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Nursing the Child and Family Exam 1, Exams of Nursing

University of Toronto Nursing

This is a detailed and comprehensive Nursing the Child and Family Exam 1 elaboration with verified questions and correct answers

Typology: Exams

2024/2025

Available from 06/02/2025

kennedy-wanjiru 🇨🇦

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Family Nursing Exam 1

THE NURSE IS OBSERVING THE INTERACTION OF FAMILY MEMBERS DURING A HOME VISIT.

THE NURSE RECOGNIZES THAT THE OPTIMAL GOAL OF EFFECTIVE COMMUNICATION

WITHIN THE FAMILY IS:

a. Problem solving and psychological support

b. Better financial conditions for the family

C Socialization among individual members

Role development of individual members

- a. Problem solving and psychological support

THE NURSE MAKES A HOME VISIT TO A CLIENT LIVING IN A NUCLEAR

FAMILY SYSTEM. IN ASSESSING THE ROLES AND POWER STRUCTURE OF

THE FAMILY, WHAT COULD THE NURSE ASK THE CLIENT?

a. "What types of activities do you and your family like?"

b. "Who decides how the family budget is created?"

C. "What type of health care insurance do you have?"

d "How many people live in your home?"

Hiltiple Choice

-X

- b. "Who decides how the family budget is created?"

WHAT IS THE FOCUS OF FAMILY CENTERED NURSING?

a. Caring for the expectant family

b. Strengthening the family unit

C. Promoting the health of the family as a unit and the health of the individual

member

d. Providing care outside the hospital for family members

- C. Promoting the health of the family as a unit and the health of the individual

member

THE NURSE HAS RECENTLY BEEN EMPLOYED IN A LONG-TERM CARE

FACILITY AND MUST LEARN GERONTOLOGIC PRINCIPLES RELATED TO

FAMILIES. WHICH OF THE FOLLOWING IS ONE OF THOSE PRINCIPLES?

a. Role reversal is usually expected and well accepted by the elderly client.

b. The care-givers are often not members of the family.

C. Social support systems are likely to be different from those of clients in younger

age groups.

d Members of later-life families do not have to work on developmental tasks

- C. Social support systems are likely to be different from those of clients in younger

age groups.

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Family Nursing Exam 1

THE NURSE IS OBSERVING THE INTERACTION OF FAMILY MEMBERS DURING A HOME VISIT. THE NURSE RECOGNIZES THAT THE OPTIMAL GOAL OF EFFECTIVE COMMUNICATION WITHIN THE FAMILY IS: a. Problem solving and psychological support b. Better financial conditions for the family C Socialization among individual members Role development of individual members

a. Problem solving and psychological support THE NURSE MAKES A HOME VISIT TO A CLIENT LIVING IN A NUCLEAR FAMILY SYSTEM. IN ASSESSING THE ROLES AND POWER STRUCTURE OF THE FAMILY, WHAT COULD THE NURSE ASK THE CLIENT? a. "What types of activities do you and your family like?" b. "Who decides how the family budget is created?" C. "What type of health care insurance do you have?" d "How many people live in your home?" Hiltiple Choice
X
b. "Who decides how the family budget is created?" WHAT IS THE FOCUS OF FAMILY CENTERED NURSING? a. Caring for the expectant family b. Strengthening the family unit C. Promoting the health of the family as a unit and the health of the individual member d. Providing care outside the hospital for family members
C. Promoting the health of the family as a unit and the health of the individual member THE NURSE HAS RECENTLY BEEN EMPLOYED IN A LONG-TERM CARE FACILITY AND MUST LEARN GERONTOLOGIC PRINCIPLES RELATED TO FAMILIES. WHICH OF THE FOLLOWING IS ONE OF THOSE PRINCIPLES? a. Role reversal is usually expected and well accepted by the elderly client. b. The care-givers are often not members of the family. C. Social support systems are likely to be different from those of clients in younger age groups. d Members of later-life families do not have to work on developmental tasks
C. Social support systems are likely to be different from those of clients in younger age groups.

