Maternity and Pediatric Nursing- Testbank

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Maternity and Pediatric Nursing- Testbank Chapter 20: The Adolescent Maternity 101 MULTIPLE CHOICE 1. The nurse is assessing a 13-year-old boy. With what do physical changes in the pubertal male... begin? a. Development of axillary and facial hair b. Enlargement of penis c. Enlargement of testicles d. Pigmentation of the scrotum 2. A 13-year-old boy states, The girls in my class tower over me. What would be the nurses most informative response? a. It may seem that way because girls have a growth spurt 2 years earlier than boys. b. Perhaps your parents are not exceptionally tall. c. Boys usually experience a growth spurt 1 year earlier than girls. d. You may feel short, but you are actually average height for your age. 3. A parent comments that her adolescent daughter seems to be daydreaming a lot. What does the nurse understand this behavior to indicate regarding their daughter? a. She is bored. b. She is not getting enough rest. c. She is trying to block out stress and anxiety. d. She is mentally preparing for real situations. 4. The nurse is planning a safety program for high school students. To what will the nurse relay that most accidental deaths in adolescence are related? a. Firearms b. Automobiles c. Drowning d. Diving injuries 5. A 16-year-old excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents? a. Your studies are too important for you to have a part-time job. b. When we went to high school, academics were the adolescents priority. c. We want you to put your earnings in a savings account. d. How do you think you will manage your school work and a job? 6. The nurse is planning care of an adolescent. What psychosocial task does the nurse understand is important for the adolescent to develop? a. A sense of initiative b. A sense of industry c. A sense of identity d. A sense of involvement 7. A 13-year-old girl tells the school nurse that she is getting fat, especially in her hips and legs. What understanding by the nurse would best guide the response? a. Many adolescents are unaware of proper nutrition. b. Adolescents of this age become less active and should eat fewer calories. c. Puberty is often preceded by fat deposits in these areas. d. As soon as menarche occurs, she will lose this excess weight. 8. The school nurse is planning a program for girls about the physical changes of puberty. Toward what age girl should this program be directed? a. 10 years b. 12 years c. 14 years d. 16 years 9. What statement made by a parent indicates an understanding about helping a 13-year-old manage his allowance? a. I set amounts he can earn for particular chores. b. I give him a certain amount of money for each day. c. I put money into his bank account each month. d. I told him to ask me when he needs money. 10. What can the nurse suggests as a good dietary source of zinc for an adolescent who is a vegetarian? a. Green, leafy vegetables b. Citrus fruits c. Nuts d. Enriched breads 11. An adolescents parent comments, My son seems so preoccupied with his appearance these days. Is this normal? What is the nurses best response? a. It is his attempt to express his individualism. b. His preoccupation with his looks is quite normal. c. He is probably troubled with his physical changes. d. This shows that he has a positive self-image. 12. What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game? a. A cheeseburger and soda b. A hot fudge sundae c. Two sausage and egg breakfast sandwiches and orange juice d. A bagel and skim milk 13. When planning to answer a 16-year-old girls questions about menstruation, the nurse must consider cognitive development. What is developed during adolescence according to Piaget? a. The ability to view a situation from multiple perspectives b. The ability to focus more on the past than present situations c. The ability to exercise concrete reasoning d. The ability to consider hypothetical situations 14. A girl tells the nurse that she and her best friend belong to the popular clique. She states, I love Katy Perry, and I want to be a singer. The nurse recognizes the girls statement as characteristic of what time period? a. Early adolescence b. Middle adolescence c. Late adolescence d. The entire adolescent period 15. The nurse is leading a discussion group with parents of adolescents. One parent comments, My son cant do anything without checking with his friends first. My opinion doesnt count anymore. What knowledge in regard to this behavior would the nurse formulate as a response? a. It is unusual for adolescent boys. b. It is often more apparent in boys than girls. c. It is a normal phenomenon during adolescence. d. It is suggestive of feelings of low self-worth. 16. What does an adolescents peer group serve as related to development? a. Social outlet b. Association to blur personal identity c. Platform for group think d. Initial separation from family 17. At what stage is the adolescent considered to be,according to Freuds theory? a. Conceptual b. Genital c. Glandular d. Pubertal 18. The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. How would the nurse interpret this score? a. Nonindicative of potential substance abuse b. Normal experimentation of the adolescent c. Need to schedule another PACE interview in 3 months d. Indication for referral for counseling 19. What does adolescent acne result from? a. Ineffective sweat glands b. Oily skin c. Inadequate hygiene d. A poor diet 20. The nurse suggests the use of I messages to communicate a parents feeling to an adolescent. What is the most appropriate example of an I message? a. I feel frightened when you stay out past your curfew. b. I am your mother, and I insist that you observe your curfew. c. I am sick and tired of your staying out late. d. I expect you to show me proper respect. 21. A 13-year-old girl tells the nurse she is concerned because she has not had her first menstrual period. What is the best initial response from the nurse? a. Your hormone levels may be irregular. b. Could you be pregnant? c. Age of first menstrual cycle varies. d. Do not worry about it. 22. The nurse is documenting the pediatricians assessment of a female patient. When assessing Tanners stages of breast development there is elevation of papilla only. What stage of development will the nurse document? a. Stage 1 b. Stage 2 c. Stage 3 d. Stage 4 23. The school nurse is educating high school students about guidelines to be followed when participating in sports. Which statement by a student alerts the nurse of the need for further information? a. I will eat carbohydrates before practice. b. I drink large amounts of fluid when working out. c. I wear protective gear every time I play sports. d. I avoid caffeine when participating in sports. MULTIPLE RESPONSE 24. To what is the restlessness seen in the adolescent considered to be attributed? (Select all that apply.) a. Drive to be accepted by society as an individual b. Urge for independence c. Establishment of a personal identity d. Intense libido e. Slowing of body changes 25. What are the best breakfast choices for the nurse to point out prior to a big exam, to provide high levels of alertness and increased memory? (Select all that apply.) a. Pancakes and syrup b. Coffee and chocolate-covered donuts c. Bacon and fried eggs d. Whole grain cereal and yogurt e. Oatmeal and sliced apples 26. The nurse considers what rites of passage valued by the adolescent in American society? (Select all that apply.) a. Attaining legal drinking age b. Selection of a career c. Religious affiliation d. Obtaining a drivers license e. High school graduation 27. A mother confides in the school nurse that she witnessed her son kissing another boy. Which concepts should guide the nurse to base a reply? (Select all that apply.) a. Homosexual behavior in adolescents is not uncommon. b. Homosexuality is a mental disorder. c. Adolescents often desire to explore alternative lifestyles. d. Homosexual tendencies should be addressed with counseling. e. Parents should seek a support group for parents of gays. 28. The school nurse is discussing challenges of the adolescent years with a group of high school students in health class. What challenges toward adolescent development will the nurse include? a. Developing intimacy b. Maintaining dependence on parents c. Searching for identity d. Adjusting to body changes e. Establishing future goals COMPLETION 29. The nurse understands that as adolescents strive for individuality, the strongest need of any adolescent in society is that of . 30. The nurse knows that an adolescent may find making a career choice difficult because there is less clarity in roles. 31. The nurse stresses the need for using a sunscreen with a Sun Protection Factor (SPF) of at least . 15 A sunscreen with an SPF of at least 15 is recommended to block sun rays that cause cancer. 32. is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity. 33. The general appearance of the adolescent tends to be awkward, that is, long-legged and gangling; this growth characteristic is termed because different body parts mature at different rates. [Show More]

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