Exam 4: Lecture Clicker Questions

[Picture of infant cruising w/furniture] How old am I? asks the infant. a. 5mo b. 6mo c. 8mo d. 10mo

D. 10mo

The nurse is preparing to administer vaccines to an infant. Which of the following would be considered a nursing responsibility? SATA a. Review the refrigeration log to make sure the vaccines were kept at the desired temperature. b. Ask the parents and review the record for any contraindications to the vaccines. c. Obtain informed consent from the parents d. Provide the parents with The Vaccine Info Sheet e. Ask the doctor if the parents understand the reasons for immunizations

A, B, C, D,

A nurse is planning a flu prevention fair for 9-11 year old childrne. Which of the following activities should be included (SATA) a. Microscopes set up to show bacteria on common objects b. Games such as 'find the germs' in a cartoon picture c. Research poster showing germ transmission d. Hand-washing booth with colored soap e. A textbook reading assignment about germ transmission

A,B,D Rationale: -Concrete operations, they like seeing things. -Research poster and textbook are too boring.

The type of play an infant engages in is called: a. Solitary b. Parellel c. Associative d. Cooperative

A. Solitary

Do infants need discipline? a. Yes b. No

A. Yes Rationale: At this age, 'discipline' refers to setting safe limits.

The nurse is teaching a mother about infant dental health. Which statement by the mother would require further teaching? a. "When my infant is teething, i will give him a frozen teething ring" b. "I will brush my infants teeth with a smear of fluoride toothpaste at 6mo or older" c. "I shouldn't give my child any Tylenol to relieve dental pain" d. "I should have a dental provider set up by 1 yr of age"

C. "I shouldn't give my child any Tylenol to relieve dental pain" Rationale: Tylenol CAN be given as long as used carefully, and as directed. All others are correct.

The infant should be able to roll over from back to abdomen at approximately: a. 2mo b. 3mo c. 6mo d. 8mo

C. 6mo

During which stage cognitive development does the individual's thinking move to abstract and theoretical subjects and possibly venture into such topics as achieving world peace, finding justice, and seeking meaning in life? a. Sensorimotor b. Pre-Operational c. Formal operations d. Concrete operations

C. Formal operations Rationale: Formal operation: Starts at 11 years old Pre-operational - preschoolers (magical thought)

Which of the following best describes parallel play between two toddlers? a. Sharing crayons to draw separate pictures b. Playing a board game with a nurse c. Sitting near each other while playing with separate dolls. d. Sharing dolls with two different nurses

C. Sitting near each other while playing with separate dolls. Rationale: Toddlers DO NOT share toys, they play near each other but with separate toys.

A nutritional supplement recommended to prevent rickets in infant who exclusively breastfeed: a. Vitamin A b. Fluoride c. Vitamin D d. Folic Acid

C. Vitamin D. Rickets is the weakening of the bone in children, can cause lifelong mal-development.

[Picture of infant sitting unassisted] How old am I? asks the infant a. 2mo b. 4mo c. 6mo d. 8mo

D. 8mo Rationale: Although the infant may begin sitting at 6-8mo. The infant should be able to sit UNASSISTED by 8mo.

[Picture of infant creeping] How old am I? asks the infant. a. 5mo b. 6mo c. 7mo d. 9mo

D. 9mo

Failure to achieve which task of Erikson's theory stages of development may result in an ADOLESCENT displaying introverted behaviors and avoiding peer relationships? a. Trust v mistrust b. Autonomy v. Shame and doubt c. Industry v. Inferiority D. Identity v. Role confusion

D. Identity v. Role confusion

Nurse, should I give my infant a pacifier? a. Sure if you want to, pacifier use is a personal decision b. No, they get dirty and it is difficult to take away when the infant is older c. No, pacifiers can dec. the amount of breastfeeding and cause dental problems d. Yes, pacifiers provide comfort for infants and infants need to suck when they don't need to eat.

D. Yes. Rationale: -Research shows pacifiers dec. risk of SIDS. -D is better than A because it tells you why. -Area of debate but AA of Pediatrics recommends.

