Question 1

A school health nurse is working on education programs for high school students.As part of the plan,the nurse wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse.Which class topic should the nurse present to these students?
A)Warning signs of depression for peers to identify among their classmates
B)Injury prevention
C)Early signs of cancer and heart disease
D)Normal physiological changes of this age group

Accepted Answer

Depression is a significant concern among high school students, and educating peers on recognizing warning signs can help in early intervention and support.

Question 2

Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round,as they thought it should be.How should the nurse respond to these parents?
A)"I don't think it looks unusual;actually the head is beautifully shaped."
B)"Your baby's head had to shape itself to the birth canal.It will look round in a few days."
C)"You're right.We'll make sure your doctor checks this out."
D)"Babies' heads always look funny.Once his hair grows out,you'll hardly notice it."

Accepted Answer

The nurse should explain that the newborn's head may appear uneven or lopsided due to the pressure of passing through the birth canal, but it will typically become rounder within a few days as the baby adjusts to life outside of the womb. This is a normal part of the newborn's development and the parents should not be alarmed.

Question 3

A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day.How should the nurse address the parent's concern about this behavior?
A)"Maybe your child should be seen by a specialist,just to make sure there are no physical problems."
B)"It is normal for some children to go through a stage of regression after separation from their family or after an acute illness.Try not to be too discouraged."
C)"You'll have to be very strict with discipline,so your child knows this behavior is not acceptable."
D)"I'd be upset too.It must be hard to go back to using diapers."

Accepted Answer

This response educates the parent on the normalcy of regression and offers words of encouragement. It also validates the concern of the parent. Option A is incorrect because it may not necessarily be a physical problem. Option C is incorrect because discipline may not necessarily be effective in this situation. Option D is incorrect because the nurse should not assume the child is using diapers and should not express personal feelings towards the situation.

Question 4

New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?
A)The Denver Developmental Screening Test (DDST-II)
B)Growth and development charts from the Centers for Disease Control and Prevention (CDC)
C)Assessment tools utilized by the state education department
D)The Apgar scoring system

Accepted Answer

The DDST-II is a tool specifically designed to assess the developmental level of infants and young children. It covers a range of areas including gross and fine motor skills, language and communication, and problem-solving abilities. It is recommended for use by healthcare professionals to screen children from birth to 6 years of age. The other options, growth and development charts from the CDC, assessment tools utilized by the state education department, and the Apgar scoring system, are not appropriate for assessing an 8-month-old's developmental level.

Question 5

An expectant parent asks the nurse about health problems of newborns.On what should the nurse provide information to this client?
(Select all that apply)
A)Infant colic
B)Respiratory tract infections
C)Failure to thrive
D)Injuries
E)SIDS

Accepted Answer

Infant colic, failure to thrive, and SIDS (Sudden Infant Death Syndrome) are common health concerns for newborns that parents should be informed about. Respiratory tract infections and injuries are more common in older infants and children.

Question 6

At birth a baby weighed 8 lb.What should the nurse expect this baby to weight at the age of 1?
A)32 lb
B)16 lb
C)20 lb
D)24 lb

Accepted Answer

The answer of At birth a baby weighed 8 lb.What...

Question 7

A school nurse is working with teachers in helping them address the developmental needs of grade school students,according to Erikson's theory of industry versus inferiority.Which activities should the nurse suggest?
A)Providing time for running and playing sports,such as basketball,to increase gross motor skills
B)Allowing "pretend" time during their classes,such as for dress-up or role-playing activities
C)Presenting diversity in culture and practices as part of classroom study
D)Helping them develop skills needed in the adult world,such as allowance budgeting

Accepted Answer

Erikson's theory of industry versus inferiority, which occurs during the grade school years (approximately ages 6 to 11), emphasizes the importance of children learning to be productive and developing a sense of competence through the acquisition of skills. Helping them develop skills needed in the adult world, such as allowance budgeting, directly supports this developmental stage by fostering a sense of capability and achievement.

Question 8

The parents of a newborn male ask the nurse about pain during circumcision.What should the nurse respond to these parents?
A)"Newborns can't feel pain,so don't worry about it."
B)"We'll make sure to bring your baby to you right after the procedure,so you can comfort him."
C)"I'll have the pediatrician speak to you about it."
D)"Newborns' pain experience is real.We'll use some medication to help your baby feel more comfortable."

Accepted Answer

Option D is the best choice as it acknowledges the reality of newborn pain during circumcision and offers a solution to help the baby feel more comfortable by using medication. It is important for healthcare professionals to address and manage pain in newborns to promote better health outcomes. Option A is incorrect because scientific evidence confirms that newborns can feel pain. Option B is important but does not address the pain the baby may experience during the actual procedure. Option C may be helpful, but the nurse should also provide information and education regarding newborn pain management.

