Pediatrics Test 01 Study Guide

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Pediatrics Test 01 Study Guide
2012-09-15 13:38:57

Chapters 1, 15-20
Show Answers:

  1. The most important nursing action to prevent infection in any patient is to:
    a.       use disposable equipment.
    b.      consistently perform hand hygiene.
    c.       limit visitors to family members.
    d.      wear hospital-laundered clothes.
  2. To best improve the care of a pregnant woman from a different cultural group, the nurse should:
    a.       identify the woman's expectations about pregnancy and birth.
    b.      observe the woman and her family as they interact.
    c.       learn about members of different local cultural groups.
    d.      encourage the woman to adopt local childbearing practices.
  3. One way in which nurses may use statistics is to:
    a.       determine daily staffing to maintain the best patient care.
    b.      predict the hospital census for the following year.
    c.       evaluate the outcomes of prenatal care provided.
    d.      compute the number of women who conceive each year.
  4. Choose the best description of certified nurse-midwife (CNM) qualifications.
    a.       Gives limited care to women after normal childbirth.
    b.      Assists in the prenatal care of high-risk women.
    c.       Primarily provides care to low-income women.
    d.      Attends uncomplicated births of low-risk women.
  5. The nursing process is best described as a method to:
    a.       identify patients who have an increased risk for medical complications.
    b.      reduce the incidence of complications for expectant mothers and infants.
    c.       identify and solve patient problems with individualized nursing care.
    d.      promote breastfeeding in groups that do not usually nurse infants.
  6. Choose the best description for a variance in a clinical pathway.
    a.       The patient did not cooperate with the recommended therapy.
    b.      An achieved patient outcome differs from the expected outcome.
    c.       Patient care is individualized, appropriate to a specific person.
    d.      Reimbursement will be curtailed because of a complication.
  7. A child must be able to sit before he can walk. This is an example of which directional pattern of development?
    a.       Cephalocaudal
    b.      Proportional
    c.       Proximodistal
    d.      Linear
  8. One of the most accurate indicators of biologic age is:
    a.       height.
    b.      weight.
    c.       bone growth.
    d.      teeth eruption
  9. The nurse instructs the parent of an infant that dental caries are prevented through the administration of oral:
    a.       iodine.
    b.      fluoride.
    c.       sodium.
    d.      iron.
  10. Most children are able to feed themselves using a spoon by age.
    a.       1 year.
    b.      2 years.
    c.       3 years.
    d.      4 years.
  11. The theorist known for his work on moral development is:
    a.       Freud.
    b.      Kohlberg.
    c.       Sullivan.
    d.      Piaget.
  12. A current comic strip depicts a family in which parents, children and the children's grandfather live together. This is an example of a(n):
    a.       nuclear family.
    b.      alternate family.
    c.       extended family.
    d.      reconstituted family.
  13. Blood cholesterol below which level is considered acceptable in children and adolescents?
    a.       <170 mg/dL
    b.      <180 mg/dL
    c.       <200 mg/dL
    d.      <220 mg/dL
  14. Blood cholesterol below which level is considered acceptable in children and adolescents?
    a.       <170 mg/dL
    b.      <180 mg/dL
    c.       <200 mg/dL
    d.      <220 mg/dL
  15. An infant weight 7 pounds 11 ounces (3487 g) at birth. What would the nurse expect this infant to weigh at 12 months of age?
    a.       15 pounds (6.8 kg)
    b.      20 pounds (9 kg)
    c.       23 pounds (10.4 kg)
    d.      25 pounds (11.2 kg)
  16. Which statement would have the most positive outcome when the nurse is counseling adolescents on nutrition?
    a.       "If you don't eat properly now, you may have heart trouble when you get older."
    b.      "You will get run down and sick if you don't eat properly."
    c.       "Shiny hair and good muscles are linked to good nutrition."
    d.      "If you eat nutritiously, you won't have acne."