The nursing instructor is teaching a group of students about the Tanner Stages of development. Which of the following statements by a student requires further teaching? a. "Enlargement of the scrotum and testes occurs after the lengthening of the penis" b. "Breast buds develop in Stage II." c. "Pubic hair development has reached adult-like characteristics in Stage IV" d. "Breast bud development occurs before areoles and papillae project from the breast."

a. "Enlargement of the scrotum and testes occurs after the lengthening of the penis"

The school nurse overhears a conversation between two 7-yo boys. Which comment by the 7 year old to his friend best typifies his developmental age? a. "Girls are so yucky" b. "My mommy and I are always together" c. "I can't decide if I like Amy or Heather better." d. "I can turn into Batman when I come out of my closet"

a. "Girls are so yucky" Rationale: c. is adolescent d. is preschoolers (magical thinking)

What question does a nurse ask a 14-yr-old to determine wether a varicella vaccination is need? a. "Have you ever had chickenpox?" b. "Have you taken the booster dose of tetanus?" c. "Are you taking any antibiotic drugs?" d. "Are the surroundings around your home hygienic?"

a. "Have you ever had chickenpox?"

A mother brings her 7 year old to the clinic for his annual check up. Today he weighs 87 pounds. The mother is concerned about his weight gain, stating at his 6 year check up he weighed 83 pounds. What is the best response to the mother? a. "Your Childs weight gain is within normal range for his age" b. "I will be sure that the provider addresses your concern." c. "Your child's weight gain is less than normal range for his age" d. "Your child's weight gain is actually more than the avg. for his age".

a. "Your Childs weight gain is within normal range for his age" Rationale: School age- 4-6 lbs per year

Which of the following would be most appropriate for a nurse to use when describing menarche to an 11 year old? a. A female's first menstruation or menstrual "periods" b. The first year of menstruation or "period" c. The entire menstrual cycle or from one "period" to another d. The onset of uterine maturation or peak growth

a. A female's first menstruation or menstrual "periods"

Which of the following statements best describes why a school-age child eats on an "adult schedule"? a. Gastrointestinal system matures and stomach capacity increases b. GI motility slows down as you age c. School-agers aren't as picky of eaters as preschoolers d. Caloric intake needs increase as you age

a. Gastrointestinal system matures and stomach capacity increases Rationale: GI system matures, stomach capacity increase. Caloric needs decrease.

The nurse who is observing the development of a 10-month-old child would anticipate that the child should be able to do which of the following? a. Move from a prone to sitting position unassisted b. Build a tower of two blocks c. Say 3-5 words with meaning

a. Move from a prone to sitting position unassisted

Which statement by the mother of an 18 month old would lead the nurse to believe the child should be referred for further evaluation for developmental delay? a. My child is able to stand but is not taking steps independently. b. My child can say about 15 words but no two word combos c. My child is still sucking his thumb, especially at night d. My child seems to be quiet wary of strangers

a. My child is able to stand but is not taking steps independently. Rationale: -The child should learn 2 words combos at 2 years old.

One of the key factors in addressing the health concerns and needs of the adolescent in a clinic or primary care office setting is to: a. Provide confidentiality b. Include the parent(s) in a discussion about the adolescents sexual health. c. Ask the adolescent if she or he is sexually active d. Discuss the negative effects of tobacco use

a. Provide confidentiality

What is the appropriate language development for a 12 mo old? a. The child can say 3-5 words besides "momma" and "dada" b. the child does not typically begin to say words until 15 mo of age c. The child can say 10 words including 2 words phrases such as "momma go" d. The child can only say "momma" and "dada"

a. The child can say 3-5 words besides "momma" and "dada" Rationale: 15 mo: 4-6 words including names 18 mo: 20 words 24 mo: 300 words, two word combos 30 mo: First and last name, uses plurals & pronouns

A 12 month old infant is brought to the clinic for immunizations. Which of the following assessment findings would constitute a true contraindication for administration and would prevent the child from receiving the immunization? a. The child had an anaphylactic rxn to a previously administered dose of the vaccine. b. The baby was born prematurely and had an extremely low birth weight. c. The child is currently receiving antibiotic therapy for an ear infection d. The baby has a mild acute illness with a fever of 100.4 degrees.

a. The child had an anaphylactic rxn to a previously administered dose of the vaccine.

