NCLEX Peds Nursing Growth and Development

How many days is the neonatal period? Record your answer using whole numbers. __________ days

28

The mother of a 2-year-old girl expresses concern that her daughter's growth rate has slowed. What should the nurse explain to the mother about the growth of toddlers? A. "This growth pattern is typical at this age." B. "Toddlers are too busy exploring their world to eat." C. "This growth pattern can't be interpreted for another year." D. "Toddlers usually lose their taste for foods they liked when younger."

A. "This growth pattern is typical at this age."

How much does the head circumference increase per month from 4 to 6 months of age? A. 1 cm (0.4 inch) B. 2 cm (0.75 inch) C. 0.5 cm (0.2 inch) D. 3.5 cm (1.38 inch)

A. 1 cm (0.4 inch)

Which behavior is seen in children at the undifferentiated stage of spiritual development, as propounded by Fowler? A. Children have no concept of right or wrong to guide their behaviors. B. Children imitate the religious behaviors without comprehending any meaning. C. Children reason and question some of the established parental religious standards. D. Children have a reverence for religious matters and are able to articulate their faith.

A. Children have no concept of right or wrong to guide their behaviors.

For which pediatric client should the nurse use the Age and Stages Questionnaire (ASQ) as a developmental screening tool during a health maintenance assessment? A. A 2-week old newborn client B. A 15-month-old toddler client C. A 6-year-old school-age client D. A 14-year-old adolescent client

B. A 15-month-old toddler client

According to the Piaget's theory, which behavior does a nine-year-old child show? A. Logical reasoning B. Concrete thinking C. Object permanence D. Imaginary audience

B. Concrete thinking

Which statement describes the latency stage of Freud's psychoanalytic model of personality development? A. During this stage, genital organs are the focus of pleasure. B. During this stage, sexual urges are repressed and channeled into productive activities. C. During this stage, an infant begins to think that his or her parent is separate from the self. D. During this stage, sexual urges reawaken and are directed to an individual outside the family circle.

B. During this stage, sexual urges are repressed and channeled into productive activities.

According to Piaget during which developmental state is the pediatric client egocentric? A. Infancy B. Adolescence C. Early childhood D. Middle childhood

C. Early childhood

A child wants to be on time for a family dinner. According to Kohlberg's theory, what stage of development is the child going through? A. Good boy-nice girl orientation B. Society-maintaining orientation C. Instrumental relativist orientation D. Universal ethical principle orientation

C. Instrumental relativist orientation

What type of development is described under Freud's theory? A. Cognition development B. Psychosocial development C. Psychosexual development D. Moral reasoning development

C. Psychosexual development

Which stage of development classifies boys and girls as differing very little in terms of size? A. Toddler B. Preschool C. School-age D. Adolescence

C. School-age

Which school-age client should the nurse assess for symptoms related to burnout? A. 7-year-old B. 8-year-old C. 9-year-old D. 10-year-old

D. 10-year-old

The nurse is assessing the development of a male child and finds that the child is tall, with deficient secondary sex characteristics and hypogenitalism. Which chromosomal notation is associated with the child's condition? A. 45,XO B. 47,XXX C. 47,XYY D. 48,XXXY

D. 48,XXXY

The nurse is teaching hygiene practices to a 16-year-old client who has recently had her first menstrual flow. Under which phase of development does the nurse classify the client? A. Prepubescence B. Postpubescence C. Late adolescence D. Middle adolescence

D. Middle adolescence

What is true about the preoperational period of Piaget's theory? A. The child develops a scheme for dealing with the environment. B. The child is able to describe a process without actually doing it. C. The child has the capacity to reason with respect to possibilities. D. The child believes that everyone experiences the world exactly as he or she does.

D. The child believes that everyone experiences the world exactly as he or she does.

According to Piaget's theory of cognitive development, what is the correct order of a child's activities? 1. The child develops egocentrism and animism. 2. The child is able to describe a process without actually doing it. 3. The child develops action pattern for dealing with the environment. 4. The child demonstrates feelings and behaviors characterized by self-consciousness.

3. The child develops action pattern for dealing with the environment. 1. The child develops egocentrism and animism. 2. The child is able to describe a process without actually doing it. 4. The child demonstrates feelings and behaviors characterized by self-consciousness.

