Growth and Development Quiz

a

It is nap time and the caregiver of a 2-year-old says to her child, "I will help you put all of your stuffed animals in a row next to your bed just like we do every day." This statement is an example of: a. ritualism. b. dawdling. c. negativism. d. discipline.

c

The developmental task of the adolescent period, according to Erikson, is to form a sense of: a. autonomy versus shame or doubt. b. initiative versus guilt. c. identity versus role confusion. d. decisiveness versus indecisiveness.

b

The developmental task of the toddler period, according to Erikson, is achieving a sense of: a. leadership. b. autonomy. c. initiative. d. nonstructure.

b

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond? a. "It is best to just ignore this and to not respond to his questions." b. "This is normal; children his age do not understand the permanence of death." c. "You have to keep repeating that his grandfather is never coming back." d. "He will eventually figure this out on his own."

b

The nurse and a client are discussing the client's preschool child. The client states, "When I tell my child it's time for bed, he/she screams and cries for almost an hour each night before going to sleep." The client and the nurse decide that the next course of action is which? a. Let the child set the time to go to bed. b. Follow a routine and set a bedtime. c. Promise the child a new toy in the morning for good behavior. d. Let the child fall asleep wherever he/she wants and then carry the child to bed.

c

The nurse enters her client's room and finds the infant on a pillow with a bottle propped up while the mother is dressing. What statement should the nurse make? a. "Look how cute she is." b. "Are you almost ready to be discharged?" c. "You should always hold your baby for feedings instead of propping the bottles." d. "Is she almost done feeding?"

b

The nurse enters her client's room to find the new mom crying softly. The nurse asks what is wrong. The mom says, "I had my heart set on breast-feeding and now my baby has a cleft lip. My dreams of breast-feeding him are destroyed." What should the nurse tell her client about breast-feeding an infant with this diagnosis? a. "I am so sorry your infant has that problem, maybe next time." b. "You can still attempt breast-feeding; let me call a lactation consultant for you." c. "Sometimes dreams do not come true." d. "I am so sorry, looks like bottle-feeding for you."

b

The nurse is admitting a 12-month-old to the medical unit. During the admission process the parents tell the nurse that their child is very advanced because he says "ball" when he picks up a football. How should the nurse respond? a. "He really isn't any more advanced than most 12-month-old children." b. "That is great that he is recognizing objects and is able to name them. He is right on target for language skills." c. "If he were advanced in language skills he would be putting several words together to form short sentences." d. "Parents usually think their child is far more advanced than other children."

d

The nurse is caring for a 4-year-old child who is hospitalized and in traction. The child talks about an invisible friend to the nurse. Which action by the nurse is indicated? a. The nurse should document the reports of hallucinations by the child. b. The nurse should explain to the child that there are no friends present. c. The nurse should discourage the child from talking about the imaginary friend. d. The nurse should recognize this behavior as normal for the child's developmental age and do nothing.

c

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse? a. The toddler gained 4 pounds in weight since last year. b. The toddler gained 3 inches in height since last year. c. The toddler's anterior fontanel is not fully closed. d. The circumference of the child's head increased 1 inch since last year.

c

The nurse is performing an admission assessment of an adolescent with the teen and the parents. During the assessment the nurse suspects that the teen may be pregnant. What is the best way for the nurse to address this situation? a. Ask the teen, with the parents present, if she might be pregnant. b. Ask the parents to step out of the room and tell them the nurse's suspicion c. Ask the parents to wait in the family lounge while finishing the assessment, then ask the teen during the assessment d. Ask the teen's physician to talk to the parents and the teen about the possibility of pregnancy

c

The nurse is performing risk assessments on adolescents in the school setting. Which teen should the nurse screen for hypertension? a. An Asian female b. A white male c. An African American male d. A Jewish male

c

A 3½-year-old child hits another child in prekindergarten and pushes her down. The mother calls the clinic to ask why her child is so aggressive and asks what to do. The nurse's advice would include which suggestion? a. Punish the preschooler for hurting the other child. b. Recommend that the mother change schools with her child to provide a more pleasant environment. c. Explain that aggression is a common behavior for a child this age but the child must understand that hurting someone is not acceptable. d. Encourage the teachers to have the other children hit the child if the child hits them.

