(Test Bank) Burns Pediatric Primary Care

Maaks,Starr,Brady, 7

Nursing

Test Bank

7th Edition

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Test Bank for Burns Pediatric Primary Care, The downloadable file consists of 174 pages, and the total size of the file is 4.91 MB. Purchase now only for highly discounted price.

Author(s): Maaks, Starr, Brady

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Study Note Preview

Burns'PediatricPrimaryCare7thEditionTestBank Chapter1:HealthStatusofChildren:Globaland NationalPerspectives 1.Whichregiongloballyhasthehighestinfantmortalityrate? A.Indonesia B.SouthernAsia C.SubSaharanAfricaCORRECT D.Syria 2.Theprimarycarepediatricnursepractitionerunderstandsthat,to achievethe greatestworldwide reductioninchildmortalityfrompneumoniaanddiarrhea,which interventionis mosteffective? A.Antibiotics B.Optimalnutrition C.VaccinationsCORRECT D.Waterpurification 3.WhichistrueaboutthehealthstatusofchildrenintheUnited States? . 133484138 56 A.Globalismhasrelativelylittleimpactonchildhealthmeasuresinthe U.S. B.Obesityratesamong2to5yearoldshave shownarecentsignificant decrease.CORRECT . C.Therateofhouseholdpovertyislowerthaninother economicallydevelopednations. D.Youngchildrenwhoattendpreschoolordaycarehave higherfoodinsecurity. 4.Theprimarycarepediatricnursepractitionerunderstandsthat amajorchild healthoutcomeassociatedwithworldwideclimatechangeis A.costofliving. B.education. C.nutrition.CORRECT D.pollution. 5.Whenprovidingwellchildcareforaninfantinthefirstyearof life,theprimary carepediatricnursepractitionerisadheringtothemostrecent AmericanAcademyof PediatricsRecommendationsforPreventivePediatricHealthCare guidelinesby A.focusinglessondevelopmentandmoreonillness preventionandnutrition. B.followingguidelinesestablishedbytheBrightFuturespublication. C.schedulingwellbabyvisitstocoincidewithkey developmentalmilestones.CORRECT D.seeingtheinfantatages2,4,6,and12monthswhen immunizationsaredue. Chapter2.UniqueIssuesinPediatrics 1.Anurseisexplainingthetherapeuticmilieutoanewnurse. Thebestexplanationofthistermwouldbe: 1.Theplacewherethechildisreceivingcare.2.Grouptherapy. 3.Personalinteractionsbetweenpatientsandstaff. 4.Alloftheaboveare CORRECT.ANS:4 2.A16-year-oldmalehasreceivedapink-slipfromthepolicefor inpatientpsychiatrictreatment.Theteen hasbeenexpressingthoughtsofhanginghimselfbecauseLife sucks.Thenursingstaffshouldconsider placingthechild: 1.Withpeers. 2.Inanareawherehecanbewatchedone-on-one. 3.Witharoommatethatisexpressingthesameconcerns. 4.Inanareaclosetoanexternal door.ANS:2 3.Learningdisabilitiesinchildrenhavescientificallybeenlinkedto: 1.Poornutrition. 2.Theenvironmentinwhichthechildlives. 3.Genetics. 4.Watchingmorethanfourhoursoftelevision aday.ANS:3 4.Amentalhealthnursehasassessedachildanddeterminedthat thechildexhibitsbehavioralchallenges. Whentheschoolnurseexplainsthistoateacher,thebestdescription wouldbe: 1.Thechildmayexhibitphysicaloutbursts. 2.Thechildmayexhibitviolencetowardothers. 3.Thechildmaybedefiantorhavetantrums. 4.Thechildwillneedspecialinterventionsfor learning.ANS:3 5.Achildthathasnotexhibitedenuresisinfouryearshas exhibitedthisbehaviorpatternforthelastweek. Thereasonachildmayrevertbacktothisbehaviorpatternisbecause of: 1.Hallucinations. 2.Behavioralchallenges. 3.Delusions. 4.Stres s.ANS: 4 6.An18-year-oldmalehascalledthecrisislineforhelp.Thecrisis nurserecognizestheinterventionneeds mayconsistofallofthefollowingexcept: 1.Discussingtheindividualseverydayactivities. 2.Recognizingthatthepatientmaybeinacatharsisstate. 3.Expressingempathytowardthecaller. 4.Avoiding entropy.ANS:1 7.An8-year-oldboywithahistoryofhallucinationsandviolent behaviorhasbeenplaceinaseclusionroom atthehospitalbecausehehasbeenhurtingothers.Thenursechecks onthepatientandrealizesshemusttake himoutoftheseclusionroomwhen: 1.Heiscryingtobereleased.2.Hestates,Iwillbeagoodboynow. 3.Hestartsheadbuttingthewindow. 4.Hecomplainsthathisparentswillfilea lawsuit.ANS:3 8.AchildhasbeenexhibitingtheMacDonaldTriad.Thesebehaviors include: 1.Enuresis,pushingothers,andpyromania. 2.Swingingacatbythetail,bed-wetting,andlightingpaperon fireinthetrashcan. 3.Playingwithotherchildren,laughing,andconversingwithadults. 4.Playingwithacampfire,watchingtelevision,andseekingadult attention.ANS:2 9.Ateenagerdiagnosedwithborderlinepersonalitydisordershould havedischargeplanninginstructionsof: 1.Aconsistentcaregiver. 2.Monitoringofmedia,suchastheInternet,television,andvideo games. 3.Obtainingsupportfromfamilyandfriends. 4.Seekingmedicalattentionwhentheteenagerfeels good.ANS:3 10.Amentalhealthnurseisteachingthemotherofachildwith executivefunctioningissueswaystohelp herchild.Interventionsthemothershoulduseinclude: 1.Placingvisualaidsonthebathroommirrorsothatthechildwill followthemorningroutine. 2.Givethechildachoiceinfoodstoeat. 3.Allowingthechildtoaskforhelpwhenneeded. 4.Remindingthechildtobeniceto others.ANS:1 . 11.Ellie,a9-year-oldgirl,wasadoptedbyafamilyattheageof4 afterseveralyearsofsevereneglectbyherbirthfamily.The adoptivefamilyhasbeenreportingthatEllieisangryalot, manipulativewithher teachers,anddoesnotseekpositiveattention.Thenurseworkingwith Elliewillneedto: 1.Provideeducationondecreasingstimuliinthehome environmentthattriggerstheanger. 