  17. Young children are playing with action figures in the hospital playroom. Closer observation reveals they are playing alongside one another, rather than interacting with each other. The nurse is observing:
    a.       solitary play.
    b.      parallel play.
    c.       cooperative play.
    d.      creative play.
  18. The nurse determines a parent needs additional teaching about nutrition when the parent states:
    a.        "My 2-year-old child uses a spoon to feed himself."
    b.       "I feed my 8-month-old infant iron-fortified cereal."
    c.      "My 1-year-old infant falls asleep with a bottle of formula."
    d.       "I give my 3-year-old 3 tablespoons of vegetables."
  19. The nurse would teach a parent to introduce solid foods to an infant at what age?
    a.       3 months
    b.      6 months
    c.       8 months
    d.      10 months
  20. What is the best nursing response to a parent who asks when her 3-month-old infant can switch from iron-fortified formula to milk?
    a.       "Switch to milk when you introduce solid foods."
    b.      "The baby can have milk when she can drink from a cup."
    c.       "Milk can be given at 6 months of age."
    d.      "Infants can drink milk after their first birthday."
  21. A 4-year-old child had a low score on the Denver II. The nurse understands that this finding indicates:
    a.       the need for further evaluation.
    b.      the child has a cognitive impairment.
    c.       there is a problem with the child's speech.
    d.      the child has a developmental delay.
  22. Which statement made by a parent indicates an understanding about a child's dental health?
    a.       "I give my son a new toothbrush every year on his birthday."
    b.      "I rinse the toothbrush bristles in hot water after my son brushes."
    c.       "My 1-year-old brushes his teeth by himself every day."
    d.      "I replaced the toothbrush after my son had a sore throat."
  23. The nurse is assessing the nutritional status of a 6-year-old child. Which finding suggests the child is well-nourished?
    a.       Protuberant abdomen
    b.      Pale oral mucous membranes
    c.       Alert and energetic
    d.      Course, thin hair
  24. The nurse should teach the mother of a 19-month-old which action(s) to recommend best oral care? Select all that apply.
    a.       If fussy at bedtime, give the baby about 1/2 cup of clear juice in a bottle.
    b.      Brush your baby's teeth before bedtime each night.
    c.       Fluoride is beneficial to the teeth of a child at this age.
    d.      Children will have permanent teeth to replace any "baby teeth" they lose.
    e.      Water in a bottle is safe for teeth at any time.
    f.        Add toothbrushes for your family to a dishwasher load once a week for thorough cleaning.
    • b
    • c
    • e
  25. True/False
    The Denver II is an intelligence test.
  26. True/False
    A low score on the Denver II indicates that a child has a developmental delay.
  27. True/False
    A dysfunctional family implies its members are not loving and caring.
  28. The priority need in personality development during the first year is to acquire:
    a.       fear when meeting strangers.
    b.      mastering self-feeding.
    c.       trust in primary caregivers.
    d.      regular sleeping, waking, and feeding.
  29. The primary use of growth and development guidelines is to:
    a.       help parents anticipate their child's changing needs.
    b.      compare children of similar ages with each other.
    c.       predict general intelligence and school performance.
    d.      identify the child who may be mentally retarded.
  30. Which developmental milestone is expected for the child's age?
    a.       Passes a toy from one hand to the other at 3 months.
    b.      Uses the root reflexes to seek the nipple at 5 months.
    c.       Sits steadily and without support at 6 months.
    d.      Pulls self to standing position at 10 months.
  31. The mother of a 2-month-old is bringing her to the office for a routine checkup and immunizations. She says the baby cries quite a bit but she just lets her cry so she won't become "spoiled". As a nurse, the best response is to:
    a.       tell the mother she should also lower the lights and play soft music or other "white noise."
    b.      explain that babies this young cannot be spoiled, then give her some ideas to help soothe the baby.
    c.       encourage the mother to continue helping her baby become more independent.
    d.      reassure the mother that she has an irritable baby, but that this phase will not continue for long.
