EAQ-C DEVELOPMENTAL CUSTOM
Which questions would the nurse ask the part of a 1 year old client to assess language development?
"Does your child say 3 to 5 words?"
Which question would the nurse ask the parent of a 3 year old client to assess fine motor skills?
"Is your child able a tower using nine or ten blocks?"
Which question would the nurse ask the parent of a 3 year old client to assess gross motor skills?
"Is your child able to ride a tricycle?"
Which question is appropriate when taking the developmental history of an adolescent who is new to the pediatric practice?
"What grades do you get in school?"
My father reports, "My 2 year old pushes me away. She doesnt speak. She sits alone and rocks and stares at shiny objects. Is it something ive done?" Which is the most therapeutic response?
"You haven't done anything wrong. What else have you noticed?"
Which trait of temperament would the nurse assess for in a preschool aged client who is beginning school?
Adaptability
Which intervention would help a toddler be more comfortable during an examination?
Ask the parent to hold the toddler during the examination.
Which technique would the nurse use when assessing a preschool aged child? SATA
Asking questions directly to the child. Asking the child to sit on the examination table. Having the child undress leaving on the undergarments. Asking the child whether the chest or stomach area is done first.
Which conversations exercises would the nurse include in the assessment of a 6 year old child?SATA
Asking the child to compare the mass of 2 balls. Asking the child to compare the length of pencils. Asking the child to compare the number of marbles.
Which PRIORITY assessment would the nurse complete first when working with the family of a child diagnosed with attention deficit/hyperactivity disorder?
Attitudes about the diagnosis
Which assessment findings would the nurse report to the health care provider as a possible sign of autism in an 18 month old child?
Child avoids eye contact and does not respond to facial expressions
Which action would be important for the nurse to do when assessing the mental status of a young school aged child?
Compare the childs function from one occasion to another.
An 85 year old client has a 3day history of nausea, vomiting, diarrhea, and weakness. Which assessment would the nurse complete to BEST monitor the clients rehydration status?
Daily weight
Which age related skin change occurs in older adult clients and increases their potential for developing pressure ulcers?
Decreased subcutaneous fat.
Which question allows the nurse to assess a preschool-aged child for delayed peer relationships? SATA
Does your child use 'babylike' terms when talking? Does your child play with the other children in the playroom?
An older adult was admitted to a long term are facility for difficulties with activities of daily living. Which intervention would the nurse use to assist the client to fulfill their developmental task based on Eriksons psychosocial stages of development?
Engage the client in reminiscence about past achievements.
When interviewing and assessing a 17 year old client, which finding alerts the nurse to explore substance abuse with the adolescent? SATA
Failing grades Blood spots on clothing Absenteeism from school. Long sleeve shirts in warm weather.
Which action would the nurse take to assess orientation to place of an older adult female who is brought to the clinic by a family member because of increasing confusion over the past week?
Have the client identify the name of the clinic's town.
Which parental statement would the nurse recognize as placing an infant at risk for injury?
I heat the formula in the microwave for 30 seconds.
Which characteristics would the nurse assess by evaluating the drawings of a preschooler? SATA.
Intelligence, Personality development, Psychosocial adjustment
The nurse assesses an older couple: the husband is alert but forgetful and has an enlarged prostate with infrequent urinary incontinence.; the wife has diabetes mellitus, rheumatoid arthritis, and difficult walking. The couple lives independently and has adult children who do not live nearby. After identifying the couples need for assistance with bathing, dressing, and meal preparation, what option would the nurse suggest?
Keep the couple in their home and schedule assistance with a home health aide.
Which assessments would the nurse include when conducting a health maintenance visit for a 15 month old toddler? SATA.
Length, weight, head circumference, developmental surveillance
Which is normal findings during the regular checkup of an older adult?SATA.
Loss of turgor, Decreased night vision, Decreased mobility of ribs
Which aspects of the "Self" do children assess while forming self-esteem? SATA
Moral worth. Competence. Sense of control. Worthiness of love.
Which reflex would the nurse assess in a newborn to determine auditory ability?
Moro reflex
When calculating the Apgar score for a newborn, which would the nurse assess in addition to the heart rate?
Muscle tone
Which statement about the transition from intrauterine to extrauterine life is accurate?
Newborns are susceptible to heat loss and cold stress.
Which reflex is elicited by placing a child in the prone position and stroking the thumb along the child's spine from sacrum to neck s the child begins to cry?
Perez reflex
Which is a common attribute that the nurse assesses in an "easy" child?
Predictable habits
Which age related finding would a nurse expect when performing a male reproductive system assessment of an older adult client?
Reduced size of testes
Which action would the school nurse take for a child who tells the nurse, "My father has been getting into bed with me at night and touching me?"
Report the childs conversation to child protective services
Which findings during the assessment of a 5month old infant would the nurse immediately report to the health care provider?
Shows positive dolls eye reflex
Which age related change would the nurse expect to find when assessing the reproductive health of an older female client? SATA.
Smaller clitoris, Shrunken vulva, Narrowed vaginal opening
Which assessment finding indicates a normal chest examination for an 11 year old?
The abdomen falls when the chest falls during respiration.
The nurse receives a telephone call from an adolescent who expresses suicidal ideations. Which response indicates that the nurse can safely terminate the call?
The adolescent formulates an action to control self harm behaviors.
The nurse is assessing a newborn immediately after birth. Which finding indicates normal development?
The body weight is 3500g
Which finding supports the conclusion that a 12 month old infant has normal development?
The childs toes hyperextend when the nurse strokes from the heel upward across the foot.
When using the Glasgow Coma Scale, which consideration would the nurse make when evaluating a 3 year old child with head injury?
They may not respond to strangers asking questions.
Which area would the nurse palpate to assess a 4 year old child radial pulse?
Thumb side of the forearm at the wrist.
How does the skeletal system of a toddler differ from that of an older adult?
Toddlers' bones can withstand falls better than the bones of older adults.
Which gross motor skills would the nurse assess for during a health maintenance visit for a toddler age client? SATA.
Walking up and down steps. Standing on one foot for several seconds.
When assessing the psychosocial stage of development of a preschool aged client, which interaction is MOST important for the nurse to observe?
With other children during play
Which pain scale would the nurse use when assessing a 4 year old?
Wong Baker
Which response would a nurse give to an older adult client who is brought to the hospital by a family member because of deep partial thickness burns on the arms and hands who protests being hospitalized and asks, "Why can't I just go home and have my spouse care for me?"
"You may heal more slowly because of your age, and you may need the special care and equipment available in the hospital."
Which school age client would the nurse assess for symptoms related to burnout?
10 year old