2.RealizeElliemayhaveattachmentissuesrelatedtoherprevious historyandwillneedtoencouragethe familytobeactiveinhercare. 3.Supportthefamilyinthedecision-makingprocessofcontinuingto letEllieliveinthehome. 4.DiscussinpatienttherapytodecreaseElliesmanipulative behaviorpatterns. ANS:2 12.Aninfantdisplaysdepressionby: 1.Smilingatstrangers. 2.Bondingtosomeoneotherthantheimmediatefamily. 3.Cryingmorethananaverageinfant. 4.Looksawaywhenanadultattemptstoplaywiththe infant.ANS:413.Afatherreportsthathisadolescentdaughterhasgottengood gradesupuntilthelastquarterofschool. Shehasbeenhangingoutbyherselfanddoesnotwanttotalktohim anymore.Thementalhealthnurse should: 1.Realizethatthisisanaturalpartofgrowingup. 2.Performamentalhealthscreeningtocheckfordepression. 3.Attempttogettheadolescenttodiscusswhyshedoesnotlike herfatheranymore. 4.Lettheadolescenttalkwhensheis ready.ANS:2 14.Ateenshouldbecheckedfordepressionat physicianvisit(s). 1.Every . 2.One 3.Monthly 4.Bi- yearly ANS:1 15.WhenusingtheSADFACESdepressionscreen,itisimportantto assess: 1.Anhedonia. 2.Suicidalideations. 3.Sleeppatterns. 4.Allofthe aboveANS: 4 16.Aschoolnurseisgivinganin-servicetoteachersonbullycide.The mainreasonfortheteachingisso that: 1.Teachersareawarebullyingoccurs. 2.Teachersareabletoidentifystudentswhoarerisk. 3.Teacherscanbeawareofthefactthatsuicidescanhappendueto bullyingbyothers. 4.Teachersareawareoftheirroleincausing bullycide.ANS:3 17.Anadolescentwithaknownhistoryofbipolardisorderisinthe schoolnursesofficebecauseateacher reportedthatshewastalkingfastandactinglikeshewasGod.The schoolnurseassessesthegirlandnotes that: 1.Sheisprobablyinamanicphaseandneedstobetreated professionally. 2.Shehashadtoomuchsleepandisnowhyperactive. 3.Sheforgottotakehermedicationstoday. 4.Sherequiressomefoodandrestbeforegoingback toclass.ANS:1 Chapter3.GeneticsandChild HealthQuestions 1.Whatistrueabouthaploidcells? C.Eachcontains23pairedchromosomes. D.Eachonecontains23chromosomes.CORRECTReplication producestwoidenticalcells. E.F.Theyreplicateviatheprocessofmitosis. 2.Whatdoesthefollowinggeneticnotationsymbolmean47,XX,6q? . 133484076 50 A.Malewithdeletionofchromosome6 B.Femalewithdeletionofchromosome6 C.Malewithdeletiononthelongarmofchromosome6 D.Femalewithdeletiononthelongarmofchromosome6 CORRECT 3.Achildhasarecessivegeneticdisorderthatishomozygous forthatmutation. . 133484076 46 Whatismostlikelyaboutthischild’sparents? A.Neitherparenthasacopyofthatgenemutation. B.Onlythemotherhasacopyofthatgenemutation. C.Onlythefatherhasacopyofthatgenemutation. D.Eachparenthasonecopyofthatgenemutation. CORRECT 4.Whichtypeofmutationisresponsibleformany singlegenegeneticdisorders? . 133484076 36 A.Copynumbervariations B.Nucleotiderepeatexpansions C.PointmutationsCORRECT D.Singlenucleotidepolymorphisms(SNP) . 5.Cysticfibrosisisarecessivediseaserequiringthepresence ofagenemutation . 133484076 38 onbothallelesinheritedfromtheparents.Whichtypeofgenetic disorderisthis? A.Chromosome B.Mitochondrial C.MonogeneticCORRECT D.Multifactorial . 6.Theprimarycarepediatricnursepractitioneriscounselinga coupleaboutgenetic risksandlearnsthatoneparenthasneurofibromatosis,an autosomaldominantdisorder,andtheother parentdoesnot.Whatwillthenursepractitionerincludewhen discussingthisdisorderandits transmission? C.Childrenmustinheritagenefrombothparentstodevelopthe disease. D.Eachchildborntothiscouplewillhavea50%riskof havingthedisease.CORRECT E.Thistypeofdisordercharacteristicallyskipsgenerations. F.Unaffectedoffspringmaystillpassonthediseasetotheiroffspring.7.Afamilymedicalhistoryconductedduringawellbabyexamfora newborngirl revealsthathemophiliaA,anXlinkedrecessivedisorder,ispresentinmalesinthreeprevious generationsinthemother’sfamily,whosefatherhadthedisease. Whatwilltheprimarycare pediatricnursepractitionertelltheparentsabouttheriskofthis diseaseintheirchildren? E.Alloftheirsonswillbeaffectedbythedisease. F.Anysonstheyhavewillnotbeaffectedbythedisease. G.Daughtershavea50%chanceofbeingcarriersof thedisease.CORRECT H.Theirdaughterhasa25%chanceofhavingthedisease. 8.Whatisanimportantresponsibilityoftheprimarycare pediatricnursepractitioner.to helpdeterminegeneticriskfactorsinfamilies? E.Assessingphysicalcharacteristicsofgeneticdisorders F.Knowingwhichgeneticscreeningteststoperform G.Makingappropriatereferralstopediatricgeneticists D.Obtaininga threegenerationpedigree foreachfamily CORRECT 9.Whichdiagnosticstudymaybeorderedwhentheprovider wishestodetectthe . presenceofadditionalgeneticmaterialonachromosome? A.Chromosomalmicroarray B.FISHCORRECT D.Karyotype E.Moleculartesting 10.Whichtypeoftestingwilltheprimarycarepediatricnurse practitionerrecommend. foracoupleconcernedaboutthepotentialforhavingchildrenwith cysticfibrosis? A.Biochemicaltesting B.CarriertestingCORRECT C.FISHtesting D.Karyotypetesting Chapter4.EnvironmentalIssues Questions 1.WhathasbeentheresultofpassageoftheToxicSubstances ControlAct.(TSCA)of1976? G.Amandateforcorporationstodiscloseknowntoxicchemicals H.Arequirementthatallmanufacturedchemicalsundergotoxicity testing I.AuthorizationoftheEPAtorequiretestingand reportingofsomechemicalsCORRECT J.Developmentofamechanismtoreportreactionstotoxicchemicals 2.ManyEuropeannationsusethe“precautionaryprinciple”tohelp regulatepotentiallytoxicchemicals.Whatdoesthismean? G.Chemicalsmustbeproventobesafebeforebeing introducedintotheenvironment.CORRECT H.Corporationsmaybeexemptfromtestingiftheircostsin doingsoaretoohigh. I.Regulatorsmustdemonstraterisktothepublicbefore banningachemical. J.Withoutastrongrisk,corporationsneednotreleasedata abouttheirproducts. 