Pediatric Growth and Development Quiz

What anticipatory guidance can the nurse provide the girl who has noted the development of breast buds?

Menarche should follow in about 2 years.

The nurse is teaching the mother of a 2-month-old girl about the social and emotional developments that will occur in the next 8 weeks. Which of the following behaviors is most likely to occur?

Mimicking mother's facial expressions

The nurse is caring for a 5-week-old infant who is spitting up "all the time." This is the mother's first child. Which of the following should be the priority nursing action?

Observe the mother while she feeds and burps her infant.

The nurse is providing teaching about preventing poisoning. Which of the following statements by the mother would warrant further discussion?

"All medicine in our bathroom is in childproof containers."

Parents tell the nurse their 3 ½ -year-old refuses to eat meat but are pleased she drinks "lots of milk". What risk does the nurse identify?

Iron deficiency

The nurse expects the toddler's anterior fontanel to be closed by _____________months?

18

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 mother is discussing her 10-month-old boy with the nurse. Which comment indicates a need for teaching?

He loves being in his walker and 'zips' around the house."

Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in late adolescence?

Nocturnal emissions

The nurse is providing teaching about good nondairy sources of calcium for preschoolers. Which of the following is the highest calcium-containing fruit?

Orange

The nurse is talking with the parents of a depressed 16 year-old boy. Which question is of most importance?

"Is there a gun in your home?"

The nurse is caring for a preschooler who requires postsurgical breathing exercises. Which of the following approaches will best elicit the child's cooperation?

"Let's see who can blow these cotton balls off the table first."

The nurse is teaching parents how to avoid a power struggle with their 2-year-old girl. Which comment indicates that more teaching is needed?

"We will make sure she shares her toys with cousins her age."

The nurse is teaching the mother of a 5-month-old boy who is concerned about thumb sucking. Which of the following should be included in the teaching plan? Select all that apply.

-Assuring the mother this behavior won't cause malocclusion. - Advising the mother this behavior is a form of self-comfort. -Informing the mother that thumb sucking occurs more often during periods of stress.

The mother of a 15 year-old boy expresses sadness to the nurse that her son is "much more connected to his friends than his family." What understanding would benefit this parent? Select all that apply.

-Peers can be positive or negative influences. -Peers provide opportunity to learn and practice social roles. - Peers are needed for emotional security while stepping away from family.

The father of an 11 year-old boy is worried that the child spends too much time watching TV. What information should the nurse share with this father? Select all that apply.

-The American Academy of Pediatrics recommends 2 hours or less of TV daily. - Establish a list of acceptable TV programs to view.

The nurse is helping the mother of a 5-month-old boy understand the importance of developmentally appropriate play. Which one of the toys best meets the needs of this child?

A yellow rubber duck for the bath

The nurse is promoting language and cognitive development to the parents of a 3-year-old boy. Which guidance about reading with their child will be most helpful?

Ask the child questions as you read.

The nurse who wishes to be as supportive as possible to the hospitalized preschooler makes great effort to avoid threatening the 4-year-old's:

Body integrity

During an annual visit of a 6 year-old boy, the nurse observes dental caries on two of the child's primary teeth. What should be the nurse's first response?

Educate the parents about the importance of the primary teeth.

A toddler needs to be transported to a far area of the hospital for noninvasive diagnostic testing. The nurse chooses to:

Place the child on the mother's lap and push the two in a wheelchair.

Development should continue during hospitalization. What play activities will the nurse choose for toddlers to accomplish this? Select all that apply.

Putting together a large-piece puzzle Correct Answer Stacking blocks Correct! Pulling a toy train

Parents are concerned because their 18-month-old will eat only when they feed him. They report he was independent with feeding at home but is unwilling in the hospital. The nurse considers this behavior:

Regression

The nurse is caring for a 4-year-old girl following an appendectomy. The girl becomes fearful and starts to cry as soon as the nurse walks into the room. When the nurse asks about the crying, the girl says, "Nurses who wear shirts with flowers give shots." The nurse understands that the girl is demonstrating which of the following?

Transduction

Parents and their 35-month-old child have returned to the clinic for a follow-up appointment. Which of the findings may signal a speech delay?

Uses two-word sentences or phrases

The parents of a 5 year-old call the nurse for advice about night terrors. The child has had them nightly for almost 2 weeks. Which of the following is the most appropriate intervention?

Wake the child up nightly 30-45 minutes after going to sleep.

In discussing with the nurse their 2-year-old's behavior, which of the parents' descriptors suggests the child may be ready for toilet teaching?

The child hides behind her bedroom door when defecating.

The nurse is conducting a physical examination of a 5-month-old boy. Which of the following observations may be cause for concern about the infant's neurologic development?

The infant displays an asymmetric tonic neck reflex (fencing reflex).

A nurse is caring for an 18-month-old girl undergoing traction therapy in a rehabilitation unit. The nurse understands that the girl is in the second phase of separation anxiety when she observes what behavior?

The toddler is quiet, looks sad, and is disinterested in playing.

A mother expresses surprise to the nurse that her toddler daughter has begun masturbating. The most important initial nursing response is:

This is a normal and expected activity best treated matter-of-factly.