8 hours or that the baby should remain in the nursing atten
ra ra ra ra ar ra ra ra ra ra ra ra ra ra ra ra ra ra
dant ry during the first hour.
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DIF:Apply (application) ra
OBJ:Discuss common physiological and psychosocial health concerns during the transition of the
ra ra ra ra ra ra ra ra ra ra ra ar
child from intrauterine to extrauterine life.
ra TOPIC:Implementation MSC:
ra ra ra ra ra ra
Health Promotion and Maintenance ra ra ra
2. A nursing attendant teaches a new mother about the associated health risks to the infant
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
. Which statement by the mother indicates a correct understanding of the teaching? a.
ar ra ra ra ra ra ra ra ra ra ra ra
―I will feed my baby every 4 hours around-the-clock.‖
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b. ―I need to leave the blankets off my baby to prevent smothering.‖
ra ra ra ra ra ra ra ar ar ra ra
c. ―I need to remind friends who want to hold my baby to wash their hands.‖
ra ra ra ra ra ra ra ra ra ar ar ra ra ra
d. ―I will throw away the bulb syringe now because my baby is breathing fine.‖
ra ra ra ar ra ra ra ra ra ar ar ra ra
ACCURATE ar
ANSWER:-C
Good handwashing technique is the most important factor in protecting the newborn from in
ra ra ra ra ra ra ra ra ra ra ra ra ra
fection. You can help prevent infection by instructing parents and visitors to wash their hand
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s before touching the infant. The nursing attendant can help parents identify ways to meet nee
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ds by counseling them to feed their baby on demand rather than on a rigid schedule.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
Newborns are susceptible to heat loss and cold stress. Place the healthy newborn directly on th
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
e mother’s abdomen, covering with warm blankets. Removal of nasopharyngeal and orophary
ra ra ra ra ra ra ra ra ra ra ra
ngeal secretions remains a priority of care to maintain a patent airway; keeping the bulb syring
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
e is important.
ra ra
DIF:Analyze (analysis) ra
OBJ:Discuss common physiological and psychosocial health concerns during the transition of the
ra ra ra ra ra ra ra ra ra ra ra ar
child from intrauterine to extrauterine life.
ra ra TOPIC:- ra ra ra
Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra ra
,3. A nursing attendant is working in the delivery room. Which action is priority immediately after
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
birth?
a. Maintaining an open airway ra ra ra
b. Determining true gestational age ra ra ra
c. Monitoring infant-parent interactions ra ra
d. Promoting parent-newborn physical contact ra ra ra
ACCURATE ANSWER:-A ra
Opening the airway is the priority. The most extreme physiological change occurs when the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
newborn leaves the utero circulation and develops independent respiratory functioning. Direct
ra ra ra ra ra ra ra ra ra ra ar
nursing care includes maintaining an open airway, stabilizing and maintaining body tempera
ra ra ra ra ra ra ra ra ra ra ra
ture, and protecting the newborn from infection. After immediate physical evaluation and app
ra ra ra ra ra ra ra ra ra ra ar ra
lication of identification bracelets, the nursing attendant promotes the parents’ and newborn
ra ra ra ra ra ra ra ra ra ra ra
’s need for close physical contact. Following a comprehensive physical assessment, the nursin
ra ra ra ra ra ra ra ra ra ra ra ra
g attendant assesses gestational age and interactions between infant and parents.
ra ra ra ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Discuss common physiological and psychosocial health concerns during the transition of the
ra ra ra ra ra ra ra ra ra ra ra ar
child from intrauterine to extrauterine life.
