Question 1

While interviewing the parents of a 2-year-old female,the nurse notes that the mother is pregnant.At the end of the visit,the nurse decides to give a new pamphlet to the parents about car seat usage for newborns.This action is an example of:

Accepted Answer

A)  Secondary preventative health maintenance.
B)  Primary preventative health maintenance.
C)  Developmental screening.
D)  Tertiary preventative health maintenance.E) A) and B)
F) A) and C)

Question 2

A nurse is assessing an 11-month-old infant,and notes that the infant's height and weight are at the 5th percentile on the growth chart.Family history reveals that the two siblings are at the 50th percentile for height and at the 75th percentile for weight.Psychosocial history reveals that the parents are separated and are planning to divorce.Which of these nursing diagnoses takes priority?

Accepted Answer

A)  Alteration in growth pattern related to parental anxiety
B)  Alteration in growth pattern secondary to familial short stature
C)  Nutritional intake: excessive secondary to maternal feeding patterns
D)  At risk for constitutional growth delay as related to decreased appetiteE) A) and C)
F) C) and D) A

Question 3

A nurse assesses the height and weight measurements on an infant and documents these measurements at the 75th percentile.The nurse notes that the measurements 2 months ago were at the 25th percentile.How should the nurse interpret these data?

Accepted Answer

A)  The infant is not gaining enough weight.
B)  The infant has gained a significant amount of weight.
C)  The previous measurements were most likely inaccurate.
D)  These measurements most likely are inaccurate.E) All of the above
F) A) and C)

Question 4

An infant is growing slowly,and the weight on the growth chart has remained at the 22 standard deviation (22 SD) .Which of these interventions takes priority?

Accepted Answer

A)  Ask for a recall of the infant's intake in the previous day.
B)  Question the mother about development milestones.
C)  Report the case to Child Protective Services.
D)  Firmly instruct the family about appropriate dietary intake for the infant.E) None of the above
F) C) and D)

Question 5

The nurse is working with first-time parents.Which of these activities will the nurse suggest to encourage the development of good muscle tone?

Accepted Answer

A)  Surrounding the infant with toys and other stimulating items to encourage motor movement
B)  Putting the infant to bed each night at 8 p.m. ,even if the infant protests with crying
C)  Swaddling the infant
D)  Placing the infant in an infant seat rather than lying down in a cribE) All of the above
F) B) and D)

Question 6

A new mother has been taught that her infant needs to be seen in the pediatrician's office for the initial health care visit.The mother asks the nurse what the purpose of this visit will be.The nurse explains that during this initial visit,the nurse will: (Select all that apply. )

Accepted Answer

A)  Discuss policies related to provision of care.
B)  Evaluate the parents' understanding of the services offered.
C)  Determine whether the parents' and health care provider's personalities are compatible.
D)  Determine whether the parents are child abusers.
E)  Determine whether the parents will make their infant obese.F) B) and E)
G) C) and E)

Question 7

During a health supervision visit,the nurse is attempting to develop a partnering relationship with the child and family.Initially,the nurse should:

Accepted Answer

A)  Discuss with the family a plan to address the child's health needs.
B)  Tell the family what the child should be doing physically for the age level.
C)  Tell the family that the physician will answer any questions they might have related to their child's growth and development.
D)  Set goals for the family related to the child's health.E) None of the above
F) B) and C) A

Question 8

A nurse says to the mother of a 6-month-old infant,"Does the baby sit without assistance,and is the baby crawling?" Which process is the nurse using in this interaction?

Accepted Answer

A)  Health promotion
B)  Health maintenance
C)  Disease surveillance
D)  Developmental surveillanceE) B) and C)
F) A) and B)

Question 9

A parent says to a nurse,"How do you know when my baby needs these screening tests the doctor just mentioned?" Which response should the nurse make to the parent?