The student nurse is learning about the developmental characteristics of vision. Which major developmental characteristics does an infant start exhibiting around age 6 weeks? Select all that apply. A. Having binocular vision B. Having doll's eye reflex C. Having visual acuity 20/40 to 20/60 D. Having peripheral vision to 180 degree E. Having strabismus if binocular vision is absent

A. Having binocular vision D. Having peripheral vision to 180 degree

Which stage of the development should the nurse document for an infant when using Freud's theory of psychosocial development? A. Oral B. Anal C. Phallic D. Latent

A. Oral

Which stage of Lawrence Kohlberg's theory of moral development is associated with a person following a law even if it is discriminatory to a racial group? A. Social contract orientation B. Society-maintaining orientation C. Instrumental relativist orientation D. Universal ethical principle orientation

A. Social contract orientation (A person in the social contract orientation stage follows laws even if they are not fair to a certain racial group. During the society-maintaining orientation stage, an individual expands his or her focus from a relationship with others to societal concerns. During the instrumental relativist orientation stage, the decision to do something morally right is based on satisfying one's own needs and occasionally the needs of others. An individual in the universal ethical principle orientation stage may not follow a law if it does not seem fair to a particular racial group.)

At which stage of Kohlberg's theory is the child afraid of punishment? A. Stage 1 B. Stage 2 C. Stage 3 D. Stage 4

A. Stage 1 (According to Kohlberg's theory of moral development, at stage 1 a child is afraid of punishment. At stage 2, the child recognizes that there is more than one correct viewpoint. At stage 3, an individual seeks the approval of and maintains the expectations of one's immediate group. At stage 4, an individual expands focus from a relationship with others to societal concerns.)

Which behaviors should the nurse anticipate when conducting a developmental assessment for a newborn? Select all that apply. A. Sucking on a pacifier B. Grasping a parents finger C. Discovering hands and feet D. Swallowing while breastfeeding E. Rooting when the cheek is stroked

A. Sucking on a pacifier B. Grasping a parents finger D. Swallowing while breastfeeding E. Rooting when the cheek is stroked

According to Kohlberg's theory, which stage comes before the society-maintaining orientation stage? A. Social contract orientation B. Good boy-nice girl orientation C. Instrumental relativist orientation D. Punishment and obedience orientation

B. Good boy-nice girl orientation

According to Erikson, what should the nurse anticipate when assessing an adolescent? A. Being engaged in tasks B. Questioning sexual identity C. Having highly imaginative thoughts D. Wanting to participate in organized activities

B. Questioning sexual identity

According to Kohlberg's theory of moral development, which stage is a part of conventional reasoning? A. Social contract orientation B. Society-maintaining orientation C. Instrument relativist orientation D. Universal ethical principle orientation

B. Society-maintaining orientation

Which safeguards should the school nurse teach parents to assess for prior to allowing school-age clients to participate in athletic programs? Select all that apply. A. A life-long enjoyment of fitness B. The use of appropriate equipment C. The development of basic motor skills D. A physical examination every two years E. Participation in warm-up exercises prior to physical activity

B. The use of appropriate equipment D. A physical examination every two years E. Participation in warm-up exercises prior to physical activity

Which of these age groups has the highest incidence of lead poisoning? A. Adult B. Toddler C. Adolescent D. School-age child

B. Toddler

What does the nurse anticipate the primary healthcare provider to advise the parents of a child newly diagnosed with a mitochondrial disorder? A. There is no risk of recurrence of this disease in the next child. B. You may need to use a donor egg for future children. C. There are more chances of miscarriage in the next pregnancy. D. You can find more information about this disease on the internet.

B. You may need to use a donor egg for future children.

At what age does a child start to crawl? A. 3 months B. 5 months C. 7 months D. 9 months

D. 9 months

According to Erikson's stages of life, what is the stage when a child begins walking, feeding, and using the toilet? A. Trust versus mistrust B. Initiative versus guilt C. Identity versus role confusion D. Autonomy versus sense of shame and doubt

D. Autonomy versus sense of shame and doubt

Which statement is true about Piaget's theory of cognitive development? A. Piaget's theory includes five periods that are related to age. B. In the late preoperational stage, the children experience animism. C. In the preoperational stage, children are able to perform mental operations. D. During the sensorimotor stage, infants develop an action pattern for dealing with their environment.

D. During the sensorimotor stage, infants develop an action pattern for dealing with their environment.