3.Duringaclinicvisit,achild’srapidcapillaryscreeningtestforlead revealsa levelof11mcg/dL.Whatwilltheprimarycarepediatricnurse practitionerdonext? I.Instituteleadabatementmeasuresinthechild’shome. J.Monitorleadlevelsmonthlyuntildecreased. K.Orderavenoussampletotestforleadlevels. CORRECT L.Testthechild’ssiblingsandparentsforlead. 4.Achildhasaleadlevelof25mcg/dL.Onceleadabatement measuresareinstituted,whatisanimportantinterventiontohelp preventpermanentdamage H.Chelationtherapy I.Dietarychanges C.FollowuptestingCORRECT . D.Testingfamilymembers 5.Achildwhoseparentworksinafactorypresentswith swellingoftheextremities,painandweaknessinthepelvis,and anerythematousmaculopapularrash.Which industrialtoxinwilltheprimarycarepediatricnursepractitioner suspectinthischild? A.Lead B.Mercury C.OrganophosphatesCORRECT D.Phthalates 6.Whencounselingamotherwhosmokesaboutpreventing exposuretosmokingrelated riskstohernursingnewborn,whatwilltheprimarycarepediatric nursepractitionertellher? F.Ifshequitsnow,herchildwillnothave longtermeffectsfromexposure. G.Prenatalsmokeexposuredoesnotcauserespiratoryeffects aftertheinfantisborn. H.Smokingoutdoorsornearanopenwindowpreventsexposure totobaccosmoke. I.Thirdhandsmokeexposurerisksmaylastforyears evenifthemotherquitsnow.CORRECT 7.Achildwhohasbeenplayinginapublicparkisbroughttothe clinicwithwheezing,vomiting,diarrhea,anddrooling.Aphysical examrevealsalowheart rateanddiaphoresis.Whatwilltheprimarycarepediatricnurse practitionersuspectasacauseforthesesymptoms? B.Arsenicconsumption C.Leadpoisoning C.OrganophosphateexposureCORRECT D.Phthalateingestion 8.Aparentasksaboutwaystolimitexposuretorisks associatedwithplastics.Besidesavoidingusingplasticcontainerswhenpossible,whatelse willtheprimarycare pediatricnursepractitionerrecommend? A.Avoidheatingfoodsandliquidsinplasticcontainers. CORRECT B.Cleanplasticcontainerswellusingthedishwasher. C.Useonlyplasticsstampedwith“#7”onthebottom. D.Usedcannedfoodproductswheneverpossible. 9.Aparentdesirestobuyonlyorganicproducetoavoidexposinga childtopesticidesbutcomplainsthatthesefoodsareexpensive. Theprimarycarepediatricnurse practitionerprovidesalistoffoodsthatarerelativelysafewhether theyareorganicornot. Whichfoodsareonthislist? A.Apples,celery,andpeaches B.Potatoes,cherrytomatoes,andpeaches C.Strawberries,grapes,andcucumbers D.Sweetcorn,cantaloupe,andkiwiCORRECT Chapter5.ChildandFamilyHealth AssessmentQuestions 1.Theprimarycarepediatricnursepractitionerisobtainingamedical historyaboutachild.Tointegratebothnursingandmedicalaspects ofprimarycare,whichwillbeincludedinthemedicalhistory? K.Complementarymedications,alternativehealthpractices, andchiefcomplaint L.Developmentaldelays,nutritionalstatus,andlineargrowthpatterns M.Medicationcurrentlytaking,allergyinformation,andfamily medicalhistory N.Speechandlanguagedevelopment,beliefsabout health,andprevious illnessesCORRECT 2.Whenformulatingdevelopmentaldiagnosesforpediatric patients,theprimary carepediatricnursepractitionermayusewhichresource? A.DC:03RCORRECT K.ICD10CM L.ICSD3 M.NANDAInternational 3.Theprimarycarepediatricnursepractitionerseesa 3yearoldchildwho chronicallywithholdsstools,inspiteoftheparents’attemptstostop thebehavior,requiringfrequenttreatmentswithlaxativemedications. Whichdiagnosiswillthenursepractitionerusetofacilitate thirdpartyreimbursement? M.Alteredeliminationpattern N.Eliminationdisorder C.EncopresisCORRECT D.Parentingalteration 4.Theprimarycarepediatricnursepractitionerisassessinga toddlerwhoseweightandbodymassindex(BMI)arebelowthe3rd percentileforage.Thenursepractitioner learnsthatthechilddoesnothaveregularmealtimesandisallowed tocarryabottleofjuice aroundatalltimes.Thenursepractitionerplanstoworkwiththis familytodevelopimprovedmeal patterns.Whichdiagnosiswillthenursepractitioneruseforthisproblem?J.Failuretothrive K.Homecareresourcesinadequate L.Nutritionalteration–lessthanrequired D.ParentingalterationCORRECT . 5.Theprimarycarepediatricnursepractitionerisperforminga wellchildcheckup ona20monthold child.Thechildwas4weeksprematureand,accordingtoa parentcompleteddevelopmentalquestionnaire,hasachieved milestonesfora15montholdinfant. WhichactionisCORRECT? J.Performanindepthdevelopmentalassessmentscreen atthisvisittoevaluatethischild.CORRECT K.Reassuretheparentthatthechildwillcatchuptonormal developmentbyage2 years. L.Reevaluatethischild’sdevelopmentandmilestone achievementsatthe2yearvisit. M.Referthechildtoaspecialtyclinicforevaluationand treatmentofdevelopmentaldelay. 6.Theprimarycarepediatricnursepractitionerperformsa developmentalassessmentona3yearoldchildandnotesnormal cognitive,finemotor,andgrossmotor abilities.Thechildrespondsappropriatelytoverbalcommandsduring theassessmentbut refusestospeakwhenaskedquestions.Theparenttellsthenurse practitionerthatthechildtalks athomeandthatmostotheradultscanunderstandwhatthechild says.Thenursepractitioner will D.asktheparenttoconsiderapossiblespeechdelayand reportanyconcerns. E.continuetoevaluatethechild’sspeechat subsequentvisits.CORRECT F.referthechildforaspeechandhearingevaluation. G.telltheparenttospendmoretimeininteractive conversationswiththechild. 