A nurse performing an assessment of a newborn in the neonatal unit records these findings: heart rate 85 bpm, irregular respiratory rare, normal muscle tone, weak crying, and bluish tint to skin. Using the APGAR scoring chart (pg. 389) what would be the score for this newborn?
5
7
8
10
The nurse records an APGAR score of 4 for a newborn. What would be the priority intervention for this newborn.
No interventions are necessary, this is a normal score
Provide respiratory assistance
Perform CPR
Wait 5 minutes and repeat the scoring process
A school nurse is preparing a talk on safety issues for parents of school-aged children to present at a parent-teacher meeting. Which topics should the nurse include based on the age of the children?
child proofing their home
choosing a car seat
teaching pedestrian traffic safety
providing swimming lessons and water safety rules
discussing alcohol and drug consumption related to motor vehicle safety
teaching child how to "stop, drop, and roll"
The nurse encourages parents of hospitalized infants and toddlers to stay with their child to help decrease what potential problem?
Problem with attachment
Separation anxiety
Risk for injury
Failure to thrive
A nurse is teaching parents of toddlers how to spend quality time with their children. Which activity would be developmentally appropriate for this age group?
Playing video games
Playing peek-a-boo
Playing in a sand box
Playing board games
A mother tells the nurse that she is worried about her 4 year old daughter because "she is overly attached to her father and won't listen to anything I tell her to do". What would be he nurses's best response to this parental concern.
tell the mother that this is normal behavior for a preschooler
tell the mother that she and her family should see a counselor
tell the mother that she should try to spend more time with her daughter
tell the mother that her child should be tested for autism
A high school nurse is counseling parents of teenagers who are beginning high school Which issues would be priority topics of discussion for this age group?
The influence of peer groups
Bullying
Water Safety
Eating disorders
Risk taking behavior
Immunizations
A nurse working with adolescents in a group home discusses the developmental tasks appropriate for adolescents with the staff. What is an example of a primary developmental task of the adolescent?
Working hard to succeed in school
Spending time developing relationships with peers
Developing athletic activities and skills
Accepting the decisions of parents
Following assessment of an obese adolescent, a nurse considers nursing diagnoses for the patient. Which diagnosis would be most appropriate?
Risk for delayed development
Social isolation
Disturbed body image
A nurse is teaching new mothers about infant care and safety. What would the nurse accurately include as a teaching point?
Keep infants younger than 6 months out of direct sunlight
Use honey instead of sugar in homemade baby food
Place the baby on his or her stomach for sleeping
Keep crib rails down at all times
Which of the following characteristics of a neonate would be reflected in her APGAR score?
The infant is hypersensitive to noise
The infant does not open her eyes to verbal stimulus
The infant coughs up mucus shortly after delivery
The infant's hand and feet appear blue
Which of the following points should the nurse prioritize when educating school-aged children about their nutrition?
Sources of calcium and vitamin D
The importance of organic food
Limiting complex carbohydrate intake
Sources of iron and folate
The nurse is caring for a female client 15 years of age who is hospitalized with a fractured ankle. Her father tells the nurse that this happened during a gymnastic lesson. He goes on to explain that every 6-8 months it seems his daughter is trying something different. You know that this behavior fits with which of the following theorists developmental tasks for adolescents?
Freud
Piaget
Havighurst
Erikson
The mother of a girl 6 years of age is exasperated at her daughter's enuresis. How can the nurse best respond to this mother's concern?
Have you spoken to your primary care provider about a referral to a specialist?
This is especially common among girls, and is very normal.
Does your girl ever complain of pain or burning when she urinates?
Most children outgrow their bedwetting at round your daughter's age, or shortly there after
While providing education to a young adult during an annual health exam, the nurse discusses health problems common during this stage of development. What is the most common cause of mortality during this stage?
Motor vehicle crashes
Suicide
Drug overdose
The nurse is caring for a male client 17 years of age who was admitted to the intensive care unit with a gun shot to the head. He and his 17 year old girlfriend carried out a suicide pact. She died at the scene and he survived. The nurse recalls what she has read about the nation's teenagers and suicide. Which of the following are correct?
Males succeed at suicide more often
More prevalent in teenagers than other age groups
Rate of teenage suicide is decreasing
Females attempt suicide more often
Third leading cause of death in ages 15-24
A pediatric nurse inquires about an infant's ability to feed himself. The ability to feed one self is an example of what type of development?
Cognitive development
Psychosocial development
Spiritual development
Physiologic development
The nurse is conducting a preoperative assessment of a 5 year old girl who is scheduled for surgery later that day. The nurse should be aware that the client's imminent surgery is likely to cause what?
Separation anxiety and fear of pain
Impaired psychosocial development
Mistrust of authority
Risk for shame and guilt
The clinic nurse is seeing a female client 18 years of age who needs to renew her asthma prescription. The client tells the nurse that she is going to another state in a few weeks to attend college and will be living in a dorm. The nurse recommends which of the following while the client is being seen in the clinic?
Meningococcal vaccine
Hep B series
TB skin test
Polio Booster
A school aged child is attentive to following the rules at school, respect his teachers, and views justice as a means of fair play. These are characteristics of which type of development typical of this age group?
Moral development
Of the following components of psychosocial development in the neonate and infant, which one facilitates emotional linkage between a baby and caregiver?
Play
Temperament
Attachment
Bonding
The nurse documents the following data upon assessment of a neonate; heart rate 89 BPM, slow respiratory effort, flaccid muscle tone weak cry, and a pale skin tone. What is the APGAR score?
3
2
4
A neonate has a heartbeat of 92 bpm, good respiratory effort, active motion, a vigorous cry, a pink body and blue extremities. Based upon these findings, what is the APGAR score?
9
The nurse is assessing a preschooler who just turned 6 years of age. The nurse expects which of the following as typical development?
The child begins to draw by drawing stick figures
The head is close to adult size by age 6
Play is related to fantasy instead of real life events
Egocentrism increases as socialism increases
Adolescent sexual development occurs in 3 stage: prepubescence, pubescence, postpubescence. Characteristics common to the phase of pubescence include which of the following?
Slight enlargement of sex organs, and appearance of downy pubic hair
Increase in the amount, pigmentation, and curling of pubic hair, and growth spurt in height and weight
Appearance of breast buds in females and increase in length circumference of penis in males
Completion of sexual growth and development, as well as fertility
is an active, affectionate, reciprocal relationship between two people, which is somewhat different from .
occurs during a sensitive period in the first few hours after birth (although it may occur later in the first few months) and is necessary for later .
might be considered the emotional linkage of two people and the long-term maintenance and strengthening of the linked state.