ra TOPIC:Implementation MSC:
ra ra ra ra ra ra
Management of Care ra ra
4. A nursing attendant is preforming a newborn assessment. Which assessment finding wil
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l cause the nursing attendant to intervene immediately? a. Head molding
ar ra ra ra ra ra ra ra
b. A lack of reflexes ra ra ra
c. Cyanotic hands and feet ra ra ra
d. A soft, protuberant abdomen
ra ra ra
ACCURATE ANSWER:-B ra
A lack of reflexes must be addressed quickly. Assessment of these reflexes is vital because the ne
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
wborn depends largely on reflexes for survival and in response to its environment. Molding,or
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
o ra
verlapping of the soft skull bones, allows the fetal head to adjust to various diameters of the m
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
aternal pelvis and is a common occurrence with vaginal births. Normal physical characteristic
ra ra ra ra ra ra ra ra ra ra ra ra
s include the continued presence of lanugo on the skin of the back; cyanosis of the hands and f
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
eet for the first 24 hours; and a soft, protuberant abdomen.
ra ra ra ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Discuss common physiological and psychosocial health concerns during the transition of the
ra ra ra ra ra ra ra ra ra ra ra ar
child from intrauterine to extrauterine life.
ra TOPIC:-Assessment MSC:
ra ra ra ra ra
Health Promotion and Maintenance
ra ra ra
5. A nursing attendant performs an assessment on a 2day old newborn about to be discha
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
rged. Which assessment finding will the nursing a ttendant document as normal?
ra ra ra ra ra ra ra ra ra ra
a. Cyanosis of both the feet and hands ra ra ra ra ra ra
b. Triangle-shaped anterior fontanel ra ra
c. Sporadic motor movements ra ra
d. Weight of 4800 g ra ra ra
ACCURATE ANSWER:-C ra
Movements in the newborn are generally sporadic, but they are symmetric and involve all four ex
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
tremities. Cyanosis of the hands and feet is normal for the first 24 hours, not 48 hours. The dia
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
, mond shape of the anterior fontanel and the triangular shape of the posterior fontanel are foun
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d between the unfused bones of the skull. The average newborn is 2700 to 4000 g (6 to 9 lb), no
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
t 4800 g.
ra ra
DIF:Understand (comprehension) ra
OBJ:Compare physical changes and growth from conception to adolescence. TOPIC:- ra ra ra ra ra ra ra ra ar
Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
6. A nursing attendant is teaching the staff about human physical development. Whic
ra ra ra ra ra ra ra ra ra ra ra
h information indicates the nursing attendant needs additional instruction on the to
ra ra ra ra ra ra ra ra ra ra ra
pic?
a. ―Development proceeds in a cephalocaudal pattern.‖ ra ra ra ra ra
b. ―Development proceeds in a proximal-distal pattern.‖ ra ra ra ra ra
c. ―Development proceeds at a slower rate during the embryonic stage.‖ ra ra ra ra ra ra ra ra ra
d. ―Development proceeds at a predictive rate from the moment of conception.‖ ra ra ra ra ra ra ar ra ra ar
ACCURATE ANSWER:-C ra
Stating that development proceeds at a slower rate during embryonic stage indicates the nursin
ra ra ra ra ra ra ra ra ra ra ra ra ra
g attendant needs to follow up to correct the misconception. From the moment of conception un
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra
til birth, human development proceeds at a predictive and rapid rate. All the rest of the informa
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
tion is correct and does not need follow-up. Development proceeds in a cephalocaudal and
ra ra ra ra ra ra ra ra ra ra ra ra ra
proximal-distal pattern. ra
DIF:Apply (application) ra
OBJ:Compare physical changes and growth from conception to adolescence. ra ra ra ra ra ra ra ra
TOPIC:-Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra
7. A nursing attendant is comparing physical growth patterns between schoolaged childr
ra ra ra ra ra ra ra ra ra ra
en and adolescents. Which principle should the nursing attendant consider? a.
ra ar ra ra ra ra ra ra ra
Physical growth usually slows during the adolescent period.
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b. Secondary sex characteristics usually develop during the adolescent years. ra ra ra ra ra ra ra ra
c. Boys usually exceed girls in height and weight by the end of the school years.
