Question 1

The infant with Down syndrome is closely monitored during the first year of life for what serious condition?

Accepted Answer

A)   Thyroid complications
B)   Orthopedic malformations
C)   Dental malformation
D)   Cardiac abnormalitiesE) C) and D)
F) All of the above

Question 2

The nurse is providing counseling to the mother of a child diagnosed with fragile X syndrome.She explains to the mother that fragile X syndrome is

Accepted Answer

A)   most commonly seen in girls.
B)   acquired after birth.
C)   usually transmitted by the male carrier.
D)   usually transmitted by the female carrier.E) B) and D)
F) C) and D)

Question 3

A nurse should plan to implement which interventions for a child admitted with inorganic failure to thrive? (Select all that apply.)

Accepted Answer

A)   Observation of parent-child interactions
B)   Assignment of different nurses to care for the child from day to day
C)   Use of 28-calorie-per-ounce concentrated formulas
D)   Administration of daily multivitamin supplements
E)   Role-modeling appropriate adult-child interactionsF) A) and E)
G) C) and D)

Question 4

Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should include information about

Accepted Answer

A)   institutional placement.
B)   sexual development.
C)   sterilization.
D)   appropriate clothing.E) All of the above
F) None of the above

Question 5

Many of the physical characteristics of Down syndrome present feeding problems.Care of the infant should include

Accepted Answer

A)   delaying feeding solid foods until the tongue thrust has stopped.
B)   modifying diet as necessary to minimize the diarrhea that often occurs.
C)   providing calories appropriate to child's age.
D)   using special bottles that may assist the infant with feeding.E) None of the above
F) All of the above

Question 6

Throughout their life span,cognitively impaired children are less capable of managing environmental challenges and are at risk for

Accepted Answer

A)   nutritional deficits.
B)   visual impairments.
C)   physical injuries.
D)   psychiatric problems.E) B) and D)
F) A) and D) C

Question 7

A child with autism is hospitalized with asthma.The nurse should plan care so that the

Accepted Answer

A)   parents' expectations are met.
B)   child's routine habits and preferences are maintained.
C)   child is supported through the autistic crisis.
D)   parents need not be at the hospital.E) A) and B)
F) All of the above

Question 8

A newborn assessment shows separated sagittal suture,oblique palpebral fissures,depressed nasal bridge,protruding tongue,and transverse palmar creases.These findings are most suggestive of

Accepted Answer

A)   microcephaly.
B)   Down syndrome.
C)   cerebral palsy.
D)   fragile X syndrome.E) A) and B)
F) B) and C)

Question 9

A nurse is giving a parent information about autism.Which statement made by the parent indicates understanding of the teaching?

Accepted Answer

A)   Autism is characterized by periods of remission and exacerbation.
B)   The onset of autism usually occurs before 3 years of age.
C)   Children with autism have imitation and gesturing skills.
D)   Autism can be treated effectively with medication.E) None of the above
F) A) and C)

Question 10

The child with Down syndrome should be evaluated for which condition before participating in some sports?

Accepted Answer

A)   Hyperflexibility
B)   Cutis marmorata
C)   Atlantoaxial instability
D)   Speckling of iris (Brushfield spots) E) C) and D)
F) B) and C)

Question 11

The nurse is assessing a 3-year-old child who has characteristics of autism.Which observed behaviors are associated with autism? (Select all that apply.)

Accepted Answer

A)   The child flicks the light in the examination room on and off repetitiously.
B)   The child has a flat affect.
C)   The child demonstrates imitation and gesturing skills.
D)   The mother reports the child has no interest in playing with other children.
E)   The child is able to make eye contact.F) None of the above
G) B) and E)

Question 12

A parent whose child has been diagnosed with a cognitive deficit should be counseled that intellectual impairment

Accepted Answer

A)   is usually due to a genetic defect.
B)   may be caused by a variety of factors.
C)   is rarely due to first trimester events.
D)   is usually caused by parental intellectual impairment.E) B) and C)
F) None of the above

Question 13

What should the nurse keep in mind when planning to communicate with a child who has autism?

Accepted Answer

A)   The child has normal verbal communication.
B)   Expect the child to use sign language.
C)   The child may exhibit monotone speech and echolalia.
D)   The child is not listening if she is not looking at the nurse.E) C) and D)
F) A) and B) C

Question 14

Which statement best describes fragile X syndrome?

Accepted Answer

A)   Chromosomal defect affecting only females.
B)   Chromosomal defect that follows the pattern of X-linked recessive disorders.
C)   It is a common genetic cause of cognitive impairment.
D)   Most common cause of noninherited cognitive impairment.E) A) and B)
F) A) and C)

Question 15

What should be the major consideration when selecting toys for a child with an intellectual or developmental disability?