Question 9

The nurse is preparing to instruct a client about nutritional needs before and during pregnancy.What should the nurse encourage the patient to consume in order to meet the requirements for folic acid?
A)Meats,fish,and poultry
B)A mix of vegetables and fiber
C)Oranges and green leafy vegetables
D)Low-fat and high-protein foods

Accepted Answer

Oranges and green leafy vegetables are good sources of folic acid, which is important for preventing neural tube defects in the fetus. Meats, fish, and poultry are good sources of protein, but not necessarily folic acid. A mix of vegetables and fiber and low-fat and high-protein foods are not specific enough to address the need for folic acid.

Question 10

During an auditory screening of third graders,the school nurse identifies a hearing deficit for one of the students.When the parents ask the nurse about the findings,how should the nurse respond?
A)"Hearing acuity is not fully developed in your child.Let's recheck next year."
B)"I'd like to recheck at the clinic.Then we may need to have your child be seen by an auditory specialist."
C)"It was too noisy when we were testing,so I wouldn't be concerned if I were you."
D)"Your child will probably need a hearing aid."

Accepted Answer

The nurse should express concern and suggest further evaluation by a specialist to ensure that the child receives appropriate care. A "wait and see" approach (A) may result in a delay in identifying and treating any hearing impairment. Dismissing the results (C) could result in long-term consequences for the child. Finally, jumping to the conclusion that the child needs a hearing aid (D) without further evaluation is premature.

Question 11

The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion?
(Select all that apply)
A)Imitated behavior demonstrated by parents
B)Conceptualized angels and devils with the use of imagination
C)Compartmentalized differences between spiritual beliefs with friends
D)Determined differences between spiritual beliefs as being right or wrong
E)Met with the church priest to talk about the differences in spiritual beliefs

Accepted Answer

The answer of The nurse suspects that an adolescent is...

Question 12

A client comes to the women's clinic,stating she has had a positive home pregnancy test.The client states that her last menstrual cycle was 2 months ago.According to this time frame,the nurse determines that the client is in which stage of pregnancy?
A)Fetal phase
B)Second trimester
C)Third trimester
D)Embryonic phase

Accepted Answer

The embryonic phase occurs from the end of the 2nd week to the 8th week after conception. Since the client's last menstrual cycle was 2 months ago, and considering a positive pregnancy test, it aligns with being in the embryonic phase of pregnancy. The fetal phase begins after the embryonic phase, and the second and third trimesters occur later in pregnancy.

Question 13

The parents of a baby born prematurely during the sixth month of pregnancy the nurse about the hair all over their baby.What is the nurse's best response?
A)"All babies are hairy.It is more noticeable on preemies."
B)"Fine downy hair helps keep the baby insulated in utero."
C)"You should be more concerned with the baby's respiratory function."
D)"Don't worry about how the baby looks.All preemies look funny."

Accepted Answer

The fine downy hair, known as lanugo, is a natural occurrence in fetal development and helps keep the baby insulated in utero. This is especially important for premature babies who may not have had enough time to develop sufficient body fat.

Question 14

The parents of a newborn ask what their baby can see.What should the nurse respond to these parents?
A)"Babies aren't able to see until they are around 4 months old."
B)"Babies won't track moving objects until about 5 months."
C)"Newborns blink in response to bright lights and sound and will follow large objects."
D)"Newborns aren't able to focus,so everything looks blurry to them."

Accepted Answer

Newborns are able to see and respond to light and sound, and will follow large objects with their eyes. While their vision may not be fully developed, they certainly have some ability to see and respond to their environment. Option A is incorrect as newborns are able to see, even if their vision is not fully developed. Option B is partially correct, as young babies may not be able to track objects until around 5 months, but they still have visual responses before then. Option D is incorrect as newborns are able to focus to some extent, even if their vision is not clear.

Question 15

An adolescent comes to the school nurse's office seeking advice about his friends and feeling pressure to participate in activities with which he isn't comfortable,such as drinking parties and sexual explorations.What should the nurse do?
A)Tell the adolescent to stay away from "friends like that."
B)Be open to the concerns and provide accurate information about any questions.
C)Encourage the adolescent to accept psychosocial counseling.
D)Give the adolescent pamphlets on sexually transmitted diseases.

Accepted Answer

The best approach is for the nurse to listen to the adolescent's concerns, provide accurate information, and offer non-judgmental support. It's important to empower the adolescent to make their own decisions and offer resources for further support if needed. Telling them to stay away from their friends or handing them pamphlets may not address their underlying concerns or provide effective solutions. Encouraging counseling may be appropriate but should not be the first step without first exploring the situation and the adolescent's needs.

Question 16

The school nurse determines that a 14-year-old student has reached an expected level of cognitive development.What did the nurse assess to come to this conclusion?
(Select all that apply)
A)Thinks logically
B)Thinks about the future
C)Makes rational statements
D)Uses a trial-and-error process
E)States things as they could be

Accepted Answer

At 14 years old, a student is typically in the formal operational stage of cognitive development according to Piaget's theory. This stage is characterized by the ability to think logically about abstract propositions (A), consider hypothetical situations and future possibilities (B), make rational judgments (C), and envision things as they could be, not just as they are (E). The use of a trial-and-error process (D) is more characteristic of earlier stages of development, such as the concrete operational stage or even the sensorimotor stage.

