Jersey Peds Exam 1/Midterm
The nurse is talking with the parents of an 8-year-old child who has been cheating at school. Which comment by the nurse would be appropriate as a first step?
Be sure the adults in the child's life, including you, as parents, demonstrate positive behavior
The father of a preschool boy reports concerns about the short stature of his son. The nurse reviews the child's history and notes the child is 4 years old and is presently 41 in (104 cm) tall and has grown 2.5 in (6.35 cm) in the past year. Which response by the nurse is most appropriate?
Both your son's height and rate of growth are within normal limits for his age
The nurse is conducting a well-child examination of a 4-year-old and is assessing the child's height. By how much should the nurse expect the child's height to have increased since last year's examination?
2.5 to 3 inches (6.35 to 7.62 cm)
A parent tells the nurse that the 6-year-old child has been biting his fingernails since beginning first grade. After analysis, the cause is determined to be increased stress. What advice would the nurse give the parent regarding this behavior?
Allow some time every day for the child to talk about new experiences
If the child is gaining weight at an expected rate, a child who weighs 36 lb (16.3 kg) at 3 years of age would weigh what amount at age 5?
44 to 46 lb (20 to 21 kg)
A nurse is caring for a hospitalized 7-year-old child whose family members have been unable to visit for 2 days. The nurse is preparing a diversional activity for the child. Which activity would best be suited for a child in this age group?
A paint-by-numbers activity creating a picture
The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory?
A sense of competence, mastery, and worth
The parents of a 30-month-old toddler have brought the toddler into the emergency department because of a seizure. During the health history, the nurse learns that the toddler was frustrated and angry immediately preceding the seizure. The nurse suspects the toddler had a breath-holding spell. Which parental report suggests breath-holding?
A tantrum preceded the event.
Which is the best way for parents to aid a toddler in achieving the developmental task?
Allow the toddler to make simple decisions
Parents of an 8-year-old client report the child struggles with the chore of cleaning their bedroom. What advice will the nurse give to assist with this challenge for a child at this stage of development?
Break the chore into smaller tasks that the child can accomplish more easily
A newborn requires skin care that includes bathing. Besides hygiene, what is another reason for bathing the newborn?
Bathing is a time for bonding with the parents
The nurse is assessing a toddler's fine motor skills. Which finding by the nurse could be a safety concern?
Ability to turn door knobs
A nurse is preparing a presentation for a health fair discussing various aspects of preschoolers. Which example should the nurse use to best illustrate dramatic play?
Acting out a troubling or stressful situation
The nurse is teaching the mother of a 5-month-old boy who is concerned about thumb sucking. What should be included in the teaching plan?
Advising the mother this behavior is a form of self-comfort, Assuring the mother this behavior won't cause malocclusion, Informing the mother that thumb sucking occurs more often during periods of stress, Telling the mother this behavior usually decreases by 6 to 9 months of age
What is the correct amount of wet diapers a mature infant should produce each day?
An infant should have 6 to 8 wet diapers/day
A parent calls the health care provider about the 7-year-old child's dental hygiene. The child has had three cavities. The parent does not know what to do and asks the nurse for guidance. How should the nurse respond?
Are you able to supervise your child's brushing?
While treating a minor playground injury for an 8-year-old girl, the school nurse discovers that the injury was the result of bullying. What should be the nurse's first action?
Assess the situation with the help of the school staff and parents
A 3-year-old child is seen at the clinic for a checkup. When collecting information, the child's parent reports concern about the child's stools because sometimes the child passes what appears to be undigested food. What response by the nurse is appropriate?
At this age, the digestive tract is not completely mature and children may pass undigested food
When performing neurological reflexes on the infant, which primitive reflex will be present longest?
Babinski
The nurse is providing client education to the parent about bathing the infant. What would be important to instruct the parent?
Bath time provides an opportunity for play
After the nurse provides education to new parents about appropriate sleeping habits for infants, which statement by a parent would indicate to the nurse that teaching needs to reoccur?
