Nokea
The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which statement should the nurse include in the teaching?
- A. Childhood obesity is the most common nutritional problem among children
- B. Immunization rates are the same among children of different races and ethnicity
- C. Dental caries is not a problem commonly seen in children since the introduction of fluoridated water
- D. Mental health problems are typically not seen in school-age children but may be diagnosed in adolescents
Correct Answer: A
Rationale: Childhood obesity is the most common nutritional problem in children, with significant implications for long-term health, including the risk of developing chronic diseases.
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The parent asks when the soft area in the infant's head will go away. What is the best response by the nurse?
- A. The area is called the anterior fontanel (fontanelle) and typically closes anytime up to 18 months of age.
- B. The area is called a fontanel (fontanelle). They remain open to allow for rapid brain growth in the first months of life.
- C. The soft spots may stay open until your infant is 2 or 3 years old.
- D. Soft spots on the infant's head should have closed by now.
Correct Answer: A
Rationale: The best response by the nurse is A, as the anterior fontanel typically closes between 12-18 months of age, allowing for brain growth during infancy. Choice B is incorrect because it does not provide a specific timeframe for the closure of the fontanel. Choice C is incorrect as it suggests a later closure timeframe than usual. Choice D is incorrect as it states that the soft spots should have closed already, which is inaccurate for a 6-month-old infant.
The school nurse understands that children are impacted by divorce. Which has the most impact on the positive outcome of a divorce?
- A. Age of the child
- B. Gender of the child
- C. Family characteristics
- D. Ongoing family conflict
Correct Answer: D
Rationale: The level of ongoing family conflict is the most significant factor influencing the positive or negative outcomes for children during and after a divorce
Evidence-based practice (EBP), a decision-making model, is best described as which?
- A. Using information in textbooks to guide care
- B. Combining knowledge with clinical experience and intuition
- C. Using a professional code of ethics as a means for decision-making
- D. Gathering all evidence that applies to the child's health and family situation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?
- A. The United States is ranked last among 27 countries
- B. The United States is ranked similar to 20 other developed countries
- C. The United States is ranked in the middle of 20 other developed countries
- D. The United States is ranked highest among 27 other industrialized countries
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?
- A. Female, multiple siblings, stable home life
- B. Male, high activity level, stressful home life
- C. Male, even-tempered, history of previous injuries
- D. Female, reacts negatively to new situations, no serious previous injuries
Correct Answer: B
Rationale: A male child with a high activity level and a stressful home life has multiple risk factors for childhood injuries, requiring closer supervision and preventive measures.