Nokea
The nurse is preparing to administer vaccines to a 4-month-old infant. Which vaccines should the nurse prepare? (Select one that does not apply.)
- A. DTaP
- B. MMR
- C. IPV
- D. Hib
Correct Answer: B
Rationale: At 4 months, per CDC guidelines, infants receive DTaP (diphtheria, tetanus, pertussis), IPV (inactivated poliovirus), and Hib (Haemophilus influenzae type b). MMR and Varicella are typically given at 12-15 months.
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The normal volume of amniotic fluid is approximately __ $\mathrm{mL}$ at 37 weeks gestation.
- A. 500
- B. 750
- C. 1000
- D. 1250
Correct Answer: C
Rationale: The volume of amniotic fluid steadily increases from about $30 \mathrm{~mL}$ at 10 weeks of pregnancy to $350 \mathrm{~mL}$ at 20 weeks. The volume of fluid is about $1000 \mathrm{~mL}$ at 37 weeks.
When assessing the neonate's eyes, the nurse notes the following: absence of tears, corneas of unequal size, constriction of the pupils in response to bright light, and the presence of red circles on the pupils on ophthalmic examination. Which of these findings needs further assessment?
- A. The absence of tears.
- B. Comeas of unequal size.
- C. Constriction of the pupils.
- D. The presence of red circles on the pupils.
Correct Answer: B
Rationale: Corneas of unequal size may indicate a congenital anomaly or injury and require further assessment.
A child with iron deficiency anemia is prescribed oral iron supplements. What should the nurse instruct the parents regarding administration?
- A. Administer the iron with milk for better absorption
- B. Expect stools to be tarry and black
- C. Give the iron supplement through a straw to avoid staining teeth
- D. Iron supplements are best absorbed when taken with food
Correct Answer: C
Rationale: Using a straw minimizes tooth staining from liquid iron, a common side effect. Iron is best absorbed on an empty stomach, and milk reduces absorption; tarry stools are expected but not the focus of administration instruction.
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.
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.