Exam (elaborations)
NUR1025 Module 6 EAQs
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NUR1025 Module 6 EAQsA pregnant patient visits the primary health care provider for a prenatal checkup. The patient reveals
that she occasionally smokes and drinks alcoholic beverages. The nurse expects the health care provider
will instruct the patient to stop drinking and smoking. What is the rationale for these instructions? - ANS
Smoking and alcohol impair the baby's cognitive development.
The nurse is assessing growth and development in an infant and suspects the child has infantile autism.
What observations led the nurse to come to this conclusion? - ANS Unresponsiveness to sounds
Functional hearing loss is associated with infantile autism. The child has central auditory imperceptions
and is unresponsive to sounds as a result of hearing loss. The child may have reduced development and
reduced increase in height and weight relative to other children.
The nurse is assessing a child with a hearing impairment. The child has no speech defect but has
difficulty hearing low voices. What would be the hearing level of the child based on the Classification of
Hearing Impairment System? - ANS Slight hearing impairment
A third-grade student is diagnosed with autism. What should the nurse instruct the teacher to expect
the child to have difficulty doing? - ANS Coordinating with other students during projects
A child with autism may have difficulty with nonverbal social interactions such as eye-to-eye contact,
facial expressions, body posture, and gesture.
The nurse is caring for a child with cognitive impairment. Which statement made by the nurse to the
parents is a reason for concern? - ANS "I do not know what is going on with this child's health."
A child is diagnosed with a conductive hearing loss after reporting difficulty in hearing. How should the
nurse help the parents cope with the situation? - ANS The nurse explains that conductive hearing loss
can be treated successfully.
,Conductive hearing loss can be treated by both medical and surgical procedures. Reassurance provided
by the nurse about the available treatments can help the parents cope with the condition.
A 10-year-old child is diagnosed with an autism spectrum disorder (ASD). The parents ask the nurse
about the cause of the disorder. Which answer given by the nurse is most appropriate? - ANS "The exact
cause of autism spectrum disorders is unknown."
Although the exact cause of ASD is not known, the nurse should always help parents understand that
they are not responsible for the child's condition. There are many theories about the cause of ASD, but
nothing is definitive.
The nurse is assessing a newborn and notices the infant has a shortened rib cage, Brushfield spots, and
broad, short hands with stubby fingers. What can the nurse interpret that the newborn may have? - ANS
Down syndrome
Early detection of a hearing impairment is critical because of its effect on areas of a child's life. The nurse
should evaluate further for effects of the hearing impairment on what? - ANS Speech development
The ability to hear sounds is essential for the development of speech. Babies imitate the sounds that
they hear. The child will have greater difficulty learning to read, but the primary issue of concern is the
effect on speech.
A 5-year-old male child has bilateral eye patches that were put in place after surgery yesterday morning.
Today he can be allowed to get out of bed. What is the most important nursing intervention? - ANS
Orient him to his immediate surroundings.
Because the child is being allowed to move about while both eyes are patched, the immediate safety
concern for him is ensuring familiarity with his immediate surroundings. Orientation to the room now
that he is out of bed is essential.
, A child with strabismus is undergoing treatment for impaired vision of the left eye. The nurse covers the
child's right eye with an occlusion patch. Why does the nurse do so? - ANS To increase vision in the left
eye
While caring for a child with strabismus, the nurse should cover the unaffected eye with an occlusive
patch because it helps stimulate vision and movement in the weaker eye.
A week-old newborn is assessed for body weight, birth marks, and height. The birth weight is lower than
what it should be for height. Which physical feature of the newborn makes the nurse conclude that the
newborn is affected by Down syndrome? - ANS Short and broad neck
The nurse is assessing a newborn with Down syndrome. The newborn's parent tells the nurse, "We are
having a hard time holding our baby. We didn't have this hard of a time with our other children." What
would be the nurse's best response? - ANS "Children with Down syndrome have lower muscle tone."
Newborns with Down syndrome have joint hyperflexibility and low muscle tone. This can make it
difficult to hold the newborn because he or she can go limp like a rag doll. This makes it difficult for the
parents to embrace and provide warmth to their newborn.
A child in the clinic exhibits reduced visual acuity in one eye despite appropriate optical correction. What
does the nurse expect the child's health care provider to diagnosis the child with? - ANS Amblyopia
The nurse is assessing a child with autism. What characteristic features of autism does the nurse expect
to find in the child? Select all that apply. - ANS Verbal impairment
Stereotyped behavior patterns
Decreased involvement in play
A patient reports severe pain in the eye. Further assessment shows that the patient also has
photophobia and eye redness. What treatment would the nurse expect the health care provider to
prescribe for this patient? - ANS Surgical treatment to open the outflow tract for aqueous humor
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