7.Theparentofatoddlerisconcernedthatthechildmayhave autism.Theprimarycarepediatricnursepractitionercompletesa ModifiedChecklistforAutisminToddlers (MCHAT) tool,whichindicatesseveralareasofconcern.Whatwillthenurse practitionerdo? E.AdministeraChildhoodAutismRatingScale(CARS)intheclinic. F.Consultaspecialisttodetermineappropriateearly interventionstrategies. G.Referthechildtoabehavioralspecialistforfurther evaluation.CORRECT H.Telltheparentthatthisresultindicatesthatthechildhasautism. 8.Theprimarycarepediatricnursepractitionerlearnsthatthe motherofa3yearold childhasbeentreatedfordepressionforover5years.Whichaspect ofthischild’s developmentwillbeofthemostconcerntothenursepractitioner?D.Finemotor E.Grossmotor F.Social/emotional D.SpeechandlanguageCORRECT . 9.Whenmeetingwithanewfamily,theprimarycare pediatricnursepractitioner developsadatabasethatidentifiesfamilymembersandothersliving inthehousehold, relationshipswithothersoutsidethehousehold,andsignificant behavioralandemotional problems.Whichtoolwillthenursepractitioneruseto recordthisinformation? C.CRAFFT D.Ecomap C.GenogramCORRECT D.Pedigree 10.Achildisintheclinicforevaluationofanasthmaaction plan.Theprimary carepediatricnursepractitionernotesthatthechild’slastvisit wasforaprekindergarten physicalandobservesthatthechildisextremelyanxious.What willthenursepractitionerdo initially? A.Askthechild’sparentwhythechildissoanxious. B.Performaphysicalassessmenttoruleoutshortnessofbreath. C.Reassurethechildthatthereisnothingtobeafraidof. D.Reviewthepurposeofthisvisitandanyanticipated procedures.CORRECT 11.Theprimarycarepediatricnursepractitionerisevaluatinghealth literacyinthe motherofanewpreschoolage child.Howwillthenursepractitionerassess C.Askthechildhowmanybookshehasathome. CORRECT D.Askthemotheraboutherhighestgradeinschool. E.AskthemothertodeterminetheCORRECTdoseofadrugfroma label. F.Askthemothertoreadahealthinformationhandoutaloud. 12.Themotherofanewborntellstheprimarycarepediatric nursepractitioner thatsheisworriedthatherchildwilldevelopallergiesandasthma. Whichtoolwillthenurse practitionerusetoevaluatethisrisk? A.ThreegenerationpedigreeCORRECT A.Reviewofsystems B.Genogram C.Ecomap 13.Theprimarycarepediatricnursepractitionerisperformingawell childassessmentonanadolescentandisconcernedaboutpossible alcoholandtobaccouse.Which assessmenttoolwillthenursepractitioneruse? A.CRAFFTCORRECT A.HEEADSSS B.PHQ2 C.RAAPS14.Theprimarycarepediatricnursepractitionerevaluatesa schoolagechild whosebodymassindex(BMI)isgreaterthanthe97thpercentile. Thenursepractitionerisconcernedaboutpossiblemetabolic syndromeandorderslaboratoryteststoevaluatethis.Which diagnosiswillthenursepractitionerdocumentforthisvisit? A.Metabolicsyndrome B.Nutritionalalteration:morethanrequired C.ObesityCORRECT A.Ruleouttype2diabetesmellitus Chapter6.CulturalConsiderationsforPediatric PrimaryCareQuestions 1.Theprimarycarepediatricnursepractitionerprovideswellchild careforacommunityofimmigrantchildrenfromCentralAmerica. Thepediatricnursepractitioneris surprisedtolearnthatsomeofthefamiliesareJewishandnot Catholic.Thisresponseisan exampleofcultural O.collectivism. P.constructivism. Q.essentialism.CORRECT R.individualism. 2.Theprimarycarepediatricnursepractitionerlearns thatanAfricanAmerican familylivesinaneighborhoodwithahighcrimerateandsuggests thattheytrymovingto anotherneighborhoodforthesafetyoftheirchildren.Thisisan exampleof N.culturalsensitivity. O.groupbias. P.individualprivilege.CORRECT Q.racialawareness. 3.Theprimarycarepediatricnursepractitionercaresforchildren fromaNative Americanfamilyandlearnsthattheyusedmanyherbstotreatand preventillness.Which approachwillthepediatricnursepractitionerusetopromoteoptimum healthinthechildren? O.Askaboutthetypesofpracticesusedandwhenthey areapplied.CORRECT P.Providealistofharmfulherbsandaskthefamilytoavoidthose. Q.Suggestthatthefamilyavoidusingtheseremediesintheir children. R.Telltheparentstousetheherbsinconjunctionwithmodern medications. 4.Theprimarycarepediatricnursepractitionerworkswithfamilies fromavarietyofculturesandsocioeconomicclasses.Whichisan exampleofculturalhumilityin practice? M.Givinghealthcareadvicethattakesculturaldifferencesinto account N.Identificationofotherculturesthatmaybesuperiortoone’sown culture C.Receptivitytolearningabouttheperspectivesofother culturesCORRECT D.Respectingothercultureswhilemaintainingtheviewsofone’sown 5.ASomalianimmigrantmotherisconcernedthather8yearoldchildisunderweight.Theprimarycarepediatricnursepractitioner notesthatthechild’sweightisatthe25thpercentile.Afterrealizing thatthemotheriscomparingherchildtoagroupof Americanbornchildrenwhoareoverweight,thepediatricnurse practitionerisabletoconvince themotherthatthisisanormalweight.Whichdomainofcultural competencedoesthis represent? A.Global B.InterpersonalCORRECT N.Intrapersonal O.Organizational 6.Theprimarycarepediatricnursepractitionerinacommunityhealth centermeetsafamilywhohasrecentlyimmigratedtotheUnited StateswhospeakonlyKaron.They arriveintheclinicwithachurchsponsor,whotranslatesforthem.The pediatricnursepractitioner noticesthatthesponsoranswersforthefamilywithoutgivingthem