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Which information is most appropriate for the nurse to collect at this time?
- A. The infant's weight and length
- B. The infant's breath and heart sounds
- C. The infant's head and chest circumference
- D. The infant's sucking and grasp reflexes
Correct Answer: A
Rationale: Weight and length assess growth and potential failure to thrive, relevant to the mother's concern.
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Which rationale is the best justification for openly discussing the child's prognosis?
- A. In this age group, children already have a sense that death is a possibility.
- B. Sharing prevents the child from dealing with fears alone.
- C. Concealing the truth will be very difficult.
- D. Being less than honest is immoral and unethical.
Correct Answer: B
Rationale: Sharing allows the child to express fears with support, reducing isolation.
Which additional nursing action is most beneficial for reducing the child's anxiety?
- A. Offer the child a reward for good behavior.
- B. Let the child handle some of the equipment.
- C. Show the child others who have infusing fluids.
- D. None of the above
Correct Answer: B
Rationale: Handling equipment familiarizes the child with the procedure, reducing fear.
Which nursing action is most appropriate for the mother at this time?
- A. Briefly take over bathing the newborn.
- B. Advise the mother to discontinue the bath.
- C. Give all future baths in the nursery.
- D. Point out the good job being done.
Correct Answer: A
Rationale: Taking over briefly supports the mother, reducing her anxiety while allowing her to remain involved.
The nurse is correct in assuming that without adequate nurturing during infancy, the child of the teenage mother is at risk for developing which psychosocial characteristic?
- A. Inferiority
- B. Mistrust
- C. Doubt
- D. Isolation
Correct Answer: B
Rationale: Lack of nurturing can lead to mistrust, per Erikson's developmental stages.
When describing the characteristic developmental stage of school-age children, which statement by the nurse is most accurate?
- A. School-age children begin developing long-lasting friendships.
- B. School-age children are learning to work beside and with others.
- C. School-age children are preoccupied with finding a purpose in life.
- D. School-age children are striving for independence from others.
Correct Answer: B
Rationale: School-age children focus on industry, working collaboratively, per Erikson's stages.