Nokea
A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?
- A. Stimulation of production of white cells and platelets
- B. Promotion of growth of small bones
- C. Increase in muscle mass and strength
- D. Decrease in production of sebaceous gland secretions
Correct Answer: C
Rationale: Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of red blood cells.
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When discussing normal infant growth and development with parents, which of the following toys would the nurse suggest as most appropriate for an 8-month-old?
- A. Push-pull toys
- B. Rattle
- C. Large blocks
- D. Mobile
Correct Answer: C
Rationale: Because the 8-month-old is refining his gross motor skills, being able to sit unsupported and also improving his fine motor skills, probably capable of making hand-to-hand transfers, large blocks would be the most appropriate toy selection.
The nurse is caring for a newly delivered baby girl. The assessment reveals the infant's temperature is 97 degrees Fahrenheit. Which action is the MOST appropriate to begin first?
- A. Remove the infant's clothing.
- B. Document the findings as normal.
- C. Recheck using a rectal thermometer, inserting 1 inch into the infant's rectum.
- D. Initiate warming methods.
Correct Answer: D
Rationale: A temperature of 97°F indicates hypothermia in a newborn; warming methods (e.g., skin-to-skin, warmer) are the priority to stabilize the infant.
At what point in prenatal development do the lungs begin to produce surfactant?
- A. 17 weeks
- B. 20 weeks
- C. 25 weeks
- D. 30 weeks
Correct Answer: C
Rationale: During week 25, the alveoli begin to produce surfactant, which enables the alveoli to stay open for adequate lung oxygenation to occur.
A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother?
- A. Milk is produced in ducts and lobules regardless of breast size.
- B. Supplementing breastfeeding with formula allows the infant to receive adequate nutrition.
- C. Breast size can be increased with exercise.
- D. Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk.
Correct Answer: A
Rationale: Breast size does not influence the ability to secrete milk.
The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the nurses best response when the patient asks how DRGs reduce medical care costs?
- A. By determining payment based on diagnosis
- B. By requiring two medical opinions to confirm a diagnosis
- C. By organizing HMOs
- D. By defining a person who will require hospitalization
Correct Answer: A
Rationale: DRGs determine the amount of payment and length of hospital stay based on the diagnosis.