EAQ CH 11/12/13
which activity would the nurse recognize as age appropriate for a 3 year old?
building a tower with 10 cubes
which recommendation would the nurse include when teaching a parent of a toddler about oral hygiene?
brush the teeth with plain water if the child does not like toothpaste
which condition is associated with prolonged bottle feeding?
early childhood caries
which type of maltreatment is appropriate when the child is told that they are not wanted and belittled?
emotional abuse
which recommendation would the nurse provide to the parent of a 5 year old to help develop muscle coordination?
encourage the child to swim
which action would the nurse take when a 2 year old child develops temper tantruns, including breath holding and occational fainting?
explain to the parent that this is not harmful
which nursing action is appropriate during an emergent case of poisoning in a child?
explore the circumstances of the injury with family
which description reflects the preschooler's development of body image?
fear of intrusive procedures
which recommendation would the nurse provide to the parent whose preschooler asked where did I come from?
find out what the child thinks
in which place in the birth order are feelings of sibling rivalry most pronounced?
firstborn
for which condition would the nurse assess when caring for a 2 year old whose parent reports little consumption of foods and high intake of milk and fruit juice?
iron deficiency anemia
what is the difference between nightmares and sleep terrors?
nightmares take place during REM sleep and followed up by full waking. Sleep terrors are partial arousal from very deep sleep
which education would the nurse provide to the parents of a toddler about bottle mouth caries?
offering a bottle of milk at naptime or bedtime predisposes the child to this syndrome
which type of play is characteristic of toddlers?
parallel
which education would the nurse provide to the parent of an 18-month old about proper restraint in motor vehicles?
place the car seat in the back seat of the car, rear facing.
what is it called when a toddler separates from mother and begins ti make sense of experiences?
rapprochment
which activity would the nurse expect a typically developing preschooler to easily perform?
riding a tricycle
which toddler condition is characterized by refusal to eat anything other than crackers, cheese and turkey?
ritualism (need to maintain sameness and reliability as comfort)
which description is characteristic of preoperational thought in toddlers?
believing that their thoughts are all powerful and caused the event occured.
which intervention would the nurse recommend to foster a toddler's achievement of autonomy?
encourage toddlers to do things for themselves when capable
which characterizes the development of a 2 year old child?
engaging in parallel play
which parental feeding practice would the nurse recognize as placing a 30 month old at risk?
feeding the child while the child is in active play
Which factor is the primary reason for universal screening of young children for lead poisoning?
children with lead poisoning rarely have symptoms
development of which task is considered the major psychosocial achievement in preschoolers?
conscience
which recommendation would the nurse provide the parent of a preschooler who watches 4 hours of television a day?
consider setting limits for screen time to encourage activity
which recommendation would the nurse provide to the parent of a child dealing with stress?
consistent monitoring
which response would the nurse recognize when a toddler begins using baby talk and is aggressive with other children after the birth of a sibling?
displacement
which type of maltreatment is when the child appears to have had plenty of food and has kept clean but not held or given attention
emotional neglect
which recommendation would the nurse provide to the parent of a 3 year old who is worried about the child having imaginary playmate?
it is normal and useful in children this age
which effect does mutual play have on preschoolers?
it provides kinesthetic experiences (also tactile experiences, positive interactions and increased language abilities).
which parental statement indicates to the nurse a need for additional education about injury prevention in early childhood?
out two year old takes a bath with his sister while we cook dinner.
which intervention is appropriate to assist children who delay going to bed?
parents should avoid taking children to bed. Parents should keep lights on in the room and provide a favorite toy for transition. parents should leave a drink of water.
which condition manifests as a decreased nutritional need and a diminished appetite during toddlerhood?
physiologic anorexia.
which recommendation would the nurse provide to the parent of a toddler regarding injury prevention?
remove unsecured and scatter rugs
At which age would the nurse expect a child to be able to skip on alternate feet, jump rope and swim?