  32. The best position for a newborn to sleep is:
    a.       on the abdomen.
    b.      in an infant seat.
    c.       with the caregiver.
    d.      on the back or side.
  33. If a parent wants to microwave formula before feeding, the nurse should:
    a.       explain that microwaving overheats formula because of higher fat content and can cause severe burns.
    b.      tell the parent that cold formula preserves the nutrients better than heating it.
    c.       advise the parent to wait until the infant takes at least 8 ounces of formula at each feeding.
    d.      teach guidelines for microwaving and caution the parent to test the temperature of the formula before feeding.
  34. The primary focus of regular infant health care is to:
    a.       prevent disease.
    b.      accelerate development.
    c.       delay onset of allergies.
    d.      assess growth rate.
  35. A mother wants to know if she can keep leftover baby food in a jar. Choose the best nursing response.
    a.       "If you heard a definite 'pop' when opening the jar, refrigerating leftovers is safe."
    b.      "Refrigerate the leftover food within 2 hours after it is opened."
    c.       "When the baby has eaten all she wants from the jar, promptly refrigerate the remainder."
    d.      "Remove the amount of food you think the baby will eat from the jar and refrigerate the rest."
  36. A formula often prescribed for the infant who cannot tolerate cow's milk formulas is based on:
    a.       goat's milk.
    b.      soy.
    c.       rice.
    d.      artificial protein.
  37. A nurse counsels a mother who is starting her baby on solid foods that she should wait how many days before introducing the next food?
    a.       1-2
    b.      3
    c.       4-7
    d.      14
  38. Social development that is common for the 2-month-old infant is:
    a.       responsive smiling.
    b.      laughing aloud.
    c.       recognizing his/her own name.
    d.      anxiety around strangers.
  39. When bringing her 9-month-old baby in for a checkup, a new mother asks if she can feed the baby puréed fish. Since this is a low-fat food that is a staple in the family's diet. The best response of the nurse is:
    a.       "It is never too early to begin a healthy diet."
    b.      "Fish protein is one of the best quality proteins available."
    c.       "You can try, but many infants dislike the taste of fish."
    d.      "Fish is more likely than other meats to cause allergies."
  40. The parents should make safety preparations prior to the time of their infant crawls, usually about age:
    a.       4 months.
    b.      7 months.
    c.       9 months.
    d.      12 months.
  41. Which is the most important teaching about use of the microwave for heating infant food?
    a.       Use less time than would be needed for larger pieces of food.
    b.      Rotate the food two or more times while warming it.
    c.       Avoid heating foods that are higher in fat, such as meat.
    d.      Test the temperature of any warmed food on the inner wrist.
  42. A fruit that should be delayed until after the infant's first birthday is:
    a.       strawberries.
    b.      applesauce.
    c.       apricots.
    d.      pears.
  43. Considering safety when choosing toys for a 5-month-old, one should assume that all of them will go into the baby's:
    a.       tub.
    b.      food.
    c.       mouth.
    d.      bed.
  44. Minor head lag when pulling a 1-month -old infant to the sitting position:
    a.       is an expected finding.
    b.      demonstrates prematurity.
    c.       identifies poor nutrition.
    d.      suggests developmental delay.
  45. A mother is concerned because her 1-year-old, who was 1 pounds (3178 g) at birth is "getting fat". The baby now weighs 21 pounds and all developmental milestones have been reached at appropriate ages. What should the nurse tell the mother about her baby's weight?
    a.       The weight at 12 months is about twice the birth weight.
    b.      The baby's weight gain is expected at this age.
    c.       A low-fat diet helps avoid being overweight later in life.
    d.      Infants normally weight about 25 pounds by 1 year.
  46. The nurse can reassure parents that their infant's colic will probably not last beyond the age of:
    a.       1 month.
    b.      3 months.
    c.       6 months.
    d.      9 months.
  47. The baby can usually be offered finger foods such as toast or Zwieback crackers beginning at about age:
    a.       3 months.
    b.      5 months.
    c.       7 months.
    d.      9 months.
