Growth and Development NCLEX Questions

1.    The nurse is caring for the mother of a newborn. The nurse recognizes that the mother needs more teaching regarding cord care because she
a.    keeps the cord exposed to the air.
b.    washes her hands before sponge bathing her baby.
c.    washes the cord and surrounding area well with water at each diaper change.
d.    checks it daily for bleeding and drainage.

2.    A client telephones the clinic to ask about a home pregnancy test she used this morning. The nurse understands that the presence of which hormone strongly suggests a woman is pregnant?
a.    Estrogen
b.    HCG
c.    Alpha-fetoprotein
d.    Progesterone

3.    The nurse is assessing a six-month-old child. Which developmental skills are normal and should be expected?
a.    Speaks in short sentences.
b.    Sits alone.
c.    Can feed self with a spoon.
d.    Pulling up to a standing position.

4.    While teaching a 10 year-old child about their impending heart surgery, the nurse should
a.    Provide a verbal explanation just prior to the surgery
b.    Provide the child with a booklet to read about the surgery
c.    Introduce the child to another child who had heart surgery three days ago
d.    Explain the surgery using a model of the heart

5.    When caring for an elderly client it is important to keep in mind the changes in color vision that may occur. What colors are apt to be most difficult for the elderly to distinguish?
a.    Red and blue.
b.    Blue and gold.
c.    Red and green.
d.    Blue and green.

6.    While giving nursing care to a hospitalized adolescent, the nurse should be aware that the MAJOR threat felt by the hospitalized adolescent is
a.    Pain management
b.    Restricted physical activity
c.    Altered body image
d.    Separation from family

7.    A woman who is 32 years old and 35 weeks pregnant has had rupture of membranes for eight hours and is 4 cm dilated. Since she is a candidate for infection, the nurse should include which of the following in the care plan?
a.    Universal precautions.
b.    Oxytocin administration.
c.    Frequent temperature monitoring.
d.    More frequent vaginal examinations.

8.    The nurse prepares for a Denver Screening test with a 3 year-old child in the clinic. The mother asks the nurse to explain the purpose of the test. The BEST response is to tell her that the test
a.    Measures potential intelligence
b.    Assesses a child’s development
c.    Evaluates psychological responses
d.    Diagnoses specific problems

9.    A 27-year-old woman has Type I diabetes mellitus. She and her husband want to have a child so they consulted her diabetologist, who gave her information on pregnancy and diabetes. Of primary importance for the diabetic woman who is considering pregnancy should be
a.    a review of the dietary modifications that will be necessary.
b.    early prenatal medical care.
c.    adoption instead of conception.
d.    understanding that this is a major health risk to the mother.

10.    The nurse is planning care for an 18 month-old child. Which of the following should be included the in the child’s care?
a.    Hold and cuddle the child often
b.    Encourage the child to feed himself finger food
c.    Allow the child to walk independently on the nursing unit
d.    Engage the child in games with other children

11.    The nurse in an infertility clinic is discussing the treatment routine. The nurse advises the couple that the major stressor for couples being treated for infertility is usually
a.    having to tell their families.
b.    the cost of the interventions.
c.    the inconvenience of multiple tests.
d.    the right scheduling of sexual intercourse.

12.    The nurse is assessing a four month-old infant. The nurse would anticipate finding that the infant would be able to
a.    Hold a rattle
b.    Bang two blocks
c.    Drink from a cup
d.    Wave “bye-bye”

13.    The nurse is evaluating a new mother feeding her newborn. Which observation indicates the mother understands proper feeding methods for her newborn?
a.    Holding the bottle so the nipple is always filled with formula.
b.    Allowing her seven – pound baby to sleep after taking 1 ½ ounces from the bottle.
c.    Burping the baby every ten minutes during the feeding.
d.    Warming the formula bottle in the microwave for 15 seconds and giving it directly to the baby.

14.    The nurse is caring for a pregnant client. The client asks how the doctor could tell she was pregnant ‘just by looking inside.’ The nurse tells her the most likely explanation is that she had a positive Chadwick’s sign, which is a
a.    Bluish coloration of the cervix and vaginal walls
b.    Pronounced softening of the cervix
c.    Clot of very thick mucous that obstructs the cervical canal
d.    Slight rotation of the uterus to the right

15.    When caring for an elderly client it is important to keep in mind the changes in color vision that may occur. What colors are apt to be most difficult for the elderly to distinguish?
a.    Red and blue.
b.    Blue and gold.
c.    Red and green.
d.    Blue and green.

16.    The nurse’s FIRST step in nutritional counseling/teaching for a pregnant woman is to
a.    Teach her how to meet the needs of self and her family
b.    Explain the changes in diet necessary for pregnant women
c.    Question her understanding and use of the food pyramid
d.    Conduct a diet history to determine her normal eating routines

17.    A woman who is six months pregnant is seen in antepartal clinic. She states she is having trouble with constipation. To minimize this condition, the nurse should instruct her to
a.    increase her fluid intake to three liters/day.
b.    request a prescription for a laxative from her physician.
c.    stop taking iron supplements.
d.    take two tablespoons of mineral oil daily.

18.    The nurse is observing children playing in the hospital playroom. She would expect to see 4 year-old children playing
a.    Competitive board games with older children
b.    With their own toys along side with other children
c.    Alone with hand held computer games
d.    Cooperatively with other preschoolers

19.    The nurse is caring for residents in a long term care setting for the elderly. Which of the following activities will be MOST effective in meeting the growth and development needs for persons in this age group?
a.    Aerobic exercise classes
b.    Transportation for shopping trips
c.    Reminiscence groups
d.    Regularly scheduled social activities

20.    A pregnant woman is advised to alter her diet during pregnancy by increasing her protein and Vitamin C to meet the needs of the growing fetus. Which diet BEST meets the client’s needs?
a.    Scrambled egg, hash browned potatoes, half-glass of buttermilk, large nectarine
b.    3oz. chicken, ½ C. corn, lettuce salad, small banana
c.    1 C. macaroni, ¾ C. peas, glass whole milk, medium pear
d.    Beef, ½ C. lima beans, glass of skim milk, ¾ C. strawberries

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