5 years
which meal option would the nurse select for a toddler whose family follows a vegan diet?
half boiled broccoli with lentils
which profession is common among mothers who perpetrate MSBP?
home health aide
which recommendation would the nurse provide for a toddler with sleep problems
use transitional objects at bed time
which gross motor development milestone would the nurse expect to observe in a 15 months old?
walking alone using a wide stance
by which age would the nurse expect most children to use sentences four to five words?
4 years old
which blood lead level is considered acceptable
<5mcg/dL
which indicator is considered a warning sign of child abuse?
A delay in seeking medical care. Physical evidence of old injuries. Significant trauma found in child with a minor unrelated complaint. A reported mechanism of injury that is not possible at the child's stage of development.
which game is helpful in improving self expression in preschoolers?
Dramatic play. Imitative Play. Imaginative play.
which type of maltreatment is considered sexual?
Incest Pedophilla Molestation Exhibitionism Child Pornography
for which emotion would the nurse assess during the naive instrumental orientation stage of development?
Justice and fairness (4 to 7 years old)
which treatment would the nurse expect the health care provider to prescribe when caring for a toddler with acetaminophen overdose?
N-acetylcysteine
which response would the nurse have when caring for a toddler with a peanut allergy and lead poisoning who is prescribed British antilewisite?
Question the order
the nurse observes a toddler playing with other children then coming to the parent to be held, then returning to play. Which developmental task is this?
Rapprochment
which language skill would the nurse expect when assessing a 4 year old child?
Vocab of 1500, four to five words, tells exaggerated stories.
which is the term used to describe the attribution of lifelike qualities to inanimate objects?
animism
which recommendation would the nurse provide to the parent of a preschooler about sex education?
answer honestly one you understand what they know and think
which toddler behavior indicates negativism?
answering "no" to every parental request
which parental action promotes the dental health of a preschool child?
assisting with all brushing and flossing
which recommendation would the nurse provide to the parent of a two year old to prevent dental caries?
give the child aged cheese such as cheddar
which recommendation would the nurse provide to the parent of a toddler to help cope with the birth of a new sibling?
give the toddler a doll with which they can imitate the parent
which type of development is a 3 year old child demonstrating when riding a tricycle?
gross motor skills
which recommendation would the nurse provide to the parent of a toddler who started using a bottle instead of a cup?
ignore the behavior and praise appropriate behavior
which type of play is characteristic of preschoolers?
imaginative
which intervention would the nurse recommend to promote healthy sleep in preschool age children?
implement a consistent bedtime routine
development of which psychosocial task is associated with the preschool period?
initiative
which treatment mode requires further education when reviewing common poisoning in children?
iron and activated charcoal. Paint thinner and inducing emesis. Drain cleaner and activated charcoal.
which nursing action is categorized as a passive measure in terms of preventing the recurrence of poisoning at home?
limit the number of tablets in one container
which is a warning sign of physical abuse in children?
multiple fracture hisotry. Delay in seeking medical care. Inappropriate affect in relation to the child's injury. History incompatible with the pattern or degree of injury.
which syndrome is appropriate when a parent fabricates a child's medical history and symptoms and insists in tests being run on the child?
munchausen syndrome by proxy
which toddler characteristic entails the toddler frequently saying no
negativism
which form of child maltreatment is considered the most common?
neglect
which sleep problem would the nurse suspect if a preschooler is described as frequently shouting and thrashing during sleep
night terrors
Which health condition is associated with using food as a reward for good behavior in toddlers?
obesity
which cause is appropriate for describing a preschooler that has daytime tierdness and negative behavior
sleep disturbance
which sleep finding is consistent with a child waking up at night screaming, thrashing, sweating, being unaware
sleep terrors
which clinical finding would the nurse recognize as the result of possible child abuse when caring for a 2-year old child?
spiral fracture
which is the best way to prevent poisioning in preschoolers?
store poisonous substances in a locked cabinet
which recommendation would the nurse provide to the parent of a toddler about preventing poisioning?
store poisonous substances in a locked cabinet
which is the cause of temper tantrums in toddlers?
the child's desire for Independence?