Accepted Answer

A)  "Screening tests are administered at the ages when a child is most likely to develop a condition."
B)  "Screening tests are done in the newborn nursery,and from these results,additional screening tests are ordered throughout the first two years of life."
C)  "Screening tests are most often done when the doctor suspects something is wrong with the child."
D)  "Screening tests are done at each office visit."E) A) and D)
F) A) and B)

Question 10

A mother who is bottle-feeding her newborn asks to be discharged 24 post-delivery because she also has twin 2-year-olds at home.The nurse should schedule the office visit for the newborn:

Accepted Answer

A)  Within 48 hours of discharge.
B)  Within 1 week of discharge.
C)  Within 2 weeks of discharge.
D)  When the infant is 1 month old.E) A) and B)
F) A) and C)

Question 11

Parents are in the physician's office with their infant for a 1-month checkup.Which of the following immunizations should the nurse ask whether the newborn received in the hospital after birth?

Accepted Answer

A)  Hepatitis B
B)  Influenza
C)  Rotavirus
D)  RubellaE) C) and D)
F) B) and D)

Question 12

The clinic administrator has asked each nurse to classify the nursing activities as a beginning step of clinic reorganization.Which of these strategies can be classified as health promotion and health maintenance? Select all that apply.

Accepted Answer

A)  Administering the flu vaccine to infants 6-23 months old
B)  Working with new parents to create daily feeding schedules for infants
C)  Instructing adolescents on how to use dental floss
D)  Treating a child with a diagnosis of acute otitis mediaE) A) and C)
F) A) and B) A,B,C

Question 13

A nurse is helping the parents of 2-year-old twins cope with the daily demands of life in an active household.Which of these strategies should the nurse use?

Accepted Answer

A)  Health maintenance
B)  Health promotion
C)  Partner development
D)  Health supervisionE) B) and D)
F) None of the above

Question 14

The nurse is assessing a small-for-gestational-age newborn who had an older sibling who died of sudden infant death syndrome.Knowing this,the nurse must include which in the plan of care for the newborn?

Accepted Answer

A)  Encourage the parents to place the infant on his abdomen to sleep.
B)  Encourage the parents to place the infant in a crib with a tight-fitting,firm mattress.
C)  Encourage the parents to place the infant in a crib with a soft mattress with extra blankets.
D)  Encourage the parents to sleep with the infant for close observation.E) B) and D)
F) B) and C)

Question 15

Which observation in a health supervision visit leads nurse to have concerns about the infant's mental health?

Accepted Answer

A)  When the nurse reaches for a 9-month-old,the infant grabs her mother and cries.
B)  The parent swaddles her 1-month-old,who is crying after an immunization.
C)  A 10-month-old reportedly sleeps about 12 hour total per night.
D)  A 9-month-old avoids eye contact with parents and the nurse.E) B) and C)
F) None of the above

Exam 36: Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant

While interviewing the parents of a 2-year-old female,the nurse notes that the mother is pregnant.At the end of the visit,the nurse decides to give a new pamphlet to the parents about car seat usage for newborns.This action is an example of:

Correct Answer
verified

Correct Answer
verified
A

A nurse assesses the height and weight measurements on an infant and documents these measurements at the 75th percentile.The nurse notes that the measurements 2 months ago were at the 25th percentile.How should the nurse interpret these data?

Correct Answer
verified

An infant is growing slowly,and the weight on the growth chart has remained at the 22 standard deviation (22 SD) .Which of these interventions takes priority?

Correct Answer
verified

The nurse is working with first-time parents.Which of these activities will the nurse suggest to encourage the development of good muscle tone?

Correct Answer
verified

A new mother has been taught that her infant needs to be seen in the pediatrician's office for the initial health care visit.The mother asks the nurse what the purpose of this visit will be.The nurse explains that during this initial visit,the nurse will: (Select all that apply. )

Correct Answer
verified

During a health supervision visit,the nurse is attempting to develop a partnering relationship with the child and family.Initially,the nurse should:

Correct Answer
verified
A

A nurse says to the mother of a 6-month-old infant,"Does the baby sit without assistance,and is the baby crawling?" Which process is the nurse using in this interaction?

