A breastfed infant is being seen in the clinic for a 6-month checkup. The mother tells the nurse that the infant recently began to suck her thumb. Which is the best nursing intervention?
- A. Reassure the mother that this is normal at this age
- B. Recommend the mother substitute a pacifier for her thumb
- C. Assess the infant for other signs of sensory deprivation
- D. Suggest the mother breastfeed the infant more often to satisfy her sucking needs
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which statement regarding bottle mouth caries requires further teaching?
- A. Caries can be decreased by putting an infant to bed with a bottle of milk or sweetened juice
- B. Eliminating the bedtime bottle or substituting water is recommended
- C. Sugar pools within the oral cavity cause severe decay
- D. It is often seen in children between 18 months and 3 years
Correct Answer: A
Rationale: The correct answer is A. Putting an infant to bed with a bottle of milk or sweetened juice increases the risk of bottle mouth caries rather than decreasing it. This statement requires further teaching as it provides incorrect information. Choice B is correct as eliminating the bedtime bottle or substituting water is recommended to prevent bottle mouth caries. Choice C is also correct as sugar pooling within the oral cavity can indeed cause severe decay. Choice D is correct as bottle mouth caries is often observed in children between 18 months and 3 years.
According to Erikson's theory of psychosocial development, the school-age child is in which stage?
- A. Industry vs. inferiority
- B. Autonomy vs. shame and doubt
- C. Identity vs. role diffusion
- D. Trust vs. mistrust
Correct Answer: A
Rationale: The correct answer is A: 'Industry vs. inferiority.' According to Erikson's theory, school-age children (approximately 6-12 years old) are in the stage of industry vs. inferiority. In this stage, children focus on developing a sense of competence and productivity. Choice B, 'Autonomy vs. shame and doubt,' is incorrect as it refers to the stage that occurs during early childhood (1-3 years old). Choice C, 'Identity vs. role diffusion,' pertains to adolescence (12-18 years old). Choice D, 'Trust vs. mistrust,' is related to the stage of infancy (0-1 year old). Therefore, option A is the most appropriate stage for school-age children in Erikson's theory.
What is characteristic of a neonate's vision?
- A. Pupils react to light
- B. Tear glands function
- C. Blink reflex is absent
- D. Ciliary muscles are mature
Correct Answer: A
Rationale: The correct answer is A: 'Pupils react to light.' Newborns' pupils do react to light, indicating that the visual pathway is functioning. However, a neonate's vision is still developing, and they can only focus on objects close to their face. Choice B is incorrect because tear glands are functional at birth. Choice C is incorrect because the blink reflex is present in neonates and helps protect their eyes. Choice D is incorrect as neonates' ciliary muscles are not fully developed.
The nurse is preparing an airborne infection isolation room for a patient. Which communicable disease does the patient likely have?
- A. Varicella
- B. Pertussis
- C. Influenza
- D. Scarlet fever
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At which age do most infants begin to fear strangers?
- A. 2 months
- B. 4 months
- C. 6 months
- D. 12 months
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.