which response would the nurse provide to the parent of an 18-month old child who asks whether hot dogs may be included in the child's diet?
yes but cut them small
which statement is appropriate regarding abusive head trauma (AHT)?
leads to intracranial bleeding
which is an expected developmental milestone for a 5 year old child?
describing drawings with a lot of detail
which recommendation would the nurse offer the parent of a toddler who is concerned about limited food variety and a strong preference fro plastic plates:
serve the child's favorite food on the favorite plate
which education would the nurse provide the parents of an infant with prolonged episodes of crying?
shaking the baby may lead to permanant head injury
which description reflects normal sexual development during the preschool years?
strong attachment to the opposite sex parent and identification with the same sex parent
which response would the nurse provide to the parent of a 5 year old who stutters when speaking but has normal hearing?
stuttering is common at this age and usually resolves during childhood
which education would the nurse provide to the parent of a toddler about the cause of tantrums?
tantrums result from a toddler's strong drive for mastery and autonomy
which recommendation would the nurse provide to the parent of a toddler who is worried that their child touches them-self in public?
teach them it is a private act, not public
which response would the nurse recommend when a 3 year old child hits their parent and laughs?
tell the child to stop hitting because hitting is not allowed
for which reason might a four year old child find hitting another child enjoyable?
the child is not punished
which statement about young children who report sexual abuse by a parent is accurate?
the child may exhibit various behavioral manifestations
which behavior would the nurse suspect is contributing to a toddler's malnourishment and dental caries?
the provision of 10 ounces of fruit juice per day
which statement characterizes the eating behaviors of toddlers?
they become fussy eaters
which purpose may imaginary friends play in the lives of preschoolers?
they serve as friends in times of loneliness
which response would the nurse provide to the parent of an 18 month old who has become a picky eater
this is normal behavior at this age; we will make sure your child is growing well
which response would the nurse provide to the parent of a preschooler who is concerned that they can not determine which shoe goes on each foot?
this is normal in preschoolers
which is the rationale for the nurse recommending that the parent of a 3 year old child sing, tell stories, talk when brushing teeth?
to prevent boredom
which is considered a major task of toddlerhood?
toilet training
which principle guides the treatment of a child who has ingested a poison?
treat the child first, not the poison
which toxic agent is an appropriate cause of dermatitis?
tulip bulb
which developmental task would the nurse expect a 24 month old to perform?
walking up and down the stairs
which parental statement indicates to the nurse the additional education is needed regarding accident prevention for a 2 year old?
we make sure we fasten the front seatbelt tightly
which method for administering a chelating agent to reduce pain in young patient is appropriate?
with procaine
What should the nurse recommend for a child who is experiencing violent hemoptysis, drooling, and agitation after ingesting a toilet cleaner?
call the poison control center
which developmental achievement is characteristic of the motor skills of a 24 month old?
runs well with a wide stance
which recommendation would the nurse provide the parent of a toddler to prevent a common type of accidental poisoning?
safely store all cleaning solutions
which is the earliest age by which children are aware of their gender?
18 months (24=vocab of 300, 30=imaginary friends, 36=ride tricycle).
At what age did more than 60% of plant exposures occur?
1-2, 4-5 and 6-7
which condition is associated with persistent strabismus (squint)?
amblyopia (lazy eye)
which heavy metal is appropriate when considering a commonly ingested toxic substance?
lead
which item would the nurse recognize as a potential source of lead?
lead based paint. vinyl mini blinds. battery casing.
which is the most frequent source of lead poisoning in children?
lead-based paint
which parental statement would the nurse recognize as indicating effective teaching about preschool nutrition?
we will include 13 to 19 g/day of protein
which prevention measure assists in decreasing exposure to lead?
wipe feet before entering home, wash toys and pacifiers, avoid folk remedies, ensure diet contains sufficient iron and calcium.
which recommendation would the nurse provide the parents of a 4 year old who reports that the child ingested an unknown amount of acetaminophen and vomited?
call the poison control center
Which gross motor skill is developmentally appropriate for an 18 month toddler?
jumps in place with both feet
