Nokea
The mother says, 'the soft spot near the front of her baby's head is still big, when will it close?' Nurse Lilibeth's correct response would be at...
- A. 2 to 4 months.
- B. 5 to 8 months.
- C. 9 to 12 months.
- D. 13 to 18 months.
Correct Answer: D
Rationale: The anterior fontanel typically closes between 13 to 18 months.
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Which of the following assessment findings would lead the nurse to suspect Down syndrome in an infant?
- A. Small tongue
- B. Transverse palmar crease
- C. Large nose
- D. Restricted joint movement
Correct Answer: B
Rationale: Down syndrome is characterized by the following a transverse palmar crease (simian crease), separated sagittal suture, oblique palpebral fissures, small nose, depressed nasal bridge, high-arched palate, excess and lax skin, wide spacing and plantar crease between the second and big toes, hyperextensible and lax joints, large protruding tongue, and muscle weakness.
In males the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH) from the anterior pituitary stimulate testosterone production in the __ cells of the testes.
- A. Leydig
- B. Sertoli
- C. Germ
- D. Spermatogonia
Correct Answer: A
Rationale: The Leydig cells in the testes are stimulated by the FSH and LH to produce testosterone.
A 14-year-old boy has acne and according to his parents, dominates the bathroom by using the mirror all the time. Which of the following remarks by the nurse would be least helpful in talking to the boy and his parents?
- A. This is probably the only concern he has about his body. So don't worry about it or the time he spends on it.'
- B. Teenagers are anxious about how their peers perceive them. So they spend a lot of time grooming.'
- C. A teen may develop a poor self-image when experiencing acne. Do you feel this way sometimes?'
- D. You appear to be keeping your face well washed. Would you feel comfortable discussing your cleansing method?'
Correct Answer: A
Rationale: Stating that this is probably the only concern the adolescent has and telling the parents not to worry about it or the time he spends on it shuts off further investigation and is likely to make the adolescent and his parents feel defensive.
When instructing the mother about the neonate's need for sensory and visual stimulation, the nurse should plan to explain that the most highly develop sense in the neonate is...
- A. Task
- B. Smell
- C. Touch
- D. Hearing
Correct Answer: C
Rationale: Touch is the most highly developed sense in a neonate, aiding in bonding and sensory exploration.
Practical nursing students are using critical thinking skills to study for an upcoming test. What will these students include when studying? (Select one that does not apply.)
- A. Memorization of facts first
- B. Prioritizing information
- C. Relating facts to other facts
- D. reviewing before tests, and reading critically
Correct Answer: A
Rationale: Using critical thinking when studying involves understanding facts before memorizing, prioritizing information to be memorized, relating facts to other facts, using all five senses, reviewing before tests, and reading critically. Critical thinking does not involve assumption as does general thinking. 'E' refers to reviewing before the test.