Growth and Development Nursing Health Promotion

The nurse explains the cause of extensive acne to a child who has recently reached puberty. Which statement would the nurse provide regarding the cause of the acne? A. influence of the highly active sebaceous glands in flush areas of the body B. poor hygiene C. Gonadotropin D. Androgen

A The pathogenesis of pubertal acne is linked with the hormonal influences on the skin and its appendages. The Flash areas of the body include the face and neck, shoulders, back, and chest. the glands in these areas become very active and secrete excessive sebum under the influence of hormones at the time of puberty

a nurse is providing teaching about age-appropriate activities to the guardian of a two-year-old child. Which of the following statements by the guardian indicate effective learning? A- I will send my child's favorite stuffed animal with them when napping away from home B- my child should be able to stand on one foot for it 1 second C- the soccer team my child will be playing on starts practicing next week D- I should expect my child to be able to draw circles

A provides a sense of security

The nurse is providing education about age-appropriate activities for caregivers of a six-year-old child. Which of the following activities should the nurse include? A - jump rope B - playing card games C - solving jigsaw puzzles D - joining competitive Sports

A recommended play for a 6 year old includes jump rope, hopscotch, bikes, joining ORGANIZED SPORTS

The nurse is listing the major developmental characteristics of hearing in infants. Which characteristics appear for the first time between the ages of 24 to 32 weeks? A-responding to their own name B-locating Sounds by turning head in a curve in arc C-locating Sounds by turning head to side, then looking up or down D-locate Inside by turning head to side and looking in the same direction E-localizing Sounds by turning head diagonally and directly towards sound

AB

Which activities would the nurse and courage for a preschool-age to client with chronic illness to enhance their socialization? SATA A. trips to the park B. daycare experiences C. play dates with friends D. Special Olympics participation E. club membership such as Scouts

ABC ctivities that are appropriate for the nurse to encourage for a preschool-age child diagnosed with chronic illness includes trips to the park, daycare experiences, and play dates with friends. Special Olympics participation and Club memberships are appropriate activities for school-age children, not preschool.

What considerations will the nurse make when administering prescriptions safely to Pediatric populations? A.medications can cause an unanticipated side effects B.dosing information for children is unreliable C.many medications have not been tested in children D. medication sensitivity in infants is the same as adults E. some medications may be ineffective in children

ABCE

The nurse is teaching a mother about the developmental behaviors of a 7 month old infant. Which statement by the mother indicates effective learning? A.I should call my child by name B. I should not change my child's diet C.I should start oral hygiene with my child D.I should not leave my child with an unfamiliar your relative E.I should encourage my child to pronounce n, k, g, p, and B sounds.

ACD A 7 month old infant can remember and respond to their name, the Opera Central teeth begin to erupt in 7 month old infants, there for the mother can buy a toothbrush with soft bristles to maintain oral hygiene. the 7 month old infant has a fear of strangers, so the mother should not leave the infant with new people. a 7 month old infant has taste preferences, so the mother can expose the child to different foods slowly.

What instructions will the nurse provide to parents of the toddler to prevent burns at home?

Placing cords out of reach Use protective guards on outlets Keep hot curling irons out of reach Keep pot handles turned towards the back of the stove Remove burner knobs entirely so toddlers cannot accidentally turn them on

A pair of a newborn states to the nurse "my baby is constantly crying and irritable. I just cannot take this much longer." Which information will the nurse discuss with the parent? A.Limit setting B.shaken baby syndrome C.developmental milestones D.sudden infant death syndrome

the parent is expressing frustration and verbalizes the inability to tolerate the crying. For the infant's safety, it is important to recognize the baby is at risk for shaken baby syndrome and education should be provided.

The nurse administers a second dose of inactivated polio vaccine to a 4-month old infant. When would the child receive the 3rd dose of IPV

IPV is given to children in 4 doses at 2 months, 4 months, 6 to 18 months, and 4 to 6 years of age

A nurse is providing teaching about expected changes during puberty to a group of Guardians of early adolescent girls. Which of the following statements by one of the Guardian indicates an understanding of the teaching? A - girls usually stop growing about two years after their first period B - Girls are expected to gain about 65 pounds during puberty C - girls experience menstruation prior to breast development D - girls typically grow more than 10 inches during puberty

A

A nurse is performing a developmental screening on a three-year-old child. Which of the following skills should the nurse expect the child to perform? A - right a tricycle B - hop on one foot C - jump rope D - throw a ball overhead

A B & D are four years C is 5 years

Which nursing action would be provided to a hospital an individual in the identity vs. role confusion stage? A. Provide the client with information about his or her treatment plan B. Choose creative way to promote social participation C. Involve the clients Partners or family members in the caring process D. Encourage the client to participate actively in the treatment plan

A During the identity vs. role confusion or puberty stage, the nurse would help hospitalized adolescents deal with illness by helping them make their own decisions about their treatment plans.

