peds ch 15 questions

One of the most accurate indicators of biologic age is:

bone growth

The theorist known for his work on moral development is:

kohlberg

The startle reflex is also known as the

moro reflex

A current comic strip depicts a family in which parents, children, and the children's grandfather live together. This is an example of a(n):

extended family

The nurse instructs the parent of an infant that dental caries are prevented through the administration of oral:

floride

9. A mother asks the nurse how much food should be offered to her 2-year-old. What is a good rule of thumb for serving size (in tablespoons) per year of age?

a. 2

13. What activity would the nurse choose to meet Eriksons developmental task of industry when caring for a 7-year-old?

a. Completing a 50-piece jigsaw puzzle

11. The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray. What can the nurse expect the child to eat?

a. Dried beans mixed with rice

27. How do children differ from adults? (Select all that apply.)

a. Higher metabolic rate b. Greater surface area in relation to their weight c. Less mature organ systems e. Continuously changing growth and development pattern

15. The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant. What statement by the mother leads the nurse to determine that learning has taken place?

a. I will give my infant rice cereal first.

4. What would the nurse further investigate when assessing patterns of growth in a child?

a. Previous weight was in the 75th percentile, and present weight is in the 25th percentile.

32. Parents attending a well visit for their 11-year-old son verbalize concern over his computer use. When asked about it, the boy states, I play games on my computer for 1 hour a day. The nurse knows that computer games can provide what opportunities to childhood development? (Select all that apply.)

a. Problem-solving skills c. Manipulative skills d. Learning opportunities

23. What does the nurse calculate the basal metabolic index (BMI) of an 8-year-old child who is 48 inches tall (1.2 meters) and weighs 100 pounds (45.4 kg) to be?

b. 32.4

21. A mother tells her 4-year-old child that balls should be played with outside and not inside the house. Why is the child likely to obey the rule?

a. The child does not want to be punished.

The nurse is assessing the nutritional status of a 6-year-old child. Which finding suggests the child is well-nourished?

alert and energetic

To meet the needs (as described by Erikson)of a school-age child diagnosed with diabetes the nurse should

allow the child to perform his own Accuchecks and adminster his own insulin

The nurse understands that primary dentition is usually completed by age:

2.5 years

During the first week of life the newborns weight?

decreases about 5-10%

A 4-year-old child has a low score on the Denver II. The nurse understands that this finding indicates:

the need for further evaluation

How many erupted teeth would the nurse expect a healthy 8-month old infant to have

2

Most children are able to feed themselves using a spoon by age:

2 years

An infant weighed 7 pounds 11 ounces (3487 g) at birth. What would the nurse expect this infant to weigh at 12 months of age?

23 lbs

The nurse should encourage the parent to introduce toothbrushing to her child by age

3 years

The nurse would teach a parent to introduce solid foods to an infant at what age?

6 months

It is most appropriate to first introduce competitive games at age

7 to 9 years

The nurse should teach the mother of a 19-month-old which action(s) to recommend best oral care? Select all that apply.

Brush your baby's teeth before bedtime each night, fluoride is beneficial to the teeth of a child at this age, and water in a bottle is safe for teeth at any time

37. __________ refers to standing measurement, whereas _______ refers to measurement while the infant is in a recumbent position.

Height, length

28. What approaches should the nurse suggest for introducing a toddler to new foods? (Select all that apply.)

a. Serve one food at a time. b. Avoid showing personal likes or dislikes. c. Offer foods in small amounts, less than a teaspoon. e. Serve food warm.

3. An infants birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months?

b. 15 pounds

8. The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at what age?

b. 6 years old

12. The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime. What does self-feeding help to develop in the toddler?

b. A sense of independence

5. A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family?

b. Blended

19. When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not answer immediately. How does the nurse interpret this response?

b. Considering the answer in silence

18. When a small group of preschool-age children were playing house, each child was pretending to be a particular family member. What type of play does the nurse recognize these children are participating in?

b. Cooperative

25. The nurse caring for a 4-year-old postoperative patient instructs him to blow bubbles. What nursing intervention is the nurse most likely implementing by using this form of therapeutic play?

b. Encouraging deep breathing

30. The nurse suggests to the parents of an obese 10-year-old that they use the Portion Plate for Kids placemat. How does this tool help with selection of portion sizes? (Select all that apply.)

b. Tips on healthy food choices e. Familiar objects such as a deck of cards to measure servings

26. The mother of a 7-year-old pediatric patient asks the nurse about her childs sleep requirement. What is the most accurate response by the nurse?

c. 11 to 13 hours a night

6. The mother of a 7-month-old reports that the first lower central incisor has erupted. She asks the nurse, How many teeth will he have by his first birthday? The nurse explains that the infant will have how many teeth by 1 year of age?

c. 6

1. What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?

c. Cephalocaudal

17. The mother of a 7-month-old states, The baby is eating food now. Should I give him regular milk, too? What is the nurses best response?

c. Continue breast milk or iron-fortified formula until 1 year of age.

24. What toy is developmentally appropriate for the nurse to suggest to entertain a 5-year-old child?

c. Model airport with toy planes

2. What is a unique organization of characteristics that determines an individuals pattern of behavior?

c. Personality

29. Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply.)

c. Raw vegetables d. Cheese

22. What should the nurse avoid when demonstrating a bath procedure to parents of Vietnamese origin?

c. Touching the childs head

31. An educational program is being presented to pediatric nurses on the relationship of play to childhood development. What information should be included in this presentation? (Select all that apply.)

c. Understanding of child/parent relationships can be gained by observing play. d. Play encourages self-expression. e. Play provides a sense of accomplishment.

10. An assessment of a childs nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. How would this childs nutritional status be described?

c. Well nourished

A child must be able to sit before he can walk. This is an example of which directional pattern of development?

cephalocaudal

14. What does the nurse recognize as an example of Piagets concrete operational thinking?

d. 7-year-old says, I am sick because I have germs in my chest.

7. At a well-baby visit, parents of a 6-month-old ask when to take the infant for the first dental visit. What is the nurses best response?

d. A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry.

20. A mother tells the nurse, My 11-month-old son is not as active as my other children were at this age. He is the youngest of four and the older children love to dote on him. Which factor is influencing this childs language development?

d. Ordinal position

16. What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain?

d. Wash off the tooth and place it in a container of milk.

33. The nurse includes in the care plan for a Hispanic family to encourage visits from the ____________ ____________, or _______________ for a healing ceremony.

folk healer, curandero

Which statement made by a parent indicates an understanding about a child's dental health?

i replaced the toothbrush after my son had a sore throat

36. The correct term for the child aged 4 weeks to 1 year is ______________.

infant

What is the best nursing response to a parent who asks when her 3-month-old infant can switch from iron-fortified formula to milk?

infants can drink milk after their first birthday

34. The nurse assesses an unmet need in a hospitalized child who clings to his mother as she is about to leave. As described by Maslow, the basic needs that may be unmet in this case are __________ and ___________.

love, belonging

The nurse determines a parent needs additional teaching about nutrition when the parent states:

my 1 year old infant falls asleep with a bottle of formula

35. The nurse cautions that children who are put to sleep with a bottle are at risk for a dental problem called ___________ _____________.

nursing caries

Young children are playing with action figures in the hospital playroom. Closer observation reveals they are playing alongside one another, rather than interacting with each other. The nurse is observing:

parallel play

Which statement would have the most positive outcome when the nurse is counseling adolescents on nutrition?

shiny hair and good muscles are linked to good nutrition