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An assessment of a child's nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. How would this child's nutritional status be described?
- A. Overnourished
- B. Undernourished
- C. Well nourished
- D. Borderline
Correct Answer: C
Rationale: Well-nourished children show steady gains in height and weight and have shiny hair, firm gums and mucous membranes, and regular elimination.
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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.
What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old child?
- A. Completing a 50-piece jigsaw puzzle
- B. Looking at a comic book
- C. Playing a game of 'I Spy' with the nurse
- D. Coloring a picture in a coloring book
Correct Answer: A
Rationale: In the developmental period of late childhood, children are striving to develop a sense of industry. The completion of a jigsaw puzzle is industrious play.
What would the nurse further investigate when assessing patterns of growth in a child?
- A. Previous weight was in the 75th percentile, and present weight is in the 25th percentile.
- B. Height is in the 90th percentile, and weight is in the 75th percentile.
- C. Last weight was in the 5th percentile, and present weight is in the 10th percentile.
- D. Weight is in the 50th percentile, and sibling's weight at the same age was in the 75th percentile.
Correct Answer: A
Rationale: The child showing a difference of two or more percentile levels from an established growth pattern should undergo further evaluation.
The nurse observes that a 2-year-old toddler is able to use a spoon steadily at mealtime. What does self-feeding help to develop in the toddler?
- A. Good nutrition
- B. A sense of independence
- C. Adequate height and weight
- D. Healthy teeth
Correct Answer: B
Rationale: By the end of the second year, toddlers can feed themselves. This helps them to develop a sense of independence.
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.