Which thought in an individual corresponds to the society maintaining orientation stage? A.I should avoid parties where alcohol is served B.I should follow the rules of the classroom or else the teacher will punish me C.I should follow all city state and federal laws D.I should complete my homework so that the teacher will reward me

A During the society maintaining orientation stage the individual thought is influenced by moral values and societal concerns.

Which stages will the nurse include under the first level of the theory of Kohlberg's moral development? A. instrumental relativist orientation B. punishment and obedience orientation C. The universal ethical principle

A Good boy nice girl orientation and Society maintaining orientation are in the conventional reasoning level. The universal ethical principle is during postconventional reasoning

The nurse is supportive of a child receiving long-term rehabilitation in the home rather than a healthcare facility. Why is living with the family so important to a child's emotional development? A. it is where the child's identity and roles are learned B. The child's development is supported C. It reflects the norms of a larger society D. it provides rewards and punishment

A Specialization, values, and role definition are learned within the family and help develop a sense of self. Once established in the family, the child can move more easily into society. Although important, providing rewards and Punishment, supporting the child's development, and reflecting the Norms of society are just one aspect of the family's influence and are not as important to Identity and role formation in relation to emotional development.

Mother complains that her three-year-old still performs thumb-sucking. which advice would the nurse offer? SATA A. try to engage child in more play activities B. identify If the child is experiencing stress C. Consultant pediatrician immediately because this habit can be harmful to your child D. do not worry because this is a normal habit that will go away over time

A, B The nurse would suggest that the mother engage the child more play activities because playing can help the child release his or her frustration. In a preschooler thumb-sucking may be a sign of stress and the mother should try to identify any sources of stress. The pediatrician should be consulted only if thumb-sucking occurs past the preschool age. thumb sucking in preschool or it's not a normal habit although it is a normal coping mechanism for many children

The nurse is teaching growth and development activities to the parents of a three-month-old infant. Which statements would the nurse include in the teaching plan? A. your child should be able to coo, Babble, and chuckle B. your child should be able to pull up blankets or clothes C. your child's had can come up to a 45 to 90 degree angle from the table D. Your child should be able to show the grasp reflex E. your child should be able to put the feet into the mouth when supine

A, B, C cooing, babbling, and chuckling in a 3 month old infant indicate normal development. a three-month-old infant can pull up blankets or clothes and can raise his or her head to a 45 to 90 degree angle from the table. the grasp reflex generally disappears by the age of 3 months. A 3 month old infant may not be able to put his or her feet in the mouth when lying on their back which is generally achieved by 5 months old.

A nurse is performing a developmental screening on a 10 month old infant. Which of the following are fine motor skills the nurse would expect? A. grasps a rattle B. tries to build a two block tower C. uses a crude pincer grasp D. places objects in a container E.. walks with one hand held

A, C

Which safety information would the nurse provide to the parents of an infant who has begun to crawl and walk? SATA A. Offer safe alternatives B. Discourage exploration C. Use time out punishment D. Put medications out of reach E. Provide consistent forms of discipline

A, D, E The nurse will instruct parents to offer safe Alternatives, lockup dangerous household items such as medications and chemicals, and provide consistent discipline. parents should not discourage exploration or give timeouts as punishment for toddlers

A nurse is providing anticipatory guidance to the caregivers of a toddler. which of the following should the nurse include? select all that apply A- develop food habits that will prevent dental caries B- expression of bedtime fears is common C- meeting caloric needs results in increased appetite D- expected behaviors with negativism and ritualism are associated E- annual screenings for phenylketonuria are important

A,B, D

Which are General growth parameters for an adolescent client for a regular Health maintenance visit? A. Height B. Weight C. Body mass D. Head circumference E. Blood pressure

A,B,C Head circumference is assessed until the age of 36 months. Blood pressure is a vital sign not a parameter for G&D

A nurse is conducting a well-child visit of a five-year-old child. Which of the following immunizations should the nurse plan to administer to the child? A - DTaP B - IPV C - MMR D - PCV E - Hib

A,B,C PCV is given during the first 15 months, Hib is given during the first 15 months

Which toddler Behavior with the nurse identify as normal during the presentation to parents about pre-operational thought? SATA A. call self " me" B. thinks himself first B. uses magical thinking C. speak then 2 to 3 word sentences D. understands object permanence

A,B,C,D,E Toddlers refer to themselves by using pronouns and two to three word phrases such as "me go bye bye". They're very egocentric and think of themselves first. They use magical thinking and believe that what they think can happen.