a

A 3½-year-old shouts, "Look out for Boo-ga-loo!" as the nurse enters the exam room. The father explains Boo-ga-loo is his daughter's imaginary friend. How should the nurse respond? a. "Tell me about Boo-ga-loo." b. "I don't see anyone." c. "Are you kidding me?" d. "Where did you get that funny name?"

d

A mother reports to the nurse that her 4-year-old does everything that she does. She says she is becoming somewhat frustrated with these actions. What would be the best response by the nurse to this mother? a. "I can imagine that it would be very irritating." b. "I am sure there are ways to get your daughter to stop imitating you." c. "This is not normal behavior. I am going to get the doctor's advice." d. "Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development."

c

A nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother? a. "It is best to avoid the playground until she outgrows the fear." b. "She needs to face her fears head-on; take her to the park as much as possible." c. "Acknowledge her fear and help her develop a strategy for dealing with it." d. "Try to minimize her fears and insist that she go to the park."

b

A nurse is providing a routine wellness examination for a 5-year-old boy. Which response by the parents indicates a need for an additional referral or follow-up? a. "He can count to 30 but gets confused after that." b. "We often have to translate his speech to others." c. "He is always talking and telling detailed stories." d. "He knows his name and address."

a

A nurse is taking care of a teenager who reports involuntary discharge of semen while sleeping. The nurse observes that the client is confused and does not know about the pubertal changes that are taking place in his body. Based on this information, what is the highest priority area that should be reviewed with the client? a. Educate the client about the changes that occur during adolescence. b. Convince him that involuntary discharge of semen during sleeping needs immediate attention of the primary care provider. c. Provide information about sex and sexuality. d. Review about sexually transmitted diseases.

d

A nurse is teaching the parents of a toddler how to handle the child's temper tantrums. The nurse determines that the teaching was successful when the parents state that an appropriate response to the tantrum would be: a. "If you stop screaming, you can have a cookie." b. "I can kick as hard as you do." c. "I'll give you a hug if you stop right away." d. "I'll be in the kitchen. When you're done, you can come in, too.

d

A teenage boy and his mother have come to the office for a routine visit. In the hallway, his mother confides that she is concerned because her son is playing games that the girls play, and she has noticed that when he plays any role-playing games his character is very feminine. She tells you that she is worried about his sexual orientation. What is the best response to her concerns? a. "Do not allow him to play any of these games, get him some manly games." b. "Close parental monitoring of his activities has been shown to decrease these behaviors." c. "This is a concern; you should examine what you are exposing him to that could affect his behavior." d. "This behavior may be exploratory or reflect peer pressure, so do not make assumptions regarding sexual orientation."

c

A teenage girl and her mother are in the office. When the teen uses the restroom, her mother asks you about the changes that Linda is going through. She would like to talk to her about sexuality and its changes but she is unsure of how to do this. As the nurse, what reminders should you give her for when she discusses sex? a. Discuss with the teen the experiences that you had so that she can connect on a personal level. b. Encourage her to talk to her peers and teachers in health class. c. Promote open lines of communication; listen instead of lecture; and share family values. d. Do not initiate any conversation; let the teen come and seek the advice of the parent.

a

A toddler's mother notices that he plays next to another child well but does not play with the other child. This type of play is called: a. parallel play. b. peer play. c. adjacent play. d. premature play.

