MCN 3

1. Mrs. Quijones gave birth by spontaneous delivery to a full term baby boy.
After a minute after

birth, he is crying and moving actively. His birth weight is 6.8 lbs. What do you expect baby
Quijones to weigh at 6 months?
a. 13 -14 lbs
b. 16 -17 lbs
c. 22 -23 lbs
d. 27 -28 lbs
2. During the first hours following delivery, the post partum client is given IVF with oxytocin
added to them. The nurse understands the primary reason for this is:
a. To facilitate elimination
b. To promote uterine contraction
c. To promote analgesia
d. To prevent infection
3. Nurse Luis is assessing the newborn’s heart rate. Which of the following would be considered
normal if the newborn is sleeping?
a. 80 beats per minute

b. 100 beats per minute
c. 120 beats per minute
d. 140 beats per minute
4. The infant with Down Syndrome should go through which of the Erikson’s developmental
stages first?
a. Initiative vs. Self doubt

b. Industry vs. Inferiority
c. Autonomy vs. Shame and doubt
d. Trust vs. Mistrust
5. The child with phenylketonuria (PKU) must maintain a low phenylalanine diet to prevent
which of the following complications?
a. Irreversible brain damage

b. Kidney failure
c. Blindness
d. Neutropenia
6. Which age group is with imaginative minds and creates imaginary friends?
a. Toddler
b. Preschool
c. School
d. Adolescence
7. Which of the following situations would alert you to a potentially developmental problem with
a child?
a. Pointing to body parts at 15 months of age.

b. Using gesture to communicate at 18 months.
c. Cooing at 3 months.
d. Saying “mama” or “dada” for the first time at 18 months of age.
8. Isabelle, a 2 year old girl loves to move around and oftentimes manifests negativism and
temper tantrums. What is the best way to deal with her behavior?
a. Tell her that she would not be loved by others is she behaves that way..
b. Withholding giving her toys until she behaves properly.
c. Ignore her behavior as long as she does not hurt herself and others.
d. Ask her what she wants and give it to pacify her.
9. Baby boy Villanueva, 4 months old, was seen at the pediatric clinic for his scheduled check-
up. By this period, baby Villanueva has already increased his height by how many inches?
a. 3 inches
b. 4 inches
c. 5 inches
d. 6 inches
10. Alice, 10 years old was brought to the ER because of Asthma. She was immediately put
under aerosol administration of Terbutaline. After sometime, you observe that the child does not
show any relief from the treatment given. Upon assessment, you noticed that both the heart and
respiratory rate are still elevated and the child shows difficulty of exhaling. You suspect:
a. Bronchiectasis
b. Atelectasis
c. Epiglotitis
d. Status Asthmaticus
11. Nurse Jonas assesses a 2 year old boy with a tentative diagnosis of nephroblastoma.
Symptoms the nurse observes that suggest this problem include:
a. Lymphedema and nerve palsy
b. Hearing loss and ataxia
c. Headaches and vomiting
d. Abdominal mass and weakness
12. Which of the following danger sings should be reported immediately during the antepartum
period?
a. blurred vision
b. nasal stuffiness
c. breast tenderness
d. constipation
13. Nurse Jacob is assessing a 15 month old child with acute otitis media. Which of the
following symptoms would the nurse anticipate finding?
a. periorbital edema, absent light reflex and translucent tympanic membrane

b. irritability, purulent drainage in middle ear, nasal congestion and cough
c. diarrhea, retracted tympanic membrane and enlarged parotid gland
d. Vomiting, pulling at ears and pearly white tympanic membrane
14. Which of the following is the most appropriate intervention to reduce stress in a preterm
infant at 33 weeks gestation?
a. Sensory stimulation including several senses at a time

b. tactile stimulation until signs of over stimulation develop
c. An attitude of extension when prone or side lying
d. Kangaroo care
15. The parent of a client with albinism would need to be taught which preventive healthcare
measure by the nurse:
a. Ulcerative colitis diet

b. Use of a high-SPF sunblock
c. Hair loss monitoring
d. Monitor for growth retardation
1. (A) 13 -14 lbs
The birth weight of an infant is doubled at 6 months and is tripled at 12 months.
2. (B) To promote uterine contraction