The nurse is providing anticipatory guidance to the caregiver of a 13 year olds adolescent. Which of the following screenings should the nurse recommend for the Adolescent? A - body mass index B - weight C - blood lead level D - scoliosis E - 24-hour dietary recall

A,B,D

According to Piaget, which data would The nurse expect from a school-age child during the assessment? A. classifying objects B. understanding reversibility C. having theoretical thoughts D. describing a process without actually doing it E. believe in personal actions are constantly being scrutinized

A,B,D Classifying objects, understanding reversibility, and describing a process without actually doing it our date of the nurse would expect from a school-age child according to Piaget's cognitive developmental Theory. having theoretical thoughts and believe in personal actions are constantly being scrutinized are not expected for the school-age child

A nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 11 to 12 year olds. Which of the following immunizations should the nurse administer? A - trivalent inactivated influenza vaccine B - PCV C - MCV4 D - DTaP E - Rotavirus

A,C,D

Which nursing action would be provided to an individual in the intimacy versus isolation stage? A. choosing creative ways to promote social participation B. providing information to a client about his or her treatment plan C. involving a client's Partners or family members in the caring process D. encouraging the client participate actively in the treatment procedure

C A client in the intimacy versus isolation stage being admitted to the hospital, the nurse would want to include the partners our family members in the caring process because young adults benefit from the support of their Partners or significant others.

Rank the causes of death among adolescents from highest to lowest Homicide Substance abuse Suicide Accidents

Accidents Homicide Suicide substance abuse

Nurse is preparing to conduct a growth and development assessment for an infant. In which order should the nurse perform the assessment process? palpation, auscultation eliciting the moro reflex, inspect the mouth

Auscultation, palpation, inspect the mouth, elicit the moro reflex - always last

A nurse is caring for adolescents whose Guardian Express his concerns about the child sleeping long hours. Which of the following conditions should the nursing from the guardian require additional sleep during adolescence? A - sleep terrors B - rapid growth C - elevated zinc levels D - slowed metabolism

B

A nurse is providing education to the parent of a 4 month old infant. Which food would the nurse recommend that the caregiver introduce first? A. strained yellow vegetables B. Iron fortified cereals C. Pureed fruits D. whole milk

B

Which assessment will the nurse Perform for a neonate who is born at 42 weeks gestation by spontaneous vaginal delivery weighing 9 lb A-assess for facial paralysis B-assess for clavicle fracture C-assess for ophthalmia neonatorum D-assess for erythema toxicum neonatorum

B Birth at a post term gestational age via vaginal delivery with a birth weight of more than 8.5 lb are risk factors associated with a clavicle fracture from labor. Neonates with a fractured clavicle show asymmetric Moro reflex and focus swelling and tenderness.

A 1 month old infant is exclusively breastfed. The parent asks the nurse if fluoride supplementation is required. How will the nurse respond? A. fluoride supplementation is only needed in hot climates B. fluoride supplementation may result in Dental fluorosis C. there is no need to get fluoride If the child appears fine D. the child may need fluoride supplementation after 3 months of age

B Fluoride supplementation before 6 months of age may result in Dental fluorosis.

A nurse is providing education about dental care and teething for the parents of a 9 month old infant. Which of the following statements by the parent indicate an understanding of the teaching? A. I can give my baby a warm teething ring to relieve discomfort B. I should clean my babys teeth with a cool, wet washcloth C. I can give advil for up to 5 days while my baby is teething D. I should place diluted juice in the child's bottle while falling asleep

B advil should not be used for more than 3 days, juice bottles when falling asleep lead to dental caries

A nurse is assessing a two-and-a-half-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A- height increase 7.5 cm (3in) in the past year B- head circumference exceeds chest circumference C- anterior and posterior fontanelle has are closed D- current weight equals about four times the birth weight

