Chapter 9. Life Span: Infancy Through Middle Adulthood

Chapter 9. Life Span: Infancy Through Middle Adulthood

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is providing prenatal counseling for a couple who is trying to become pregnant. The priority for the nurse is to include which of the following information?

ANS:  D

Maternal nutrition is vital to the healthy growth of the fetus. Poor maternal nutrition leads to an undergrown placenta. A small, poorly functioning placenta and smaller than normal umbilical cord is the cause for small-for-gestational age (otherwise known as small-for-dates) babies. The other options are all things the prospective mother needs to know, but they would not have an immediate impact on fetal health.

Difficulty: Moderate

Nursing Process: Planning

Client Need: HPM

Cognitive Level: Analysis

PTS:   1

2. According to Erikson, a behavior demonstrating an important psychosocial task for a toddler would be for the child to:

ANS:  A

The primary task during Erikson’s stage 2, Autonomy Versus Shame and Doubt, is establishing an identity as separate from the parent/caregiver. A child between 18 months and 3 years typically tests the boundaries as part of exercising his will to control his environment. “No” is a declaration of independence and a bid for increased autonomy. Acts of independence and autonomy (e.g., refusing to hold the mother’s hand) are normal during this developmental stage. The toddler should be able to tolerate time away from her parents, delay gratification, and have elimination control. The other tasks are accomplished during the preschool stage.

Difficulty: Moderate

Nursing Process: Assessment

Client Need: HPM

Cognitive Level: Application

PTS:   1

3. A mother comes to the clinic with her 1-week-old infant for a newborn checkup. The mother tells the nurse, “My baby looks yellow to me.” The nurse’s best response is which of the following?

ANS:  C

Jaundice results from the breakdown of the maternal red blood cells that are in the baby’s system after birth, which elevates the bilirubin in the serum. If detergent caused a reaction, the reaction would commonly present as a rash. Although hepatitis B virus may pass through the placenta to the fetus, the infant does not typically show signs at 1 week of life. If treatment becomes necessary, the infant would receive phototherapy; there is no cream to reduce the yellow appearance related to newborn jaundice.

Difficulty: Difficult

Nursing Process: Implementation

Client Need: PHSI

Cognitive Level: Application

PTS:   1

4. A father brings his toddler to the clinic for well-child care. Which of the following would be most important for the nurse to assess?

ANS:  D

Although all of these areas address important developmental tasks during the toddler period, safety is the highest priority at this age because the child has increased dexterity, mobility, and determination, and is becoming more independent. Potty training is typically accomplished between 18 months and 3 years of age but is not a safety concern. It would be normal for a child at this age to be afraid of strangers. The child should be using utensils for most foods, but again it is not a safety concern.

Difficulty: Moderate

Nursing Process: Assessment

Client Need: Safe and Effective Care

Cognitive Level: Analysis

PTS:   1