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A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?
- A. “It is recommended that solid foods are introduced no earlier than 3 months of age.”
- B. “It is recommended that solid foods are introduced no earlier than 6 months of age.”
- C. “You should wait until your child is 9 months old to start solid foods.”
- D. “You should wait until your child is 1 year old to start solid foods.”
Correct Answer: B
Rationale: The AAP recommends introducing solid foods at 6 months to reduce the risk of food allergies and obesity.
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An occupational health nurse is planning a cholesterol screening with the employees at the factory. Which of the following would be an advantage of conducting this screening?
- A. Allows for the beginning of a multiple test screening process
- B. Provides an opportunity for health education
- C. Allows for preliminary diagnosis of coronary artery disease
- D. Provides the opportunity for a referral to a physician
Correct Answer: B
Rationale: Screenings provide an opportunity for health education, helping to promote preventive health measures.
The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. Which statement would be the most appropriate response from the nurse?
- A. Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted.
- B. Everyone is different; it will happen when it happens.
- C. Based on when the breast buds first appeared, she should start menstruating around the age of 14.
- D. She will not start menstruating until her breasts are of adult size and contour.
Correct Answer: C
Rationale: Menstruation typically starts about 2 years after breast buds, around age 14.
A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit?
- A. Leave and tell the mother to call her to reschedule the appointment.
- B. Weigh the infant and contact the Department of Children and Families.
- C. Weigh the infant and offer community resources to the mother.
- D. Offer to go pick up the other children at the bus stop.
Correct Answer: C
Rationale: Offering community resources helps provide support to the mother and helps prevent potential abuse while maintaining a positive relationship.
A nurse is working with a local daycare center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?
- A. Having the children bring their bikes to the center so they can go for bike rides in the neighborhood
- B. Playing hopscotch on the sidewalk in front of the daycare center
- C. Taking the children swimming at the neighborhood pool
- D. Playing on the outdoor preschool equipment while being supervised by daycare personnel
Correct Answer: D
Rationale: Outdoor play should involve activities that are safe and supervised. Preschoolers are not ready for unsupervised outdoor bike rides or swimming.
During the 5-year-old well-child visit, the father tells the nurse that he is unsure if the child is socially ready to attend school. The nurse asks the father to describe some of the social interactions of the child. Which of the following behaviors would indicate that the preschooler is socially ready to attend school?
- A. He gives his brother the ball when he is tired of playing with it.
- B. He never engages in any activity until his mother tells him to.
- C. He plays well with a group of neighborhood children.
- D. He moves from one activity to another.
Correct Answer: C
Rationale: Playing well with other children demonstrates social readiness for school.