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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.
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The nurse suggests to the parents of an obese 10-year-old child that they use the Portion Plate for Kids place mat. How does this tool help with selection of portion sizes? (Select all that apply.)
- A. Cartoon characters eating healthy foods
- B. Tips on healthy food choices
- C. Portion measurement in tablespoons for common food
- D. Calorie values for cup-size portions of common foods
- E. Familiar objects such as a deck of cards to measure servings
Correct Answer: B,E
Rationale: The Portion Plate for Kids is a place mat that uses common objects such as a deck of playing cards or a baseball to measure serving portions.
What does the nurse recognize as an example of Piaget's concrete operational thinking?
- A. A 2-year-old child says, 'It's nighttime' when his room is darkened.
- B. A 4-year-old child refers to the hospital as 'my house.'
- C. A 5-year-old child coloring a picture of a puppy says, 'This is my puppy.'
- D. A 7-year-old child says, 'I am sick because I have germs in my chest.'
Correct Answer: D
Rationale: The 7-year-old child's remark reflecting the cause and effect of germs and illness is an example of operational thinking. All other options are examples of preoperational thought, which is egocentric and symbolic.
A mother asks the nurse how much food should be offered to her 2-year-old child. What is a good rule of thumb for serving size (in tablespoons) per year of age?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: A
Rationale: The rule of thumb for serving sizes is to offer 1 tablespoon of each food group per year of age.
Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply.)
- A. Bubble gum
- B. Chocolate-covered peanuts
- C. Raw vegetables
- D. Cheese
- E. Dried fruits
Correct Answer: C,D
Rationale: Cheese and raw vegetables are acceptable healthy snacks. Bubble gum, chocolate-covered peanuts, and dried fruits all contain high amounts of sugar.
When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not answer immediately. How does the nurse interpret this response?
- A. Indecision
- B. Considering the answer in silence
- C. Shyness with strangers
- D. Fear of medical personnel
Correct Answer: B
Rationale: Native Americans value silence. They need to sit and consider matters before replying to questions.