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1. While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanel is still slightly open. Which of the following is the nurse’s most appropriate action?
A. Notify the physician immediately because there is a problem.
B. Perform an intensive neurological examination.
C. Perform an intensive developmental examination.
D. Do nothing because this is a normal finding for the age.
2. When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done?
A. 1 month
B. 2 months
C. 3 months
D. 4 months
3. The infant of a substance-abusing mother is at risk for developing a sense of which of the following?
A. Mistrust
B. Shame
C. Guilt
D. Inferiority
4. Which of the following toys should the nurse recommend for a 5-month-old?
A. A big red balloon
B. A teddy bear with button eyes
C. A push-pull wooden truck
D. A colorful busy box
5. The mother of a 2-month-old is concerned that she may be spoiling her baby by picking her up when she cries. Which of the following would be the nurse’s best response?
A. “ Let her cry for a while before picking her up, so you don’t spoil her”
B. “Babies need to be held and cuddled; you won’t spoil her this way”
C. “Crying at this age means the baby is hungry; give her a bottle”
D. “If you leave her alone she will learn how to cry herself to sleep”
6. When assessing an 18-month-old, the nurse notes a characteristic protruding abdomen. Which of the following would explain the rationale for this finding?
A. Increased food intake owing to age
B. Underdeveloped abdominal muscles
C. Bowlegged posture
D. Linear growth curve
7. If parents keep a toddler dependent in areas where he is capable of using skills, the toddle will develop a sense of which of the following?
A. Mistrust
B. Shame
C. Guilt
D. Inferiority
8. Which of the following is an appropriate toy for an 18-month-old?
A. Multiple-piece puzzle
B. Miniature cars
C. Finger paints
D. Comic book
9. When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler?