My husband gave the baby a special bear that I will place in the crib
During a well-child visit, the caregiver expresses concern that the 3-year-old child often stutters when speaking. Which response should the nurse prioritize to best assist this family?
Children of this age may stutter while they search for just the right word
The mother of a 6-year-old is asking the nurse how to handle the child's lying and fabricated stories when confronted with questionable actions. Which response would be most appropriate by the nurse?
Children this age sometimes can't distinguish between fantasy and reality
A nurse is assigned to care for a 7-year-old child. The child wants to show the nurse a collection of baseball cards. The nurse understands that the collection of objects is common in this age group and is known as what type of thinking?
Classification
The nurse is teaching parents of an 11-year-old child how to deal with the issue of peer pressure regarding the use of tobacco and alcohol. Which suggestion by the nurse provides the best course of action for the parents?
Discuss tobacco and alcohol use and effects with the child
A nurse is teaching a group of parents of preschoolers about safety. Which information would the nurse include?
Do not refer to medicines as candy, Do not allow your child to approach strange dogs, Have your child hold hands with a grown-up in parking lots, Role-model bicycle safety by wearing a helmet too
The parent of a 12-year-old child reports the child does not have high self-esteem. The parent asks for suggestions to increase feelings of self-worth. What activity(ies) would be appropriate for the nurse to suggest?
Encourage the child to develop new skills, Recommend the child begin to participate in after-school activities, Recommend the child investigate opportunities for volunteering at local charities
The nurse is providing health-promotion teaching to a group of parents of 4-year-old children at a local day care. What information will the nurse include in this education session?
Encourage your preschool-aged child to brush their teeth twice a day with a pea-sized amount of toothpaste, Ensure your preschool-aged child knows their address and phone number, Encourage unstructured physical activity every day for your preschool-age child.
A 13-month-old child is brought to the clinic for a well-child visit. The child's parent expresses concern that the child has not started to walk yet. What is the best action should the nurse take?
Explain that children can take their first steps as late as 18 months of age
The nurse is assessing 2-year-old twins. The parent states, "My twins will not play together, only alongside each other." Which action will the nurse take first?
Explain that this is normal behavior for toddlers
The nurse is providing a nutrition workshop for the parents of infants. The nurse understands that further instruction is required when hearing which comments from the parents?
Food is so expensive. I can't afford for my child to leave any food on the plate, I have tried at least 10 times with every green vegetable and I can't get my son to like them, I let my child eat whatever he wants right now so that we don't argue about food. Hopefully he will like healthy foods when he grows up
The nurse is teaching a group of school-aged children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching?
Girls typically experience a rapid growth spurt before boys
The nurse finds the diet of a 30-month-old girl to be low in calcium. What suggestion can significantly increase this toddler's calcium intake?
Give her slices of cheddar cheese as a snack
The nurse is discussing sensory development with the mother of a 2-year-old boy. Which parental comment suggests the child may have a sensory problem?
He doesn't respond if I wave to him
An 8-year-old male child is being seen for a well-child visit. His weight at his visit last year was 50 lb (22.7 kg) and his height was 47 in (119 cm). If he is developing normally, which finding will the nurse expect to note this year?
Height 49.5 in (124 cm)
The nurse has completed an examination of a 32-month-old girl with normal gross and fine motor skills. Which observation would suggest the child is experiencing a problem with language development?
Her vocabulary is between 10 and 15 words
The school nurse asks a group of school-age children about pedestrian safety. Which comments by the children should the nurse address with either the child or parents of the child?
I am 6 years old and I walk my younger brother to the park that is 5 blocks from our house, My friends and I like to walk on the side of the road because our sidewalk is very uneven, I think it is funny to hide behind my dad's car before he leaves for work and scare him
What statement by the mother of a 20-month-old indicates a need for further teaching about nutrition?
