Which stage of development is most unstable and challenging regarding
the development of personal identity?REVIEWED 2X
Adolescence
Toddlerhood
Middle Childhood
Young adulthood
Kim and her daughter Jane went grocery shopping to only buy essential things
needed at home. As they went along the different sections of the store, Jane saw
a limited-edition Barbie doll. She is tempted to get it but decides not to grab it for
fear of being slapped. This behavior of Jane is considered to be in what stage of
Kohlberg’s Moral Development?REVIEWED
Conventional Stage 3: Good Boy/Nice Girl Orientation
Preconventional Stage 1: Punishment/Obedience Orientation
Conventional Stage 2: Law and Order Orientation
Preconventional Stage 2: Instrumental Relativist Orientation
The nurse is assessing a six-month-old child. Which developmental skills are
normal and should be expected?REVIEWED 2X
Pulling up to a standing position
Can feed self with a spoon
Sits alone
Speaks in short sentences
The nurse is caring for residents in a long-term care setting for the elderly. Which
of the following activities based on Erickson’s theory will be most effective in
meeting the growth and development needs of a person in this age
group?REVIEWED 2x
Boardgame
Mentor other elderly clients
Reminiscence groups
Regularly scheduled social activities
Erickson’s stage of psychosocial development in which social relationships
develop and productivity increases.REVIEWED 2x
Initiative vs guilt
Autonomy vs shame and doubt
Industry vs inferiority
Generativity vs stagnation
A nurse in a delivery room is assisting with the delivery of a newborn infant. After
the delivery, the nurse prepares to prevent heat loss in the newborn resulting
from evaporation by:REVIEWED 2x
Warming the crib pad
Turning on the overhead radiant warmer
Closing the doors to the room
Drying the infant in a warm blanket
A nurse prepares to administer a vitamin K injection to a newborn infant. The
mother asks the nurse why her newborn infant needs the injection. The best
response by the nurse would be:REVIEWED
“Your infant needs vitamin K to develop immunity.”
“Vitamin K will protect your infant from having jaundice.”
“Newborn infants are deficient in vitamin K, and this injection prevents your infant from
abnormal bleeding.”
“Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in the
bowel.”
Vitamin K is prescribed for a neonate. A nurse prepares to administer the
medication in which muscle site?REVIEWED
Deltoid
Triceps
Vastus lateralis
Biceps
A nursing instructor asks a nursing student to describe the procedure for
administering erythromycin ointment into the eyes of a neonate. The instructor
determines that the student needs to research this procedure further if the
student states:REVIEWED
“I will cleanse the neonate’s eyes before instilling ointment.”
“I will flush the eyes after instilling the ointment.”
“I will instill the eye ointment into each of the neonate’s conjunctival sacs within one hour after
birth.”
“Administration of the eye ointment may be delayed until an hour or so after birth so that eye
contact and parent-infant attachment and bonding can occur.”
Within three (3) minutes after birth the normal heart rate of the infant may range
between:REVIEWED
100 and 180
130 and 170
120 and 160
100 and 130
The expected respiratory rate of a neonate within three (3) minutes of birth may
be as high as:REVIEWED
50
60
80
100
The nurse is aware that a healthy newborn’s respirations are:REVIEWED
Regular, abdominal, 40-50 per minute, deep
Irregular, abdominal, 30-60 per minute, shallow
Irregular, initiated by chest wall, 30-60 per minute, deep
Regular, initiated by the chest wall, 40-60 per minute, shallow
A newborn has small, whitish, pinpoint spots over the nose, which the nurse
knows are caused by retained sebaceous secretions. When charting this
observation, the nurse identifies it as:REVIEWED
Milia
Lanugo
Pimples
Mongolian spots
While assessing a 2-hour old neonate, the nurse observes the neonate to have
acrocyanosis. Which of the following nursing actions should be performed
initially?REVIEWED
Activate the code blue or emergency system
Do nothing because acrocyanosis is normal in the neonate
Immediately take the newborn’s temperature according to hospital policy
Notify the physician of the need for a cardiac consult
During an assessment of an infant, you note that when the infant's head is turned
to the right side, the leg and arm on the right side will extend, while the leg and
arm on the left side will flex. You document this as what type of reflex?REVIEWED
Rooting Reflex
Sucking Reflex
Moro Reflex
Tonic Neck Reflex
Select the option below that best describes how to assess the palmar grasp
reflexREVIEWED
Stroke the cheek of the infant and assess if the head turns toward the stimuli.
Stroke the sole of the foot starting at the heel to the outward part of the foot and assess if the
big toe bends back and the other toes spread out.
Hold the infant upright with the legs and feet touching a surface and assess if the infant will
move the legs in a stepping motion.
Stroke the inside of the infant's hand with an object and assess if the hand closes around the
object.
You note that when a finger is placed under the toes of a newborn, the toes will
curl downward. This is known as the REVIEWED!!!!!!!!!!
Babinski reflex
Plantar grasp reflex
Tonic Neck reflex
Step reflex
When the Moro Reflex is stimulated in an infant, the infant will _____________the
arms with the palms of the hands turned ___________ and then move the arms
___________ the body.REVIEWED
flex, upward, away from
extend, upward, back to
flex, downward, back to
extend, downward, away from
When does the sucking reflex in an infant disappear and become
voluntary?REVIEWED
6 months
2 months
4 months
12 months
In a 3-month-old infant you assess the Babinski Reflex. What is the appropriate
response in an infant at this age?REVIEWED
The big toe plantar flexes and the other toes curl downward.
All the toes curl downward.
The big toe dorsiflexes and the other toes spread outward.
The big toe plantar flexes and the other toes fan outward.
You note when a 2-month-old is held upright with the legs and feet touching the
surface, the infant will appear to be walking on the surface. This reflex is called
the?REVIEWED
Bauer Crawling Reflex
Push-to-Walk Reflex
Babinski Reflex
Step Reflex
When a baby spreads her toe when the bottom of her feet are stroked is
theREVIEWED
Babinski reflex
Babkin reflex
stepping reflex
Startle reflex
When a baby feels like she is falling and curls her arms and legs closer to her
body it is theREVIEWED
Grasping reflex
Startle reflex
Tonic Neck reflex
Babkin reflex
A natural reflex that happens when the roof of a baby's mouth is touched.
Rooting reflex
Tonic Neck reflex
Babkin reflex
Sucking reflex
The newborn undergoing phototherapy light therapy will be expected to have
what color of stool
Clay colored stool
Blood flecked stool
Bright green stools
Black tarry stools
Greenish Vernix indicates the presence of ______ in the amniotic fluid
Bilirubin
Blood
Milia
Meconium
What can the nurse do in order to reduce the heat loss via Convection
PAKI CHECK
Eliminating drafts
Using blankets on the baby
Drying off the newborn
Telling the mother to breastfeed the newborn
Which Stage of Development according to Jean Piagets Theory of Cognitive
development has "talk time" as an ideal activityREVIEWED
Sensorimotor
Preoperational thought
Concrete operational thought
Formal operational thought
According to reaction pattern by Chess and Thomas which temperament pertains
to the intensity level of stimulation that is necessary to evoke a reactiondi ko sure
Distractibility
Mood Quality
Threshold of Response
Intensity of reaction