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What would the nurse further investigate when assessing patterns of growth in a child?
- A. Previous weight was in the 75th percentile, and present weight is in the 25th percentile.
- B. Height is in the 90th percentile, and weight is in the 75th percentile.
- C. Last weight was in the 5th percentile, and present weight is in the 10th percentile.
- D. Weight is in the 50th percentile, and sibling's weight at the same age was in the 75th percentile.
Correct Answer: A
Rationale: The child showing a difference of two or more percentile levels from an established growth pattern should undergo further evaluation.
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Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply.)
- A. Bubble gum
- B. Chocolate-covered peanuts
- C. Raw vegetables
- D. Cheese
- E. Dried fruits
Correct Answer: C,D
Rationale: Cheese and raw vegetables are acceptable healthy snacks. Bubble gum, chocolate-covered peanuts, and dried fruits all contain high amounts of sugar.
A mother tells her 4-year-old child that balls should be played with outside and not inside the house. Why is the child likely to obey the rule?
- A. The child does not want to be punished.
- B. The child wants to please her mother.
- C. The child respects authority figures.
- D. The child believes that following the rules is right.
Correct Answer: A
Rationale: According to Kohlberg, children in the preconventional stage (4 to 7 years) are obedient to their parents for fear of punishment.
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.
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.
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.