B chest and head circumference should be equal

A nurse is preparing an education program for a group of caregivers for preschool-aged children about promoting Optimum Nutrition. which of the following information should the nurse include in the teaching? A - saturated fats should be equal to 20% of total calorie intake B - average calorie intake should be 1800 calories per day C - daily intake of fruits and vegetables should total 2 servings D - healthy diets include a total of 8 g of protein each day

B saturated fats should be less than 10%, 5 servings of fruits and vegetables, healthy protein intake is 13-19g

The nurse documents that a child is not physically ready for toilet training. which assessment supports the nurses conclusion? A. the child what's 2 diapers per day B. the child stays dry for one hour during the day C. the child behaves impatiently with soiled diapers D. the child sits on the toilet for 6 minutes without fussing

B the child develops voluntary control of the anal and urethral sphincter by the age of 22 to 30 months and this allows the child to remain dry for at least 2 hours. if the child is unable to remain dry for 2 hours that is indicative of a lack of physical readiness. If the child becomes impatient with soiled diapers and has a desire to change the diaper immediately, it indicates psychological Readiness for toilet training also if the child can sit on the toilet for 5 to 8 minutes without fussing that is also an indication of psychological readiness

Nurse is performing a developmental screening on an 18 month old. which of the following skills should the toddler be able to perform? select all that apply A- build a tower with 6 blocks B- throw ball overhand C- walk up and down stairs D- stand on one foot for a few seconds E- use a spoon without rotation

B E

The nurse is teaching a 24 month old parent how to brush a toddler's teeth which instructions will she include? SATA A. holding a child's mouth open widely B. using one hand to hold the child's chin in the other to brush the teeth C. sitting on a couch or bed with a child's head resting in the parents lap D. sitting on the floor on a stool with the child's head resting between the parents thighs E. making a child stand facing toward the parent while brushing the teeth in the bathroom

B, C, D the parent can sit on a couch or a bed with a child's head resting in the parents lap to provide comfort while brushing the child's teeth. The parent can use one hand to cup the chin and the other to brush the teeth to help with easy and effective cleaning. The parent may sit on the floor or on a stool with the child's head resting in between the parent's thighs to stabilize the child's head and provide comfort. The parents should not open the child's mouth because this may cause discomfort. The parents should make the child stand with his or her back towards him so that both the child and the parent can see what is being done in the mirror.

A nurse is conducting a well baby visit with a 4 month infant. Which of the following immunizations would the nurse plan to administer? A. MMR B. IPV C. PCV D. Varicella E. Rotavirus

B, C, E MMR and varicella vaccines are not administered until 12 months

A nurse is teaching a course about safety for school-age children. Which of the following information should the nurse include in the course? A - gating stairs at the top and bottom B - wearing helmets when riding bikes or skateboarding C - riding safely in bed of pickup trucks D - implementing firearm safety E - wearing seat belts

B,D,E

Education would the nurse provide to the mother of an exclusively breastfed infant about recommendations for offering solid foods gray 5 to 6 months of age? A.solid foods help control weight B.Fetal iron reserves are depleted C.food can be taken from a spoon D.bone marrow activity has diminished E.breast milk lacks nutrients after 5 months

BC Iron reserves are depleted by the 5th to 6th month, exclusively breastfed infants require exogenesis iron because breast milk contains little iron.

Which sources of stress would be found in a 9 year old client? A.Stature B.Fairplay C.Propriety D.Rebelliousness

BCD stature becomes a source of stress for a school-age child who is 10 to 12

Which are major reasons the Pediatric population is more sensitive to medications in comparison to adults? A. age B. protein binding C. blood-brain barrier D. hepatic medication metabolism E. renal medication excretion

BCDE In the Pediatric population, medications do not readily bind to protein. This increases blood concentration of the medication, which potentiates the medication action. because the blood-brain barrier is not fully developed in infants, these clients would be more sensitive to medications than adults. The metabolizing capacity of the liver and excretion capacity of the kidney are very low and children which all increase medication sensitivity in the pediatric population. Age does not affect the pediatrics sensitivity

A nurse is discussing prepubescent and preadolescence with a group of guardiansVoice children. Which of the following information should the nurse include in the discussion? A- initials physiological changes appear during the early childhood B - changes in height and weight of occurs slowly during this PERIOD C - Growth differences between boys and girls becomes evident D - sexual maturation becomes highly visible in boys

C

a nurse is caring for a preschool-age child who expresses the need to leave because their doll is scared to be home alone. which of the following characteristics of pre-operational thought is the child exhibiting? A - egocentrism B - centration C - animism D - magical thinking

C

Which potential source of stress for a 12 year old client would the nurse plan to include in a teaching session during a health maintenance visit? A having a fear of getting lost B resenting parental Authority C being tempted to drink alcohol D select scene friends as the same sex

C A source of stress for many school-age children between the ages of 10 and 12 is the temptation to experiment with drugs and alcohol, therefore, this is an important topic to include in the teaching session with the client and his or her parents. Having a fear of getting lost is a source of stress for a six-year-old, resenting parental authority is common source of stress for an 8 years old school age client, selecting and friends of the opposite, NOT SAME, is a source of stress for school age children who are 10 to 12 in age.

