Nokea
An 8-month-old infant is seen in the well-child clinic for a routine checkup. The nurse should expect the infant to be able to do which of the following? Select all that apply.
- A. Say 'mama' and 'dada' with specific meaning.
- B. Feed self with a spoon.
- C. Play peek-a-boo.
- D. Walk independently.
- E. Stack two blocks.
- F. Transfer object from hand to hand.
Correct Answer: C,F
Rationale: Playing peek-a-boo and transferring objects are typical 8-month milestones; others occur later.
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The health care team determines that the family of an infant with failure to thrive who is to be discharged will need follow-up care. Which of the following would be the most effective method of follow-up?
- A. Daily phone calls from the hospital nurse.
- B. Enrollment in community parenting classes.
- C. Twice-weekly clinic appointments.
- D. Weekly visits by a community health nurse.
Correct Answer: D
Rationale: Weekly in-home nurse visits provide direct monitoring and support for feeding and growth. Phone calls, classes, or clinic visits are less comprehensive.
A parent asks, 'Can I get head lice too?' The nurse indicates that adults can also be infested with head lice but that pediculosis is more common among school children, primarily for which of the following reasons?
- A. An immunity to pediculosis usually is established by adulthood.
- B. School-age children tend to be more neglectful of frequent handwashing.
- C. Pediculosis usually is spread by close contact with infested children.
- D. The skin of adults is more capable of resisting the invasion of lice.
Correct Answer: C
Rationale: Close contact in school settings facilitates lice transmission among children.
The health care team wishes to establish a policy regarding sleep positions for infants with gastroesophageal reflux (GER). The first step should be to search for:
- A. Policies from other hospitals.
- B. Data from retrospective studies.
- C. Published national standards.
- D. Expert opinions.
Correct Answer: C
Rationale: National standards provide evidence-based guidance for policy development.
A nurse working in the nursery identifies a goal for a mother of a newborn to demonstrate positive attachment behaviors upon discharge. Which intervention would be least effective in accomplishing this goal?
- A. Provide opportunities for the mother to hold and examine the newborn.
- B. Engage the mother in the newborn's care.
- C. Create an environment that fosters privacy for the mother and newborn.
- D. Identify strategies to prevent difficulties in parenting.
Correct Answer: D
Rationale: Preventing parenting difficulties is less directly related to fostering immediate attachment.
What should the nurse include when developing the teaching plan for the parents of a child with juvenile idiopathic arthritis who is being treated with naproxen (Naprosyn)?
- A. Anti-inflammatory effect will occur in approximately 8 weeks.
- B. Within 24 hours, the child will have antiinflammatory relief.
- C. The nurse should be called before giving the child any over-the-counter medications.
- D. If a dose is forgotten or missed, that dose is not made up.
Correct Answer: C,D
Rationale: Parents should consult the nurse before giving other medications due to potential interactions, and missed doses should not be doubled to avoid toxicity.