  48. A good initial method to deal with a 9-month-old infant who is attracted to a dangerous situation is to:
    a.       shout a quick, loud "no."
    b.      take his favorite toys away.
    c.       spank him with one light blow.
    d.      distract him from the situation.
  49. A first-time mother is concerned because she believes her 18-month-old son is not growing properly. Assessment indicates that the little boy's height and weight are average for his age. How can the nurse best advise her?
    a.       "He will soon resume the rapid growth of the first year."
    b.      "It is normal for a child's growth to slow down after the first year."
    c.       "Toddlers grow at inconsistent rates, much like adolescents."
    d.      "The physician will do testing if your son's growth remains slow."
  50. When helping a toddler choose clothing for the day, the best approach is to:
    a.       ask him what he wants to wear.
    b.      ask which of two appropriate outfits he prefers.
    c.       select the best outfit for the weather.
    d.      remove all inappropriate clothing from his closet.
  51. The position that best facilitates adult-child conversation is:
    a.       at the child's eye level.
    b.      above the child's eye level.
    c.       standing while the child sits.
    d.      both seated at a small table.
  52. When teaching parents of the toddler about eating, the nurse should stress that the toddler:
    a.       prefers a variety of foods mixed on the plate.
    b.      must usually be coaxed to eat adequately.
    c.       eats one food for a while, then rejects it.
    d.      usually enjoys regular addition of new foods.
  53. The mother of a 2-year-old asks the nurse whether she should begin toilet training now. The most appropriate nursing response is:
    a.       "Waiting about 6 months will improve the child's success with training."
    b.      "Does your child ever wake up dry in the morning?"
    c.       "Is it important to you and your family that the child be trained now?"
    d.      "It is probably easy to toilet train your child if he will sit on the potty chair."
  54. Automobile child restraint devices should be used when the child:
    a.       begins sitting in the rear seat.
    b.      crawls about in the car.
    c.       resists activity restraints.
    d.      travels anywhere in the car.
  55. Select the toy that is most likely to injure a toddler.
    a.       Balloon
    b.      Blocks
    c.       Sand box
    d.      Pull toy
  56. Which is the best description of a 2-year-old's speech and language ability?
    a.       Naming objects precedes the ability to describe what they do.
    b.      Some words such as swearing are used because they shock adults.
    c.       Talking to the child delays clear speech by limiting time to practice.
    d.      The child understands more than he or she is able to verbalize.
  57. Choose the best description of physical changes during the toddler years.
    a.       Head growth slows and chest growth continues.
    b.      Muscle size and strength remain steady.
    c.       Body temperature regulation is erratic.
    d.      Risk for infections is greater than during infancy.
  58. The nurse can help reduce accidental injuries to toddlers by:
    a.       providing toys that help accelerate motor development.
    b.      teaching parents about expected behavioral changes.
    c.       providing written information about common child hazards.
    d.      using restraints whenever the child is uncooperative.
  59. Select the assessment that should make a parent of health care provider suspect a communications disorder.
    a.       An 18-month-old child does not respond when his name is called.
    b.      A 15-month-old child can point to one picture when the parent calls its name.
    c.       A 3-year-old child can use plurals and pronouns correctly.
    d.      A 16-month-old child cannot use two-word phrases when appropriate.
  60. When assessing a 2-year-old child hospitalized for minor day surgery, the nurse should expect that the pulse rate will be about what bpm?
    a.       60-80
    b.      70-110
    c.       125-135
    d.      120-140
  61. When buying shoes for their toddler, parents should choose those that provide:
    a.       a firm, straight sole to facilitate walking.
    b.      a strong arch to prevent "fallen" arches.
    c.       protection from objects that might injure the feet.
    d.      adequate movement of the heel within the shoe.
