Question

A 20-month-old is in what stage according to Erikson's stages of psychosocial development?

Answer 1

Correct Answers:

Autonomy vs. Shame and Doubt.

Rationale :

🔹 According to Erikson’s stages, a 20-month-old falls in the toddler stage, which is associated with Autonomy vs. Shame and Doubt.

🔹 This stage occurs from about 18 months to 3 years and is characterized by toddlers striving for independence.

🔹 Success in this stage fosters self-confidence and willpower, while failure can lead to shame and doubt in abilities.

🔹 Nurses and caregivers promote autonomy by offering choices and safe boundaries for exploration.

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Answer 2

Correct Answers:

Monitoring for hypoglycemia.

Rationale :

🔸 Infants born to diabetic mothers often have hyperinsulinemia, which continues after birth despite the sudden loss of maternal glucose.

🔸 This mismatch can cause rapid drops in blood glucose, putting the newborn at risk for neonatal hypoglycemia.

🔸 Symptoms may include jitteriness, lethargy, poor feeding, and even seizures.

🔸 Hypoglycemia is considered the priority complication because of its immediate impact on brain function.

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Answer 3

Correct Answers:

I should remove extra blankets from my baby's crib.

Rationale :

🟣The American Academy of Pediatrics (AAP) recommends keeping the crib free of blankets, pillows, and toys to reduce the risk of SIDS.

🟣 Overheating and suffocation hazards are increased by extra bedding.

🟣 Instead of heavy blankets, infants should sleep in sleep sacks or wearable blankets for warmth.

🟣 Proper sleep positioning and a firm mattress also contribute to safer sleep environments.

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Answer 4

Correct Answers:

The reason why the child is taking the medication.

Rationale :

🔶When discharging a child with a prescription, it's essential to explain the purpose of the medication so parents understand its importance.

🔶 This improves compliance, especially with antibiotics, which must be completed even if symptoms resolve.

🔶 Teaching the reason for use helps parents differentiate between side effects and expected responses.

🔶 Avoiding vague instructions fosters safe and effective medication administration.

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Answer 5

Correct Answers:

Proximodistal.

Rationale :

💠Proximodistal development refers to growth that proceeds from the center of the body outward to the extremities.

💠 Grabbing with the whole hand occurs before the more refined pincer grasp, reflecting this pattern.

💠 This is a key principle in motor development, where core muscle strength precedes fine motor skills.

💠 Understanding this helps guide developmental expectations for infants.

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Answer 6

Correct Answers:

Need for increased supervision and management of tantrums.

Rationale :

✳️ Toddlers are known for asserting independence, which can lead to frequent tantrums and testing of boundaries.

✳️ Increased supervision is essential for safety during this exploratory phase.

✳️ Parental strategies include positive reinforcement, distraction, and establishing consistent routines.

✳️ Anticipatory guidance should focus on behavioral regulation and emotional development.

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Answer 7

Correct Answers:

8

Rationale :

⚫ APGAR scoring includes heart rate, respiratory effort, muscle tone, reflex irritability, and color.

⚫ Based on the description: HR = 2, Resp = 1, Tone = 1, Reflex = 2, Color = 2 = Total 8.

⚫ This indicates good transition to extrauterine life and no immediate intervention needed.

⚫ Scores of 7–10 are considered normal.

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Answer 8

Correct Answers:

Closed posterior fontanel.

Rationale :

🔵 By 4 months, it is expected that the posterior fontanel has closed, typically by 2–3 months of age.

🔵 The anterior fontanel usually remains open until around 12–18 months.

🔵 A pincer grasp does not develop until about 8–10 months, and sitting without support typically occurs around 6–8 months.

🔵 Teeth, such as lateral incisors, erupt later after central incisors.

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Answer 9

Correct Answers:

I'll make sure his diaper is loose in the front.
I'll call the office if I see a lot of bleeding.
I will apply petroleum jelly to his penis with each diaper change.

