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A child age 7 was unable to receive the measles, mumps, and rubella (MMR) vaccine at the recommended scheduled time. When would the nurse expect to administer MMR vaccine?
- A. In a month from now
- B. In a year from now
- C. At age 10
- D. At age 13
Correct Answer: C
Rationale: Based on the recommendations of the American Academy of Family Physicians and the American Academy of Pediatrics, the MMR vaccine should be given at the age of 10 if the child did not receive it between the ages of 4 to 6 years as recommended.
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The nurse notes a swelling on the neonate's scalp that crosses the suture line. The nurse documents this condition as...
- A. Cephallic hematoma.
- B. Caput succedaneum.
- C. Hemorrhage edema.
- D. Perinatal caput.
Correct Answer: B
Rationale: Caput succedaneum is a swelling that crosses the suture line due to pressure during delivery and resolves spontaneously.
Regarding the scenario in the question above, when would you reassess the APGAR?
- A. 2 minutes after the previous APGAR assessment
- B. 15 minutes after the previous APGAR assessment
- C. 5 minutes after the previous APGAR assessment
- D. No reassessment of the APGAR score is needed.
Correct Answer: C
Rationale: Standard practice is to reassess the APGAR score at 5-minute intervals after the initial 1-minute score, typically at 5 minutes, and again at 10 minutes if needed.
Parents express concern about the milia on the face and nose of their infant. What is the nurse's most helpful response when instructing the parents?
- A. Contact a pediatric dermatologist for topical medication.
- B. Squeeze out the white material after cleansing the face.
- C. Wash the infant's face with a mild astringent several times a day.
- D. Leave the milia alone; it will disappear spontaneously. No treatment is needed.
Correct Answer: D
Rationale: Milia require no treatment. This skin manifestation will disappear spontaneously.
The nurse explains that testosterone is responsible for males exceeding females in which aspects? (Select one that does not apply.)
- A. Strength
- B. Height
- C. Mental concentration
- D. Hematocrit levels
Correct Answer: C
Rationale: Testosterone contributes to greater strength, height, and hematocrit levels in males compared to females.
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.