Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 21
Question 1
Type: MCSA
A client comes to the women’s clinic, stating she has had a positive home pregnancy test. The client states that her
last menstrual cycle was 2 months ago. According to this time frame, the nurse determines that the client is in
which stage of pregnancy?
1. Fetal phase
2. Second trimester
3. Third trimester
4. Embryonic phase
Question 2
Type: MCSA
The parents of a baby born prematurely during the sixth month of pregnancy question the nurse about the hair all
over their baby. What is the nurse’s best response?
1. “All babies are hairy. It is more noticeable on preemies.”
2. “Fine downy hair helps keep the baby insulated in utero.”
3. “You should be more concerned with the baby’s respiratory function.”
4. “Don’t worry about how the baby looks. All preemies look funny.”
Question 3
Type: MCSA
The nurse is preparing to instruct a client about nutritional needs before and during pregnancy. What should the
nurse encourage the patient to consume in order to meet the requirements for folic acid?
1. Meats, fish, and poultry
2. A mix of vegetables and fiber
3. Oranges and green leafy vegetables
4. Low-fat and high-protein foods
Question 4
Type: MCSA
The nurse is completing a health history with a client who is 10 weeks pregnant. Which factor should the nurse
identify as increasing this client’s risk for a spontaneous abortion?
1. Having taken a medication that is a known teratogen
2. Smoking
3. Having low levels of folic acid
4. Genetic history
Question 5
TYPE: MCMA
The school nurse determines that a 14-year-old student has reached an expected level of cognitive development.
What did the nurse assess to come to this conclusion?
Standard Text: Select all that apply.
1. Thinks logically
2. Thinks about the future
3. Makes rational statements
4. Uses a trial-and-error process
5. States things as they could be
Question 6
Type: MCSA
At birth a baby weighed 8 lb. What should the nurse expect this baby to weight at the age of 1?
1. 32 lb
2. 16 lb
3. 20 lb
4. 24 lb
Question 7
Type: MCSA
Parents of a newborn ask the nurse why their newborn’s head seems lopsided and not round, as they thought it
should be. How should the nurse respond to these parents?
1. “I don’t think it looks unusual; actually the head is beautifully shaped.”
2. “Your baby’s head had to shape itself to the birth canal. It will look round in a few days.”
3. “You’re right. We’ll make sure your doctor checks this out.”
4. “Babies’ heads always look funny. Once his hair grows out, you’ll hardly notice it.”
Question 8
Type: MCSA
The parents of a newborn ask what their baby can see. What should the nurse respond to these parents?
1. “Babies aren’t able to see until they are around 4 months old.”
2. “Babies won’t track moving objects until about 5 months.”
3. “Newborns blink in response to bright lights and sound and will follow large objects.”
4. “Newborns aren’t able to focus, so everything looks blurry to them.”
Question 9
Type: MCSA
The parents of a newborn male ask the nurse about pain during circumcision. What should the nurse respond to
these parents?
1. “Newborns can’t feel pain, so don’t worry about it.”
2. “We’ll make sure to bring your baby to you right after the procedure, so you can comfort him.”
3. “I’ll have the pediatrician speak to you about it.”
4. “Newborns’ pain experience is real. We’ll use some medication to help your baby feel more comfortable.”
Question 10
Type: MCMA
An expectant parent asks the nurse about health problems of newborns. On what should the nurse provide
information to this client?
Standard Text: Select all that apply.
1. Infant colic
2. Respiratory tract infections
3. Failure to thrive
4. Injuries
5. SIDS
Question 11
Type: MCSA
New parents ask if their 8-month-old baby is performing activities that are expected at this age. What should the
nurse suggest to screen this baby’s developmental level?
1. The Denver Developmental Screening Test (DDST-II)
2. Growth and development charts from the Centers for Disease Control and Prevention (CDC)
3. Assessment tools utilized by the state education department
4. The Apgar scoring system
Question 12
Type: MCSA
The parents of a toddler are concerned that their child is so messy during eating, so they feed him instead of
allowing him to feed himself. What should the nurse respond to the parents?
1. “That’s probably best. I’m sure it makes your mealtime more pleasant.”
2. “At least you’re sharing meals as a family. That’s the most important.”
3. “Motor skills keep improving with age. Try not to get frustrated with the mess.”
4. “Your child will never learn if you don’t let him experience.”
Question 13
Type: MCSA
A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and
is having incontinent accidents during the day. How should the nurse address the parent’s concern about this
behavior?
1. “Maybe your child should be seen by a specialist, just to make sure there are no physical problems.”
2. “It is normal for some children to go through a stage of regression after separation from their family or after an
acute illness. Try not to be too discouraged.”
3. “You’ll have to be very strict with discipline, so your child knows this behavior is not acceptable.”
4. “I’d be upset too. It must be hard to go back to using diapers.”
Question 14
Type: MCSA
A kindergarten class is being screened by a group of nursing students using a Snellen E chart. Few of the children
have 20/20 vision. Most have 20/30, and some have 20/40. What should the nursing students report to the
instructor about these children’s vision?
1. “These children have normal vision abilities.”
2. “We should check into the health of these children. Maybe their diets are lacking in essential vitamins because
they all have poor eyesight.”
3. “These kids will all be wearing glasses when we come back next year.”
4. “We should use a different eye chart. Maybe the kids would understand it better.”
Question 15
Type: MCSA