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A nurse is caring for a neonate who is 22 in in height. What will the child's expected height be at 1 year?
- A. 29 in
- B. 33 in
- C. 44 in
- D. 56 in
Correct Answer: B
Rationale: Height increases by about 1 in per month for the first 6 months. By 12 months of age, the infant's birth length has increased about 50%.
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The nurse discovers during the intake assessment of a 5-year-old child that the child lives with his biological parents and siblings. How would the nurse categorize this family type?
- A. Extended family
- B. Blended family
- C. Social family
- D. Nuclear family
Correct Answer: D
Rationale: The nuclear family is considered the traditional family pattern.
A 14-year-old male patient has undergone a leg amputation. What should be the primary focus of the patient's care plan?
- A. Nutritional status
- B. Academic progress
- C. Body image
- D. Socialization needs
Correct Answer: C
Rationale: Body image is a major developmental task of the adolescent. Nutritional status, academic progress, and socialization should be addressed, but they would not be the primary focus.
A child who has just begun to demonstrate the ability to understand and apply logical operations to help interpret specific experiences or perceptions. Which of the following stages of Piaget's cognitive development is this describing?
- A. Sensorimotor
- B. Preoperational thought
- C. Formal operational thought
- D. Concrete operational thought
Correct Answer: D
Rationale: The Piaget's concrete operational stage of cognitive development includes the ability to understand and apply logical operations or principles to help interpret specific experiences or perceptions.
A mother asks the nurse when she should introduce solid foods into her infant's diet. What would be the most correct response?
- A. Introduce fruits and vegetables first.
- B. Mix foods to allow the infant variety.
- C. Introduce only one new food at a time.
- D. Introduce new foods at 24-hour intervals.
Correct Answer: C
Rationale: Only one new food should be introduced at a time, followed by several days between new foods. Cereals should be introduced first, followed by fruits and vegetables, and last meats. Food should not be mixed to allow the infant to develop interest in different foods and tastes.
A 58-year-old male is concerned about some hearing loss he is experiencing. The nurse recognizes that this might be due to a sensory change of this age group known as which of the following?
- A. Presbycusis
- B. Otitis externa
- C. Presbyopia
- D. Otitis media
Correct Answer: A
Rationale: Presbycusis is a normal age-related loss of hearing. Otitis externa and otitis media are infections of the ear. Presbyopia is a condition in which it becomes difficult to focus on objects nearby.