Accepted Answer

A)   Safety
B)   Age appropriateness
C)   Ability to provide exercise
D)   Ability to teach useful skillsE) All of the above
F) A) and C)

Question 16

Parents have learned that their 6-year-old child has autism.The nurse may help the parents to cope by explaining that the child may

Accepted Answer

A)   have an extremely developed skill in a particular area.
B)   outgrow the condition by early adulthood.
C)   have average social skills.
D)   have age-appropriate language skills.E) C) and D)
F) B) and D)

Question 17

The father of a child recently diagnosed with developmental delay is very rude and hostile toward the nurses.This father was cooperative during the child's evaluation a month ago.What is the best explanation for this change in parental behavior?

Accepted Answer

A)   The father is exhibiting symptoms of a psychiatric illness.
B)   The father may be abusing the child.
C)   The father is resentful of the time he is missing from work for this appointment.
D)   The father is experiencing a symptom of grief.E) A) and B)
F) C) and D)

Question 18

Which is the best setting for daytime care for a 5-year-old autistic child whose mother works?

Accepted Answer

A)   Private day care
B)   Public school
C)   His own home with a sitter
D)   A specialized program that uses behavioral methodsE) C) and D)
F) All of the above

Question 19

A parent asks the nurse why a developmental assessment is being conducted for a child during a routine well-child visit.The nurse answers based on the knowledge that routine developmental assessments during well-child visits are

Accepted Answer

A)   not necessary unless the parents request them.
B)   the best method for early detection of cognitive disorders.
C)   frightening to parents and children and should be avoided.
D)   valuable in measuring intelligence in children.E) None of the above
F) C) and D)

Question 20

The most appropriate nursing diagnosis for a child with a cognitive dysfunction is

Accepted Answer

A)   impaired social interaction.
B)   deficient knowledge.
C)   risk for injury.
D)   ineffective coping.E) All of the above
F) B) and C) C

Exam 54: The Child With an Intellectual Disability or Developmental Disability

The infant with Down syndrome is closely monitored during the first year of life for what serious condition?

Correct AnswerverifiedShow Answer

The nurse is providing counseling to the mother of a child diagnosed with fragile X syndrome.She explains to the mother that fragile X syndrome is

Correct AnswerverifiedShow Answer

A nurse should plan to implement which interventions for a child admitted with inorganic failure to thrive? (Select all that apply.)

Correct AnswerverifiedShow Answer

Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should include information about

Correct AnswerverifiedShow Answer

Many of the physical characteristics of Down syndrome present feeding problems.Care of the infant should include

Correct AnswerverifiedShow Answer

Throughout their life span,cognitively impaired children are less capable of managing environmental challenges and are at risk for

Correct AnswerverifiedC

A child with autism is hospitalized with asthma.The nurse should plan care so that the

Correct AnswerverifiedShow Answer

A newborn assessment shows separated sagittal suture,oblique palpebral fissures,depressed nasal bridge,protruding tongue,and transverse palmar creases.These findings are most suggestive of

Correct AnswerverifiedShow Answer

A nurse is giving a parent information about autism.Which statement made by the parent indicates understanding of the teaching?

Correct AnswerverifiedShow Answer

The child with Down syndrome should be evaluated for which condition before participating in some sports?

Correct AnswerverifiedShow Answer

The nurse is assessing a 3-year-old child who has characteristics of autism.Which observed behaviors are associated with autism? (Select all that apply.)

Correct AnswerverifiedShow Answer

A parent whose child has been diagnosed with a cognitive deficit should be counseled that intellectual impairment

Correct AnswerverifiedShow Answer

What should the nurse keep in mind when planning to communicate with a child who has autism?

Correct AnswerverifiedC

Which statement best describes fragile X syndrome?

Correct AnswerverifiedShow Answer

What should be the major consideration when selecting toys for a child with an intellectual or developmental disability?

Correct AnswerverifiedShow Answer

Parents have learned that their 6-year-old child has autism.The nurse may help the parents to cope by explaining that the child may

Correct AnswerverifiedShow Answer

The father of a child recently diagnosed with developmental delay is very rude and hostile toward the nurses.This father was cooperative during the child's evaluation a month ago.What is the best explanation for this change in parental behavior?

Correct AnswerverifiedShow Answer

Which is the best setting for daytime care for a 5-year-old autistic child whose mother works?

Correct AnswerverifiedShow Answer

A parent asks the nurse why a developmental assessment is being conducted for a child during a routine well-child visit.The nurse answers based on the knowledge that routine developmental assessments during well-child visits are

Correct AnswerverifiedShow Answer

The most appropriate nursing diagnosis for a child with a cognitive dysfunction is

Correct AnswerverifiedC

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C

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C