A nurse is teaching a class about puberty in boys. which of the following should the nurse include as the first manifestation of sexual maturation? A - pubic hair growth B - vocal changes C - testicular enlargement D - facial hair growth

C Correct order is C, A, penile enlargement, growth of axillary hair, D, A

A worried mother reports that her teenage child only wears unusual clothes and makeup and refuses to wear the clothes that mother buys. which would the nurse suspect is the cause for this Behavior? a. the child is establishing self image in relation to others b. the child is establishing gender-role identification with the mother c. the child is displaying group identity to develop a personal identity d. the child is identifying himself or herself as a separate entity from the mother

C The child is seeking to establish a group identity by dressing and wearing makeup in a way that confirms this identity to other members of the group. The Child establishes a self image in relation to others during the later part of childhood. in early childhood the child attempts to establish General identification with same-sex parent. during infancy the child identifies himself or herself as a separate entity from the mother.

Which thought is common in an individual during the social contract orientation stage? A. I should avoid parties where alcohol is being served B. I should follow rules or else the teacher will punish me C. I should work to change a law to better Society D. I should complete my homework so that the teacher will reward me

C When an individual thinks of changing a law according to his or her own personal view, this corresponds to the social contract orientation stage. people at the stage sometimes disobey rules if they believe that these rules are unfair or harmful to society.

A nurse is assess a 12 month old infant during a well child visit. Which of the following findings would the nurse report to the provider? A. closed anterior fontanel B. eruption of 6 teeth C. birth weight has doubled D. birth length increased by 50%

C by the age of 12 months, the babys birth weight should have tripled

Which descriptions of play are developmentally normal in preschoolers? A.preschoolers hinder the play of other children B.preschoolers follow set rules while playing C.preschoolers engage in pretend play D.preschoolers get engaged in associative play E. preschoolers need a temporary leader to play

CDE Preschoolers enjoy pretend to play, or imaginative, make-believe play that allows them to develop social, emotional, language, and thinking skills. preschoolers shift from parallel to associative play which helps them learn to understand others and become more creative.

While assessing the development of a child, the nurse finds that the child is imitating the actions of her elders. which stage would the nurse expect to document that the child is in? A-initiative versus guilt B-industry vs. inferiority C-identity vs. role confusion D-Autonomy vs Shame and doubt

D A child in the Autonomy vs Shame and doubt stage will have control over his or her body and environment. The child startS imitating others in an attempt to learn to do things for him or herself.

Which question would the nurse ask the parent of a seven-month-old infant to assess fine motor skill development? A. is your baby showing hand preference B. is your baby able to pick up small objects C. is your baby use the pincer grasp when eating D. does your baby transfer a rattle from one hand to the other

D An expected fine motor skill for an infant between the ages of six and eight months is to transfer a toy from one hand to the other. the other fine motor skills such as hand preference picking up small objects and using a pincer grasp when eating are fine motor skills assessment tween the ages of 8 to 10 months

Nurse is providing teaching to the guardian of a preschool-age child about methods to promote sleep. Which of the following statements made by the parent indicates an understanding of the teaching? A - I will sleep in the bed with my child if she wakes up during the night B - I will let my child stay up an additional 2 hours on weekends night C - I will let my child watch television for 30 minutes just before bedtime each night D - I will keep a dim lamp on in my child's room during the night

D leaving a light on in the child room will help promote sleep by decreasing fears of the dark

What is the correct order for female sexual maturation? breast development, axillary hair, menstruation, pubic hair growth

breast maturation, pubic hair, axillary hair, menstruation

How will the nurse interpret a stool sample provided for an infant that is golden color?

the infant is breastfeeding.

Why would a 6 month old infant have a disproportionate head to chest ratio?

the infant is most likely experiencing abnormal head growth

What is the normal birth weight for a newborn

the newborn range for weight is between 2700 to 4000 G