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d. The distribution of muscle and fat remains constant during the adolescent years.
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ACCURATE ANSWER:-B ra
Sexual maturation in adolescence occurs with the development of primary and secondary sex
ra ra ra ra ra ra ra ra ra ra ra ra
ual characteristics. Physical growth usually slows during the schoolaged period, and then a grow
ra ra ra ra ra ra ra ra ra ra ra ra ra
th spurt occurs during adolescence. Girls usually exceed boys in
ra ra ra ra ra ra ra ra ra ra
height and weight by the end of the school years. As height and weight increase during adolesc
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ence, the distribution of muscle and fat changes.
ra ra ar ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Compare physical changes and growth from conception to adolescence. ra ra ra ra ra ra ra ra ar
TOPIC:-Planning MSC: Health Promotion and Maintenance ra ra ra ra
8. The parent brings a child to the clinic for a 12month well visit. The child weighed 6 lb 2
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ounces and was 21 inches long at birth. Which
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finding will cause the nursing attendant to intervene? a. Height of 30 inches
a ra ra ra ra ra ra ra ra ra ra
b. Weight of 16 lb ra ra ra
c. Is not yet potty-trained ra ra ra
d. Is not yet walking up stairs
ra ra ra ra ra
ACCURATE ANSWER:-B ra
ra ra ra ra ra
MULTIPLE CHOICE ra
1. A mother has delivered a healthy newborn. Which action is priority?
ra ra ra ra ra ra ra ra ra ra
a. Encouraging skin-to-skin contact as soon as possible after birth ra ra ra ra ra ra ra ra
b. Keeping the newborn in the nursing attendant ry during the first hour after delivery
ra ra ra ra ra ra ra ra ra ra ra ra ra
c. Avoid leaving the newborn alone with the mother during the first 8 hours after delivery
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
d. Closely supervising the interaction between newborn and parents until the secon
ra ra ra ra ra ra ra ra ra ra
d hour after delivery
ar ra ra
ACCURATE ra
ANSWER:-A
After immediate physical evaluation and application of identification bracelets, the nursing at
ra ra ra ra ra ra ra ra ra ra ra
tendant promotes the parents’ and newborn’s need for close physical contact. Early parent child i
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nteraction encourages parent- ra ra
child attachment. Most healthy newborns are awake and alert for the first halfhour after birth. T
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
his is a good time for parentchild interaction to begin. No evidence in the scenario suggests that t
ra ra ra ra ra ra ra ra ra ar ra ra ra ra ra ra ra
he baby cannot be left alo
ra ra ra ra ra
ne with the parents during the first 8 hours or that the baby should remain in the nursing atten
ra ra ra ra ar ra ra ra ra ra ra ra ra ra ra ra ra ra
dant ry during the first hour.
ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Discuss common physiological and psychosocial health concerns during the transition of the
ra ra ra ra ra ra ra ra ra ra ra ar
child from intrauterine to extrauterine life.
ra TOPIC:Implementation MSC:
ra ra ra ra ra ra
Health Promotion and Maintenance ra ra ra
2. A nursing attendant teaches a new mother about the associated health risks to the infant
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
. Which statement by the mother indicates a correct understanding of the teaching? a.
ar ra ra ra ra ra ra ra ra ra ra ra
―I will feed my baby every 4 hours around-the-clock.‖
ra ra ra ar ra ar ra ra
b. ―I need to leave the blankets off my baby to prevent smothering.‖
ra ra ra ra ra ra ra ar ar ra ra
c. ―I need to remind friends who want to hold my baby to wash their hands.‖
ra ra ra ra ra ra ra ra ra ar ar ra ra ra
d. ―I will throw away the bulb syringe now because my baby is breathing fine.‖
ra ra ra ar ra ra ra ra ra ar ar ra ra
ACCURATE ar
ANSWER:-C
Good handwashing technique is the most important factor in protecting the newborn from in
ra ra ra ra ra ra ra ra ra ra ra ra ra
fection. You can help prevent infection by instructing parents and visitors to wash their hand
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s before touching the infant. The nursing attendant can help parents identify ways to meet nee
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ds by counseling them to feed their baby on demand rather than on a rigid schedule.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
Newborns are susceptible to heat loss and cold stress. Place the healthy newborn directly on th
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
e mother’s abdomen, covering with warm blankets. Removal of nasopharyngeal and orophary
ra ra ra ra ra ra ra ra ra ra ra
ngeal secretions remains a priority of care to maintain a patent airway; keeping the bulb syring
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
e is important.