I give my daughter juice at breakfast and when she is thirsty during the day
A nurse is describing growth and development during the preschool period. What would the nurse identify as a predominant and heightened characteristic for this age group?
Imagination
Which action is appropriate to enhance a toddler's self-esteem?
Include the child in activities that interest the adult
The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula?
Iron
The nurse is taking a health history for a 12-year-old boy who is seriously overweight. Which general question would the nurse direct to the child's parents?
Is there a family history of hypertension, heart disease, or diabetes?
The mother of an 18-month-old girl voices concerns about her child's social skills. She reports that the child does not play well with others and seems to ignore other children who are playing at the same time. What response by the nurse is indicated?
It is normal for children to engage in play alongside other children at this age
A client who is breastfeeding asks the nurse if she can give the newborn a pacifier. Which nursing response is most appropriate?
It is recommended to wait until breastfeeding is well-established before introducing a pacifier
In working with the toddler, which statement would be most appropriate to say to the toddler to decrease the behavior known as negativism?
It is time for lunch. I am going to put your bib on
A father tells the nurse that his son has been asking questions about his genitals. The father states that he is unsure how to answer the questions of a 4-year-old. How should the nurse respond?
It's best to answer his questions using accurate anatomical names and keep your answers simple
A nursing instructor is leading a class discussion exploring the various aspects of Erikson's theories of the developmental tasks of toddlers. The instructor determines the session is successful when the students correctly choose which task as a priority for toddlers?
Learning to act on one's own
During a well-child visit, the nurse observes the child saying "no" to her mother quite frequently. The mother asks the nurse, "How do I deal with her saying no all the time?" What would be appropriate for the nurse to suggest?
Limit the number of questions you ask of her, Make a statement instead of asking a question, Offer her two options from which to choose
The nurse is educating a parent regarding child safety for the 14-month-old toddler. What would the nurse include in the educational plan?
Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach
A mother states that her 6-year-old has starting biting nails and regressing to baby talk since beginning school. What instructions are best for the nurse to give the mother regarding this behavior?
Make time each day to spend with the child individually
The mother of a 4-year-old child is concerned that she caught him masturbating in the bath tub. Which is the most appropriate response by the nurse?
Masturbation is a normal part of preschool development
The student nurse is reviewing the records of a pediatric client. Which statement about the client's progress indicates the need for further instruction?
Maturation refers to the child's increases in body size
The parent of a 3-month-old infant is concerned because the infant does not yet sit by oneself. Which statement best reflects average sitting ability?
Most infants do not sit steadily until 8 months; this infant is normal
A school nurse has completed an educational program for parents of preschool children. Which statement by a participant indicates a need for further education?
My 5-year-old son still needs me to dress and undress him
The nurse is discussing nutritional issues and concerns with the caregivers of preschoolers. Which statement made by a caregiver best indicates a common aspect of the diet and nutrition of the preschool child?
My child is so picky and eats the same thing every day for days on end
The nurse is teaching a group of caregivers of school-age children about the importance of setting a consistent bedtime for the school-age child. Which statement made by a caregiver indicates an understanding of the sleep patterns and needs of the school-age child?
My child sleeps between 11 and 12 hours a night
A nurse in a pediatrician's office is educating a parent of a 2-month-old infant about developmental milestones. The parent requires further education when the parent states
My infant should be able to sit on their own by 3 months, I will be able to play games like peek-a-boo with my infant when they are 4 months old, and At 6 months, my baby should be able to feed themselves
During the toddler years, the child attempts to become autonomous. Which statement by a 3-year-old toddler's caregiver indicates that the toddler is developing autonomy?
My toddler uses the potty chair and is dry all day long
The nursing instructor is leading a discussion on school-aged children. The instructor determines the session is successful when the students correctly choose which factor as being a priority for the school-aged child?