Correct Answer
verified

A parent says to a nurse,"How do you know when my baby needs these screening tests the doctor just mentioned?" Which response should the nurse make to the parent?

Correct Answer
verified

A mother who is bottle-feeding her newborn asks to be discharged 24 post-delivery because she also has twin 2-year-olds at home.The nurse should schedule the office visit for the newborn:

Correct Answer
verified

Parents are in the physician's office with their infant for a 1-month checkup.Which of the following immunizations should the nurse ask whether the newborn received in the hospital after birth?

Correct Answer
verified

The clinic administrator has asked each nurse to classify the nursing activities as a beginning step of clinic reorganization.Which of these strategies can be classified as health promotion and health maintenance? Select all that apply.

Correct Answer
verified
A,B,C

A nurse is helping the parents of 2-year-old twins cope with the daily demands of life in an active household.Which of these strategies should the nurse use?

Correct Answer
verified

The nurse is assessing a small-for-gestational-age newborn who had an older sibling who died of sudden infant death syndrome.Knowing this,the nurse must include which in the plan of care for the newborn?

Correct Answer
verified

Which observation in a health supervision visit leads nurse to have concerns about the infant's mental health?

Correct Answer
verified

Exam 36: Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant

While interviewing the parents of a 2-year-old female,the nurse notes that the mother is pregnant.At the end of the visit,the nurse decides to give a new pamphlet to the parents about car seat usage for newborns.This action is an example of:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedA

A nurse assesses the height and weight measurements on an infant and documents these measurements at the 75th percentile.The nurse notes that the measurements 2 months ago were at the 25th percentile.How should the nurse interpret these data?

Correct AnswerverifiedShow Answer

An infant is growing slowly,and the weight on the growth chart has remained at the 22 standard deviation (22 SD) .Which of these interventions takes priority?

Correct AnswerverifiedShow Answer

The nurse is working with first-time parents.Which of these activities will the nurse suggest to encourage the development of good muscle tone?

Correct AnswerverifiedShow Answer

A new mother has been taught that her infant needs to be seen in the pediatrician's office for the initial health care visit.The mother asks the nurse what the purpose of this visit will be.The nurse explains that during this initial visit,the nurse will: (Select all that apply. )

Correct AnswerverifiedShow Answer

During a health supervision visit,the nurse is attempting to develop a partnering relationship with the child and family.Initially,the nurse should:

Correct AnswerverifiedA

A nurse says to the mother of a 6-month-old infant,"Does the baby sit without assistance,and is the baby crawling?" Which process is the nurse using in this interaction?

Correct AnswerverifiedShow Answer

A parent says to a nurse,"How do you know when my baby needs these screening tests the doctor just mentioned?" Which response should the nurse make to the parent?

Correct AnswerverifiedShow Answer

A mother who is bottle-feeding her newborn asks to be discharged 24 post-delivery because she also has twin 2-year-olds at home.The nurse should schedule the office visit for the newborn:

Correct AnswerverifiedShow Answer

Parents are in the physician's office with their infant for a 1-month checkup.Which of the following immunizations should the nurse ask whether the newborn received in the hospital after birth?

Correct AnswerverifiedShow Answer

The clinic administrator has asked each nurse to classify the nursing activities as a beginning step of clinic reorganization.Which of these strategies can be classified as health promotion and health maintenance? Select all that apply.

Correct AnswerverifiedA,B,C

A nurse is helping the parents of 2-year-old twins cope with the daily demands of life in an active household.Which of these strategies should the nurse use?

Correct AnswerverifiedShow Answer

The nurse is assessing a small-for-gestational-age newborn who had an older sibling who died of sudden infant death syndrome.Knowing this,the nurse must include which in the plan of care for the newborn?

Correct AnswerverifiedShow Answer

Which observation in a health supervision visit leads nurse to have concerns about the infant's mental health?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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A

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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A

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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A,B,C

Correct Answer
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Correct Answer
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Correct Answer
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