Nokea
What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain?
- A. Give him an ice cube to suck on.
- B. Have him wash his mouth out with peroxide and water.
- C. Wrap the tooth in a clean tissue.
- D. Wash off the tooth and place it in a container of milk.
Correct Answer: D
Rationale: The tooth should be washed off and put in a container of milk to preserve it for possible reimplantation.
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When a small group of preschool-age children were playing house, each child was pretending to be a particular family member. What type of play does the nurse recognize these children are participating in?
- A. Parallel
- B. Cooperative
- C. Symbolic
- D. Fantasy
Correct Answer: B
Rationale: In cooperative play, children play with each other, each taking a specific role.
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.
The mother of a 7-month-old infant states, 'The baby is eating food now. Should I give him regular milk, too?' What is the nurse's best response?
- A. You should give the baby low-fat milk.'
- B. Try the milk. See if he has any digestive problems.'
- C. Continue breast milk or iron-fortified formula until 1 year of age.'
- D. At this age, infants can tolerate lactose-free or soy-based milk.'
Correct Answer: C
Rationale: Whole milk should not be introduced before 1 year of age. Low-fat milk should not be introduced before 2 years of age.
What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
- A. Specific to general
- B. Proximodistal
- C. Cephalocaudal
- D. General to specific
Correct Answer: C
Rationale: Cephalocaudal development proceeds from head to toe.
An infant's birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months?
- A. 12 pounds
- B. 15 pounds
- C. 18 pounds
- D. 22 pounds
Correct Answer: B
Rationale: An infant usually doubles his or her birth weight by 5 to 6 months.