  62. Choose the recommendation that best helps to promote safety for the toddler.
    a.       Keep medicines on a shelf rather than on the countertop.
    b.      Provide stickers for each phone with the poison control center number.
    c.       Advise parents to have a cell phone with them when driving.
    d.      Do not use a hair dryer to dry the child's hair after shampooing.
  63. A mother asks you what she should do about her 2-year-old child's temper tantrums. The best response is:
    a.       "He is trying to tell you that he needs more attention from you and other important adults."
    b.      "If you let him get away with temper tantrums now, he will have more problems later."
    c.       "Have you tried rewarding his good behavior?"
    d.      "Try putting him in his room for about 30 minutes."
  64. True/False
    Hospitalized preschoolers may feel abandoned by their parents.
  65. True/False
    It would be unusual for a preschooler to have enuresis during a hospitalization.
  66. True/False
    Having the same nurses care for a hospitalized preschooler will lessen the stress of the experience for the child.
  67. A preschool child falls off the swing and cries, "Bad swing! You made me fall!" This child's response is an example of:
    a.       egocentrism.
    b.      intuition.
    c.       animism.
    d.      symbolism.
  68. Choose the best example of egocentric thinking.
    a.       "The airplane takes me to Grandma's."
    b.      "Water is blue because someone colored it."
    c.       "The big box is a truck."
    d.      "The moon sleeps during the daytime."
  69. The nurse would explain to parents that fears of preschool children are usually:
    a.       similar to those of older children.
    b.      a result of the child's easy distraction.
    c.       less intense than when they were younger.
    d.      greater than those they had as toddlers.
  70. When planning to read with a 5-year-old child, the nurse understands that favorite stories of preschool children are those that relate to their:
    a.       aggressive tendencies.
    b.      self-centeredness.
    c.       daily experiences.
    d.      relationships with others.
  71. A healthy preschool girl asks her parents it she will die. The best response is to tell her that:
    a.       people do not usually die until they are old.
    b.      she does not need to worry about dying.
    c.       parents usually die before their children.
    d.      she will not die for a long time.
  72. What is the most appropriate advice for the nurse to offer parents who are concerned about their preschooler's masturbation?
    a.       Remove the child's hands from the genitals.
    b.      Try to interest the child in another activity.
    c.       Tell the child not to touch himself there.
    d.      Ask the child why he is rubbing that area.
  73. One effective method of discipline for a preschool child is to:
    a.       reward the child for good behavior.
    b.      give the child a light spanking.
    c.       review the reasons for discipline.
    d.      stop interacting with the child.
  74. Choose the most effective way for parents to deal with a preschool child's jealousy of her new brother.
    a.       Help her choose toys to share with the new baby.
    b.      Remind her of things she can do that the baby cannot.
    c.       Explain that she will soon love her new brother.
    d.      Ask her to share her room with the new baby at first.
  75. A child who sucks his thumb is unlikely to have damage to the mouth if the thumb sucking stops before:
    a.       all deciduous teeth are erupted.
    b.      speech is established.
    c.       the first teeth erupt.
    d.      the permanent teeth erupt.
  76. Choose the most appropriate teaching for parents of a child with enuresis.
    a.       Enuresis is suggestive of emotional instability of a child.
    b.      The child's fluid intake should be restricted during the day.
    c.       The child should empty his bladder before going to bed.
    d.      A relapse during treatment for enuresis is uncommon.
  77. According to Erikson, the developmental task of the preschool period is to achieve a sense of:
    a.       trust.
    b.      autonomy.
    c.       initiative.
    d.      industry.
  78. Which is the best choice for a play activity for a 4-year-old child?
    a.       Watch a video tape.
    b.      Play a computer game.
    c.       Ride a bicycle.
    d.      Build with blocks.
  79. Choose the approximate age when children begin playing games that have simple rules.
    a.       3 years
    b.      4 years
    c.       5 years
    d.      6 years
  80. Bedtime for the preschool child should include:
    a.       flexibility in the time the child goes to bed.
    b.      a period of exercise after dinner.
    c.       warm milk.
    d.      a quiet activity such as a story.