Needs 10 to 12 hours of sleep per night
The parents of a 10-year-old tell the clinic nurse that they are concerned because they noticed that their child has gained about 10 pounds over the past 2 years. What is the best response by the nurse?
Normal growth and development for this age results in an average weight gain of 7 pounds per year
The nurse is providing teaching about good nondairy sources of calcium for preschoolers. Which of these fruits contains the most calcium?
Orange
A nurse is caring for a hospitalized 10-year-old child. What would be an appropriate activity for this child to meet the developmental tasks of this age group?
Participating in a craft project
A nurse realizes safety teaching has been successful when the parents identify which action to help prevent the leading cause of death in preschoolers?
Placing the child in an approved car seat
The nurse is preparing a presentation for a health fair which will illustrate various ways to help introduce siblings to a new member of the family. Which suggestion should the nurse prioritize to help older siblings, especially toddlers, understand the change in the family dynamics?
Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.
During a health history assessment, the mother of a 10-year-old girl tells you that her daughter does not have time to "play" because she is busy going to gymnastics, cheerleading, art class, flute lessons, reading club, and soccer. What should the nurse's response be?
Play helps children to develop cognitively, socially, physically, and emotionally
The nurse is presenting an in-service on the types of playing that children may engage in. The nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play?
Playing in an organized group with each other
The nurse is supervising a play group of children on the unit. The nurse expects the toddlers will most likely be involved in which activity?
Playing with the plastic vacuum cleaner and pushing it around the room
Nursing students are reviewing information about the cognitive development of preschoolers. The students demonstrate understanding of the information when they identify that a 3-year-old is in what stage as identified by Piaget?
Preoperational thought
Which activity will the nurse encourage new parents to complete in order to assist their infant in accomplishing Erikson's developmental task for the first year of life?
Respond promptly when the infant cries
A nurse is educating a client being discharged with her newborn baby. What is the highest priority item that must be included in the teaching plan?
Restrain the baby in a car seat.
The nurse is caring for a preschool-age child in the hospital with severe developmental delays. The parents have three other younger children at home and both parents work full-time outside the home. The family has just moved to this area. Which nursing diagnosis would be the highest priority in regard to the parents at this time?
Risk for caregiver role strain
The nurse is preparing a care plan for a 7-year-old child on the pediatric unit newly diagnosed with asthma. One of the child's parents is employed as a family practice physician and the other as a lawyer. The child has two older siblings and two younger siblings. Which nursing diagnoses would apply to this situation?
Risk for caregiver role strain, Risk for infection, Knowledge deficit regarding disease process, Knowledge deficit regarding use of inhaler medication for asthma
A stay-at-home father wants to purchase commercial toddler meals because his 16-month-old girl recently choked on table food. Which food items will the nurse suggest not be given to this child?
Round foods such as hot dogs, whole grapes, and cherry tomatoes, Hard foods such as nuts, raw carrots, and popcorn, Sticky foods like peanut butter alone, gummy candies, and marshmallows
The nurse is talking with a school-aged child about her interests. In which interest do most school-aged children place the most focus?
School
The nurse has taken a health history and performed a physical exam for a 12-year-old boy. Which finding is the most likely?
The child has a leaner body mass than a girl at this age
A 5-month-old infant being assessed was born at 32 weeks. The nurse doing the well-child check-up should compare the baby to what norms?
the development of a 3-month-old
Development
Sequential process by which infants and children gain various functions and skills
The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family?
Set a good example. Wear your own seat belt every time you drive
The nurse is providing teaching to the mother of a 4-year-old girl about bike safety. Which statement by the mother indicates a need for further teaching?
She can ride on the street if I am riding with her
The nurse is presenting nutritional information at a community health fair. Which suggestion should the nurse prioritize when illustrating proper nutrition for preschoolers?
Snacks throughout the day help the child meet nutritional requirements
The nurse has completed an education program on normal communication abilities in the preschool-age child. Which statement by a participant indicates a need for further education?