timetospeak.Thepediatric nursepractitionerwill H.askthesponsortoallowthefamilytorespond. I.developtheplanofcareandaskthesponsortomakesureitis followed. J.requestthatthesponsortranslatewritteninstructionsforthefamily. K.usethetelephoneinterpreterserviceto communicatewiththefamily. CORRECT 7.Theprimarycarepediatricnursepractitionerprescribesa twicedailyinhaled corticosteroidfora12yearold child.Atawellchildvisit,thechildreportsnotusingthe medicationonaregularbasis.Whichresponsebythepediatricnurse practitioner demonstratesanunderstandingof clientcenteredcare? A.Askingthechildtodescribeusualdailyroutinesand schedulesCORRECT I.Referringthefamilytoasocialworkertohelpwithmedication compliance J.Reviewingtheasthmaactionplanwiththeparentandthechild K.Teachingthechildhowthemedicationwillhelptocontrol asthmaSymptoms 8.Aprimarycarepediatricnursepractitionerworkingina communityhealthcenterwishestodevelopaprogramtoassist impoverishedchildrenandfamiliestohaveaccess tohealthyfoods.Whichstrategywillthepediatricnursepractitioner employtoensurethe successofsuchaprogram? G.Askingcommunitymemberstoassistin researchingandimplementinga programCORRECT H.Designingacommunitygardenapproachthatinvolveschildren andtheirparents I.Gainingsupportfromthecorporatecommunitytoprovide neededresources J.Providingevidencebasedinformationabouttheimportanceofa healthydiet 9.Theparentsofaspecialneedschildtelltheprimarycare pediatricnursepractitionerthattheyareplanninga3monthvisittotheirhomecountryinAfrica.Thepediatric nursepractitionerassiststhefamilytoobtainasufficientsupplyof medicationsandformulaandtomakesurethatthechild’s equipmentcanbetransportedandusedduringthetripandatthe destination.Thisisanexampleof E.globalapplication.CORRECT F.globalawareness. G.systemapplication. H.systemawareness. 10.Theprimarycarepediatricnursepractitionerisexamininga childwhoseparentsrecentlyemigratedfromawartorn countryintheMiddleEast.Whichisapriority assessmentwhenperformingthepatient history? A.Askingaboutphysical,psychological,andemotional traumaCORRECT E.Determiningtheparents’Englishlanguagecompetencyandliteracy level F.Learningaboutculturalpreferencesandcomplementary medicinepractices G.Reviewingthechild’sprevioushealthandillnessrecords Chapter7.ChildrenwithSpecialHealthCare Needs 1.AchildbornwithDandyWalkermalformationisreceivingpalliative careinthepediatricunit.A nurseshould: 1.Providetheparents,patient,andfamilymemberswith supportivecareduringthistime. 2.Asktheparentstobepartoftheplanofcareasmuchaspossible. 3.Attempttoprovideaprimarynurseforthisparticularpatienton eachshift. 4.Alloftheaboveare CORRECT.ANS:4 2.Aheadcircumferenceisbeingmeasuredata4montholdswell- babycheckup.Itisnotedthatthe headcircumferencehasnotgrownsincethepreviousassessment. Thenurseshould: 1.Askthemotheraboutthechilds nutrition.K. L.. M.N.. 2.Notifythedoctor. 3.Re-measuretheheadcircumference,checkdevelopmental milestones,assessthenutritionalstatus, anddiscussthefindingswiththedoctor. 4.Documentthenormal findings.ANS:3 3.Achildwithadiagnosisofschizencephalyisassignedtoanew nurseonthepediatricfloor.Thenewnursehasnotworkedwitha childwiththisdiagnosisbefore.Acareernursediscussestheplan ofcareneededforthechildwiththenewnurse.Itwillbe importantto: 1.Assessthesideofthebodythathasparalysisforanylesionsor sores. 2.Letthepatientdoasmuchaspossibleforactivitiesofdaily. 3.Discouragethepatienttomovetheparalyzedsideofthebody. 4.Providefullcareforthe patient.ANS:14.Anurseisassessinga6-month-oldboyssuturelines.Thenurse notesthatthebabyhascraniosynostosis.Thenurseshouldbe concernedbecause: 1.Thesuturelineclosurewillnotallowthebraintogrow. 2.Thiscanleadtohydrocephalus. 3.Thechildwillhaveimmediatedevelopmentaldelaysbecauseof thelackofspaceforthebraintogrow. 4.Thechildwillnotrequire surgery.ANS:1 5.Achildthathadashuntplacedfouryearsagofor hydrocephalusisintheemergencyroom complainingofarapidonsetofvomitingandincreasedlethargy.The nurseknowsthatthechildwill need: 1.Nothing,asthisisanormalcomplicationandnotanemergency. 2.TobeplacedonIVfluidstohelpmaintainanelectrolytebalance. 3.Smallamountsoffluidsuntilthevomitinghassubsided. 4.Toconsiderthisaneurologicalmedicalemergencyandcheck thechildsheadcircumference. ANS:4 6.Nightterrorscanoccurinadolescentsbecauseof: 1.Emotionalstress. 2.Alcoholuse. 3.Bullying. 4.Alloftheabovecantriggernightterrorsin adolescents.ANS:4 7.Whenspeakingwithafamilyabouttheir9-year-olddaughters nightmares,itisimportanttoask: 1.Ifthechildhasahistoryofdaytimenapping. 2.Whatmedicationsthechildtakesduringtheday. 3.Howoftenthechildconsumescaffeine. 4.Alloftheaboveshouldbepartofthe assessment.ANS:4 8.Aqualityofapartialseizureis: 1.Statusepilepticus. 2.Tonicmovements. 3.Flutteringeyelids. 4.Clonic movements.ANS: 4 9.Amotherisaskingthenursewhyherdaughtercontinuesto havetemporallobeseizureseventhough sheisonmedication.Thenurseknowsthisisoccurringbecause: 1.Themedicationmaynotbeinthetherapeuticrange. 2.Temporallobeseizuresdonotrespondwelltomedications. 3.Thedaughtermaybemissingdosesofhermedication. 4.Thefoodherdaughtereatsmayhaveanegativereaction withthemedication,causingmoreseizures. ANS:2 10.Whichofthefollowingtypesofepilepsyarephotosensitive? 