pedes/mat exam 2 ch 31

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?

Talk about school as an enjoyable experience.

When planning how to respond to a 3-year-old child about telling stories ("tall tales"), the nurse would base the statement on the fact that:

imagination in a 3-year-old is at its peak.

Which immunization should the nurse plan to administer to a preschooler during a health maintenance visit?

influenza

A nurse is assessing a 3 1/2-year-old child at a well child checkup. Assessment reveals the following: Blood pressure: 102/62 mm Hg Pulse: 87 beats/minute Systolic heart murmur Mild genus valgus Which assessment finding would the nurse identify as a cause for concern?

systolic murmur

When assessing the growth and development of a 4-year-old, which would the nurse note as being appropriate?

tells a fantasy story about a bear and a car

The parents of a 4-year-old ask the nurse, "We want to use 'time-out' to help discipline our child. But we're not sure how long we should keep our child in time- out?" Which response by the nurse would be appropriate?

"Keep the time to about 4 minutes."

The nurse is observing several children interacting during a community health event. Which observed behavior would be indicative of a 4-year-old child?

"Look! I am a nurse, and I am helping people feel better!"

During an assessment, a preschool-aged child tells the nurse about having 12 siblings. The nurse is aware that the child has two older brothers. What would be the nurse's best response?

"That is a good pretend answer but tell me the names of the brothers you really have."

The nurse is helping parents enhance the developmental task of initiative in their preschool age child. which activity would the nurse suggest to implement

Allow the child to experiment with molding clay

A preschool-age child tells the nurse about an imaginary friend. The parents are concerned because the child refuses to do anything without the friend's help. Which nursing diagnosis is most applicable for the family?

Parental anxiety related to lack of understanding of childhood development

A nurse is developing a plan of care for a 4-year-old client with cystic fibrosis who has frequent hospitalizations related to his illness. Which would be the most appropriate nursing diagnosis for this client?

Delayed growth and development related to frequent illness

During the preschool years, female children may develop a strong attachment to their fathers. What is this attachment called?

Electra complex

The mother of a female preschool-age child is concerned that the child is developing an unhealthy attachment to her father. About which behavior should the nurse instruct the mother?

Electra complex

What suggestions regarding the evaluation of a childcare center would the nurse share with a preschooler's mother?

Specific program goals to be accomplished should be available.

The most important safety precaution for parents to teach preschoolers is:

not to ride in a car with strangers

A preschooler's mother asks the nurse an appropriate time to tell her son that she is pregnant. The nurse's best answer would be:

probably at the point she begins to look pregnant.

The nurse is identifying outcomes for a family with a preschool-age child who has broken fluency. Which initial outcome would be the most appropriate?

The parents will not call attention to the child's broken fluency.

The mother of a preschool-aged child is pregnant and wants to enroll the child in a child care program. When would the nurse suggest that the child be enrolled in this program?

Three months before the baby is born, after the mother stresses that the child is growing up

The parents of a preschool-aged child are investigating child care centers to enroll the child. What would the nurse review with the parents prior to them making a decision? Select all that apply.

a. Ask about the child-staff ratio. c. Find out if parents can visit at any time. d. Find out how long the center has been in operation. e. Ask about the center's licenses and compliance with regulations

A community health center is planning a seminar about the 2030 National Health Goals for preschool-age children. Which topics would be included in this seminar to address safety? Select all that apply.

a. Protection against second-hand smoke b. Providing helmets before riding a bicycle c. Using appropriate restraints in motor vehicles

A nurse is providing an anticipatory guidance class on safety for parents of preschool-age children. Which interventions are important for the nurse to address during the class? Select all that apply.

a. swimming lessons b. stranger awareness c. gun safety e. bicycle safety

The parents of a preschooler ask the nurse, "What snacks are appropriate for us to give our child?" Which suggestion would the nurse provide?

sliced cheese sticks

The nurse is preparing an educational program for parents of preschool-age children to promote personal safety. Which information should the nurse include in this program? Select all that apply.

d. Explaining who police are and what they look like e. Teaching to never talk with or accept a ride from a stranger f. Never enter into a street without an adult

Which immunization would the nurse expect to administer at a preschool health maintenance visit?

diphtheria, pertussis, and tetanus (DTaP) booster

The nurse is evaluating statistics of dental care of preschool-age children in the community. Which should the nurse focus on as having the greatest overall impact?

fluoridated water system in the community

The clinic nurse is collecting vital signs on a 4-year-old client being seen for a yearly well check-up. Which measurements should the nurse collect?

height and weight