Stating their name and address is too hard for my 5-year-old child; it will be another year before they can do that
The nurse is caring for several clients on the pediatric unit. When interacting with the preschool-age child, which action does the nurse predict will occur?
Takes in new information at a rapid rate and asks "why" and "how"
During a wellness care visit, the parents of a 2-year-old toddler report that they are struggling to deal with their toddler's daily and increasing number of tantrums. What information should be provided to the parents?
Tantrums are a common occurrence for a toddler of this age, Maintaining a consistent daily routine can help to reduce tantrums, Ignoring the behavior is often helpful in reducing the duration of the tantrum.
The 18-month-old toddler has most likely attained which gross motor skill?
The ability to walk independently
Which gross motor skill would the 4-year-old child have most recently attained?
The child can hop on one foot
The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child?
The child demonstrates separation anxiety
Parents of an 11-year-old child are bewildered that their child was caught stealing. The nurse best supports the parent by explaining which?
The child had a strong desire to have the item with little other way of obtaining it
At the 6-month-old well-child visit, the parent is concerned that the child is unsteady and often falls over when sitting. What will the nurse advise the parent about this?
The child's stability will progress to independent sitting over the upcoming months
The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene?
The family's medications are located in a kitchen drawer.
The nurse is providing education to a parent about their 20-month-old child's growth. The parent states that their child seems to have such a big head. What information should the nurse include in the response?
The heads of children at this age are large in proportion to the rest of their body
The nurse is completing a developmental assessment on a 6-month-old infant. Which findings indicate the need for additional follow-up?
The infant does not pay attention to noises behind him, The infant has frequent episodes of crossed eyes, The infant seems disinterested in the surrounding environment
Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone?
be able to turn over onto the back
The nurse in a community clinic is assessing a 2-month-old infant. The parent asks if the infant is developing normally. The nurse refers to which finding as suggestive of normal development in infants from birth to 2 months of age?
The infant raises head and chest while on stomach
The nurse is performing an assessment on a 8-month-old infant. The infant's medical history notes that he was born at 32 weeks' gestation. The infant is progressing normally. At what adjusted age should the nurse expect the infant's developmental accomplishments?
The infant will most likely present with developmental skills consistent with a 6-month-old infant
A parent asks the nurse what symptoms to expect with normal teething in the infant. How should the nurse respond?
The infant's gumline will be tender
The nurse is assessing a 2-year-old boy during a well-child visit. The nurse correctly identifies the child's current stage of Erikson's growth and development as:
autonomy versus shame and doubt
The parent of a 1-month-old infant voices concern about the infant's respirations. The parent states the respirations are rapid and irregular. Which information should the nurse provide?
The respirations of a 1-month-old infant are normally irregular and periodically pause
The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson?
autonomy versus shame and doubt
The parents of a 12-year-old girl report their daughter is missing an increasing amount of school. They further share that the child says she feels ill and begs to stay home. What action by the parents will be most therapeutic?
The parents need to attempt to determine why the child is avoiding school
The nurse is conducting a health screening for a 3-year-old boy as required by his new preschool. Which statement by the parents warrants further discussion and intervention?
The school is quite structured and advocates corporal punishment
During an annual visit of a 6-year-old boy, the nurse observes dental caries on two of the child's primary teeth. Which response by the parents suggests more education is needed regarding the importance of primary teeth?
These are only his baby teeth so we are not worried
The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes repeatedly during the night. Which parent comment might reveal a cause for the night waking?
They put her to bed when she falls asleep
The parent of a 20-month-old toddler reports the toddler has been becoming distraught when the parent leaves. The parent asks the nurse for advice about what is going on and how to best manage it. What information can be provided?
This is a normal happening for a toddler of this age, As your toddler begins to learn that you will return, they will become less upset, Establishing a routine for saying goodbye to your toddler will be helpful
A parent is concerned because the toddler refuses to share. What is the nurse's best response to the parent regarding this concern?
