Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 135
Chapter 15: An Overview of Growth, Development, and Nutrition
MULTIPLE CHOICE
1. What type of development is the nurse assessing when an infant can lift his or her head before he or she can
sit?
a. Specific to general
b. Proximodistal
c. Cephalocaudal
d. General to specific
ANS: C
Cephalocaudal development proceeds from head to toe.
DIF: Cognitive Level: Comprehension REF: Page 357
OBJ: 1 TOP: Cephalocaudal Development
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. What is a unique organization of characteristics that determines an individuals pattern of behavior?
a. Environment
b. Heredity
c. Personality
d. Experience
ANS: C
One definition of personality states that it is a unique organization of characteristics that determines the
individuals typical or recurrent pattern of behavior.
DIF: Cognitive Level: Knowledge REF: PageNURSINGTB.COM
364
TOP: Personality Development KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. An infants birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months?
a. 12 pounds
b. 15 pounds
c. 18 pounds
d. 22 pounds
ANS: B
An infant usually doubles his or her birth weight by 5 to 6 months.
DIF: Cognitive Level: Analysis REF: Page 357
OBJ: 4 TOP: Weight Prediction
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. What would the nurse further investigate when assessing patterns of growth in a child?
a. Previous weight was in the 75th percentile, and present weight is in the 25th percentile.
b. Height is in the 90th percentile, and weight is in the 75th percentile.
c. Last weight was in the 5th percentile, and present weight is in the 10th percentile.
d. Weight is in the 50th percentile, and siblings weight at the same age was in the 75th percentile.
ANS: A
The child showing a difference of two or more percentile levels from an established growth pattern should
undergo further evaluation.
DIF: Cognitive Level: Analysis REF: Page 360
TOP: Growth KEY: Nursing Process Step: Data Collection
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 136
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. A mother reports that she and her husband have had one child together, but both have children from
previous marriages living in their home. The nurse will base the care planning on what type of family?
a. Nuclear
b. Blended
c. Alternate
d. Extended
ANS: B
A blended family involves the remarriage of persons with children.
DIF: Cognitive Level: Comprehension REF: Page 363
OBJ: 6 | 7 TOP: The Family KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
6. The mother of a 7-month-old reports that the first lower central incisor has erupted. She asks the nurse, How
many teeth will he have by his first birthday? The nurse explains that the infant will have how many teeth by 1
year of age?
a. 2
b. 4
c. 6
d. 8
ANS: C
The 1-year-old infant usually has about 6 teeth, 4 above and 2 below.
DIF: Cognitive Level: Knowledge REF: Page 384
TOP: Dentition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. At a well-baby visit, parents of a 6-month-old ask when to take the infant for the first dental visit. What is
the nurses best response?
a. If the teeth are brushed regularly, the child should see a dentist by 3 years of age.
b. The first dental visit should be arranged after the first tooth erupts.
c. The child should have a dental examination when all deciduous teeth have erupted.
d. A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry.
ANS: D
The Academy of Pediatric Dentistry recommends that the first dental visit occur by 1 year of age.
DIF: Cognitive Level: Application REF: Page 384
TOP: Dentition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
8. The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain
that permanent teeth begin erupting at what age?
a. 4 years old
b. 6 years old
c. 8 years old
d. 10 years old
ANS: B
Permanent teeth do not erupt through the gums until the sixth year.
DIF: Cognitive Level: Knowledge REF: Page 385
TOP: Dentition KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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