THE NURSE IS OBSERVING FOR THE SIGNS OF A HEALTHY FAMILY. IN AN

ASSESSMENT OF A HEALTHY FAMILY, WHAT DOES THE NURSE EXPECT TO

FIND?

a. The structure is flexible enough to adapt to crises. b. Minimal influence causes role disruptions. c. Change is viewed as detrimental to family processes. d. A passive response exists to stressors.

a. The structure is flexible enough to adapt to crises. A NURSE ENTERS AN INPATIENT ROOM AND FINDS THE FAMILY DISAGREEING ABOUT THE CLIENT'S LIVING ARRANGEMENTS AFTER DISCHARGE. WHICH INFORMATION SHOULD THE NURSE PROVIDE WHEN TEACHING TECHNIQUES TO RESOLVE FAMILY CONFLICTS? a. Family members should use past incidents to make their point. b. One family member should act as a gatekeeper in order to avoid family confrontation. C. One family member should act as a compromiser to preserve harmony in the family system. d. Family members should respect differing opinions and use compromise and negotiation.
d. Family members should respect differing opinions and use compromise and negotiation. WHICH TYPE OF FAMILY-NURSE CONTACT WILL PROVIDE YOU WITH THE BEST OPPORTUNITY TO OBSERVE FAMILY DYNAMICS? a Clinic consultation b. Group conference C Home visit d. Written communication
C Home visit A HOME HEALTH NURSE IS VISITING AN ASIAN FAMILY. A MARRIED COUPLE, THEIR THREE CHILDREN, AND THE MATERNAL GRANDPARENTS ALL LIVE IN THE HOME. HOW SHOULD THE NURSE INTERPRET THE PRESENCE OF THE GRANDPARENTS IN THE HOME? a. The parents have diffuse boundaries and have allowed the grandparental subsystem to be present. b. The grandparental subsystem is not successfully managing separation from the parental subsystem. C Extended family living arrangements are common in some cultures. d The nuclear family living arrangement is the preferred environment for childrearing.
C Extended family living arrangements are common in some cultures. A MOTHER TELLS A NURSE THAT HER 2-YEAR-OLD TODDLER OFTEN HAS TEMPER TANTRUMS AT THE FAMILY DINNER TABLE AND ASKS HOW TO HANDLE THE BEHAVIOR. WHAT WOULD BE THE BEST RESPONSE BY THE NURSE?

a. Taking his blood pressure when a parent is there to comfort him b. Telling him that this procedure will help him get well faster. C Explaining to him how the blood flows through the arm and why the blood pressure is important d. Permitting him to handle equipment and see the dial move before putting the cuff in place

d. Permitting him to handle equipment and see the dial move before putting the cuff in place IT IS TIME TO GIVE 3-YEAR-OLD DAVID HIS MEDICATION. WHICH APPROACH IS MOST LIKELY TO RECEIVE A POSITIVE RESPONSE? a. "Hi David! It's time for your medication now. Would you like water or apple juice afterward?" b. "Wouldn't you like to take your medicine, David?" C. "You must take your medicine, David, because the doctor says it will make you better." d. "See how nicely John took his medicine? Now take yours."
a. "Hi David! It's time for your medication now. Would you like water or apple juice afterward?" MARIA, AGE 10, REQUIRES DAILY MEDICATIONS FOR A CHRONIC ILLNESS. HER MOTHER TELLS THE NURSE THAT SHE IS ALWAYS NAGGING HER TO TAKE HER MEDICINE BEFORE SCHOOL. WHAT IS THE MOST APPROPRIATE NURSING ACTION TO PROMOTE MARIA'S COMPLIANCE? a. Establishing a contract with her, including rewards b. Suggesting time-outs when she forgets her medicine C. Discussing with her mother the damaging effects of nagging d. Asking Maria to bring her medicine containers to each appointment so they can be counted
a. Establishing a contract with her, including rewards KATIE, 4 YEARS OLD, IS ADMITTED TO OUTPATIENT SURGERY FOR REMOVAL OF A CYST ON HER FOOT. HER MOTHER PUTS THE HOSPITAL GOWN ON HER, BUT KATIE IS CRYING BECAUSE SHE WANTS TO LEAVE ON HER UNDERPANTS. WHAT IS THE MOST APPROPRIATE ACTION? a. Allow her to wear her underpants. b. Discuss with her mother why this is important to Katie. C. Ask her mother to explain to her why she cannot wear them. d. Explain in a kind, matter-of-fact manner that this is hospital policy. Channel 4
a. Allow her to wear her underpants. How long is an ovulated egg viable?
24 hours How long can sperm live in the vagina?
3 - 5 days

When do diaphragms need to be refitted?