This is normal toddler behavior; sharing is learned later
A nurse is developing a teaching plan for parents of preschoolers about how to address the issue of strangers and safety. Which would the nurse expect to include in the teaching?
Urge children never to talk to or accept a ride from a stranger, Encourage children to tell you or another trusted adult if someone asks them to keep a secret about anything uncomfortable, Urge your children to report others who are bullying, Teach your children to say "no" to anyone whose touching makes them feel uncomfortable
A nurse is assessing a 2-year-old's language development. What would the nurse expect to assess?
Use of a two-word noun-verb sentence
A new mother reports that she is exhausted and that the little sleep she gets is determined by her baby. Which suggestion should the nurse prioritize to help the mother establish healthy sleeping patterns in her infant?
Use the crib for sleeping only, not for play activities
A nurse instructor is educating the parents about activities preschoolers can successfully perform independently. Which activities would the nurse include?
Washing hands, Brushing teeth, Dressing self, Playing active games
The nurse is teaching the parents of a 2-year-old child how to handle the child's temper tantrums. The nurse determines that the teaching was successful if the parents make which statement?
We will ignore our child while having the tantrum
When collecting data on a preschool-aged child during a well-child visit, the nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3 cm) in the last year. The nurse interprets these findings to indicate which situation?
Weight is above an expected range and height is within an expected range
The father of a 6-week-old infant voices concerns about his son's stooling. He further shares that his son grunts and cries when having a bowel movement. What response by the nurse is most appropriate?
What does his stool look like?
Parents ask for disciplinary guidance for their 4-year-old. The nurse suggests which of these actions?
When discussing improper behavior, call the behavior "bad" or "naughty," not the child, Anticipate situations likely to cause misbehavior and redirect the child to another activity, Books and stories can help preschoolers master proper behavior.
A group of caregivers are discussing the form of discipline in which the child is placed in a "time-out" chair. Which statement made by these caregivers is appropriate related to this form of discipline?
When my child starts getting frustrated and aggressive, I remind the child throwing a fit will end up in a time-out
A mother asks the nurse where the microwave is so that she can warm up breast milk to feed her baby. What is the best response by the nurse?
You should warm the milk under warm water instead.
A mother of a toddler asks the nurse, "How will I know that my daughter is ready for toilet training?" Which response by the nurse would be most appropriate?
You'll probably notice that your daughter is uncomfortable in wet diapers
A 3-year-old child is hospitalized. The parents are concerned because the child is now refusing to use the potty and is wetting the bed even though the child has achieved toilet training. Which response by the nurse is most appropriate?
Your child is experiencing regression as a result of stress
The mother of a 3-year-old tells the nurse that she is concerned that her child is not developing motor skills quickly enough. She states that, "My son can't skip and cannot stand on one foot for any length of time while playing." How should the nurse respond?
Your child is not expected to be able to perform those activities at 3 years of age
A parent brings a 6-year-old to the clinic and informs the nurse that the child is tired all the time, even though the child sleeps 7 to 8 hours each night. What is the best response by the nurse?
Your child should be getting 11 to 12 hours of sleep per night with some quiet time after school
The parents of a 7-year-old girl report concerns about her seemingly low self-esteem. The parents question how self-esteem is developed in a young girl. Which response by the nurse is best?
Your daughter's self-esteem is influenced by feedback from people they view as authorities at this age
The parent of 1-week-old infant voices concerns about the infant's weight loss since birth. At birth the infant weighed 7 lb (3.2 kg); the infant currently weighs 6 lb 5 oz (2.9 kg). Which response by the nurse is most appropriate?