First time parents of a 1-mo old are anxious as to what to expect in next few months. Which of the following best describes the usual sequence of attainment of gross motor milestones in a young infant? a. head control, rolling over, transfer objects from hand to hand, pulls to stand b. Rolls over, sits w/o support, hand together at midline, pulls to stand c. head control, sits w/o supports, hands together at midline, pulls to stand d. pulls to stand, cruises, sits w/o support, hands together at midline

a. head control, rolling over, transfer objects from hand to hand, pulls to stand Rationale: -Hands together at midline comes before rolling over -Hands together at midline happens at about 3 months

A mother brings her 12 mo old into your office and tells you "I am at my wits end with his behavior." How do you instruct her to discipline a child this age? a. set limits to ensure safety b. begin to take their toys away c. it is okay to spank as long as you don't leave a mark d. put him in time out for 5 minutes

a. set limits to ensure safety Rationale: -Want to let explore environment, but always ensure safety. - Kids don't understand time out at this age. But once they do start time out (1 minutes per year of age)

2 month old is in the pediatric clinic for a well child check-up. Her mother reports that she is doing well today and had no issues w/ the immunizations given at the hospital. The physician has directed the nurse to give any inappropriate immunizations. Which of the following should the client receive? SATA a. MMR b. Diphtheria, tetanus, DTaP c. IPV d. Influenza e. Hepatitis B

b, c, e,

Which of the following statements made by a parent is most helpful when discussing rules of the household? a. "You did not feed the dog like you promised, so you cannot have ice cream for dessert" b. "I was upset when you did not feed the dog like you promised. We all need to help take care of him because he depends on us. Let's talk about what happened." c. "Why did you forget to feed the dog? Would you like me to forget to feed you?" d. "What you did was bad. We all need to care for the dog"

b. "I was upset when you did not feed the dog like you promised. We all need to help take care of him because he depends on us. Let's talk about what happened."

The nurse is providing advice to improve school performance in a child. Which of the following statements by the parent would require further teaching? a. "I ask my child everyday about what was done at school" b. "I will wait until conference time to bring up issues" c. "If my child is stumped on a math problem, I will not just give her the answer." d. I will reward my child for their good grades.

b. "I will wait until conference time to bring up issues" Rationale: Don't wait until conference, you moron.

A neonate weighs 7.5 lb at birth. The parent asks the nurse how much the infant should weigh at 1yr old. The best response? a. 16lb b. 22lb c. 28lb d. 32lb

b. 22 lb. Rationale: A child's weight should be tripled by 1 year old.

Which of the following techniques should the nurse suggest to the parents of a 5 yo to help the child overcome his fear of water? a. Throw the child into the shallow end b. Arrange for the child to watch other children play in the water from a safe distance c. Keep the child away from the water until he outgrows the fear d. Reassure the child that he is safe and that the parent will be watching him

b. Arrange for the child to watch other children play in the water from a safe distance

Which of the following is not a sign that a school-age child is stressed? a. Enuresis (Bed-wetting) b. Collecting c. Headache d. Stomach ache

b. Collecting Rationale: Collecting is normal for this age. All the rest are signs of stress

Which of the following teenagers is at increased risk for acquiring a STD and should be provided with anticipatory guidance? a. Asks the nurse for information about condoms b. Feels her friends and family do not care about her c. Has multiple friends and feels food about herself d. Talks to her boyfriend on the phone for hours.

b. Feels her friends and family do not care about her Rationale: Feels isolated, may act out, reckless.

Which of the following actions should parents take to help their teenager meet his development task? a. Set strict rules to prevent the teenager from getting into any trouble b. Maintain an ongoing dialogue about important issues and upcoming challenges c. Maintain a friendship with the teenager, so he views his parents as peers. d. Be very lenient with the teenager so that he can figure out who he is as a person.

b. Maintain an ongoing dialogue about important issues and upcoming challenges

A nurse is comparing physical growth patterns between school-aged and adolescents. Which principle should the nurse consider? a. Physical growth usually slows during the adolescent period b. Secondary sex characteristics usually develop during the adolescent years c. Boys usually exceed girls in height and weight by the end of school-aged years d. The distribution of muscle and fat remains constant during the adolescent years

b. Secondary sex characteristics usually develop during the adolescent years Rationale: All the others are wrong.

If parents keep a toddler dependent in areas he is capable of using skills, the toddler will develop a sense of ________? a. Mistrust b. Shame c. Guilt d. Inferiority

b. Shame Rationale: Erikson's Autonomy vs. Shame/Doubt

Which pair of shoes should the nurse recommend to the parents of an infant? a. [Picture] of hard surface and confining shoe b. [Picture] of soft looking flexible shoe

b. Soft flexible shoe. Rationale: Feeling the ground with soft shoe, assists in balance and walking.