1.Juvenilemyoclonicepilepsy 2.Temporallobeepilepsy 3.Febrileseizures 4.Childhoodabsence epilepsyANS:1 1.Achildwhohadaseizureonehouragoisexhibitingsignsof paralysisontheleftsideofthebody.Thenurseunderstandsthechildisexhibitingsignsof: 1.Lethargyduetopreviousseizureactivity. 2.Postictalparalysis. 3.Permanentparalysisoftheleftsideofthebody. 4.Majorbraindamagethatisgoingtohavelong-term effects.ANS:2 12.AchildwithaknownhistoryofBenignRolandicEpilepsyis havingaseizureduringlunchatthe middleschool.Theschoolnurseiscalledtothecafeteria.Whatisthe schoolnursespriorityatthistime? 1.Preventapossiblechokingincidentbycheckingthestudents mouthforfood. 2.Laythechilddownonthefloorandmakesuretheareaissafe. 3.CalltheEMTsforhelp. 4.Notifytheparentsthattheirdaughterishavinga seizure.ANS:1 . 13.An18montholdishavingaseizurewhenthenurseis assessinghim.Thenursenotesthatthechild isflutteringhiseyesandsmackinghislips.Thenurseshould documentthisseizureas: 1.Anabsenceseizure. 2.Atonic-clonicseizure. 3.Amyoclonicseizure. 4.Afebrile seizure.ANS: 1 14.A9montholdisadmittedtothepediatricunitforseizuresof unknownorigin.ThechildhasanEEG performedforseveralhours.TheEEGnotesseveralseizures occurringatdifferentintervals.Thenurse knowsthischild: 1.Willdevelopatthesamerateashispeers. 2.Mayhaveseverementalandphysicalchallengesduetothe frequentseizureactivity. 3.Mayexhibitaslightcognitivedelayashegrows. 4.Willgrowoutofhaving seizures.ANS:2 15.Achildhasbeenstatusepilepticsforthelast20minutes.The childhasDepakote,ValporicAcid, andDiazepamgelordered.Thenurseshouldpreparewhich medicationforadministrationatthistime? 1.Depakote 2.Valporicacid 3.Diazepam 4.Noneofthemedications.Thechildwillstoponhis own.ANS:3 16.Careforachildduringstatusepilepticusshouldincludeallofthe followingexcept: 1.Turnthepatienttotherightside. 2.Loosentightclothes. 3.Movetoysoutoftheareatopreventinjury. 4.Staywiththepatientuntiltheseizurehas stopped.ANS:117.Thenurseisidentifyingthedifferencebetweenprimary headachestosecondaryheadaches. Secondaryheadachescanoccur: 1.Becauseofstress. 2.Inrelationtolowbloodpressure. 3.Becauseofconcussions. 4.Becauseof migraines.ANS:3 18.Cyclicvomitingmay: 1.Lastfordays. 2.RequireSSRIstostophurting. 3.Notbeassociatedwithaheadache. 4.Requirespainmedicationand Zofran.ANS:3 19.Achildthathasrhythmic,repetitive,involuntarymovementsis exhibiting: 1.Tremors. 2.Dystonia. 3.Contractures. 4.Tics .ANS: 2 20.Identifyatherapeuticmanagementtechniqueforachildwithatic disorder. 1.Behavioralmodificationtosuppressthetics 2.Administeranti-psychoticmedicationstoreducethetics 3.Educationandsupportforthechildandthefamily 4.Geneticcounselingforthe familyANS:3 21.IdentifyatruestatementaboutTourettesSyndrome(TS)isthat: 1.Manifestationsrarelychangeoncedeveloped. 2.ChildrenwithTSdonothaveobsessivecompulsivedisorders. 3.TheticsofTScanleadtomentaldeterioration. 4.Theticsareinvoluntary,andthepersoncannotcontrolthe behavior.ANS:4 22.Theassessmentanurseperformedona12-year-oldboy demonstratedapositiveKernigssignanda Brudzinskissign.Identifythepriorityforthenursesnextaction. 1.Documentthefindingsandnoteasnormal. 2.Furtherassesstheneurologicalfunctionofthechildandcallthe doctorwithareport. 3.Explaintothepatientthattheassessmentwasabnormaland thereisnoacauseforconcern. 4.Preparethechildforalumbar puncture.ANS:2 23.Resultsfromcerebrospinalfluidthatwastestedformeningitis havebeenreceivedbythenurse.The resultsindicatebacterialmeningitis.Thenurseknowsthisbecause theresultsshow: 1.Alowproteincountandalowglucosecount. 2.Alowredbloodcellcount. 3.Anelevatedproteincountandalowglucoselevel. 4.Anormalproteincountandahighglucose count.ANS:3. Chapter8.DevelopmentalManagementinPediatric PrimaryCare Questions 1.Asinglemotherofaninfantworriesthatlivinginahousehold withonlyone parentwillcauseherchildtobemaladjusted.Tohelpaddressthe mother’sconcerns,the primarycarepediatricnursepractitionerwillsuggest S.developingconsistentdailyroutinesforthechild. CORRECT T.exposingherchildtoextendedfamilymemberswhenpossible. U.notworkingoutsidethehomeduringthefirstfewyears. V.takingherchildtoregularplaydateactivitieswithotherchildren. 2.Duringawellchildexam,theprimarycarepediatricnurse practitionerlearns thattheparentsofayoungchildfightfrequentlyaboutfinances.The parentsstatethattheydonotfightinfrontofthechildandfeelthat thesituationistemporaryandrelatedtothefather’sjoblayoff.What willthenursepractitionerdo? R.Reassurethemthatthechildistooyoungtounderstand. S.Recommendthattheycontinuetonotargueinfrontofthechild. T.Suggestcounselingtolearnwaystohandlestress. CORRECT U.Tellthemthattheconflictwillresolvewhenthesituationchanges. 3.Duringawellchildassessmentofan 18montholdchild,theprimarycare pediatricnursepractitionerobservesthechildbecomingirritableand uncooperative.The parenttellsthechildtostopfussing.Whatwillthenursepractitioner do? S.Allowtheparenttoputthechildina“timeout.” T.Asktheparentaboutusualdisciplinepractices. U.Offerthechildabookoratoytolookat.CORRECT V.Stoptheexamsincethechildhasreacheda“meltdown.” 4.Whichrecommendationwillaprimarycarepediatricnurse practitionermake whenparentsaskaboutwaystodisciplinetheir 3yearoldchildwhodrawsonthewallswith crayons? O.Givethechildwashablemarkerssothedrawingscanberemoved easily. P.Providearollofpaperfordrawingandteachthechild tousethis.CORRECT Q.Putthechildin“timeout”eachtimethechilddrawsonthewalls. R.Takethecrayonsawayfromthechildtopreventthebehavior. 