Nokea
When discussing normal infant growth and development with parents, which of the following toys would the nurse suggest as most appropriate for an 8-month-old?
- A. Push-pull toys
- B. Rattle
- C. Large blocks
- D. Mobile
Correct Answer: C
Rationale: Because the 8-month-old is refining his gross motor skills, being able to sit unsupported and also improving his fine motor skills, probably capable of making hand-to-hand transfers, large blocks would be the most appropriate toy selection.
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Parents express concern about the milia on the face and nose of their infant. What is the nurse's most helpful response when instructing the parents?
- A. Contact a pediatric dermatologist for topical medication.
- B. Squeeze out the white material after cleansing the face.
- C. Wash the infant's face with a mild astringent several times a day.
- D. Leave the milia alone; it will disappear spontaneously. No treatment is needed.
Correct Answer: D
Rationale: Milia require no treatment. This skin manifestation will disappear spontaneously.
A couple just learned they are expecting their first child and are curious if they are having a boy or a girl. At what point of development can the couple first expect to see the sex of their child on ultrasound?
- A. 4 weeks gestational age
- B. 6 weeks gestational age
- C. 10 weeks gestational age
- D. 16 weeks gestational age
Correct Answer: C
Rationale: The fetal period begins at the ninth week, and by the tenth week the external genitalia are visible to ultrasound examination.
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 is teaching a group of parents about fever management in children. Which statement indicates a need for further teaching?
- A. I should use acetaminophen or ibuprofen for a fever above 101°F.'
- B. I can give my child aspirin for a fever if they are over 2 years old.'
- C. A lukewarm sponge bath may help lower my child's fever.'
- D. I should dress my child in light clothing if they have a fever.'
Correct Answer: B
Rationale: Aspirin is contraindicated in children due to the risk of Reye’s syndrome, especially with viral infections, indicating a need for further teaching. The other statements align with safe fever management.
During your physical examination, which of the following physical findings could be consistent with excess carbohydrate nutrition?
- A. Caries
- B. Skin elasticity and firmness
- C. Hair stringy, friable, dull, and dry
- D. Enlarged thyroid
Correct Answer: A
Rationale: Excess carbohydrates can lead to dental caries due to sugar fermentation by oral bacteria; other findings relate to different nutritional issues.