The nurse is developing a plan of care for a child who is 7-years-old. Which developmental period does the child fall under?
- A. Trust vs. mistrust
- B. Autonomy vs. shame/doubt
- C. Initiative vs. guilt
- D. Industry vs. inferiority
Correct Answer: D
Rationale: Per Erikson, 7-year-olds are in the industry vs. inferiority stage (school age, 6-12 years), focusing on competence and achievement.
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What complication can result from untreated respiratory distress in the newborn?
- A. Esophageal atresia
- B. Gastric dilation
- C. Cold stress
- D. Reopening of the foramen ovale
Correct Answer: D
Rationale: Respiratory distress can cause increased pressure in the right ventricle, causing reopening of the foramen ovale.
You are assessing 7-year-old Mary's lymph nodes. Using the distal portion of your fingers, you press gently but firmly in a circular motion along the occipital and post auricular node areas. You record the findings as 'tender, enlarged, and warm lymph nodes.' Which of the following is TRUE?
- A. Your findings are within normal limits for Mary's age.
- B. Your assessment technique was incorrect and should be repeated.
- C. Your findings suggest infection or inflammation in the scalp area or external ear canal.
- D. Your recording of the information is complete because it includes temperature and tenderness.
Correct Answer: C
Rationale: Tender, enlarged, warm lymph nodes suggest infection/inflammation, likely in the scalp or ear canal, not normal for a healthy child.
The first White House Conference on Children and Youth was called by President __
- A. Theodore Roosevelt
- B. Franklin Roosevelt
- C. Woodrow Wilson
- D. Herbert Hoover
Correct Answer: A
Rationale: Theodore Roosevelt called the first White House Conference in 1909.
Nurse Bryan knows that one of the most effective strategies to teach a Four year old about safety is to...
- A. Show him potential dangers to avoid
- B. Tell him he is bad when they do something dangerous
- C. Provide good examples of safety behavior
- D. Show him pictures of children who have involve with accidents
Correct Answer: C
Rationale: Modeling safety behavior is an effective way to teach preschoolers.
When assessing an 18-month old, the nurse notes a characteristics protruding abdomen. Which of the following would explain the rationale for this findings?
- A. Increased food intake owing to age
- B. Underdeveloped abdominal muscles
- C. Bowlegged posture
- D. Linear growth curve
Correct Answer: B
Rationale: Underdeveloped abdominal muscles cause the protruding abdomen typical in toddlers.
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