  81. A major cause of health problems in preschool children is:
    a.       immunization reactions.
    b.      communicable diseases.
    c.       environmental allergies.
    d.      accidental injuries.
  82. True/False
    Children with an allergy to animal dander should not have a pet.
  83. True/False
    Children older than 7 years can be responsible for caring for a pet.
  84. True/False
    Having a pet can foster a sense of responsibility and encourage socialization for a shy child.
  85. The school-age child who has few experiences of success is likely to develop a sense of:
    a.       dependence.
    b.      inferiority.
    c.       trust.
    d.      industry.
  86. Which best describes physical growth of the school-age child?
    a.       Rapid growth occurs from 6-9 years of age and then slows.
    b.      Slow growth continues until just before puberty.
    c.       Height increases faster than weight.
    d.      Height and weight remain stable until the onset of puberty.
  87. Choose the normal characteristics of vital signs that the nurse should expect when assessing a 9-year-old girl.
    a.       Blood pressure and pulse are higher than those of boys the same age.
    b.      Blood pressure, pulse and respirations are close to adult levels.
    c.       Blood pressure is higher, but pulse and respirations are lower than the adult.
    d.      Blood pressure, pulse, and respirations are higher than those of a 6-year-old girl.
  88. How would the nurse advise parents regarding a school-age child's questions about sex?
    a.       Initiate discussions before the child asks any questions.
    b.      Answer questions at the child's level of understanding.
    c.       Assure parents the topic will be part of the school curriculum.
    d.      Select terms that are used by school-age children.
  89. The most significant physical development at age 6 years is:
    a.       loss of the primary teeth.
    b.      elongation of the face.
    c.       better infection resistance.
    d.      rapid growth in height.
  90. Worried and minor compulsions are more common at the age of:
    a.       6 years.
    b.      7 years.
    c.       9 years.
    d.      11 years.
  91. A preadolescent is more likely to accept her parents' decision if:
    a.       she understands why her parents made the decision.
    b.      the parents do not change decisions once they are made.
    c.       the parents carefully control the child's friends.
    d.      her friends have values similar to her own family's.
  92. Which statement made by a 10-year-old child indicates the need for teaching about living a healthy lifestyle?
    a.       "I go to the dentist twice a year."
    b.      "I wear a helmet when I ride my bike."
    c.       "I watch 4 hours of television after school."
    d.      "I go to bed at 9:00 pm and get up at 7:00 am."
  93. The preadolescent girl should have supplies for menstruation:
    a.       before her first menstrual period.
    b.      as soon as she knows how heavy her flow is.
    c.       when her friends are prepared for theirs.
    d.      about six months after breast development begins.
  94. A group of 8- and 9-year-old boys has formed a "club." The boys have a secret password and handshake before they meet. Parents should interpret this behavior as:
    a.       typical for children in this age group.
    b.      a way to avoid being around adults.
    c.       preceding criminal-type gang membership.
    d.      rebellion against bossy older children.
  95. A father is concerned because his 9-year-old son has developed the habit of wrinkling his nose unconsciously. The nurse should tell the father that his son:
    a.       may have a nerve problem and should be seen by a physician.
    b.      cannot get adequate adult attention without taking this action.
    c.       is probably doing this because of unresolved tension.
    d.      should be corrected any time he is caught doing this action.
  96. A school-age child has an adult "hero" of the same sex. What is the most appropriate interpretation of this behavior?
    a.       The child feels insecure and inadequate around other children.
    b.      Identifying with adults of the same sex is common at this time.
    c.       Molestation of sexual abuse by the adult should be considered.
    d.      The child is exploring various career and lifestyle options.
  97. Which statement characterizes the 8-year-old child?
    a.       Eight-year-olds are totally disorganized.
    b.      They are beginning to take an increased interest in their appearance.
    c.       At this age, children are quieter and more modest than the year before.
    d.      They like competitive sports, but are poor losers.
