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Exam 3: Health Assessment Across the Lifespan

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Question 1

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The nurse is explaining the influence of culture on growth and development to a group of expectant first-time parents.The nurse recognizes the need for further teaching when a parent states:

A) "Mothers and fathers should always share in the responsibilities of caring for a new baby."
B) "Culture may influence the rate at which developmental milestones occur."
C) "The ways in which children are disciplined may vary among cultures."
D) "The value of education varies among cultures."

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Question 2

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When reviewing the developmental behaviors of an 8-month-old infant,which of the following behaviors indicates to the nurse the need for follow-up assessments?

A) Unable to sit for brief periods of time without support
B) Moro reflex present
C) Crawling on abdomen
D) Pulls self to standing position
E) Positive Babinski reflex

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Question 3

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The parent of a 3-year-old child voices concerns about the child's potential developmental delays.The parent reports an older child reached milestones significantly ahead of the younger child.An assessment reveals the child is able to assist with dressing and can play catch.Which of the following responses by the nurse is appropriate?

The nurse identifies which of the following as environmental factors that can influence the growth and development of an individual?

The nurse is completing discharge teaching to the family of a hospitalized older adult client.Which of the following is most important for the nurse to include in this teaching plan?

In preparation for a sport's physical examination,the nurse is assessing the height of a 16-year-old male client.The client measures 5′5″.The client voices concerns about his lack of stature.He asks if he has reached his full height.Which of the responses by the nurse is most appropriate?

The mother of a toddler tells the nurse that she is concerned about her child's lower back curving in and the child's belly sticking out.Which of the following actions would be appropriate for the nurse?

The nurse is caring for a young adult client in the clinic who presents for a routine health examination.The nurse anticipates which of the following interventions for this client?

During a well-baby check the nurse notices the infant does not demonstrate the expected developmental milestones for this age.Which of the following nursing interventions should be completed first?

The nurse is counseling a middle-aged couple when the man asks if his wife is going through menopause.His wife has told him that both men and women experience decreasing hormonal production during middle adulthood,and he asks the nurse if this is true.What is the most appropriate response by the nurse?

The father of a preschool-aged child tells the nurse he is concerned that his son cannot ride a tricycle.Which of the following actions would be appropriate for the nurse?

A preschool-age child is at play.Which of the following behaviors indicates to the nurse that the child is successfully moving through Piaget's cognitive stages of development appropriate for this age?

The nurse is caring for a hospitalized infant.When the infant begins to cry,the parents report they do not believe in responding too rapidly,as they do not wish to spoil their child.Which of the following responses by the nurse is most appropriate?

During a well-baby visit,the nurse measures the height and weight of an infant and plots the measurements on the baby's growth chart.The nurse notes a slowed growth pattern.Which of the following would be an appropriate action for the nurse to take?

The nurse is conducting a prenatal class to expectant parents.When one of the couples asks how children grow,the nurse explains that growth and development proceeds in a number of ways.Which of the following descriptions will the nurse use to accurately reflect normal growth and development?

An infant has been admitted to the pediatric unit for observation.The admission assessment indicates the family is Cuban American.When assessing the family's interactions the nurse notes the mother does all the care of the child while the father seems detached from the infant.Which of the following would be the most appropriate nursing diagnosis in this situation?

The nurse is counseling the parents of a young teenager who is experiencing behavioral problems.The nurse would correctly choose which of the following assessment tools in this situation?

The nurse is interviewing the mother of a toddler who verbalizes concerns that her child uses the toilet to void,but refuses to use the toilet for bowel movements,and often hides to defecate.The nurse identifies that this child is in which of the following Freudian phases of psychologic development?

The nurse is teaching the parents of a child who is in Piaget's sensorimotor stage of development.Which statement,made by the parents,indicates to the nurse that they understand the teaching and are working appropriately to help the child accomplish developmental tasks of this stage?

During a routine physical examination,a middle-aged female client reports concern about the weight gained over the past 2 years despite not having made any significant changes in diet or exercise patterns.The nurse understands that which of the following factors may be responsible for the client's reported changes in weight?