Question 17

A teenage girl spends most of her free time with friends.In sharing their concerns about this behavior with the school nurse,the parents are worried about their child seeming to draw away from them.What should the nurse respond to the parents?
A)"You should really keep better track of your child.It's hard to tell what kinds of trouble she may be getting into."
B)"Independence is really important for this age group.Try to be extra attentive when your child does spend time at home."
C)"Use stricter guidelines for curfew and punishment if curfew is broken."
D)"Is it possible that your child might be taking drugs?"

Accepted Answer

The nurse should reassure the parents that spending time with friends and seeking independence is a normal behavior for teenagers. However, the nurse should also encourage the parents to maintain open communication with their child to ensure that they remain aware of their child's activities and whereabouts. It is important for the teenager to have a sense of autonomy, while still feeling supported and connected to their family. It is also important for parents to establish reasonable guidelines and boundaries for their child's behavior, but punishment should not be the primary focus. Suggesting that the teenager might be taking drugs is not appropriate without evidence or cause for concern.

Question 18

The nurse is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?
A)Having taken a medication that is a known teratogen
B)Smoking
C)Having low levels of folic acid
D)Genetic history

Accepted Answer

Smoking during pregnancy increases the risk of spontaneous abortion. Taking a known teratogen and having low levels of folic acid can increase the risk of certain birth defects, but not necessarily spontaneous abortion. Genetic history may also increase the risk of certain birth defects, but not necessarily spontaneous abortion.

Question 19

The parents of a toddler are concerned that their child is so messy during eating,so they feed him instead of allowing him to feed himself.What should the nurse respond to the parents?
A)"That's probably best.I'm sure it makes your mealtime more pleasant."
B)"At least you're sharing meals as a family.That's the most important."
C)"Motor skills keep improving with age.Try not to get frustrated with the mess."
D)"Your child will never learn if you don't let him experience."

Accepted Answer

Messy eating is a normal part of toddler development as they learn how to use utensils and self-feed. Restricting their opportunity to practice can hinder their progress and cause developmental delays. As the nurse, it is important to educate and reassure parents that this is a normal part of growth and development. We should encourage parents to continue to offer utensils and finger foods, and praise the child for their attempts at feeding themselves.

Question 20

While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this ?
A)"Yes,if your son is ejaculating,he also possesses fertility."
B)"Sexual maturity does not occur until age 18,so don't worry about anything until then."
C)"Fertility follows several months after the first ejaculation."
D)"You'll have to ask your physician about this because it is a sensitive subject."

Accepted Answer

Fertility typically begins several months after the onset of ejaculation. This is because, initially, ejaculate may not contain a significant number of viable sperm. Sperm production and the ability to fertilize an egg develop with time after the first ejaculation.

Quiz 21: Promoting Health From Conception Through Adolescence

A school health nurse is working on education programs for high school students.As part of the plan,the nurse wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse.Which class topic should the nurse present to these students?

Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round,as they thought it should be.How should the nurse respond to these parents?

A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day.How should the nurse address the parent's concern about this behavior?

New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?

An expectant parent asks the nurse about health problems of newborns.On what should the nurse provide information to this client? (Select all that apply)

At birth a baby weighed 8 lb.What should the nurse expect this baby to weight at the age of 1?

A school nurse is working with teachers in helping them address the developmental needs of grade school students,according to Erikson's theory of industry versus inferiority.Which activities should the nurse suggest?

The parents of a newborn male ask the nurse about pain during circumcision.What should the nurse respond to these parents?

The nurse is preparing to instruct a client about nutritional needs before and during pregnancy.What should the nurse encourage the patient to consume in order to meet the requirements for folic acid?

During an auditory screening of third graders,the school nurse identifies a hearing deficit for one of the students.When the parents ask the nurse about the findings,how should the nurse respond?

The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion? (Select all that apply)

A client comes to the women's clinic,stating she has had a positive home pregnancy test.The client states that her last menstrual cycle was 2 months ago.According to this time frame,the nurse determines that the client is in which stage of pregnancy?

The parents of a baby born prematurely during the sixth month of pregnancy the nurse about the hair all over their baby.What is the nurse's best response?

The parents of a newborn ask what their baby can see.What should the nurse respond to these parents?

An adolescent comes to the school nurse's office seeking advice about his friends and feeling pressure to participate in activities with which he isn't comfortable,such as drinking parties and sexual explorations.What should the nurse do?

The school nurse determines that a 14-year-old student has reached an expected level of cognitive development.What did the nurse assess to come to this conclusion? (Select all that apply)

A teenage girl spends most of her free time with friends.In sharing their concerns about this behavior with the school nurse,the parents are worried about their child seeming to draw away from them.What should the nurse respond to the parents?

The nurse is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?

The parents of a toddler are concerned that their child is so messy during eating,so they feed him instead of allowing him to feed himself.What should the nurse respond to the parents?

While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this ?