Weight change of greater than 10 pounds , after a baby How long do diaphragms need to be left in the vagina after sex?
6 hours What is a contraindication for diaphrams?
Hx of Toxic Shock or cervicitis Why do breastfeeding women get progesterone only pills?
Estrogen in the pills can affect milk supply What is the ACHES acronym for birth control adverse effects?
Abdominal Pain Chest Pain Headache (severe) Eyes (visual disturbances) Severe leg (calf) pain T/F: droppers are an imprecise delivery method for medication
True, Only droppers that are provided with a medication should be used, and then only for that particular medication. T/F: medications can be mixed into formula or breast milk in a bottle
False, This could lead to the infant refusing feedings in the future. Additionally, if the infant does not finish the entire content of the bottle, they only receive a partial dose. T/F: The deltoid muscle should not be used in children younger than 18 months of age
True How long of a needle should be used for infants and young toddlers?
In general, use a 5/8-inch needle How long of a needle should be used for children up through school age?
Generally 1 inch A nurse is planning atraumatic care for a preschool-aged child. Which of the following should the nurse include in the plan of care? (Select all that apply.) Insert an intravenous catheter in the child's room. Perform nursing assessments outside of the play area. Apply EMLA cream before administering and intramuscular injection. Ask the child's parents to leave the room during a procedure. Explain a procedure using the child's favorite toy. Use phrases such as "bee sting" and "stick" to describe the injection.
Perform nursing assessments outside of the play area. Apply EMLA cream before administering and intramuscular injection.

consist of fluid losses through the skin and respiratory system. Body temperature, respiratory rate, and environmental temperatures all affect insensible losses A nurse is caring for a child who is dehydrated. Which of the following findings is consistent with severe dehydration? Absence of tears Capillary refill of 2 to 4 seconds Slightly increased heart rate Systolic blood pressure within expected parameters
Absence of tears is consistent with severe dehydration. Capillary refill of 2 to 4 seconds and slightly increased heart rate are consistent with moderate dehydration. Systolic blood pressure within expected parameters is consistent with mild dehydration. What kinds of pediatric medication dosages are based on BSA (body surface area)?
high-risk medications—such as chemotherapy drugs A nurse is planning to administer an IM medication to a 2-month-old infant. Which of the following actions should the nurse plan to take? Draw the medication up using a 3-mL syringe. Use a needle that is 1 ¼ inches long. Apply lidocaine cream to the site 10 min prior to the injection. Use a 25-gauge needle for the injection.
Use a 25-gauge needle for the injection. A nurse is teaching a newly licensed nurse about administering IM injections to children. Which of the following statements should the nurse make? "You should use the deltoid muscle for intramuscular injections in young infants." "Insert the needle at a 60-degree in angle for an intramuscular injection." "Do not inject more than 1 milliliter for an intramuscular injection in infants." "You should aspirate for blood when administering intramuscular vaccines."
"Do not inject more than 1 milliliter for an intramuscular injection in infants." Young or small infants might not tolerate more than 0.5 mL of medication per injection due to small muscle size. A nurse is assessing a 4-year-old child who has severe dehydration. Which of the following manifestations should the nurse expect? 10% weight loss Respiratory rate 18/min Capillary refill 3 seconds Urine output 24 mL/hr
10% weight loss A child who has severe dehydration will exhibit a weight loss of 10% or greater due to extreme fluid loss.

Do the respirations of a severely dehydrated child increase or decrease?

