A mother tells the nurse, 'My 11-month-old son is not as active as my other children were at this age. He is the youngest of four and the older children love to dote on him.' Which factor is influencing this child's language development?
- A. Heredity
- B. Sex
- C. Mother's health during pregnancy
- D. Ordinal position
Correct Answer: D
Rationale: Motor development of the youngest child may be prolonged if the child is babied by others in the family.
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At a well-baby visit, parents of a 6-month-old infant ask when to take the infant for the first dental visit. What is the nurse's best response?
- A. If the teeth are brushed regularly, the child should see a dentist by 3 years of age.'
- B. The first dental visit should be arranged after the first tooth erupts.'
- C. The child should have a dental examination when all deciduous teeth have erupted.'
- D. A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry.'
Correct Answer: D
Rationale: The Academy of Pediatric Dentistry recommends that the first dental visit occur by 1 year of age.
The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray. What can the nurse expect the child to eat?
- A. Dried beans mixed with rice
- B. Crisp vegetables
- C. Spaghetti and meatballs
- D. Wild berries, roots, and seeds
Correct Answer: A
Rationale: A common food choice of Americans of Puerto Rican descent is dried beans mixed with rice.
What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain?
- A. Give him an ice cube to suck on.
- B. Have him wash his mouth out with peroxide and water.
- C. Wrap the tooth in a clean tissue.
- D. Wash off the tooth and place it in a container of milk.
Correct Answer: D
Rationale: The tooth should be washed off and put in a container of milk to preserve it for possible reimplantation.
What should the nurse avoid when demonstrating a bath procedure to parents of Vietnamese origin?
- A. Talking directly to the mother
- B. Exposing the child's genitals
- C. Touching the child's head
- D. Using cool water
Correct Answer: C
Rationale: The Vietnamese are very sensitive about anyone touching a child's head because that is where consciousness lies.
A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family?
- A. Nuclear
- B. Blended
- C. Alternate
- D. Extended
Correct Answer: B
Rationale: A blended family involves the remarriage of persons with children.
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