LATEST 2024 MATERNAL AND CHILD HEALTH NURSING 8TH EDITION TEST BANK QUESTIONS AND ANSWERS(VERIFIED ANSWERS) GRADED A+ BY Pillitteri

LATEST 2024
MATERNAL AND CHILD
HEALTH NURSING 8TH
EDITION TEST BANK
QUESTIONS AND
ANSWERS(VERIFIED
ANSWERS) GRADED
A+ BY Pillitteri









1. The nurse is planning to evaluate the development of a preschoolage child. On what should the nurse focus when performing this evaluation?
A) Appetite
B) Current weight
C) Change in height
D) Ability to perform a skill - Ans: D Feedback:
Development is measured by observing a child's ability to perform specific skills. Growth is used to denote an increase in physical size such as height and weight. Appetite is not used to evaluate growth or development.
2. A patient asks if a school-age child is going to be tall like others in the family. What should the nurse explain as having the least impact on the child's ultimate height?
A) Participation in sports
B) Occupations of parents
C) Inherited genetic material
D) Ingestion of nutritious food - Ans: A Feedback:
Although children cannot grow taller than their genetically programmed height potential, their adult height can be considerably less than their genetic potential if their environment hinders their growth. Environmental influences on height include socioeconomic status or occupations of parents, genetic material inherited, and availability and ingestion of nutritious foods. Participation in sports will not influence the child's ultimate height.
3. The mother of several children is amazed that the youngest male child achieved toilet training much earlier than the other children. What should the nurse explain as the reason for this early development?
A) "He has exceptional intelligence."
B) "He learned by watching your other children."
C) "He needs testing because he is developing too quickly." D) "He most likely will wet the bed for many years to come." - Ans: B Feedback:
Children learn by watching other children so a youngest child who has many examples to watch may excel in skills such as toilet training. The child did not become toilet trained early because of exceptional intelligence. The child is not developing too quickly. There is no way for the nurse to know if the child will wet the bed.
4. A patient is concerned that the new baby is going to have a weight problem growing up because other family members are obese. What should the nurse respond to this patient?
A) Restrict all fatty foods up until age 5 years.
B) Restrict fatty foods after the age of 10 years.
C) Do not restrict fatty foods until the age of 2 years.
D) Keep fat intake to less than 50% of total daily intake. - Ans: C Feedback:
For children, fat intake does not need to be restricted for the first 2 years of life because fat is necessary for myelination of spinal nerves. After the age of 2 years, fat intake can be tailored to meet the guidelines of 30% total intake for both children and adults. The patient should not restrict all fatty foods up until the age of 5 years or after the age of 10 years. Fat intake after the age of 2 years should be limited to 30% of total caloric intake.
5. During a home visit, the nurse observes an 8-year-old child pick up toys and place them in the toy box. The child then looks to the mother who says, "Thank you for helping me." Which stage of Kohlberg's moral development is this child demonstrating?
A) Individualism
B) Maintenance of social order
C) Punishment/obedience orientation D) Interpersonal relations of mutuality - Ans: D Feedback:
In the stage of interpersonal relations of mutuality, the child will follow rules because of a need to be a "good" person in their own eyes and in the eyes of others. The mother's praise reinforces this behavior. In the punishment/obedience stage, the child does "right" to avoid punishment. In the individualism stage, the child will carry out actions to satisfy own needs rather than others. In the maintenance of social order stage, the child will follow rules of authority figures as well as parents in an effort to keep the "system" working.
6. Which activity should the nurse encourage a new mother to perform to foster the developmental tasks of a toddler according to Erikson's developmental stages?
A) Feed the child lunch.
B) Read the child a story every night.
C) Allow the child to pull a talking duck toy.
D) Have the child watch a puppet show on television. - Ans: C Feedback:
The developmental task of the toddler is to learn autonomy versus shame or doubt. Autonomy comes from the toddler's new motor and mental abilities. Children take pride in the new things they can accomplish, and they want to do everything independently. Pulling a talking duck toy will support the development of autonomy. Doing things such as feeding, reading, and watching television does not foster autonomy in the toddler.
7. The nurse pours liquid medication from one tall container to a shorter container. How would the preschool-age child interpret this exchange of the medication?
A) The amount of medicine is less.
B) The glass changed shape to accommodate the medicine.
C) Pouring medicine hurts it in some way because it changes.
D) The amount of medicine did not change, only the appearance. - Ans: A
Feedback:
The preschool-age child has not developed conservation or the ability to discern truth, even though physical properties change. This is why the child will think that there is less medicine in the shorter container. The preschool-age child will not interpret this action as the glass changing shape or it is painful to pour medicine. An older child will understand that the appearance of the medication changed but not the amount.
8. The nurse is preparing to assess a school-age child in the community clinic. Which action supports the 2020 National Health Goals for growth and development of children?
A) Helping the child with math homework
B) Measuring the child's height and weight
C) Talking about favorite television programs
D) Asking the child to name a favorite subject in school - Ans: B Feedback:
Recognizing normal growth and development patterns of children helps to determine if children are following normal development and when referrals are needed. Nurses are the health care providers who interact with children and measure height and weight, which are used to recognize developmental delays. Helping with homework, talking about television, and identifying favorite subjects in school will not support the 2020 National Health Goals for growth and development of children.
9. During a home visit, the nurse observes a mother prepare a bottle for an 18-month-old child consisting of skim milk. Which nursing diagnosis should the nurse use to base instruction for this mother?
A) Imbalanced nutrition
B) Health-seeking behaviors
C) Delayed growth and development
D) Readiness for enhanced family coping - Ans: A
Feedback:
The nursing diagnosis of imbalanced nutrition is appropriate because the child's fat intake should not be restricted up until the age of 2 years. The developing body needs fat to ensure development of the nervous system. The mother using skim milk for the child's bottle does not indicate health-seeking behaviors, delayed growth and development, or readiness for enhanced family coping.