Your infant's weight loss is within the expected range
A mother of a 9-month-old 18-pound (8.2 kg) infant asks the nurse about choosing the best car seat. What should the nurse recommend?
a rear-facing 5-point harness restraint
The nurse is conducting a support group for parents of 9- and 10-year-olds. The parents express concern about the amount of time their children want to spend with friends outside the home. What should the nurse teach the parents that peer groups provide?
a sense of security as children gain independence
A group of 10-year-old girls have formed a "girls only" club. It is only open to girls who still like to play with dolls. Which factor does this best represent?
appropriate social development
Which activity is most beneficial in the development of the newborn?
being sung to by his mother
The parent of 3 1/2-year-old preschooler tells the nurse that the child argues quite a bit and says that the child is always right. The nurse interprets this information as indicating:
centering
While observing a group of 9-year-old children at school, the nurse is concerned that one of the children is not cognitively developing according to Piaget's stage of concrete-operational thought processes. With which activity is the nurse concerned?
does not understand the phrase "slow as molasses" when used by the teacher
A type of play seen in preschool children encourages children to act out troubling situations, such as one that might occur in the hospitalized child who must undergo an upsetting procedure. This type of play is referred to as:
dramatic play
What physiological changes would the nurse expect to address in a 10-year-old child?
eruption of permanent teeth, pulse rate 70 to 80 bpm, 20/20 vision
The nurse is talking to the parent of a 19-month-old toddler about setting limits and supervising activities. In which situation will the nurse recommend letting the toddler do as he or she pleases?
exploring one's body
Parents of a 3½-year-old indicate they spend time with grandparents who live near a lake. The nurse will emphasize:
having the child wear a personal flotation device whenever near or on the water
The nurse is assessing a 4-year-old child. The child tells the nurse about her friend, Nancy, who lives in her room at home. The mother tells the nurse that Nancy is not a real person. The nurse would use which term when documenting this assessment finding?
imaginary friend
Maturation
increase in functionality of various body systems or developmental skills
Parents tell the nurse their 3-year-old refuses to eat meat but are pleased she drinks "lots of milk." What risk does the nurse identify?
iron deficiency
A staff nurse is talking about Piaget's theory with a nursing student. Infants are in the sensorimotor stage of cognitive development during which object permanence is mastered. An example of an infant displaying this ability is:
looking for a toy in her crib at the last place she saw it
The nurse is assessing the oral cavity of a 6-month-old child. When palpating the location in which the first primary teeth erupt, which location is being assessed?
lower central gumline
A parent and their 4-year-old child are waiting in an exam room when the nurse enters and greets and observes them. Which activity of the child best demonstrates the primary developmental task of the preschool-age child, according to Erikson?
opening drawers in the room, pulling out and examining supplies
During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group, the nurse understands that:
preoccupation with death and dying is common in the school-aged child
The nurse is conducting a well-child assessment of a 4-year-old. Which assessment finding warrants further investigation?
presence of 10 deciduous teeth
The school nurse receives a report that a child is having difficulty with grades and always appears hungry. When the nurse is assessing this child, what information would be most important to ascertain?
relationship with parents
The nurse conducting a 6-month well-baby check-up assesses for the presence/absence of the asymmetric tonic neck reflex. At this age the reflex:
should have disappeared
Which developmental milestone would the nurse expect an 11-month-old infant to have achieved?
sitting independently
The nurse is educating the mother of a newborn about feeding practices. The nurse correctly advises the mother that:
the newborn's stomach can hold between 0.5 oz and 1 oz
Growth
the process of increasing in physical size.
A mother expresses surprise to the nurse that her daughter has begun masturbating. The most important initial nursing response is that:
this is a normal and expected activity best treated matter-of-factly
What skill(s) can the nurse expect in the assessment of the fine motor skills of a 4-year-old child?
undressing self, cutting with blunt tip scissors, drawing simple shapes
The nurse is assessing an infant at the 6-month well-baby check-up. The nurse notes that at birth the baby weighed 8 lb (3600 g) and was 20 in (50.8 cm) in length. Which finding is consistent with the normal infant growth and development?
weight of 16 lb (7300 g) and length of 26 in (66.0 cm)