Which of the following groups of children is at the highest risk to have poor health?
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African American children living in a suburb
Asian children living in an outer urban area
Hispanic children living in the inner city
White children living in a rural area
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Question 2
Free
Multiple Choice
What proportion of U.S. citizens are children?
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12%
16%
20%
24%
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Question 3
Free
Multiple Choice
Which of the following actions should be taken by a typical community preparing for the expected demographic changes in the United States?
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Build more elementary schools
Build more high schools
Build more colleges
Build more adult condominiums
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Question 4
Free
Multiple Choice
If most students have no intention of ever leaving their local community, which of the following languages should be chosen as the required foreign language in high school?
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French, as it is a very romantic language
German, because many of the students' names are German
Latin, as it is the basis for many other languages
Spanish, to improve employment opportunities
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Question 5
Free
Multiple Choice
Which of the following best describes why infant mortality rate is used as an international comparison of a country's health status?
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Every country, regardless of other priorities, focuses on care of infants and their mothers.
It is easy to obtain and compare such data.
It reflects medical care quality and access and public health practice.
The World Health Organization requires these data be reported to them each year.
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Question 6
Multiple Choice
Which of the following statements best describes how the United States compares with other countries on infant mortality rate?
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Best of all the industrialized nations
About in the middle of the industrialized nations
Near the bottom of the industrialized nations
Gradually improving among the industrialized nations
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Question 7
Multiple Choice
A school nurse at a high school suggests that all students have an educational unit on newborn care in their required health class. Which of the following provides the best rationale for this suggestion?
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Because all adults should be knowledgeable in basic child care
Because the first year of life is the most hazardous until old age
To help convince students not to engage in sexual intercourse
To demonstrate the incredible responsibilities in parenthood
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Question 8
Multiple Choice
Which of the following indicators would be most informative in assessing the health of a newborn?
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Apgar score at birth
Birth weight and length of gestation
Mother's education and income from employment
When the mother began prenatal care at her local clinic
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Question 9
Multiple Choice
A woman vows to quit smoking and drinking immediately upon the surprising news that she is 2 months pregnant. Which of the following concerns would the nurse have for this woman?
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Those with whom she shares living quarters might smoke or drink.
Fetal damage may already have occurred.
Peers may encourage her to resume old habits, and peer pressure is very strong.
She won't be able to keep her vow.
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Question 10
Multiple Choice
A nurse is caring for a woman, who has just found out she is pregnant. The woman begins crying and says, "But I'm not trying to get pregnant!" Should this response by the woman be concerning to the nurse?
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No, because women may not consciously be aware of an unconscious desire to be a mother
No, because about half of all pregnancies in the United States are unintended
No, because she admitted having unprotected sexual intercourse
Yes, because pregnancy can usually be avoided by appropriate precautions
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Question 11
Multiple Choice
A woman confides in the nurse that she and her husband want to become parents as soon as possible. Which of the following statements would be the best reply from the nurse?
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"Ask some young parents if you can babysit for a while to get in practice."
"Can you afford to become parents with all the items a baby will need?"
"Consider whether you are really ready to become parents."
"Start living as healthy a lifestyle as possible right now."
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Question 12
Multiple Choice
Which of the following offers the best explanation as to why it is important for low-income women to seek prenatal care?
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To provide the extra support from a nurse who listens
To begin the process of obtaining hospital care for delivery for a reduced cost
To have time to begin healthy behaviors to ensure a healthy infant
To obtain referrals for other helpful services
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Question 13
Multiple Choice
A mother was very proud that she had cut back smoking from two packs a day, which she had smoked for years, to only half a pack a day. Which of the following would be the most appropriate response by the nurse?
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"I wish all smoking moms could see your example!"
"I'm so proud of you. You're down to only 25% of what you used to smoke!"
"That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely."
"Your baby will really appreciate your efforts at quitting, especially if you do not resume after the baby is born."
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Question 14
Multiple Choice
Which of the following is consistent with the American Academy of Pediatrics (AAP) recommendations for breastfeeding?
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A mother combines breastfeeding with the introduction of complementary foods until the infant is 1 year old
A mother supplements breastfeeding with formula when then infant is 4 months old
A mother stops breastfeeding her infant after introducing solid foods
A mother asks her employer to allow her to bring her infant to work so that she may breastfeed
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Question 15
Multiple Choice
A mother was concerned about her child dying of some childhood disease, because that is how some of her siblings died before her family came to the United States. Which of the following would be the most appropriate response by the nurse?
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"You should see your doctor immediately if you ever think your child is ill."
"Your child has been immunized, so the biggest danger is from accidents."
"You have made sure your child has all the right immunizations so you can quit worrying."
"You're right to be concerned, since susceptibility runs in families."
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Question 16
Multiple Choice
A young mother was very proud because she had been taking her 9-month-old with her to various garage sales where she had purchased a lot of toys for very little money. Which of the following would be the most appropriate response by the nurse?
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"Be sure there are no small pieces as young children can easily choke."
"Fantastic. Saving money on toys will allow you to buy more fresh fruits and vegetables."
"Toddlers love new toys; they will help with cognitive development."
"You are doing an excellent job of giving your child lots of stimulation with new playthings."
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Question 17
Multiple Choice
A mother explained that she had just dropped her 3-year-old off at her own mother's so she could come in for the required examination for her new job. She excitedly shared her hopes that she would be able to afford a used car rather than having to ride a bus all the time. Which of the following would be the most appropriate response by the nurse?
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"I'm sure the exam won't show any problems. I'm so excited for you."
"Don't forget to buy a child's seat when you get your car."
"How do you think your child will adapt to you being at work all day?"
"It's fantastic that you have a new job in this rough economy. Will your mother be able to continue to babysit?"
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Question 18
Multiple Choice
A school nurse is developing a health education program for third grade students about how to play safely. Which of the following provides the best rationale for this nursing action?
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The kids were playing chicken in front of the school buses each day.
The students are at the age when they begin to engage in risky behaviors.
Toys can have unexpected hazards from lead paint to small swallowable parts.
Without proper head protection, many sports can lead to traumatic brain injury (TBI).
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Question 19
Multiple Choice
A school nurse is trying to decrease the effects of an incredible health crisis attacking school children. Which of the following actions would be most appropriate for the nurse to take?
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Arrange for booster shots to maximize immunization protection against childhood infectious diseases
Arrange for swine flu and regular flu shots each year
Establish recreational programs that encourage physical exercise each day
For those whose parents give permission, teach adolescents about the need for abstinence or "safe sex"
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Question 20
Multiple Choice
Which of the following statements best explains why parents and nurses are often concerned about adolescents?
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Adolescents engage in sexual acts without using protection.
Adolescents engage in very high-risk behaviors.
Adolescents love driving but are not as skilled as they believe.
Adolescents often experiment with alcohol or drugs.