a

An adolescent with multiple tattoos and piercings comes to the health center at her school. She is complaining of feeling hot. In collecting further data the nurse finds that the child has a new piercing. The nurse recognizes the need for the adolescent to be given information related to personal health. Which topic would the nurse identify as the area that the adolescent needs immediate information about? a. Signs of infection b. Prevention of sexually transmitted infection c. Prevention of pregnancy d. Signs of substance addiction

d

Debbie asks her nurse what she thinks about giving her baby a pacifier. Debbie is struggling with this issue and is very teary-eyed about making a decision. How should the nurse respond to Debbie? a. "I always gave my kids a pacifier." b. "You should do whatever you want." c. "You should never give babies pacifiers." d. "It is a personal decision, let me give you a pamphlet from the AAP."

c

The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction? a. Occupying the toddler's time while the parents are meeting with the physician b. Distracting the toddler from expending too much energy with active playing c. Developing a trusting relationship with the nurse d. Utilizing clinical time when the unit is not busy

a

The nurse is preparing a class for a group of adolescents about promoting safety. What would the nurse plan to include as the leading cause of adolescent injuries? a. Motor vehicles b. Firearms c. Water d. Fires

c

The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3-week-old baby. Which recommended guideline might be included in the teaching plan? a. Place the baby on a soft mattress with a firm, flat pillow for the head. b. Place the head of the bed near the window to provide fresh air, weather permitting. c. Place the baby on his or her back when sleeping. d. If the baby sleeps through the night, wake him or her up for the night feeding.

b

The nurse is reviewing the family medical history of a 2-year-old. The nurse notes that the mother has been diagnosed with depression. Based on this diagnosis, which assessment finding would be of most concern to the nurse? a. The child can stand on tiptoe. b. The child is not using sentences of two or three words. c. The child has difficulty with stairs. d. The child is pointing to named body parts.

c

The nurse is speaking to a parent of a 4-year-old. The parent states that she has trouble getting her child to go to bed at night. Which is the best response by the nurse? a. "It's okay to let your child fall asleep while watching television in their room. This often helps if your child is afraid of the dark." b. "Sometimes your child needs to burn off excess energy before bed. I would suggest allowing them to run around house for 10 to 15 minutes before bedtime." c. "It's just as important to establish a morning wake-up time as it is as establishing a bedtime. Children tend to do better when they have a normal routine to follow." d. "Children need dark to sleep. It's important not to use a nightlight even if your child is afraid of the dark."

a

The nurse is visiting a day care center and watches two toddlers at play. What best describes the play observed? a. Playing alongside one another b. Sharing stuffed animals c. Playing for significant stretches of time in one activity d. Sitting quietly with several toys

b

The nurse sees a 15-month-old at a health maintenance visit. Of the following assessments, which one is generally included in a 15-month checkup? a. Blood pressure b. Height and weight measurements c. Clean-catch urine d. IQ testing

b

The parents of a preschool-aged child want to begin preparing the child to attend school. What would the nurse suggest the parents discuss with the child to help with this preparation? a. Point out how to go to school. b. Talk about school as an enjoyable experience. c. Warn about how many rules there will be in school. d. Encourage working on projects lying on the floor so school tables will be appreciated.

a

The school nurse is discussing various topics with a group of adolescent girls. One of the girls states, "I just want to be pretty and to look like everyone else." The nurse recognizes that the girl's feelings about herself and her body relate to the development of: a. self-esteem. b. independence. c. modesty. d. shyness.

d

What statement by the mother of a preschooler indicates the need for further education by the nurse? a. "My child should not to drink from someone else's cup." b. "After blowing the nose, my child should wash hands." c. "My child should not share a toothbrush with another person." d. "If food falls on the floor, my child should pick it up quickly and wipe it off before eating it."

c

When childproofing the home for a toddler, the most important thing her parents should consider is to: a. lock downstairs windows. b. teach the child not to tease dogs. c. put medicine in a locked cupboard. d. keep the child in a playpen while the parents cook.

d

Which measure would you suggest an infant's parents use to relieve teething discomfort? a. Provide her with a fluid diet for 2 days. b. Offer her Aspergum to chew. c. Ask her pediatrician for a sedative for her. d. Give her a cold teething ring to chew.