Chapter 15

What type of development is the nurse assessing when an infant can lift their head before they can sit?

• Specific to general

• proximodistal

• cephalocaudal

• General to specific

Answer explanation

CEPHALOCAUDAL

proceeds from head to toe

What is a unique organization of characteristics that determines an individuals pattern of behavior?

• environment

• heredity

• personality

• experience

Answer explanation

PERSONALITY

one definition of personality states that it is a unique organization of characteristics that determines the individuals typical or recurrent pattern of behavior

An infant's birthweight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months?

• 12 lbs

• 15 lbs

• 18 lbs

• 22 lbs

Answer explanation

15 LBS

an infant usually doubles their weight by 5-6 months

What would the nurse further investigate when assessing patterns of growth in a child?

• previous weight was in the 75th percentile, and present weight is in 25th percentile

• height is in 90th percentile, weight is in 75th percentile

• last weight was in 5th percentile, and present weight is in 10th percentile

• weight is in 50th percentile, siblings weight at same age was in 75th percentile

Answer explanation

the child showing a difference of 2 or more percentile levels from an established growth pattern should undergo further evaluation

A mother reports that she and her husband have had one child together, but both have children from previous marriages living with them. The nurse will base the care planning on what family type?

• nuclear

• blended

• alternate

• extended

Answer explanation

BLENDED

involves remarriage of persons with children

The mother of a 7-mo old reports that the first lower central incisor has erupted. She asks the nurse, " how many teeth will he have by his first birthday?". The nurse explains that the infant will have _ teeth by 1 year of age.

• 2

• 4

• 6

• 8

Answer explanation

6

4 above

2 below

At a well-baby visit, parents of a 6-mo old ask when to take the infant for their first dental visit. What is the nurses best response?

• if the teeth are brushed regularly, the child should see the dentist by 3 years old

• the first visit should be arranged after the first tooth erupts

• the child should have a dental exam when all deciduous teeth have erupted

• a visit by 1 year of age is recommended by American Academy of Pediatric Dentistry

Answer explanation

AAPD recommends it to occur by 1 y/o

The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at age:

• 4 y/o

• 6 y/o

• 8 y/o

• 10 y/o

Answer explanation

permanent teeth dont erupt through gums until year 6

A mother asks how much food should be offered to her 2 y/o. What is a good rule of thumb for serving size ( in tablespoons ) per year of age?

• 2

• 3

• 4

• 5

An assessment of a child's nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. How would the child's nutritional status be described?

• over nourished

• under nourished

• well nourished

• borderline

Answer explanation

well nourished children show steady gains in height and weight and have shiny hair, firm gums and mucous membranes, and regular elimination