MCN 374 EXAM 1 ACTUAL EXAM 1 00 QUESTIONS

MCN 374 EXAM 1 ACTUAL EXAM 1 00 QUESTIONS

AND CORRECT ANSWERS|ALREADY GR ADED

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• A 6-month-old male is at his well-child checkup. The nurse weighs him, and his

mother asks if his weight is normal for his age. The nurse's best response is:

• "At 6 months, his weight should be approximately three times his birth weight."
• "Each child gains weight at his or her own pace."
• "At 6 months, his weight should be approximately twice his birth weight."
• "At 6 months, a child should weigh about 10 lb more than his or her birth

weight." - ANSWER- 3. "At 6 months, his weight should be approximately twice his birth weight."

• How can the nurse best facilitate the trust relationship between infant and

parents while the infant is hospitalized? The nurse should:

• Encourage the parents to remain at their child's bedside as much as possible.
• Keep parents informed about all aspects of their child's condition.
• Encourage the parents to hold their child as much as possible.
• Advise the parents to participate actively in their child's care. - ANSWER- 3.

Encourage the parents to hold their child as much as possible.

Having parents hold their child while in the hospital is an excellent means of building the trust relationship. Infants are most secure when they are being held, patted, and spoken to.

Which statements by an infant's mother lead the nurse to believe that she needs further education about the nutritional needs of a 6-month-old? Select all that apply.

• "I will continue to breastfeed my son and will give him oatmeal cereal two times

a day."

• "I will start my son on fruits and gradually introduce vegetables."
• "I will start my son on carrots and will introduce one new vegetable every few

days."

• "I will not give my son any more than 4 to 6 ounces of baby juice per day."
• "I will make sure my son gets cereal three times a day." - ANSWER- 2. "I will

start my son on fruits and gradually introduce vegetables."

• "I will not give my son any more than 4 to 6 ounces of baby juice per day."
• "I will make sure my son gets cereal three times a day.
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• Which statement accurately describes the best method for assessing a 12-month-

old?

• The nurse should assess the child on the examining table.
• The nurse should assess the child in a head-to-toe sequence.
• The nurse should have the child ' s parent assist in holding her down.
• The nurse should assess the child while she is in her parent's lap. - ANSWER- 4.

The nurse should assess the child while she is in her parent's lap.

• The nurse is instructing a new breastfeeding mother in the need to provide her

premature infant with an adequate source of iron in her diet. Which statement reflects a need for further education of the new mother?

• "I will use only breast milk or an iron-fortified formula as a source of milk for

my baby until she is at least 12 months old."

• "My baby will need to have iron supplements introduced when she is 4 months

old."

• "I will need to add iron supplements to my baby ' s diet when she is 2 months

old."

• "When my baby begins to eat solid foods, I should introduce iron-fortified

cereals to her diet." - ANSWER- 3. "I will need to add iron supplements to my baby ' s diet when she is 2 months old."

• Premature infants have iron stores from

the mother that last approximately 2 months, so it is important to introduce an iron supplement by 2 months of age.Full-term infants have iron stores that last approximately 4 to 6 months.

• A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse

weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was

discharged 4 days ago. The nurse's best response to the mother is:

• "I will let the doctor know, and he will talk with you about possible causes of

your infant ' s weight loss."

• "A weight loss of a few ounces is common among newborns, especially for

breastfeeding mothers."

• "I can tell you are a first-time mother. Don ' t worry; we will fi nd out why she is

losing weight." 2 / 4

• "Maybe she isn't ' t getting enough milk. How often are you breastfeeding her?"
• ANSWER- 2. "A weight loss of a few ounces is common among newborns,

especially for breastfeeding mothers."

• Which toy is the best choice for a 12-month-old?
• Baby doll.
• Musical rattle.
• Board book.
• Colorful beads. - ANSWER- 2. Musical rattle.

• A musical rattle is the perfect toy for this

child. Infants have short attention spans and enjoy auditory and visual stimulation.

also 12 month old can grasp object

• Which finding would the nurse consider abnormal when performing a physical

assessment on a 6-month-old?

• Posterior fontanel is open.
• Anterior fontanel is open.
• Beginning signs of tooth eruption.
• Able to track and follow objects. - ANSWER- 1. Posterior fontanel is open.

The posterior fontanel should close between 6 and 8 weeks of age.

• Which should the nurse teach the parents is one of the most common causes of

injury and death for a 9-month-old infant?

• Poisoning.
• Child abuse.
• Aspiration.
• Dog bites. - ANSWER- 3. Aspiration.

• An 8-day-old was admitted to the hospital with vomiting and dehydration. The

newborn ' s heart rate is 170, respiratory rate is 44, blood pressure is 85/52, and temperature is 99°F (37.2°C). What is the nurse's best response to the parents who ask if the vital signs are normal?

• "The blood pressure is elevated, but the other vital signs are within normal

limits."

• "The temperature is elevated, but the other vital signs are within normal limits." 3 / 4

• "The respiratory rate is elevated, but the other vital signs are within normal

limits."

• "The heart rate is elevated, but the other vital signs are within normal limits." -

ANSWER- 4. "The heart rate is elevated, but the other vital signs are within normal limits." A normal heart rate for a child from birth to 1 month is 90 to 160.

• The nurse is using the FLACC scale to rate the pain level in a 9-month-old.

Which is the nurse's best response to the father's question of what the FLACC scale is?

• "It estimates a child ' s level of pain utilizing vital sign information."
• "It estimates a child ' s level of pain based on parents perception."
• "It estimates a child ' s level of pain utilizing behavioral and physical responses."
• "It estimates a child ' s level of pain utilizing a numeric scale from 0 to 5." -

ANSWER- 3. "It estimates a child ' s level of pain utilizing behavioral and physical responses."

The FLACC scale utilizes behavioral and physical responses of the child to measure the child ' s level of pain. The scale utilizes facial expression, leg position, activity, intensity of cry, and level of consolability.

• A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental

milestones, what should the nurse caring for the child expect the current weight to be?

• 16 lb 4 oz
• 20 lb 5 oz
• 24 lb 6 oz
• 32 lb 8 oz - ANSWER- 3. 24 lb 6 oz

Children should triple their birth weight by 12 months of age.

• The nurse is assessing the pain level in an infant who just had surgery. The

infant's parent asks which vital sign changes are expected in a child experiencing

pain. The nurse's best response is:

• "We expect to see a child ' s heart rate decrease and respiratory rate increase."
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