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Which statement made by a parent would cause the nurse to suspect that the infant may have a developmental condition like cerebral palsy (CP) ?


A) "My 6-month-old baby is rolling from back to prone now."
B) "My 8-month-old cannot sit without support."
C) "My 10-month-old is not walking."
D) "My 3-month-old smiles at me all the time."

Correct Answer

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The nurse is interviewing the mother of a child who is being evaluated for attention-deficit/hyperactivity disorder (ADHD) .When assessing the child's health history,which of the following should the nurse identify as a risk factor for ADHD?


A) The measles,mumps,and rubella (MMR) vaccine
B) The immune response of the child
C) Young parental age at conception
D) Smoking during pregnancy

Correct Answer

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What does a nonorganic cause of failure to thrive (FTT) mean?


A) The FTT is not the result of a disease process or medical condition.
B) The FTT is the result of inborn errors in metabolism.
C) The FTT is the result of congenital disease.
D) The FTT is the result of a congenital anomaly such as cleft palate.

Correct Answer

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The nurse is caring for a 9-month-old client diagnosed with ataxic cerebral palsy (CP) .Which of the following clinical manifestations does the nurse anticipate when assessing this client? Select all that apply.


A) Muscle instability
B) Hypotonia
C) Hemiplegia
D) Hypertonia
E) Tremors

Correct Answer

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What activity should the nurse implement for a 6-month-old client with gross motor delays?


A) Pull the child to a sitting position and prop the child in that position.
B) Encourage the child to hold a rattle or play patty-cake.
C) Talk to the child and play music.
D) Encourage the child to pull up to a standing position.

Correct Answer

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A nurse is teaching a mother of an infant who has been diagnosed with failure to thrive (FTT) about the treatment for the condition.Which statement by the nurse is appropriate?


A) "Appetite stimulant medications will be prescribed to help your child gain weight."
B) "If your child is breastfeeding,you must stop and feed your child formula."
C) "A home care nurse will be visiting to see how your child eats."
D) "A home care nurse will be visiting to insert a nasogastric feeding tube in your child."

Correct Answer

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The school nurse is talking to a child with attention-deficit/hyperactivity disorder (ADHD) who wants to play soccer.Which action is most appropriate for the school nurse to take?


A) Recommend that the child become active in an individual sport,rather than a team sport.
B) Encourage the child to play soccer.
C) Discourage the child from playing a sport.
D) Ask the child's mother to get permission from the child's physician to play soccer.

Correct Answer

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While conducting a well-child assessment,the nurse suspects that a 2-month-old has failure to thrive (FTT) .Which of the following height and weight measurement parameters should the nurse use to help diagnose this health problem?


A) Height and weight below the 50th percentile
B) Height and weight below the 15th percentile
C) Height and weight below the 5th percentile
D) Height and weight below the 10th percentile

Correct Answer

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The nurse is assessing a 20-month-old and learns that he is unable to stand alone.Which aspect of development does the nurse identify as altered?


A) Behavior
B) Height
C) Motor
D) Growth

Correct Answer

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Which activities should the nurse emphasize when teaching parents about how to foster development in preschool-aged children?


A) Providing time for playing sports,such as basketball,to increase gross motor skills
B) Helping them develop skills needed in the adult world,such as allowance budgeting
C) Allowing "pretend" time,such as dress-up or role-playing activities
D) Presenting diversity in culture and practices as part of home-based study

Correct Answer

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An individual with ASD who demonstrates marked distress on switching activities (such as responding with loud verbalizations and behaviors that could result in self-harm) is demonstrating which level of clinical manifestations of the disorder?


A) Level I clinical manifestation
B) Level II clinical manifestation
C) Level III clinical manifestation
D) Level IV clinical manifestation

Correct Answer

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A community health nurse is teaching a group of women about the dangers of smoking.Which of the following child health problems should the nurse mention as associated with smoking during pregnancy?


A) Benzodiazepine withdrawal
B) Attention-deficit/hyperactivity disorder (ADHD)
C) Vision impairment
D) Personality disorders

Correct Answer

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The nurse is teaching the family of a child who is prescribed amphetamine mixed salts sustained release (Adderall XR) for attention-deficit/hyperactivity disorder (ADHD) .Which of the following should the nurse teach the family is the best time to administer the medication?


A) Just before lunch
B) At bedtime
C) With the evening meal
D) Early in the morning

Correct Answer

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The school nurse cares for students with physical challenges and suspects that the needs for physical safety are not being adequately met for several students in the home environment.Which of the following assessment findings support the nurse's concern? Select all that apply.


A) Wearing the same clothes to school several days of the week
B) Limited arm range of motion
C) Scrapes on knees caused by falling from a bicycle
D) Hand burn from touching a hot stove
E) Lunch contains leftovers from previous evening dinner

Correct Answer

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The nurse is providing education to the parents of a child diagnosed with ASD.Which of the following healthcare professionals should the nurse tell the parents will take part in their child's care? Select all that apply.


A) Social services
B) Laboratory
C) Speech therapy
D) Play therapy
E) Public health agency

Correct Answer

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The nurse is providing teaching to a client who is concerned about giving birth to a child with cerebral palsy.Which would the nurse include as risk factors for the condition? Select all that apply.


A) Cesarean delivery
B) Severe jaundice following birth
C) Infection and fever during pregnancy
D) Preterm labor
E) Birth weight of 9 pounds or above

Correct Answer

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The parents of a child with autism spectrum disorder (ASD) observe that the child has difficulty making friends and are concerned about social expectations for their child.Which of the following is the priority diagnosis for this child based on the parents' concern?


A) Ineffective Coping
B) Deficient Diversional Activity
C) Social Isolation
D) Impaired Social Interaction

Correct Answer

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A nurse is caring for a pregnant client who has a history of depression.When including information to decrease the client's risk for having an infant diagnosed with failure to thrive (FTT) ,which of the following rationales is appropriate?


A) Women with mental illness have a decreased breast-milk supply,increasing the risk of FTT.
B) Women with mental illness may be socially isolated,increasing the risk of FTT.
C) Women with mental illness take medications that pass through the breast milk,increasing the risk of FTT.
D) Women with mental illness lack the knowledge required to provide adequate nutrition,increasing the risk of FTT.

Correct Answer

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A nurse is providing education to the caregiver of a child with autism spectrum disorder (ASD) .Which commonly associated behavioral problem should be identified in this teaching?


A) Depression in relation to feelings of inadequacy
B) Episodes of self-injury
C) Strong tendency toward hypoactivity
D) Hostility when faced with structured environments or repetitive activities

Correct Answer

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