  98. True/False
    Adolescents think everyone is looking at them.
  99. True/False
    An adolescent's preoccupation with his or her appearance is normal behavior.
  100. True/False
    Daydreaming is a warning sign of a mental health problem.
  101. True/False
    An adolescent's cultural background can influence dating behavior.
  102. True/False
    Sexual curiosity and masturbation are common among adolescents.
  103. True/False
    Parents should answer an adolescent's questions about sex truthfully.
  104. True/False
    Sexual experimentation with same-sex partners during adolescence is a predictor of homosexuality.
  105. Younger adolescents often have an awkward appearance because:
    a.       maturation occurs earlier than in previous generations.
    b.      body parts grow and mature at different rates.
    c.       growth and development slows during adolescence.
    d.      self-consciousness causes the adolescent to slump.
  106. A person who does not establish an identifying during adolescence is more likely to:
    a.       conform to a peer group for a prolonged time.
    b.      seek close relationships with others.
    c.       become insensitive to the needs of others.
    d.      have an overly superior self-image.
  107. A parent can best help an adolescent make a wise decision by:
    a.       explaining what he or she would have done when he or she was a teenager.
    b.      reviewing problems with the decision after the teenager makes it.
    c.       serving as a role model by making the decision for the teenager.
    d.      respecting the teenager's decision, even if he or she makes a mistake.
  108. Younger adolescents tend to be egocentric because they are:
    a.       certain that their parents are ignorant.
    b.      believe no-one is paying attention to them.
    c.       preoccupied with their physical development.
    d.      proud of their greater responsibilities.
  109. The adolescent's peer group helps him or her move away from:
    a.       same sex friendships.
    b.      values of his or her family.
    c.       individual responsibility.
    d.      dependence on his or her family.
  110. What is the best nursing response to a parent who is concerned about her 15-year-old's frequent daydreaming?
    a.       "Daydreaming is a normal adolescent occurrence."
    b.      "This behavior is an indicator of adolescent insecurity."
    c.       "Your concern is valid because this is a sign of depression."
    d.      "It is a way for teenagers to ignore their parents."
  111. An adolescent who adopts a strict vegetarian diet is at risk for a deficiency of which nutrient?
    a.       Carbohydrates
    b.      Vitamin C
    c.       Protein
    d.      Fiber
  112. Most accidents in adolescents occur when they:
    a.       participate in contact sports.
    b.      handle guns or knives.
    c.       drive a car or other vehicle.
    d.      work at part-time jobs.
  113. The nurse assessing an adolescent's physical development knows that the Tanner stages describe the:
    a.       sequence of physical maturation in the adolescent.
    b.      change from concrete thinking to abstract thinking.
    c.       hormonal changes that cause ovulation and menstruation.
    d.      development of a mature gender identity.
  114. The major psychosocial task of adolescence is to develop a sense of:
    a.       sexual orientation.
    b.      concern for other people.
    c.       family unity.
    d.      identity as an individual.
  115. A parent is worried because her 14-year-old son seems to be constantly in the bathroom, shampooing and styling his hair. She worries that that her son may be homosexual because he is so concerned about his appearance. What is the most appropriate nursing response to the mother's concern?
    a.       "Homosexual thoughts and experimentation are normal during the early teens."
    b.      "Boys are usually more concerned about their athletic abilities than their appearance."
    c.       "You should be more concerned about why he does not want to be with his friends."
    d.      "Teens are preoccupied with their appearance because of dramatic body changes."
  116. What is the best information for the nurse to include in a class for adolescents about healthy eating habits?
    a.       How to choose foods from the basic food pyramid.
    b.      The need eat three balanced meals per day.
    c.       The importance of an adequate diet to better health during adulthood.
    d.      Nutrients that are often lacking in an adolescent's diet.
  117. What is the best food choice for an adolescent who just finished playing a game of field hockey?
    a.       Cheeseburger
    b.      Chocolate bar
    c.       Garden salad
    d.      Toasted bagel