Nokea
What statement indicates the parent understands the guidelines for bathing a newborn?
- A. I'll use a mild soap to clean all of the body parts.'
- B. I am going to add bath oil to the water to keep the baby's skin soft.'
- C. I should shampoo the head after washing the rest of the body.'
- D. I'll wash from the feet upward and change the washcloth for the face.'
Correct Answer: C
Rationale: The shampoo is done last, because the large surface area of the head predisposes the infant to heat loss.
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Regarding the scenario in the question above, when would you reassess the APGAR?
- A. 2 minutes after the previous APGAR assessment
- B. 15 minutes after the previous APGAR assessment
- C. 5 minutes after the previous APGAR assessment
- D. No reassessment of the APGAR score is needed.
Correct Answer: C
Rationale: Standard practice is to reassess the APGAR score at 5-minute intervals after the initial 1-minute score, typically at 5 minutes, and again at 10 minutes if needed.
The nurse would explain to the father which concept of Piaget's cognitive development as the basis for the child's fear of darkness?
- A. Reversibility
- B. Animism
- C. Conservation of matter
- D. Object permanence
Correct Answer: B
Rationale: Animism, where children attribute life-like qualities to inanimate objects, can contribute to a fear of the dark.
A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?
- A. Stimulation of production of white cells and platelets
- B. Promotion of growth of small bones
- C. Increase in muscle mass and strength
- D. Decrease in production of sebaceous gland secretions
Correct Answer: C
Rationale: Testosterone increases muscle mass, promotes strength and growth of long bones, and enhances production of red blood cells.
The mother tells the nurse that the child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain that this behavior is a sign of...
- A. Inadequately parental attention
- B. Mastery of language ambiguities
- C. Inappropriate peer influence
- D. Excessive television watching
Correct Answer: B
Rationale: Telling jokes and riddles reflects a school-age child's mastery of language ambiguities.
What nonfamily-centered policies were prevalent in the 1960s? (Select one that does not apply.)
- A. Waiting room for fathers
- B. Sedation of mother during labor
- C. Delay of reunion of mother and infant
- D. Lenient visiting hours
Correct Answer: D
Rationale: Hospital policies in the 1960s provided a separate waiting room for fathers while the mother went through labor in a sedated state. The reunion of mother and infant was delayed for several hours because of the sedation. Visiting hours were rigid and disallowed the visitation of minor children. 'E' refers to restrictions of visitations by minor children.