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MED SURG 2 :Session 4 Exam 1 - Developmental Stages and Transitions

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MED SURG 2 :Session 4 Exam 1 - Developmental Stages and Transitions

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12/30/21, 7:58 PM Session 4 Exam 1 - Developmental Stages and Transitions: NCLEX Remediation Course Nov 2021


Session 4 Exam 1 - Developmental Stages and
Transitions
Due Dec 28 at 11:59pm Points 99 Questions 99
Available Dec 21 at 12am - Jan 4, 2022 at 11:59pm 15 days
Time Limit 150 Minutes




Attempt History
Attempt Time Score
LATEST Attempt 1 127 minutes 95 out of 99




Score for this quiz: 95 out of 99
Submitted Dec 28 at 12:42am
This attempt took 127 minutes.


Question 1 pts


A nurse is providing information to a group of pregnant clients and their
partners about the psychosocial development of an infant. Using Erikson's
theory of psychosocial development, what should the nurse tell the group
about the infants?


Correct! Rely on the fact that their needs will be met



Need to experience frustration, so it is best to allow an infant to cry for a
while before meeting his or her needs




Must have needs ignored for short periods to develop a healthy personality




https://jerseycollege.instructure.com/courses/2491/quizzes/27618 1/141

,12/30/21, 7:58 PM Session 4 Exam 1 - Developmental Stages and Transitions: NCLEX Remediation Course Nov 2021




Need to tolerate a great deal of frustration and discomfort to develop a
healthy personality




Rationale: According to Erikson’s theory of psychosocial
development, infants struggle to establish a sense of basic trust
rather than a sense of basic mistrust in their world, their
caregivers, and themselves. If provided with consistent satisfying
experiences that are delivered in a timely manner, infants come to
rely on the fact that their needs are met and that, in turn, they will
be able to tolerate some degree of frustration and discomfort until
those needs are met. This sense of confidence is an early form of
trust and provides the foundation for a healthy personality.
Therefore the other options are incorrect.
Test-Taking Strategy: Eliminate the option that contains the closed-
ended word "must." Eliminate the options that are comparable or
alike and indicate that experiencing frustration is necessary.
Review: Erikson’s theory of psychosocial development as it relates
to the infant.
Reference:
McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J.
(2013). Maternal-child nursing (4th ed., pp. 74-75). St. Louis:
Elsevier.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages
Giddens Concepts: Development, Reproduction
HESI Concepts: Developmental, Sexuality/Reproduction




Question 2 pts


A nurse is weighing a breastfed 6-month-old infant who has been brought
to the pediatrician's office for a scheduled visit. The infant's weight at birth
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,12/30/21, 7:58 PM Session 4 Exam 1 - Developmental Stages and Transitions: NCLEX Remediation Course Nov 2021

was 6 lb 8 oz (2.9 kg). The nurse notes that the infant now weighs 13 lb
(5.9 kg). Which action should the nurse take?



Tell the mother that semisolid foods should not be introduced until the
infant's weight stabilizes

Correct! Tell the mother that the infant's weight is increasing as expected



Tell the mother to decrease the daily number of feedings because the
weight gain is excessive




Tell the mother that the infant should be switched from breast milk to
formula because the weight gain is inadequate




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, 12/30/21, 7:58 PM Session 4 Exam 1 - Developmental Stages and Transitions: NCLEX Remediation Course Nov 2021




Rationale: Infants usually double their birth weight by 6 months
and triple it by 1 year of age. If the infant is 6 lb 8 oz (2.9 kg), at
birth, a weight of 13 lb (5.9 kg) at 6 months of age is to be
expected. Semisolid foods are usually introduced between 4 and
6 months of age.
Test-Taking Strategy: Focus on the subject in the question, the
current weight of the infant. Recalling that infants double their
weight by 6 months of age will direct you to the correct option.
Review: the growth rate of an infant.
Reference: McKinney, E., James, S., Murray, S., Nelson, K. &
Ashwill, J. (2013). Maternal-child nursing (4th ed., pp. 488-489). St.
Louis: Elsevier.
Potter, P., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013).
Fundamentals of nursing. (8th ed., p. 143). St. Louis: Mosby.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Giddens Concepts: Development, Nutrition
HESI Concepts: Developmental, Nutrition




Question 3 pts


A nurse performing a physical assessment of a 12-month-old infant notes
that the infant's head circumference is the same as the chest
circumference. Based on this finding, what should the nurse do?


Suspect the presence of hydrocephalus

Correct!
Document these measurements in the infant's health-care record


Suggest to the pediatrician that a skull x-ray be performed


Tell the mother that the infant is growing faster than expected


https://jerseycollege.instructure.com/courses/2491/quizzes/27618 4/141

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