Mcn - finals unit exam

A delivery room nurse is assisting the obstetrician with the delivery of a female newborn. After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by which of the following interventions?

Nurse Cindy prepares to administer a vitamin K injection to a newly born baby. The mother asks the nurse why her newborn infant needs the injection. The best response by nurse Cindy would be:

Thermal care is central to reducing morbidity and mortality in newborns. Which of the following actions demonstrates the nurse's understanding about the newborn's thermoregulatory ability?

A nursery nurse is monitoring the urine output of a newborn and has noticed a reddish stain in the newborn's diaper. What causes the reddish stain present in the newborn's urine?

Vital signs assessment takes place as part of the art of observation and monitoring of the infant, child or young person. These signs give an indication of the body's basic functions. When assessing the newborn's heart rate, which of the following ranges would be considered normal if the newborn were sleeping?

A fontanelle is an anatomical feature on an infant's skull that allows its plates to be flexible to pass through the birth canal. Which of the following is true regarding the fontanels of the newborn?

Healthcare providers check reflexes to determine if the brain and nervous system are working well. Some reflexes occur only in specific periods of development. Which of the following groups of newborn reflexes below are present at birth and remain unchanged through adulthood?

The test for the Babinski reflex is simple but the results can identify potentially very serious central nervous system dysfunction. Which of the following describes the Babinski reflex?

Thermoregulation is a homeostatic process that maintains a steady internal body temperature despite changes in external conditions. Which of the following actions would be least effective in maintaining a neutral thermal environment for the newborn?

A nursery nurse assessed a female newborn 15 minutes after birth with the following assessment findings: RR-74; HR-160, nostril flaring; mild intercostal retractions; and grunting at the end of expiration. Which of the following should the nurse do?

If you are task to administer the vitamin K injection to a neonate, you would select which of the following sites as appropriate for the injection?

Nurses are expected to evaluate and monitor the neonate as part of a newborn assessment. The head should be closely inspected as part of the neurological examination. The newborn's head is examined using inspection and palpation and assessed for size, shape, and symmetry. What is the feature of the anterior fontanel

A pediatric nurse explained that cooperative play is a powerful tool for children's development, providing them with invaluable opportunities to learn essential skills and build meaningful relationships. An example is a group of children playing house. Each child is assigned a specific role as mommy, daddy, or child. At what age does this type of play typically begin?

A pediatric nurse assessed a female infant for her regular check-up. How many erupted teeth would the nurse expect a healthy 8-month-old infant to have?

If you are tasked with developing a care plan for the child's oral hygiene, you should encourage the parent to introduce tooth brushing to the child by age:

You assessed a male infant for a well-baby check-up. Upon weighing the infant, you noticed that his weight has doubled since the last time you weighed him. How much weight do you expect him to gain in his first year?

The couple is concerned that their five-month-old son is not sitting yet. A pediatric nurse explained that a baby will begin to sit with a little help at what age?

The couple asked the nurse, when should a baby start to crawl? Which of the following children's ages would the nurse most appropriate answer?

A baby started walking holding on to rails when he is ten-months old. His mother wants to know if this is normal. When should babies start walking by?

A mother comes in and is concerned because her baby can turn from abdomen to back, but cannot turn back to her abdomen. You inform the mother that this is:

A mother is very concerned because her infant has not laughed. She is worried that she is doing something wrong in caring for her infant. When should babies laugh by?

A mother is concerned because her daughter is crying often when she leaves her alone. She mentions that this did not happen when her daughter was a newborn. When does "separation anxiety" begin?

A grandparent is concerned that her newborn granddaughter is equally happy with family and strangers. She fears that the baby will not have a healthy fear of strangers. You reassure her that fear of strangers develops with time. When does fear of strangers develop?

You are explaining the cognitive development of infants to a group of students. You explain that object permanence develops at 9 - 10 months. What is object permanence?

You are explaining the cognitive development of infants to a group of parents. You explain that many reflexes are replaced by voluntary activity during infanthood. What is this phase called?

A parent comes in and tells you that she is trying to teach her two-week old daughter how rattles make sound when shaken. You explain that the understanding of cause/effect takes time to develop. When do babies start to understand cause/effect?

A parent comes in, worried that his son has not started to speak yet. The son is one year old. When should a child's first word be?

A mother comes in worried that her daughter has not started babbling, even though she is six months old. She remembers her first child babbling at a younger age. When should babies start babbling by?

You are explaining toilet training regimens to new parents. A father asks when should they expect their child to be toilet-trained. You explain that daytime and night control varies. When is a child expected to gain daytime bowel/bladder control by?

You are explaining toilet training regimens to new parents. A father asks when should they expect their child to be toilet-trained. You explain that daytime and night control varies. When is a child expected to gain night bowel/bladder control by?