Oxytocin is a hormone produced by the pituitary gland that produces intermittent uterine
contractions, helping to promote uterine involution.
3. (B) 100 beats per minute

The normal heart rate for a newborn that is sleeping is approximately 100 beats per minute. If the
newborn was awake, the normal heart rate would range from 120 to 160 beats per minute.
4. (D) Trust vs. Mistrust

The child with Down syndrome will go through the same first stage, trust vs. mistrust, only at a
slow rate. Therefore, the nurse should concentrate on developing on bond between the primary
caregiver and the child.
5. (A) Irreversible brain damage

The child with PKU must maintain a strict low phenylalanine diet to prevent central nervous
system damage, seizures and eventual death.
6. (B) Preschool
During preschool, this is the time when children do imitative play, imaginative play—the
occurrence of imaginative playmates, dramatic play where children like to act, dance and sing.
7. (D) Saying “mama” or “dada” for the first time at 18 months of age.
A child should say “mama” or “dada” during 10 to 12 months of age. Options A, B and C are all
normal assessments of language development of a child.
8. (C) Ignore her behavior as long as she does not hurt herself and others.
If a child is trying to get attention or trying to get something through tantrums—ignore his/her
behavior.
9. (B) 4 inches
From birth to 6 months, the infant grows 1 inch (2.5 cm) per month. From 6 to 12 months, the
infant grows ½ inch (1.25 cm) per month.
10. (D) Status Asthmaticus

Status asthmaticus leads to respiratory distress and bronchospasm despite of treatment and
interventions. Mechanical ventilation maybe needed due to respiratory failure.
11. (D) Abdominal mass and weakness

Nephroblastoma or Wilm’s tumor is caused by chromosomal abnormalities, most common
kidney cancer among children characterized by abdominal mass, hematuria, hypertension and
fever.
12. (A) blurred vision

Danger signs that require prompt reporting are leaking of amniotic fluid, blurred vision, vaginal
bleeding, rapid weight gain and elevated blood pressure. Nasal stuffiness, breast tenderness, and
constipation are common discomforts associated with pregnancy.
13. (B) irritability, purulent drainage in middle ear, nasal congestion and cough
Irritability, purulent drainage in middle ear, nasal congestion and cough, fever, loss of appetite,
vomiting and diarrhea are clinical manifestations of otitis media. Acute otitis media is common
in children 6 months to 3 years old and 8 years old and above. Breast fed infants have higher
resistance due to protection of Eustachian tubes and middle ear from breast milk.
14. (D) Kangaroo care

Kangaroo care is the use of skin-to-skin contact to maintain body heat. This method of care not
only supplies heat but also encourages parent-child interaction.
15. (B) Use of a high-SPF sunblock

Without melanin production, the child with albinism is at risk for severe sunburns. Maximum
sun protection should be taken, including use of hats, long sleeves, minimal time in the sun and
high-SPF sunblock, to prevent any problems.

MCN 3

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MCN 3

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1. Mrs. Quijones gave birth by spontaneous delivery to a full term baby boy.

After a minute after

a. 80 beats per minute

a. Initiative vs. Self doubt

a. Irreversible brain damage

a. Pointing to body parts at 15 months of age.

a. periorbital edema, absent light reflex and translucent tympanic membrane

a. Sensory stimulation including several senses at a time

a. Ulcerative colitis diet

2. (B) To promote uterine contraction

3. (B) 100 beats per minute

4. (D) Trust vs. Mistrust

5. (A) Irreversible brain damage

10. (D) Status Asthmaticus

11. (D) Abdominal mass and weakness

12. (A) blurred vision

14. (D) Kangaroo care

15. (B) Use of a high-SPF sunblock

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