Nokea
The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant. What statement by the mother leads the nurse to determine that learning has taken place?
- A. I will give my infant rice cereal first.'
- B. I will give my infant yellow vegetables first.'
- C. I will give my infant egg yolks first.'
- D. I will give my infant fruits first.'
Correct Answer: A
Rationale: Solid foods are usually introduced at about 6 months of age, starting with rice cereal, which is the least allergenic.
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A mother tells her 4-year-old child that balls should be played with outside and not inside the house. Why is the child likely to obey the rule?
- A. The child does not want to be punished.
- B. The child wants to please her mother.
- C. The child respects authority figures.
- D. The child believes that following the rules is right.
Correct Answer: A
Rationale: According to Kohlberg, children in the preconventional stage (4 to 7 years) are obedient to their parents for fear of punishment.
What does the nurse calculate the basal metabolic index (BMI) of an 8-year-old child who is 48 inches tall (1.2 meters) and weighs 100 pounds (45.4 kg) to be?
- A. 28.9
- B. 32.4
- C. 34.8
- D. 37.6
Correct Answer: B
Rationale: The formula for BMI calculation is weight in kg divided by height in meters (squared): 45.4 (weight in kg) divided by 1.44 (1.2 squared) = 31.53, which rounds to 32.4.
Parents attending a well visit for their 11-year-old son verbalize concern over his computer use. When asked about it, the boy states, 'I play games on my computer for 1 hour a day.' The nurse knows that computer games can provide what opportunities to childhood development? (Select all that apply.)
- A. Problem-solving skills
- B. Gross motor development
- C. Manipulative skills
- D. Learning opportunities
- E. Increased self-worth
Correct Answer: A,C,D
Rationale: Computer programs are popular with all age groups, providing problem-solving skills, manipulative skills, and opportunities for new learning.
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.
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.