You are monitoring the growth of a toddler. Which of the following conditions is expected?

A child is teething. The parents are uncertain about how many teeth are expected since they themselves have different counts of teeth due to past oral procedures. How many teeth are expected of toddler?

A father comes into the office and mentions that his toddler is walking. He wants to know when the toddler will start running so they can enter the father-son marathon together. When do children start running by?

A grandmother comes in and tells you that she wants to make clothes for her newborn grandchild. She wants to know how big the baby will be when he is 2.5 years old. How much will his weight have increased by compared to his birth weight?

You are giving a lecture on the physical changes toddlers undergo. Which of the following is not true?

You are giving a lecture on stages of developments, and talk about Freud's theory. In regard to toddlers, what stage of development are they in?

You are coaching a mother who is about to adopt a toddler. You spend some time talking about the psychosocial changes toddlers experience compared to newborns. Which of the following shouldn't the mother expect?

A four-year old comes in for his annual check-up. His father is concerned because the patient had gained 15 pounds last year. What is the normal annual weight gain for pre-schoolers?

A four-year old comes in for his annual check-up. His father is concerned because the patient had not gained any height in the last year. What is the normal increase in height for preschoolers?

You are tracking the growth of a five-year old patient. Which of the following would you not expect?

A parent is quite concerned about the speech development of their preschooler. You lay out key milestones for them. Which of the following milestones do not occur during the preschool stage?

You are giving a workshop on the cognitive changes of pre-schoolers to educators. You explain that depending on the stage of development, some concepts would be too difficult for them. Which of the following would be too difficult for pre-schoolers?

You are visiting a school and explaining about puberty a class of adolescent boys. Which of the following is not part of the physical changes of male puberty?

When planning nursing care, the nurse needs to remember that energy expenditure and nutrient requirements are higher during the:

A pediatric nurse planned to conduct a health education about growth and development to a group of parents with children ages 1-3 years old. The nurse is aware that the common stressor identified associated with the developmental stage of early childhood (1-3 years) is:

Normal growth is the result of the proper interaction of genetic, nutritional, metabolic, and endocrine factors. Which of the following statements helps explain the growth and development of children?

Piaget's cognitive theory places a strong emphasis on the active role that children play in their own cognitive development. Which behavior is most characteristic of the concrete operations stage of cognitive development?

Reviewing the dietary history in the context of recommended dietary intake is an important component of nutritional assessment in children. Which statement explains why it can be difficult to assess a child's dietary intake?

According to Erikson, infancy is concerned with acquiring a sense of:

In regard to the concept of child's growth and development, the development of a 2-year-old child is characterized by:

A group of nursing students discussed the child's different developmental theories. They explained that according to Erikson, the primary psychosocial task of the preschool period is developing a sense of:

Nurse Beth explains to a 23-year-old mother the reasons for her newborn's cranial molding and notices that the mother needs further instruction when she makes which of the following statements?

During assessment the nurse understands that the Moro reflex should disappear by what age in an infant?

A nursery nurse assessed a newly admitted newborn. She noticed a blue-black discoloration in the newborn's sacral area which is known as "Mongolian spots." The nurse is aware that this finding:

A first time mother brought her infant to a private clinic for a well-baby check-up. She expresses concern over strabismus in her infant. What would the nurse explain to the mother regarding this condition?

Jaundice is caused when too much bilirubin builds up in the newborn's body. What is the best technique for assessing jaundice in a newborn?

Infant stimulation is a process of providing supplemental sensory stimulation in any or all of the sensory modalities. When instructing a new mother about the newborn's need for sensory stimulation, the nurse should explain that the most highly developed sense in the neonate is:

At the time of delivery, the nurse assigns a newborn an Apgar score at 1 and 5 minutes. The purpose of this scoring system is to obtain:

A healthy, full-term newborn was given vitamin K intramuscularly right after birth. The nursery nurse is aware that infants:

Cognitive development is the development of knowledge, skills, problem solving and dispositions, which help children to think about and understand the world around them. Which best describes Piaget's cognitive stage of formal operations?

Growth is natural and automatic process but development is planned and deliberate efforts to bring desirable changes among children. Based on the concept of growth and development, the most appropriate explanation of development is:

A group of nursing students discussed about the child's growth and development prior to exposure to the clinical area. Which assessment finding indicates the child's development is on target?

While reviewing the concept of growth and development, the student nurses recalled that based on Piaget's theory of cognitive development, what is one basic concept a child is expected to attain during the first year of life?

