Nokea
A mother comes to the pediatric clinic and says to the nurse, “I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?” Which of the following statements should the nurse make?
- A. “It is highly unusual for siblings not to reach developmental milestones at the same time. I’ll ask the doctor to assess him.”
- B. “All babies reach developmental milestones at different rates.”
- C. “This may be something to worry about. I’ll have the doctor examine him.”
- D. “Don’t worry; he’ll crawl soon enough.”
Correct Answer: B
Rationale: Each child develops at their own pace, even though milestones follow a general pattern.
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Which of the following are symptoms or warning signs of anorexia nervosa?
- A. Lack of menstruation in females
- B. Preoccupation with food
- C. Eating only small amounts of certain foods
- D. Dramatic weight fluctuations
Correct Answer: A
Rationale: Symptoms of anorexia nervosa include extreme preoccupation with food, lack of menstruation, and dramatic weight loss.
A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family?
- A. Increased energy level
- B. Improved coping
- C. Enhanced self-esteem
- D. Facilitated family conversation
Correct Answer: B
Rationale: The family needs to improve coping skills as they adjust to the impact of the teenager's illness.
The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her 10-kg infant. Which of the following would be the minimum recommended fat intake?
- A. 18 grams a day
- B. 28 grams a day
- C. 38 grams a day
- D. 48 grams a day
Correct Answer: C
Rationale: The recommended fat intake for infants this age is 3.8 g/kcal, so for a 10-kg infant, the minimum intake would be 38 grams.
Which of the following foods will a 5-year-old child need help eating?
- A. Pudding
- B. Macaroni and cheese
- C. Chicken
- D. Jelly sandwich
Correct Answer: C
Rationale: A 5-year-old will need help cutting meats like chicken, especially as they lack the dexterity for cutting at this age.
Erikson’s task of autonomy vs. shame and doubt occurs during which stage of development?
- A. Infancy
- B. Early childhood
- C. Late childhood
- D. Early adolescence
Correct Answer: B
Rationale: Erikson's task of autonomy vs. shame and doubt occurs during early childhood (ages 1–3).