Increase A child who has severe dehydration will exhibit hyperpnea, which is deep and rapid respiration. A nurse providing discharge teaching about oral rehydration to the parent of a preschooler who has dehydration. Which of the following statements by the parent indicate an understanding of the teaching? "I will offer my child a cup of oral rehydration fluid every time he has diarrhea." "I will give my child apple juice in between meals to keep him hydrated." "I will give my child bananas, rice, applesauce, and toast until his diarrhea subsides." "I will give my child chicken broth three times each day."
"I will offer my child a cup of oral rehydration fluid every time he has diarrhea." Stool losses should be replaced on a one to one basis with oral rehydration fluids to maintain electrolyte balances. T/F: Offering fruit juices such as apple juice does not help with diarrhea because they have high osmolality and contain a high amount of carbohydrates.
True T/F: the BRAT diet should be used for children with acute diarrhea
False, The BRAT diet of bananas, rice, applesauce, and toast is contraindicated for children who have acute diarrhea because the diet has little nutritional value. T/F: chicken broth is an adequate fluid replacer in children with dehydration
False, Chicken broth and other broths should be avoided because they contain little nutritional value and are high in sodium. A nurse is preparing to obtain a stool specimen for Clostridium difficile from a preschool age child who is wearing diaper briefs because of recent occurences of diarrhea. Which of the following actions should the nurse take? Insert the swab 2.5 cm (1 in) into the rectum for 30 seconds. Place a specimen of 2 different stools in the container for the test. Put the stool sample in a sterile container before sending it to the laboratory. Place a urinary collection bag on the child before collecting the stool specimen
Place a urinary collection bag on the child before collecting the stool specimen The nurse should place a urinary collection bag on the child to avoid contaminating the stool specimen with urine. A nurse is preparing to administer potassium IV to a preschooler who has dehydration. Which of the following actions should the nurse plan to take? Ensure the child has voided prior to administration. Administer the medication IV bolus over 5 min. Administer calcium gluconate prior to the medication. Withhold food high in potassium for 24 hr following the medication.
Ensure the child has voided prior to administration.

a. Tell her that is fine as long as the child takes all of the medicine. b. Discuss the importance of not calling medicine candy to prevent accidental drug ingestion. C. Discuss with the mother that the child does not have to take the medicine if she does not want it. d. Tell the mother her child will have to go to "time out" if she does not take her medicine.

b. Discuss the importance of not calling medicine candy to prevent accidental drug ingestion. Nurse Kelly is teaching the parents of a young child how to handle poisoning. If the child ingests poison, what should the parents do first? a. Administer ipecac syrup b. Call an ambulance immediately C. Call the poison control center d. Punish the child for being bad
C. Call the poison control center What is an important consideration in preventing injuries during middle childhood? a. Achieving social acceptance is a primary objective. b. The incidence of injuries in girls is significantly higher than it is in boys. c. Injuries from burns are the highest at this age because of fascination with fire. d. Lack of muscular coordination and control results in an increased incidence of injuries.
a. Achieving social acceptance is a primary objective. When teaching injury prevention during the school-age years, what should the nurse include? a. Teach children about the need to fear strangers. b. Teach basic rules of water safety. c. Avoid letting children cook in microwave ovens. d. Caution children against engaging in competitive sports.
b. Teach basic rules of water safety. (Not "fear" strangers, just be cautious) Which statement would be most therapeutic to a child, the nurse suspects has been abused? a. "Who did this to you? This is not right." b. "This is wrong that your mother did not protect you." c. "This is not your fault; you are not to blame for this." d. "I will not tell anyone."
c. "This is not your fault; you are not to blame for this." Which statement by the mother could lead the nurse to suspect sexual abuse in a 4- year-old girl?

a. Masturbation. b. Increased temper tantrums. C. She is not grateful. d. She does not demonstrate loyalty.