5.Theprimarycarepediatricnursepractitionerconductsawell babyexamon. aninfantandnotesmildgrossmotordelaysbutnodelaysinother areas. Whichinitialcourseof actionwillthenursepractitionerrecommend? P.Consultadevelopmentalspecialistforamorecompleteevaluation. Q.Preparetheparentsforapotentiallyseriousdevelopmental disorder. R.Refertheinfanttoanearlyinterventionprogramforphysical therapy.S.Teachtheparentstoprovideexercisesto encouragemotordevelopment.CORRECT Theprimarycarepediatricnursepractitionerisexamininga newborninfant recentlydischargedfromtheneonatalintensivecareunitaftera prematurebirth.Theparentis upsetandexpressesworryaboutwhethertheinfantwillbenormal. Whatwillthenurse practitionerdointhissituation? L.Explaintotheparentthatdevelopmentaldelaysoftendonot manifestatfirst. M.Performadevelopmentalassessmentandtelltheparentwhich delaysareevident. N.Pointoutthetasksthattheinfantcanperformwhile conductingthe assessment.CORRECT D.Refertheinfanttoadevelopmentalspecialistforacomplete evaluation. 6.Theprimarycarepediatricnursepractitionerseesa developmentallydelayed toddlerforaninitialvisit.Thefamilyhasjustmovedtotheareaand asksthenursepractitioneraboutcommunityservicesandresources fortheirchild. Whatshouldthenursepractitionerdoinitially? L.Asktheparentsiftheyhaveanindividualizedfamily serviceplan(IFSP).CORRECT M.Consultwithaphysiciantoensurethechildgetsappropriatecare. N.Informthefamilythatservicesareprovidedwhenthechild beginsschool. O.Referthefamilytoasocialworkerforassistancewith referralsandservices. 7.Theprimarycarepediatricnursepractitionerhasacohortof patientswhohavespecialhealthcareneeds.Whichisanimportant roleofthenursepractitionerwhen caringforthesechildren? A.CarecoordinationandcollaborationCORRECT O.Developingprotocolsforparentstofollow P.Monitoringindividualeducationplans(IEPs) Q.Providinglistsofresourcesforfamilies 8.Theprimarycarepediatricnursepractitionerperformsa physicalexamination ona9montholdinfantandnotestwocentralincisorsonthelower gums.Theparentstatesthat theinfantnurses,takessolidfoodsthreetimesdaily,andoccasionally takeswaterfromacup. Whatwillthepediatricnursepractitionercounseltheparentto promoteoptimumdental health? I.Tobeginbrushingtheinfant’steethwithtoothpaste J.Toconsiderweaningtheinfantfrombreastfeeding K.Todiscontinuegivingfluoridesupplements D.Tomakeanappointmentforaninitialdental examinationCORRECT 9.Theprimarycarepediatricnursepractitionerentersanexam roomandfinds a2monthold infantinacarseatontheexamtable.Theinfant’smotherisplayinga gameonhersmartphone.Thenursepractitionerinterpretsthisbehavioras H.asignthatthemotherhaspostpartumdepression. I.extremelyconcerningforpotentialparentalneglect. J.ofmoderateconcernforparentingproblems.CORRECTK.withinthenormalrangeofbehaviorinearlyparenthood. Chapter9.DevelopmentalManagementof NewbornsMultipleChoice 1.1.Amotherbringsher9monthinfantinforaroutinevisit.What milestonewouldbeappropriate forthedoctortoaskiftheinfantismeeting? 1.Walking 2.Speakingintwowordphrases 3.Rollsbacktostomachandstomachtoback 4.Allofthe aboveANS: 3 2.A5dayoldinfantcomesinforanewborncheckup.On assessmentofthenewborn,younotethattheskinisjaundiceincolor. Theanteriorfontanelisslightlysunken.Permom,theinfanthasonly had2diaperstoday.Theinfantisstrictlybreastfedandthisismoms firstchild.Shestatesbabyishavingtroublelatchingon.Abilirubin levelissentandcomesbackat18.Youidentifythisnewborntobe dehydratedandismostlikelytohavebreastmilkjaundice.Which nursingintervention(s)willberequiredforthisbaby? 1.Phototherapy 2.Providingsupportandeducationforthelactatingmother 3.Strictmonitoringofintakeandoutput 4.Allofthe aboveANS4 3.Apgarscoresmeasureheartrate,respiratoryrate,reflexirritability, colorand: 1.1.Rigidity 2.2.Muscletone 3.3.Birthweight 4.4.Capillary refillANS:2 4.Amotheronthepostpartumunitaskedtohaveherinfantback fromthenurserysothatshecanbreastfeed.Thenursebringsthe newborntotheroomandhandsthebabytothemother.Sheasks themothertoletherknowhowlongthebabyfeeds.Whatvitalstep didthenurseforgettotakebeforegivingthebabytothemother? 1.1.Thenurseshouldhavemadesurethatthebabywaslatching CORRECTly 2.2.ThenurseshouldhaveidentifiedthebabysIDbandwiththe mothers 3.3.Thenurseshouldhavethemotherspeakwithalactation consultant 4.4.Thenurseshouldhaveaskedthemotherhowlongshe plannedtofeedANS:2 5.Excessiveheatlossresultsinwhichofthese? 1.RDS 2.Depletionofglucoselevels 3.Jaundice 4.Increaseinsurfactant levelsANS:2 6.Amotherhasjustdeliveredhernewbabyafewhoursago.She asksthenurseifshecanbathethebaby becausehehasbloodonhim.Thebestresponsefromthenurse wouldbe. 1.Sure,letmegetyousomesoapandwashcloths 2.Whydontyougetsomerest,therewillbelotsoftimeforbathing3.Itsimportantthatwenotbathethebabytoosoonafterbirth.Lets waittilllaterintheday. 4.Sure,butwhydontyoufeedthe babyANS:3 7.A4weekoldinfantisbroughttotheED.Momstatesthatthe babyhasntbeeneatingwellandhashad decreaseddiapersfor2days.Thebabyhasbeensleepingmore andhasbeenhardtowakeup.On assessment,youfindthatthebabyisdifficulttoarouse,ishypotonic andtemperatureis35.4rectally.What isanimportantlabvaluetocheck?Choosethebestanswer. 