Rationale :

✔️ I'll make sure his diaper is loose in the front.

🔸 This prevents friction or pressure against the healing circumcision site, reducing the risk of irritation or bleeding.

🔸 A snug diaper can rub against the area and delay healing or cause discomfort.

🔸 Keeping the diaper loose allows for air circulation, promoting a clean and dry healing environment.

✔️ I'll call the office if I see a lot of bleeding.

🔸 Significant bleeding is a post-circumcision complication that requires immediate medical evaluation.

🔸 Normal circumcision healing may involve a small amount of oozing, but persistent or active bleeding is abnormal.

🔸 Promptly reporting heavy bleeding helps prevent hypovolemia or infection risks in newborns.

✔️ I will apply petroleum jelly to his penis with each diaper change.

🔸 Petroleum jelly acts as a protective barrier, preventing the healing tissue from sticking to the diaper.

🔸 This practice minimizes pain and bleeding during diaper changes and supports uninterrupted healing.

🔸 Consistent application also reduces exposure to urine and stool, lowering infection risk.

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Answer 10

Correct Answers:

Our car seat is an infant model designed for the car.

Rationale :

🔴 The infant car seat should be rear-facing and installed in the back seat—never in front with an airbag.

🔴 Using an approved model ensures that the seat meets safety regulations and crash standards.

🔴 The harness should fit snugly with no more than one finger width between it and the infant.

🔴 Proper use significantly reduces the risk of injury during collisions.

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RN ATI Maternal Newborn Exam III~Nurs 3750

No.

1 :
A 20-month-old is in what stage according to Erikson's stages of psychosocial development?

2 :
A nurse is caring for a newborn who was born to a mother with gestational diabetes. The newborn is large for gestational age. The nurse should recognize which of the following newborn complications as the priority focus of care?

3 :
A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

4 :
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions?

5 :
An infant grabbing things with their entire hand before developing a pincer grasp is an example of what direction of growth?

6 :
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching?

7 :
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning. The nurse should document what APGAR Score for this infant?

8 :
A nurse is assessing a 4-month-old infant on a pediatric unit. Which of the following findings should the nurse expect?

9 :
A nurse on a postpartum unit is giving discharge instructions for a client whose newborn had a circumcision with the Gomco clamp. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)

10 :
A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

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RN ATI Maternal Newborn Exam III~Nurs 3750

No.

1 : A 20-month-old is in what stage according to Erikson's stages of psychosocial development?

2 : A nurse is caring for a newborn who was born to a mother with gestational diabetes. The newborn is large for gestational age. The nurse should recognize which of the following newborn complications as the priority focus of care?

3 : A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

4 : A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions?

5 : An infant grabbing things with their entire hand before developing a pincer grasp is an example of what direction of growth?

6 : A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching?

7 : A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning. The nurse should document what APGAR Score for this infant?

8 : A nurse is assessing a 4-month-old infant on a pediatric unit. Which of the following findings should the nurse expect?

9 : A nurse on a postpartum unit is giving discharge instructions for a client whose newborn had a circumcision with the Gomco clamp. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)

10 : A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

1 :
A 20-month-old is in what stage according to Erikson's stages of psychosocial development?

2 :
A nurse is caring for a newborn who was born to a mother with gestational diabetes. The newborn is large for gestational age. The nurse should recognize which of the following newborn complications as the priority focus of care?

3 :
A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

4 :
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions?

5 :
An infant grabbing things with their entire hand before developing a pincer grasp is an example of what direction of growth?

6 :
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching?

7 :
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning. The nurse should document what APGAR Score for this infant?

8 :
A nurse is assessing a 4-month-old infant on a pediatric unit. Which of the following findings should the nurse expect?

9 :
A nurse on a postpartum unit is giving discharge instructions for a client whose newborn had a circumcision with the Gomco clamp. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)

10 :
A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?