QUESTIONS AND ANSWERS ON PEDIATRICS.

1.Infants will achieve structural control of the head before the trunk and extremities. This is an example of which universal principle of development?.

A.Development will follow in a proximodistal direction.

B.The development will follow racial differences and heritage.

C.Development proceeds in a cephalocaudal direction.

D.The infant development will be from simple to complex.

Correct answer C.

Rationale: The infant gaining control of the head before the trunk and extremities is the simple evidence of cephalocaudal development. A,B,and D are all wrong.

2.The Nurse when performing the assessment of family structure will include all of the following below except?.

A.Type of communication between family members.

B.Education and occupation of each family members.

C.The culture and religious background of the family.

D. Composition of family, the home and the surrounding communities.

Correct answer A.

Rationale: The type of communication among family members is done during assessment. B,C,and D are all part of family structure.

3.Erikson developmental theory is known as?.

A.Trust versus mistrust.

B.Oral gratification.

C.Sensorimotor or Cognitive development. D.Innate and survival predictable survival reflexes.

Correct answer A.

Rationale:Erikson terms the psychosocial crisis faced by an infant as Trust versus mistrust. The sense of trust forms the foundation for all future psychosocial tasks. For the infant’s significant other is the maternal person. For infant to develop trust his or her needs must be taken care of immediately. Failure or delay in taking care of needs will lead to mistrust.

4. Before any procedure communication with infant should include all of the following actions except?.

A. Explain procedure to the infant even though the infant might not comprehend.

B.Give picture of the procedure to another infant.

C.It should be arranged for the primary nurse to perform all procedures.

D.Allow the caregiver or parent to be present during the procedure.

Correct answer B.

Rationale: Pictures are not useful because the infant will not understand the procedure.

5. Do head and chest circumference of infant changes after birth?.

A.At birth normal head circumference is about 13.7inches and normal chest circumference is about 12.9inches.But in a year head and chest circumference will equalize.

B.The head keep growing and growing and will be bigger than the legs.

C.They can never be the same because head is head not the tail.

D.Normal head circumference will never change.It will remain the same.

Correct answer A.

Rationale : A is the correct answer. B,C,D are wrong.Head and chest circumference will continue to change. Head and chest circumference will be equal at 12months,then chest become larger in the subsequent years.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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