Nokea
During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
- A. Encourage the addition of a few more toys to the playpen.
- B. Suggest keeping the infant in the playpen as much as possible to promote safe play.
- C. Encourage providing the infant with supervised time outside of the playpen.
- D. Suggest removing all toys from the playpen.
Correct Answer: C
Rationale: At 9 months, the infant should be encouraged to explore outside the playpen to aid in physical development and motor skills.
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A client is scheduled to have open-heart surgery but has not been informed about potential complications. Which ethical concept has been ignored?
- A. Beneficence
- B. Autonomy
- C. Justice
- D. Informed consent
Correct Answer: D
Rationale: Informed consent ensures clients understand the risks and benefits of procedures before agreeing to them.
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: B
Rationale: The second stage of labor is marked by fetal descent into the lower birth canal.
According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
- A. 16%
- B. 26%
- C. 36%
- D. 46%
Correct Answer: D
Rationale: According to the report, 36% of adults 18 years and older report no leisure-time physical activity.
By what age is an infant’s retina fully developed?
- A. Birth
- B. 2 months
- C. 4 months
- D. 6 months
Correct Answer: C
Rationale: The retina of an infant is fully developed by around 4 months of age.
An Asian American family has recently immigrated to the United States. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school?
- A. The child will get a good education.
- B. According to law, all children must go to school.
- C. The child can get health care at school.
- D. Exposure to different cultures in school will enhance socialization.
Correct Answer: D
Rationale: Exposure to diverse cultures enhances socialization and helps the child adjust to a new environment.