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.,/Capstone VATI Nursing care of Children Health Promotion and Maintenance quiz 1 3-26-19
The parent of a two-year-old child reports feeling frustrated with the fact that her son is
saying no to everything. The nurse should teach the parent that this behavior is a normal
expression of the child’s desire to accomplish which of the following?
Select one:
a. Gratify their oral fixation.
b. Develop their sense of trust.
c. Finish a project they set out to do.
d. Increase their independence.
CORRECT. The drive for independence is expressed by the toddler opposing the desires
of those in authority (tantrums) and attempting to do everything for themselves. The
Erickson developmental stage for this age is “Autonomy vs. Shame and Doubt.”
Feedback
The
At correct answer
a well-child is: Increase
visit, the their independence.
parents report that their toddler occasionally touches and fondles
her genital area. The parents ask the nurse if this behavior is something to be concerned
about. Which of the following is a correct response?
Select one:
a. This is a possible infection or irritation in the genital area
b. Your child is probably imitating behaviors that she has observed
c. Awareness of body structures and sensations is normal and expected
CORRECT. Genital self-stimulation by the toddler is normal and expected. It is a new area to explo
d. This is an early emergence of sexual expression that should be discouraged
Feedback
AThe correct
nurse answer
is taking the is: Awareness
health historyof
ofbody structures
a school-age and
girl. sensations
Which is normal
statement by theand
client’s mother indicates a need for further teaching regarding the client’s nutritional
status?
Select one:
a. “She eats a large breakfast every morning.”
, Capstone VATI nursing care of Children Health Promotion and Maintenance quiz 1
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b. "She enjoys helping to prepare her snacks in the kitchen.”
c. “We allow her to pick out a treat at the grocery store for good behavior.”
CORRECT. This statement indicates a need for further teaching. This client’s mother should be ed
d. “We increase her protein intake when she’s playing sports.”
Feedback
AThe correct
nurse answer
correctly is: “We allow
understands heroftothe
which pick out a treat
following at the grocery
characteristics is astore for good
possible
developmental delay for a 3-month-old client?
Select one:
a. The infant demonstrates stranger anxiety
b. The infant is unable to point to objects
c. The infant is unable to sit with support
d. The infant does not raise his head when placed on his abdomen
CORRECT. When placed on the abdomen the 3 month old should attempt to raise his head. Some
Feedback
AThe correct
nurse answer is: The
has administered infant
the first does
DTaPnot raise his toxoid,
(diphtheria head when placed
tetanus andon his abdomen
pertussis)
immunization to a two-month-old infant. For which of the following symptoms should
the nurse teach the parents to seek immediate medical attention?
Select one:
a. The baby is crying inconsolably for more than three hours
CORRECT. Inconsolable crying lasting more than three hours and/or seizures within 48 hours of va
b. The baby develops swelling or redness at the injection site
c. The baby has an axillary temperature of 100.4o F. (38o C)