1.Completemetabolicpanel 2.Liverpanel 3.Bloodglucose 4.PTT ANS: 3 8.Apregnantwomanwithahistoryofaclottingdisorderisrequiredto self-administerheparinduringher pregnancy.Afterdelivery,theinfantwillbeatgreaterriskfor: 1.Lowbloodsugar 2.DecreaseVitaminK 3.IncreasedVitaminK 4.Highblood sugarANS: 2 . 9.Apartofinjurypreventionismakingandkeepinginfantappointments. Therequiredcheckups andvaccinationsareat: 1.3months,6months,9months 2.2months,4months,6monthsand1year 3.2months,4months,6month,9monthsand1year 4.2months,4months,9monthsand 1yearANS:3 10.Youaretakingcareofaninfantwhowasadmittedwith dehydration.Hisweightis6kg.Youhavebeen watchinghisI&Os.Whatwouldyouexpecttheinfantsurinary outputtobeinordertomaintainadequate hydration? 1.0.52ml/kg/hr 2.0.52.5 ml/kg/hr 3.13ml/kg/hr 4.Aslongasheishavingwetdiapersitdoesnt matterANS:3 11.AmotherbringshernewborndaughtertotheERwith concernsthatsheishavingvaginalbleeding.You knowthisisnormalandcalledwhat? 1.Pseudomenstruation 2.Milia 3.Vernixcaseosa 4.Toxicu mANS: 112.Whileinterviewingthemotherofaninfant,younotethatthe mothergetsfrustratedassheexplainsthat herbabyhasbeenupallnightcryingatleast3timesaweekfor thelast2weeks.Shestatesthatshehastriedeverythingandfeelshopeless.WhatwouldbetheBEST responsefromyouasthenurse? 1.Believeme,Iknow.Ihaveanewborntoo. 2.Haveyoutriedwarmmilk? 3.Itsoktobefrustratedandfeeloverwhelmed. 4.Youaredoingnothingwrong.Thiscanbeacommonoccurrencein infantsandyou shouldnotfeel guilty.ANS:4 Chapter10.DevelopmentalManagementof InfantsQuestions 1.Theparentofanewborninfantaskstheprimarycare pediatricnursepractitioner whentointervenetohelptheinfant’sfutureintellectualgrowth. Whatwillthe nursepractitioner telltheparent? W.Cognitivelearningbeginsduringthetoddleryears. X.Intellectualgrowthbeginwhenspeechdevelops. Y.Languageandliteracyskillsbeginatbirth.CORRECT Z.Preschoolisanoptimaltimetobegingenerallearning. 2.Theprimarycarepediatricnursepractitionerperformsa wellbabyexamination ona7dayold infantwhoisnursingwell,accordingtothemother.Thenurse practitionernotesthattheinfantweighed3250gramsatbirth and2990grams whendischargedontheseconddayoflife.Theinfantweighs3080 gramsatthisvisit.WhichactionisCORRECT? V.Followupatthe 2monthcheckup. W.Refertoalactationconsultant. X.Scheduleaweightcheckin1week.CORRECT Y.Suggestsupplementingwithformula. 3.Duringanassessmentofa 4weekoldinfant,theprimarycare pediatricnurse practitionerlearnsthatabreastfedinfantnursesevery2hours duringthedaybutisabletosleepfora 4hour periodduringthenight.Theinfanthasgained20gramsperdayin theintervalsincelastseen intheclinic.Whatwillthenursepractitionerrecommend? A.Continuingtonursetheinfantusingthecurrent patternCORRECT W.Nursingtheinfantforlongerperiodsevery4hours X.Supplementingwithformulaatthelastnighttimefeeding Y.Wakingtheinfantevery2hourstonurseduringthenight 4.Theprimarycarepediatricnursepractitionerisperforminga wellbabyexaminationona2monthold infantwhohasgained25gramsperdayinthelastinterval.The motherisnursingandtellsthenursepractitionerthatherinfant seemsfussyandwantstonursemoreoften.Whatwillthenurse practitionertellher? S.Shemaynotbemakingasmuchbreastmilkasbefore. T.Sheshouldkeepalogofthefrequencyanddurationofeach feeding. U.Theinfantmaybegoingthroughanexpected growthspurt.CORRECTV.Theinfantshouldstayonthepreviouslyestablishednursing schedule.. 5.Themotherofa6weekold breastfeedinginfanttellstheprimarycarepediatric nursepractitionerthatherbaby,whopreviouslyhadbowel movementswitheach feeding,nowhas abowelmovementonceeverythirdday.Whatwillthenurse practitionertellher? T.Herbabyisprobablyconstipated. U.Itmayberelatedtoherdietaryintake. V.Sheshouldconsumemorewater. W.Thismaybenormalforbreastfedbabies.CORRECT 6.Themotherofa3monthold childtellstheprimarycarepediatricnurse practitionerthatitis“somuchfun”nowthatherinfantcoosand smilesandwantstoplay.Whatis importantforthenursepractitionertoteachthismother? A.Appropriatewaystostimulateandentertaintheinfant B.Howtoreadtheinfant’scuesfor overstimulationCORRECT O.Theimportanceofscheduling“playdates”withotherinfants P.Toprovidemusicaltoystoengagetheinfant 7.Theparentofa5monthold isworriedbecausetheinfantbecomesfussybut doesn’talwaysseeminterestedinnursing.Whatwillthenurse practitionertell thisparent? P.Theinfantmaybeexpressingadesiretoplayorto rest.CORRECT Q.Theparentshouldgiveibuprofenforteethingpainbeforenursing. R.Thisisanindicationthattheinfantisreadyforsolidfoods. S.Thismayindicategastrointestinaldiscomfortsuchasconstipation. 8.Themotherofa6montholdinfantisdistressedbecausethe infantcanSay“dada”butnot“mama”andaskstheprimary carepediatricnursepractitionerwhythisiswhensheisthe onewhospendsmoretimewiththeinfant.Howwillthenurse practitionerrespond? R.“Atthisage,yourbabydoesnotunderstandthe meaningofsounds.”CORRECT S.“Babiesatthisagecannotmakethe‘ma’sound.” T.“Mostsoundsmadebybabiesatthisageareaccidental.” U.“Thismaymeanthatyourbabydoesn’thearwell.” 9.Theprimarycarepediatricnursepractitionerisperforminga wellchildexaminationona9monthold infantwhosehearingisnormalbutwhorespondstoverbalcues withonlysinglesyllablevocalizations.Whatwillthenurse practitionerrecommendtotheparentsto improvespeechandlanguageskillsinthisinfant? L.Provideeducationalvideosthatfocusonlanguage. M.Readsimpleboardbookstotheinfantatbedtime. CORRECT L.Singtothechildandplaylullabiesinthebaby’sroom. M.TurnthetelevisiontoSesameStreetduringtheday.