b. Increased temper tantrums. (Masturbation/interest in own sexuality is normal in 4 year olds) When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem? a. The injury isn't consistent with the history or the child's age. b. The mother and father tell different stories regarding what happened. C. The family is poor. d. The parents are argumentative and demanding with emergency department personnel.
a. The injury isn't consistent with the history or the child's age. A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Which action should make the nurse suspect that the child was abused? a. The child cries uncontrollably throughout the examination. b. The child pulls away from contact with the physician. C. The child doesn't cry when the shoulder is examined. d. The child doesn't make eye contact with the nurse.
C. The child doesn't cry when the shoulder is examined. (They are used to pain) The mother of a toddler with mumps asks the nurse what she needs to watch for in her child with this disease. The nurse bases the response on the understanding that mumps is which type of communicable disease? a. Skin rash caused by a virus b. Skin rash caused by a bacteria c. Respiratory disease caused by virus involving the lymph nodes d. Respiratory disease caused by a virus involving the parotid gland
d. Respiratory disease caused by a virus involving the parotid gland A 6-month-old infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at the well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which instruction by the nurse is most appropriate? a. Monitor the infant for a fever. b. Bring the infant back to the clinic immediately. c. A local reaction at the injection site can occur. You can use a cool pack for comfort.

d. "I can reduce the environmental factors that can trigger coughing, like dust and smoke."

b. "I understand this whooping cough is viral and I have to let it run its course." Pertussis is caused by the bacteria Bordetella pertussis and treatment requires antimicrobial therapy. The child may experience respiratory distress, and the parents should be instructed on reducing environmental factors that cause coughing spasms, such as dust, smoke, and sudden changes in temperature. The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching? a. "We need to encourage adequate fluid intake." b. "Coughing spells may be triggered by dust or smoke." c. "We need to maintain respiratory precautions and a quiet environment for at least 2 weeks." d. "Good hand-washing techniques need to be instituted to prevent spreading the disease to others."
c. "We need to maintain respiratory precautions and a quiet environment for at least 2 weeks." Pertussis is transmitted by direct contact or respiratory droplets from coughing. Thecommunicable period occurs primarily during the catarrhal stage. Respiratory precautions are not required during the convalescent phase. A child seen in the clinic is found to have rubeola (measles) and the mother asks the nurse how to care for the child. Which instruction should the nurse provide to the mother? a. Keep the child in a room with dim lights. b. Give the child warm baths to help prevent itching. c. Allow the child to play outdoors because sunlight will help the rash. d. Take the child's temperature every 4 hours and administer 1 baby aspirin for fever.
a. Keep the child in a room with dim lights. A nursing consideration in rubeola is eye care. The child usually has photophobia, so the nurse should suggest that the parent keep the child out of brightly lit areas. Children with viral infections are not to be given aspirin because of the risk of Reye's syndrome. Warm baths and the sun will aggravate itching. In addition, the child needs to rest Several children have contracted rubeola (measles) in a local school, and the school nurse conducts a teaching session for the parents of the school children. Which statement, if made by a parent, indicates a need for further teaching regarding this communicable disease? a. "Small blue-white spots with a red base may appear in the mouth." b. "The rash usually begins centrally and spreads downward to the limbs."

c. "Respiratory symptoms such as a very runny nose, cough, and fever occur before the development of a rash." d. "The communicable period ranges from 10 days before the onset of symptoms to 15 days after the rash appears."

d. "The communicable period ranges from 10 days before the onset of symptoms to 15 daysafter the rash appears." The communicable period for rubeola ranges from 4 days before to 5 days after the rash appears,mainly during the prodromal (catarrhal) stage. Options 1, 2, and 3 are accurate descriptions ofrubeola. The small blue-white spots found in this communicable disease are called Koplik spots.Option 3 describes the incubation period for rubella, not rubeola. A child is brought to a clinic after developing a rash on the trunk and on the scalp. The parents report that the child has had a low-grade fever, has not felt like eating, and has been generally tired. The child is diagnosed with chickenpox. Which statement by the nurse is accurate regarding chickenpox? a. The communicable period is unknown. b. The communicable period ranges from 2 weeks or less up to several months. c. The communicable period is 10 days before the onset of symptoms to 15 days after the rash appears. d. The communicable period is 1 to 2 days before the onset of the rash to 6 days after the onset and crusting of lesions.
d. The communicable period is 1 to 2 days before the onset of the rash to 6 days after the onset and crusting of lesions. The communicable period for chickenpox is 1 to 2 days before the onset of the rash to 6 daysafter the onset and crusting of lesions. In roseola the communicable period is unknown. Option 2describes diphtheria. Option 3 describes rubella The nurse is assessing a child with conjunctivitis (pink eye). Which of the following would the nurse most likely assess? a. Crusting of eyelids and eyelashes b. Periorbital edema c. Severe eye pain d. Serous drainage from the affected eye
a. Crusting of eyelids and eyelashes Purulent exudate and crusting are characteristics of conjunctivitis. Therefore, the nurse would most likely assess crusting of eyelids and eyelashes. Conjunctivitis associated with foreign body can cause severe eye pain. Serous drainage and periorbital edema are not associated with conjunctivitis Several children have contracted measles (rubeola) in a local school, and the nurse provides information to the mothers of the children about this communicable disease. Which statement by a mother indicates a need for further teaching? a. "The disease is caused by a virus."