Which of the following is the best way to prevent poisonings in toddlers? a. Consistently using safety caps b. Storing poisonous substances in a locked cabinet c. Keeping ipecac syrup at home d. Storing poisonous substances out of reach

b. Storing poisonous substances in a locked cabinet

The school nurse observes a group of preschool children in the playroom. The nurse recognizes which activity as appropriate behavior for a 5 yo child? a. The child sits quietly reading a chapter book b. The child talks on a toy telephone and imitates same-sex parent. c. The child works on a puzzle with several other children d. The child holds and cuddles a large stuffed animal

b. The child talks on a toy telephone and imitates same-sex parent. Rationale: c. is wrong because although they start cooperative play, but not with SEVERAL other children.

A nurse is evaluating the developmental level of a 2 year old. Which of the following does the nurse expect to observe? a. Uses fork to eat b. Uses cup to drink c. Uses a knife for cutting food d. Pours own milk into cup

b. Uses cup to drink (If she says cup on exam, she mean a cup with a spout, like a sippy cup)

The parents of a 7 yr old are asking for advice on what to buy as a present for Christmas to promote GROSS motor development. Which of the following would you suggest? a. balance beam b. bicycle c. sewing machine d. model car kit

b. bicycle Rationale: a. balancing comes at 8-10 d. Model kit is fine motor development

The nurse teaches parents how to help their children learn impulse control and cooperative behaviors. This would occur during which of the states of development defined by erikson? a. Trust v. Mistrust b. Initiative v. Guilt c. Industry v. Inferiority d. Autonomy v. Shame and doubt

b. initiative v. guilt

During a home visit of a 3-mo. old infant, the nurse conducts an assessment of living conditions. Which of the following would require IMMEDIATE anticipatory guidance? a. pool in the backyard without a gate b. the lack of smoke detectors c. the lack of childproof latches on drawers d. two azalea plants in the living room

b. the lack of smoke detectors Rationale: A 3-mo old infant is not mobile and is not going to be getting into the pool, the drawers or the plants. Although they are cause for concern, they are not immediate.

When taking a sexual history from an adolescent, which of the following questions should the nurse ask first? a. "Are you having sex with anyone" b. "How old were you the first time you had sex? c. "Are any of your friends having sex?" d. "Do you use a condom when you have sex?"

c. "Are any of your friends having sex?" Rationale: Starts the conversation.

The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements would be the most appropriate response from the nurse? a. "Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted" b. "Everyone is different; it will happen when it happens" c. "Based on when the breast buds first appeared, she should start menstruating around the age of 14." d. "She will not start menstruating until her breasts are of adult size and contour."

c. "Based on when the breast buds first appeared, she should start menstruating around the age of 14." Rationale: Delay would be if she had not started menstruating within 2-2.5 years of breast bud development.

A parent is explaining the advice provided to the child who has to be home by themselves until 8pm each day after school. Which of the following would require intervention by the nurse? a. "I tell the child to always lock the doors" b. "My child knows where the list of emergency numbers are by the phone" c. "When answering the phone, my child tells the caller I am at work" d. "I am thinking about getting a pet for my child"

c. "When answering the phone, my child tells the caller I am at work" Rationale: That kid would be napped within the hour.

The mother of a 4-mo old is concerned about the possibility of SIDS because her neighbor's daughter passed away last year as a result of SIDS. The mother reports she is so nervous that she has taken up smoking again. The mother informs you that the 4-mo-old sleeps supine and takes a pacifier to help her fall asleep. Which of the following statements would be the best response from the nurse? a. "You should place the infant in the bed with you until 6-mo of age." b. "You should never give the infant a pacifier while she is sleeping." c. "You should try to stop smoking." d. "You should place the infant on her stomach."

c. "You should try to stop smoking Rationale: A pacifier decreases risks of SIDS

The school nurse has seen several students in the health office. For which of the following students should the nurse suggest a follow-up exam? a. 14-year-old girl who has not experienced menarche. b. 7-year-old boy who has grown 2 inches in a year c. 10-year-old girl who has gained 11 pounds in a year d. 8-year-old boy who has lost four deciduous teeth in past year.

c. 10-year-old girl who has gained 11 pounds in a year Rationale: a. Menarche can occur between 10.5-15.5 yrs in girls b. School aged children grow 2" per year c. Should only gain 4-6lbs per year d. Start losing them at 6 years.