Nurse Bea is assessing a toddler and is explaining with the mother the psychosocial developmental theory. Nurse Bea is aware that the most age-appropriate activity to suggest to the mother at this stage is to:

A nursery nurse prepares Vitamin K injection to be administered to newly born baby weighing 2600 g with an estimated gestational age of 38 weeks. The baby is 1 hour of age. In preparation of administering vitamin K, the nurse will:

A nurse assesses the vital signs of the neonate. In assessing the neonate's apical pulse, where is the proper placement of the stethoscope?

A nursery nurse takes the vital signs of a full-term neonate born few hours ago. In assessing the respiration, which of the following breath sounds are normal to hear in the first few hours after delivery?

A nursery nurse takes the vital signs of a neonate born at 40 weeks gestation. The nurse notices that the neonate's body temperature is 36.2°C. What would be the priority nursing intervention?

A student nurse is tasked to assess for the tonic neck reflex of a full-term neonate born few hours ago. Tonic neck reflex is being elicited by which of the following?

A nurse is admitted four full-term babies born via normal spontaneous vaginal delivery who have just been admitted into the nursery. Which of the following babies should the nurse assess first?

A student nurse assesses the rooting reflex on a newborn baby admitted in the nursery. The student nurse would expect to observe which of the following responses?

The nurse assessed a full-term neonate newly admitted to the nursery with the following assessment findings: weight 3100 grams, overriding sagittal suture, closed posterior fontanel, and point of maximum intensity at the xiphoid process. The nurse should report which of the following findings to the physician?

Which of the following newborn's responses should a nurse expect to observe when eliciting the Moro reflex?

A nurse completed the initial newborn examination on a full-term neonate born two hours ago. The examination reveals: HR-143 bpm; RR-62 breaths per minute; body temp-98.2°F; length-51 cm; and weight-3100 g. The nurse documented the presence of a heart murmur, absence of bowel sounds, no grunting or nasal flaring. Which of the following assessment findings would warrant further investigation and require immediate consultation?

A nursery nurse notices the presence of small, irregular, red patches on the cheeks that will develop into single, yellow pimples on the chest or abdomen of the neonate admitted to the neonatal intensive care unit. Which of the following refers to this common neonatal skin condition?

A nursery nurse assessed the heart rate of a newborn and noticed a heart murmur that was auscultated during a routine newborn assessment. The nurse reported the finding to the physician. This finding would be abnormal at:

A group of student nurses discussed the mechanisms of heat in a newborn. They understand that the heat loss through radiation can be reduced by which of the following nursing actions?

A newly hired nurse admitted a full-term newborn to the nursery unit, delivered via normal spontaneous vaginal birth. The nurse is aware of the newborn's mechanisms of heat loss. Heat loss via convection can happen under which of the following conditions? Select all that apply.

A nursery nurse is aware that a term newborn has normal respiratory functioning that includes which of the following conditions? Select all that apply.

Which of the following maturity components are assess in completing the Ballard scoring of a newborn? Select all that apply.

The student nurse who assessed a 38-week newborn for heat loss is understand that non-shivering thermogenesis utilizes the newborn's stores of brown adipose tissue to provide heat in the cold-stressed newborn.

A nurse is caring for a full-term newborn admitted to the nursery unit, with a body weight of 2300 grams. What is the most appropriate nursing diagnosis for this neonate?

A newly hired nurse performed an initial physical assessment of a newborn admitted to the nursery unit. Which of the following would be considered an abnormal assessment finding?

Rooming-in is being implemented in the maternity clinics and hospitals. Which of the following nursing actions are appropriate to promote family-newborn attachment? Select all that apply.

A nurse is caring for a newly admitted newborn in the nursery and performs the initial physical assessment. Which of the following assessment findings would indicate respiratory distress in the newborn? Select all that apply.

A fontanelle is a soft spot of a newborn baby's skull. The anterior fontanelle is triangular in shape and closes at 12 to 18 months of age.

A nursery nurse is giving discharge instructions to a primipara client. She teaches the mother about umbilical cord care and tells that;

A nursery nurse performed an APGAR scoring to a newly born baby. Assessment reveals; heart rate: 105 bpm, good respiratory effort, neonate crying vigorously, some flexion of extremities, body color: pink, extremities blue. What would be the APGAR score for this newborn?

Nurse Dianne noticed some edema in both eyes of a 6-hour old newborn. She is aware that the best reason would be based on the fact that;

A group of nursing students discussed the mechanism of heat loss in newborns. In order to promote thermoregulation in a newborn, which action by the nurse is best?

A postpartum mother and her newborn were assessed by the nurse 24 hours after delivery. The nurse is aware that which of the following would be a warning sign of ineffective adaptation to extrauterine life if noted when assessing a 24-hour-old breastfed newborn before discharge?

A nurse assessed a newly born infant and monitored the vital signs every 15 minutes. The nurse must be alert for signs of cold stress that include: