The parents of a child with an autosomal dominant genetic disorder ask the nurse, "What are the
chances of our next child having this disorder?" Which of the following would be the nurse's best
response?
A. "Each child has a 25% chance of being born with the disorder"
B. "Each child has a 50% chance of being born with the disorder"
C. "Your sons will be affected, but not your daughters"
D. "Daughters of the affected father will be affected, but not your sons" correct answers B. "Each
child has a 50% chance of being born with the disorder"
When assessing a client from a culture different than the nurse's own, which of the following
should the nurse do first?
A. Be sensitive to a family's beliefs
B. Understand her own beliefs
C. Enact Western values on the family
D. Modify the family's cultural beliefs correct answers B. Understand her own beliefs
Which of the following factors plays the greatest role in adversely affecting a child's health?
A. Cultural background
B. Religious influences
C. Environmental influences
D. Socioeconomic status correct answers D. Socioeconomic status
When assessing family structure, which of the following would be inappropriate?
,A. Composition of family and community environment
B. Occupation and education of family members
C. Cultural and religious background
D. Intrafamily communication patterns correct answers D. Intrafamily communication patterns
What is the earliest age that the nurse would expect a child to say "mamma" & "dadda" with
meaning?
A. 4 months
B. 6 months
C. 10 months
D. 14 months correct answers C. 10 months
Which of the following statements is most characteristic of the motor skills of a 24-month-old?
A. Able to grasp small objects but cannot release them at will
B. Activities begin to produce purposeful results.
C. Motor skills are fully developed but occur in isolation from the environment.
D. Walks alone and does not fall correct answers B. Activities begin to produce purposeful
results
The nurse expects that most children will be using sentences of six to eight words by what age?
A. By 18 months.
B. By 24 months.
C. By 4 years.
, D. By 8 years correct answers D. By 8 years
Which of the following statements is an important consideration related to childhood stress?
A. Children do not have coping strategies.
B. Children should be protected from stress
C. Parents cannot prepare children for stress.
D. Some children are more vulnerable to stress than others correct answers D. Some children are
more vulnerable to stress than others
The nurse is assessing the skin turgor of a child. The nurse grasps the skin on the abdomen
between the thumb and index finger, pulls it taunt, and quickly releases it. The tissue remains
suspended or tented for a few seconds, then slowly falls back on the abdomen. Which of the
following evaluations can the nurse correctly assume?
A. The assessment is done incorrectly.
B. The child has poor skin turgor.
C. The child is properly hydrated.
D. The tissue shows normal elasticity correct answers B. The child has poor skin turgor
Superficial palpation of the abdomen is often perceived by the child as tickling. Which of the
following measures by the nurse is most likely to minimize this sensation and promote
relaxation?
A. Ask child not to laugh or move if it tickles.
B. Begin with deeper palpation and gradually progress to superficial palpation.
C. Have the child "help" with palpation by placing his or her hand over the palpating hand.
D. Palpate another area at the same time correct answers C. Have the child "help" with palpation
by placing his or her hand over the palpating hand