A 4 year old is in the clinic today for a preschool physical. She is a healthy child usually but has recently developed "a cold." She has a runny nose, a cough, and a fever of 100 degrees. The physician has asked the nurse to administer all appropriate immunizations. Which action on the part of the nurse is most appropriate? a. Schedule a time for the client to return to the clinic for immunizations after she is feeling better. b. Administer MMR, Varicella and Influenza c. Administer Diphtheria, Tetanus, DTaP, IPV, MMR, Varicella, and influenza d. Administer IPV, MMR, Varicella, and influenza

c. Administer Diphtheria, Tetanus, DTaP, IPV, MMR, Varicella, and influenza

While giving nursing care to a hospitalized adolescent, the nurse should be aware that the MAJOR threat felt by the hospitalized adolescent is: a. Pain management b. Restricted physical activity c. Altered body image d. Separation from family

c. Altered body image

The mother of a 16-mo-old infant asks the nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother? a. Avoid hanging a wreath with holly and berries on the front door. b. Avoid hanging decorative pictures of bearded Santa Claus on the window. c. Avoid placing poinsettia plants around the home. d. Avoid hanging stocking on the fireplace mantle.

c. Avoid placing poinsettia plants around the home. Rationale: They are poisonous since the 16mo old can explore and is mobile, it is a hazard.

Which are, in general, the earliest changes that occur during pubertal growth? a. Breast buds in females; size of penis in males b. Underarm hair in females; size of penis in males c. Breast buds in females; growth of testes in males d. Menarche in females; growth of testes in males

c. Breast buds in females; growth of testes in males

A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next? a. Call the pediatrician on call b. Give ipecac syrup c. Call the poison control center d. Wait to see if the child will vomit

c. Call the poison control center

A nurse us preparing to care for a 5 yo who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child? a. Large picture books b. Radio c. Crayons and coloring books d. Sports videos

c. Crayons and coloring books Rationale: -Large picture books in too young -Radio and sports videos aren't great for development of skills.

A 14 year old has not experienced enlargement of the testes or scrotum. A nurse should recognize these signs as indicative of: a. Precocious puberty b. Normal growth and development c. Delayed puberty d. Tanner stage II

c. Delated puberty Rationale: Delay in puberty is defined as: Males - No testes growth by 13.5-14 years old or gentiles not fully grown 4 years after testes growth

A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents? a. Do not read to the child while sitting on the sofa in front of the fireplace. b. Do not cook on a gas grill until the child is a teenager. c. Do not leave cigarettes and matches on the kitchen counter. d. Do not cook with the child in the kitchen.

c. Do not leave cigarettes and matches on the kitchen counter.

During a home visit, the nurse finds a 9-mo-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth & development of the child? a. Encourage the addition of a few more toys to the playpen b. Suggest keeping the infant in the playpen as much as possible to promote safe play. c. Encourage providing the infant with supervised time outside the playpen. d. Suggest removing all toys from the playpen.

c. Encourage providing the infant with supervised time outside the playpen. Rationale: You want them to be able to explore their environment.

Which of the following is an appropriate toy for an 18 month old? a. Multiple piece puzzle b. Miniature cars c. Finger paints d. Comic books

c. Finger paints Rationale: - Finger paints allow them to explore environment -Miniature cars: choking hazard -Cant understand comic book

An 18-mo-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler's cooperation? a. Ask the toddler if he wants to be examined today. b. Ask his mother to leave the room while the nurse examines him. c. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest. d. Have his mother hold him down while the nurse examines him.

c. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.

Failure to achieve which task of Erikson's theory stages of development may result in an school-ager displaying introverted behaviors and avoiding peer relationships? a. Trust v mistrust b. Autonomy v. Shame and doubt c. Industry v. Inferiority D. Identity v. Role confusion

c. Industry v. inferiority

Using Erikson's theory as a foundation, the primary developmental task of the toddler period is to: a. Satisfy the need for basic trust b. Achieve a sense of accomplishment c. Learn to give up dependence for independence d. Acquire language or mental symbolism

c. Learn to give up dependence for independence Rationale: Erikson's for Toddlers- Autonomy v. Shame/Doubt

While adolescence is naturally a very healthy period of life, adolescents experience health problems due to: a. Genetic defects b. Hormonal dysfunction c. Lifestyle choices d. Seperation

c. Lifestyle choices

A mother is concerned because her 22-mo-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother? a. Put the child in time out whenever he skips a meal. b. Offer him foods he likes such as cookies and chips. c. Limit the child's consumption of juices and cookies. d. Talk to the child about how important it is to eat three meals a day.

c. Limit the child's consumption of juices and cookies. Rationale: These calories are "empty" calories with no nutritional value.