ra ra
DIF:Analyze (analysis) ra
OBJ:Discuss common physiological and psychosocial health concerns during the transition of the
ra ra ra ra ra ra ra ra ra ra ra ar
child from intrauterine to extrauterine life.
ra ra TOPIC:- ra ra ra
Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra ra
,3. A nursing attendant is working in the delivery room. Which action is priority immediately after
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
birth?
a. Maintaining an open airway ra ra ra
b. Determining true gestational age ra ra ra
c. Monitoring infant-parent interactions ra ra
d. Promoting parent-newborn physical contact ra ra ra
ACCURATE ANSWER:-A ra
Opening the airway is the priority. The most extreme physiological change occurs when the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
newborn leaves the utero circulation and develops independent respiratory functioning. Direct
ra ra ra ra ra ra ra ra ra ra ar
nursing care includes maintaining an open airway, stabilizing and maintaining body tempera
ra ra ra ra ra ra ra ra ra ra ra
ture, and protecting the newborn from infection. After immediate physical evaluation and app
ra ra ra ra ra ra ra ra ra ra ar ra
lication of identification bracelets, the nursing attendant promotes the parents’ and newborn
ra ra ra ra ra ra ra ra ra ra ra
’s need for close physical contact. Following a comprehensive physical assessment, the nursin
ra ra ra ra ra ra ra ra ra ra ra ra
g attendant assesses gestational age and interactions between infant and parents.
ra ra ra ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Discuss common physiological and psychosocial health concerns during the transition of the
ra ra ra ra ra ra ra ra ra ra ra ar
child from intrauterine to extrauterine life.
ra TOPIC:Implementation MSC:
ra ra ra ra ra ra
Management of Care ra ra
4. A nursing attendant is preforming a newborn assessment. Which assessment finding wil
ra ra ra ra ra ra ra ra ra ra ra
l cause the nursing attendant to intervene immediately? a. Head molding
ar ra ra ra ra ra ra ra
b. A lack of reflexes ra ra ra
c. Cyanotic hands and feet ra ra ra
d. A soft, protuberant abdomen
ra ra ra
ACCURATE ANSWER:-B ra
A lack of reflexes must be addressed quickly. Assessment of these reflexes is vital because the ne
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
wborn depends largely on reflexes for survival and in response to its environment. Molding,or
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
o ra
verlapping of the soft skull bones, allows the fetal head to adjust to various diameters of the m
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
aternal pelvis and is a common occurrence with vaginal births. Normal physical characteristic
ra ra ra ra ra ra ra ra ra ra ra ra
s include the continued presence of lanugo on the skin of the back; cyanosis of the hands and f
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
eet for the first 24 hours; and a soft, protuberant abdomen.
ra ra ra ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Discuss common physiological and psychosocial health concerns during the transition of the
ra ra ra ra ra ra ra ra ra ra ra ar
child from intrauterine to extrauterine life.
ra TOPIC:-Assessment MSC:
ra ra ra ra ra
Health Promotion and Maintenance
ra ra ra
5. A nursing attendant performs an assessment on a 2day old newborn about to be discha
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
rged. Which assessment finding will the nursing a ttendant document as normal?