b. Allergy to eggs Before the administration of a measles, mumps, and rubella vaccine, a thorough health historyneeds to be obtained. The MMR vaccine is used with caution in a child with a history of allergyto gelatin or eggs because the live measles vaccine is produced by chick embryo cell culture. The MMR vaccine also contains a small amount of the antibiotic neomycin. Options 1, 3, and 4 are not contraindications to administering this immunization The school nurse notes that the child has a rash and suspects that it is caused by erythema Infectiosum (fifth disease). The nurse bases this determination on the observation that the rash results in which appearance? a. Rose-pink maculopapules b. Pruritic macule-to-papules c. Pinkish red maculopapules d. A "slapped-face" appearance
d. A "slapped-face" appearance The classic rash of erythema infectiosum, or fifth disease, is the erythema on the face. Thediscrete rose-pink maculopapular rash is the rash of exanthema subitum (roseola). The highlypruritic profuse macule-to-papule rash is the rash of varicella (chickenpox). The discrete pinkishred maculopapular rash is the rash of rubella (German measles) The nurse of a well-baby clinic prepares to administer an immunization to a child. The mother of the child tells the nurse that the child has had a fever and is taking antibiotics. The nurse takes the child's temperature and notes that it is 101.5° F rectally. The nurse plans to take which action? a. Delay the immunization. b. Administer the immunization. c. Administer one of the three scheduled immunizations. d. Administer one half of the prescribed dose of each scheduled immunization.
a. Delay the immunization. High fevers and severe illnesses are reasons to delay immunization, but only until the child has recovered from the acute stage of the illness. Minor illnesses such as a cold, otitis media, or mild diarrhea without fever are not contraindications to immunization An important nursing intervention in the care of a child with conjunctivitis is a. administering oral antihistamine to minimize itching b. applying intermittent warm, moist compresses to remove crusts in the eye area c. applying continuous warm compresses to relieve discomfort d. administering optic cocrticosteroids to reduce inflammation
b. applying intermittent warm, moist compresses to remove crusts in the eye area

The eye should be kept clean. Intermittent warm, moist compresses can soften the crusting for easier removal, maintaining the cleanliness of the eye. Antihistamines are not usually necessary for bacterial conjunctivitis. Continuous warm compresses would promote bacterial growth. Antibiotics are the treatment of choice for bacterial infections; optic corticosteroids are not warranted. A mother of a child brings the child to a clinic and reports that the child has a fever and has developed a rash on the neck and trunk. Roseola is diagnosed, and the mother is concerned that her other children will contract the disease. Which instruction should the nurse reinforce to the mother to prevent the transmission of the disease? a. "Disease transmission is unknown." b. "The disease is transmitted through the urine and feces, so the other children should use a separate bathroom." c. "The disease is transmitted through the respiratory tract, so the child should be isolated from the other children as much as possible." d. "The disease is transmitted by contact with body fluids, so any items contaminated with body fluids need to discarded in a separate receptacle.

a. "Disease transmission is unknown." A 1-year old child is admitted to the pediatric unit with a diagnosis of pertussis. Which transmission- based precautions should the nurse initiate? a. Droplet b. Airborne c. Contact d. Standard
a. Droplet T/F: hospitalized children with chickenpox only need contact precautions
False, they need need contact and airborne precautions What are Koplik spots?
Seen with Rubeola or measles. They appears 2 days prior to onset of rash. Presents on oral mucosa as white spots with blue rings within red spots. Happens in 1/3 of cases. What serious respiratory sound is often heard with whooping cough?
Stridor Should you give antitussives for whooping cough?
No How to tell if conjunctivitis is bacterial or viral
Viral pink eye usually starts in one eye following a cold or respiratory infection and causes watery discharge. Bacterial pink eye can affect one or both eyes and usually starts with a respiratory or ear infection