Which of the following situations is an example of the correct use of PRIDE skills? a. The nurse ignores a child who is taking another child's snack b. The nurse tells a child to stop running in the hallways c. The nurse says "I really like the way you are taking turns" d. The nurse asks a child to take a note to the office

c. The nurse says "I really like the way you are taking turns"

The development of primary sex characteristics is evidenced by: a. A rapid change in height and weight b. Growth and development of the breasts c. Growth and development of the ovaries d. Changes in the distribution of fat

c. growth and development of the ovaries

A mother of a 3 yo tells a clinic nurse that the child is rebelling constantly and having temper tantrum. The nurse most appropriately tell the mother to: a. punish the child every times the child says 'no' to change the behavior b. allow the behavior bc this is normal at this age period c. set limits on the child's behavior d. ignore the child when this behavior occurs

c. set limits on the child's behavior Rationale: -Setting limits is always important: for safety -Can allow (ignore) the behavior, but have to make sure the environment is safe first.

A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development? a. Allow the family to bring in the child's favorite computer games. b. Encourage the parents to room-in with the child c. Encourage the child to rest and read d. Allow the child to participate in activities with other individuals in the same age group when the condition permits.

d. Allow the child to participate in activities with other individuals in the same age group when the condition permits.

Four years ago, a 16 year old African American girl began breast development, but has not had menarche. These finding would indicate to the nurse which of the following? a. Tanner stage IV b. Precocious puberty c. Normal growth and development d. Delayed puberty

d. Delayed puberty Rationale: Delay defined by: Menarche not within 2-2.5 years after start of breast dev.

Which of the following activities, when voiced by the parents following a teaching session about the characteristics of school-age cognitive development would indicate the need for additional teaching? a. Collecting baseball cards and marbles b. Ordering dolls according to size c. Considering simple problem solving options d. Developing plans for the future

d. Developing plans for the future Rationale: They like to collect, classify and order.

While teaching a 10 year old child about their impending heart, the should: a. Provide verbal explanation just prior to the surgery b. Provide the child with a cookout to read about the surgery c. Introduce the child to another child who had heart surgery three days ago d. Explain the surgery using model of the heart

d. Explain the surgery using model of the heart Rationale: Piaget for school agers (6-12yo): concrete thinking

In order to help develop an early school agers (6-8 years old) motor development, you make the following recommendation to the parents: a. Allow the child to participate in organized sports b. Encourage the use of both hands c. Practice throwing a ball until the child is accurate with their throw d. Get the child a bicycle

d. Get the child a bicycle Rationale: a. Organized sports recommended at 8-10 years.

Which of the following is a correct statement regarding safe sleep? a. Co-sleeping is approved if the parents choose this as the best option for their family. b. To reduce separation anxiety I will allow my infant to sleep with a lovey at 6mo of age. c. The bumper that was in the bedding set I purchased is safe to use. d. I will put my infant on their back to sleep.

d. I will put my infant on their back to sleep. Rationale: -Co sleeping is not good. -Don't want anything in the bed at this age

Which of the following characteristics best describes the gross motor skills of a 24 month old? a. Skips b. Rides tricycle c. Balance on one foot d. Throws ball overhand

d. Throws ball overhand Rationale: They learn this ~18 months, the rest are too advanced.

The nurse explains to the mother of a 2 y.o. girl that the child's negativism is normal for this age and that it is helping meet her need for ________________. a. trust b. attention c. discipline d. independence

d. independence Rationale: Erikson's Autonomy vs. Shame/Doubt

The nurse is admitting a 2 yo male into the hospital. Which of the following would the nurse be concerned about? a. Lordosis b. Bow-legged c. Protruding abdomen d. open anterior fontanel

d. open anterior fontanel Rationale: -Lordosis is normal at this age -Bow-legged is normal at this age -Opening to fontanel should close @12-18 months

The parents of a 2 yo child are concerned that the child wants to do everything by himself and seems to be rejecting their authority. The nurse's response should be based on which of the following? a. The parents need to tighten their control on the child b. The need for autonomy is not usually seen until puberty c. limiting choices and punishing the child will restore trust d. the independence displayed by the child is a normal result of maturation

d. the independence displayed by the child is a normal result of maturation