ra ra ra ra ra ra ra ra ra ra
a. Cyanosis of both the feet and hands ra ra ra ra ra ra
b. Triangle-shaped anterior fontanel ra ra
c. Sporadic motor movements ra ra
d. Weight of 4800 g ra ra ra
ACCURATE ANSWER:-C ra
Movements in the newborn are generally sporadic, but they are symmetric and involve all four ex
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
tremities. Cyanosis of the hands and feet is normal for the first 24 hours, not 48 hours. The dia
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
, mond shape of the anterior fontanel and the triangular shape of the posterior fontanel are foun
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d between the unfused bones of the skull. The average newborn is 2700 to 4000 g (6 to 9 lb), no
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
t 4800 g.
ra ra
DIF:Understand (comprehension) ra
OBJ:Compare physical changes and growth from conception to adolescence. TOPIC:- ra ra ra ra ra ra ra ra ar
Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
6. A nursing attendant is teaching the staff about human physical development. Whic
ra ra ra ra ra ra ra ra ra ra ra
h information indicates the nursing attendant needs additional instruction on the to
ra ra ra ra ra ra ra ra ra ra ra
pic?
a. ―Development proceeds in a cephalocaudal pattern.‖ ra ra ra ra ra
b. ―Development proceeds in a proximal-distal pattern.‖ ra ra ra ra ra
c. ―Development proceeds at a slower rate during the embryonic stage.‖ ra ra ra ra ra ra ra ra ra
d. ―Development proceeds at a predictive rate from the moment of conception.‖ ra ra ra ra ra ra ar ra ra ar
ACCURATE ANSWER:-C ra
Stating that development proceeds at a slower rate during embryonic stage indicates the nursin
ra ra ra ra ra ra ra ra ra ra ra ra ra
g attendant needs to follow up to correct the misconception. From the moment of conception un
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra
til birth, human development proceeds at a predictive and rapid rate. All the rest of the informa
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
tion is correct and does not need follow-up. Development proceeds in a cephalocaudal and
ra ra ra ra ra ra ra ra ra ra ra ra ra
proximal-distal pattern. ra
DIF:Apply (application) ra
OBJ:Compare physical changes and growth from conception to adolescence. ra ra ra ra ra ra ra ra
TOPIC:-Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra
7. A nursing attendant is comparing physical growth patterns between schoolaged childr
ra ra ra ra ra ra ra ra ra ra
en and adolescents. Which principle should the nursing attendant consider? a.
ra ar ra ra ra ra ra ra ra
Physical growth usually slows during the adolescent period.
ra ra ra ra ra ra ra
b. Secondary sex characteristics usually develop during the adolescent years. ra ra ra ra ra ra ra ra
c. Boys usually exceed girls in height and weight by the end of the school years.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d. The distribution of muscle and fat remains constant during the adolescent years.
ra ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Sexual maturation in adolescence occurs with the development of primary and secondary sex
ra ra ra ra ra ra ra ra ra ra ra ra
ual characteristics. Physical growth usually slows during the schoolaged period, and then a grow
ra ra ra ra ra ra ra ra ra ra ra ra ra
th spurt occurs during adolescence. Girls usually exceed boys in
ra ra ra ra ra ra ra ra ra ra
height and weight by the end of the school years. As height and weight increase during adolesc
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ence, the distribution of muscle and fat changes.
ra ra ar ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Compare physical changes and growth from conception to adolescence. ra ra ra ra ra ra ra ra ar
TOPIC:-Planning MSC: Health Promotion and Maintenance ra ra ra ra
8. The parent brings a child to the clinic for a 12month well visit. The child weighed 6 lb 2
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ounces and was 21 inches long at birth. Which
ra ra ra ra ra ra ra ra r
finding will cause the nursing attendant to intervene? a. Height of 30 inches
a ra ra ra ra ra ra ra ra ra ra
b. Weight of 16 lb ra ra ra
c. Is not yet potty-trained ra ra ra
d. Is not yet walking up stairs
ra ra ra ra ra
ACCURATE ANSWER:-B ra