While giving nursing care to a hospitalized adolescent, the nurse should be aware that the major threat felt by the hospitalized adolescent is a. Pain management b. Restricted physical activity c. Altered body image d. Separation from family

c. Altered body image The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. This behavior is evidence that the infant has developed: a. the pincer grasp. b. a grasp reflex. c. prehension ability. d. the moro reflex.
a. the pincer grasp. What is the moro reflex?
the startle reflex where the nurse holds the baby and lets it "drop" in her hands and the baby's legs and arms move up in a startle motion/crying What is prehension ability?
the ability of the thumb to oppose the fingers. Two types of grip may be described, 'precision' involving the thumb and fingers and 'power', involving the whole hand A clinic nurse assesses the communication patterns of a five (5)-month-old infant. The nurse determines that the infant is demonstrating the highest level of developmental achievement expected if the infant: a. Uses simple words such as "mama" b. Uses monosyllabic babbling c. Links syllables together d. Coos when comforted
b. Uses monosyllabic babbling Monosyllabic babbling occurs begins at what months?
3 and 6 months of age. The infant starts to produce vowels and combines them with consonants, producing syllables (e.g., ba, da, la, ga). An infant should be babbling away by now, and those babbles might even be starting to sound like real words. Five-month-olds can begin to put consonant and vowel sounds together. Using simple words such as "mama" begins between what months?
9 and 12 months. While it can happen as early as 10 months, by 12 months, most babies will use "mama" and "dada" correctly (she may say "mama" as early as eight months, but

she won't be actually referring to her mother), plus one other word. That third word can be what's called a "word approximation." Linking syllables together when communicating begins between what months?

6 and 9 months At 18 months, most toddlers use two-word combinations. Some toddlers may combine words as early as 15 months. Factors that affect when toddlers begin combining words include when they produce their first word when they understand 50 words, and the responsiveness of caregivers at 12 months. What ages do children coo?
It begins at birth and continues until 2 months. It is considered the first vocal milestone of a baby. Cooing is the production of a single syllable, vowel-like sound like "aah". The nurse is preparing to care for a toddler who is admitted due to fever, diarrhea, and vomiting. The doctor diagnosed the child with acute gastroenteritis. Which interventions are appropriate? Select all that apply. a. Limit parental presence to promote faster recovery b. Inform the child of his scheduled ultrasound on day 5 of his hospitalization c. Allow to bring his favorite pillow or provide activity e.g., blowing bubbles d. Allow the child to hold the thermometer before getting the temperature e. Provide an option between fruit cups and jellies for dessert.
c. Allow to bring his favorite pillow or provide activity e.g., blowing bubbles d. Allow the child to hold the thermometer before getting the temperature e. Provide an option between fruit cups and jellies for dessert. Which is the most appropriate anticipatory guidance to give parents relative to food allergies in infants? a. Document episodes of fussiness following eating. b. Instruct parents to read all baby food labels carefully. c. Allow at least 3-5 days between the introductions of new foods. d. Instruct the parents on how to make their own baby food.
c. Allow at least 3-5 days between the introductions of new foods. The parents of a 17-year-old male are concerned about his recent attitude changes, physical changes, and lack of interest in eating. Which intervention should the nurse consider first? a. Refer to a family counselor, so the family can work together on the changes. b. Ask the parents whether they have alcohol in the home. c. Tell the physician to order drug screens to check for substance abuse. d. Ask the teen privately whether he is using any substances such as drugs or alcohol
d. Ask the teen privately whether he is using any substances such as drugs or alcohol

Nursing the Child and Family Exam 1, Exams of Nursing

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Family Nursing Exam 1

THE NURSE IS OBSERVING FOR THE SIGNS OF A HEALTHY FAMILY. IN AN

ASSESSMENT OF A HEALTHY FAMILY, WHAT DOES THE NURSE EXPECT TO

FIND?