Pediatric Nursing /child and Womens Health Assessment

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Sample questions from Pediatric Nursing /child and Womens Health Assessment

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A nurse measures a 2-month-old infant's length, weight, and head circumference. Which finding should be interpreted using a sex-specific growth chart and plotted over time rather than judged from a single measurement?

   • A.A weight at the 10th percentile with a stable growth trajectory
   • B.A length at the 25th percentile
   • C.A head circumference at the 50th percentile
   • D.A single weight measurement below the 50th percentile

   Rationale: A measurement at the 10th percentile can be normal when the child follows a consistent trajectory and other findings are reassuring. Growth charts are interpreted by plotting serial measurements and assessing the pattern, not by treating the 50th percentile as a required target. A single low percentile or a measurement at the 25th or 50th percentile does not independently establish a growth problem.

2. 2.The nurse assesses a healthy 9-month-old during a well-child visit. Which findings are expected developmental abilities at this age? Select all that apply.

   • A.Walks independently across the room
   • B.Uses two-word phrases
   • C.Sits without support
   • D.Uses a pincer grasp to pick up a small object
   • E.Looks for a toy hidden under a cloth

   Rationale: Sitting without support, developing a pincer grasp, and searching for a hidden object are typical abilities around 9 months. Independent walking is usually acquired later, and two-word phrases are not expected at this age. Developmental milestones are ranges, so assess the child's overall pattern rather than relying on one skill alone.

3. 3.The caregiver of a 2-year-old asks how to support language development. Which recommendation is best?

   • A.Use television as the primary source of language exposure
   • B.Wait until the child speaks in full sentences before asking questions
   • C.Correct every mispronounced word immediately
   • D.Read and talk with the child during everyday routines

   Rationale: Frequent conversation, shared reading, and naming objects during routines provide responsive language exposure and encourage communication. Correcting every error can discourage attempts, and television does not replace interactive communication. Adults can ask simple questions and respond to the child's gestures and words well before full sentences emerge.

4. 4.At a 15-month well-child visit, a toddler cries and clings to a parent when the nurse approaches. What is the best nursing response?

   • A.Use complex explanations to gain the child's agreement
   • B.Ask the parent to leave so the child learns to cooperate
   • C.Allow the child to remain with the parent and begin with observation
   • D.Insist on completing the examination immediately

   Answer and rationale are in the full material.

5. 5.A 16-year-old asks the nurse for time to discuss health concerns without a parent in the room. Which response is best?

   • A.Promise that nothing the adolescent says will ever be shared
   • B.Explain that confidential time is routinely included, with limits for safety concerns
   • C.Refuse because the adolescent is not yet an adult
   • D.Tell the adolescent that parents must hear all health information

   Answer and rationale are in the full material.