Chapter 18 The Life Cycle

Chapter 18  The Life Cycle

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse has determined that a child is growing. An example of growth in a child would be the:
a.
child’s weight increases from 10 pounds to 15 pounds.
b.
child is able to pick up a block.
c.
child is toilet trained.
d.
child has a temper tantrum.

ANS: A
Growth is the measurable changes in physical size of the body and its parts. Examples of growth include changes in height, weight, bone density, and dental structure. The child whose weight has increased from 10 to 15 pounds is an example of growth. The other examples are of developmental task achievement or normal expected behavior.

PTS: 1 DIF: Analysis
REF: Fundamental Concepts of Growth and Development

2. A pregnant client asks the nurse if she could continue to drink alcohol on weekends with her husband. Which of the following should the nurse instruct this client?
a.
Limit alcohol during the last 3 months of pregnancy.
b.
The effects of alcohol on a developing fetus are permanent and can lead to fetal alcohol syndrome.
c.
Limit alcohol intake to two drinks per day.
d.
Drinking alcohol while pregnant could cause the baby to increase in size in utero.

ANS: B
The nurse should instruct the client to avoid alcohol while pregnant but especially during the first 3 months of pregnancy when the embryo’s brain and other vital organs are developing. The effects of alcohol on a developing fetus are permanent and can lead to fetal alcohol syndrome. Infants with fetal alcohol syndrome are smaller, not larger. Alcohol intake should be avoided. The nurse should not instruct the client to limit alcohol intake to two drinks per day.

PTS: 1 DIF: Application REF: Prenatal Period

3. Which information is most essential for the nurse to obtain before a mother and baby are discharged from a birthing center or hospital?
a.
The type of crib the infant will be using
b.
What assistance the mother will have after discharge
c.
That an infant seat will be used for the drive home
d.
That the mother is comfortable with the care of her newborn

ANS: C
Safety is of primary concern when caring for neonates. One of the most important neonatal accident-prevention methods is to teach parents about the proper use of infant car seats. Under current federal law, neonates and infants must be secured in an approved infant car seat every time the child travels in a car. The type of crib the infant will be using will not impact the infant and mother’s discharge. The mother’s need for assistance and the mother’s comfort level with care of the newborn will not impact the mother and infant’s discharge.

PTS: 1 DIF: Application REF: Neonatal Period

4. The nurse notes that when a neonate is stroked on the left cheek, he turns his head toward the left. The nurse is assessing a(n):
a.
normal reflex called the tonic neck reflex.
b.
abnormal response that needs to be further evaluated.
c.
abnormal response known as head turning.
d.
normal reflex called the rooting reflex.

ANS: D
Turning the mouth and nose in the direction of any facial touch is the rooting reflex in a neonate. The tonic neck reflex occurs when the head is turned to the side and the arm and leg on the same side extend. The neonate’s response is not abnormal and does not need to be further evaluated.

PTS: 1 DIF: Application
REF: Figure 18-2 Selected Neonatal Reflexes| Table 18-14 Major Neonatal Reflexes

5. A new mother is determining whether to breast-feed her new baby or use formula. Which of the following should the nurse instruct the mother regarding breast and formula feeding of infants?
a.
Breast milk boosts immune functioning.
b.
Cow’s milk and formula are more easily digested than breast milk.
c.
Breast-fed infants tend to have more deposits of subcutaneous fat.
d.
Cow’s milk can be started at 3 to 4 months of age.

ANS: A
Breast milk boosts immune functioning and is more easily digested than cow’s milk or formula. Milk- or formula-fed infants tend to have more deposits of subcutaneous fat. Cow’s milk is not recommended for infants under age 1.

PTS: 1 DIF: Application REF: Neonatal Period