Pediatric Growth and Development Quiz 2

A young breastfeeding mother calls the telephone nurse because she is concerned about her 3-month-old's stools. Which statement is of concern?

"The stools are foamy and smell terrible."

A mother in the outpatient setting is explaining how she plans to prepare her 5-year-old for hospital admission. What remark indicates the parent requires additional teaching?

"We told him to use his manners and behave like a big, brave boy."

The nurse is planning to talk to a 12 ½ year-old boy who says, "I am too short! Girls are taller than I am. Guess I won't be playing basketball." What points of information will the nurse share? Select all that apply.

"You could add as much as 12 inches to your height before you stop growing." "There are a lot of size differences in your age group now because everyone enters puberty and grows at slightly different times than others." "Girls begin to grow rapidly at a younger age than boys do. Boys start later and grow longer."

An adolescent would benefit from being out of his hospital room. What can the nurse do to promote this? Select all that apply.

Challenge the adolescent to a video game in the recreation area. Invite the adolescent to meet with other teens for lunch in a common space.

The school nurse is caring for an 8-year-old boy with asthma. Which of the following is most likely to be part of the child's Individualized Health Plan?

Helping the child modify his physical activity requirements.

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

Orange

What feeding practice used by the parents of an 8-month-old should the nurse discourage?

Placing all liquids given to the child in a "no spill" sippy cup

The nurse is visiting a day care center and watches two toddlers at play. What best describes the play observed?

Playing alongside one another

The school nurse is performing a vision screening for a 7 year-old child. Which finding should trigger a referral?

Slight misalignment of the eyes

A father mentioned to the nurse that his usually smiling, happy 8-month-old boy was clingy and intensely serious when his grandmother visited from a distant city. The nurse explained the child was experiencing:

Stranger anxiety

The nurse is examining a 2-year-old girl for speech and language development. Which finding would suggest a delay in speech development?

The child does not use the names of familiar objects.

The nurse is assessing development of a 4-month-old boy during a well-child visit. Which of the following observations needs further investigation?

The infant responds to his mother when he sees her but not at other times when she is near.

With summer approaching, the nurse discusses sun safety with a group of teen girls. Which suggestion is most likely to be followed?

Wear sunglasses.

Parents are proud of their toddler's fast-developing fine motor skills. Which one they describe should the nurse point out as a safety risk?

Ability to turn knobs

A 15-year-old boy asks numerous questions about recovery from anesthesia and typical behaviors of someone awakening from sedation. The nurse interprets the concern of this teen to be:

About his ability to control his own behavior

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.

In helping parents anticipate puberty in their daughter, the nurse explains that a first sign will be the appearance of:

Breast buds

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.

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

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.

Which of the following will the nurse view as best maintaining normalcy in the life of a 10-year-old boy who is experiencing a lengthy hospitalization?

Keeping up with his school work

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 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 are needed for emotional security while stepping away from family. Peers provide opportunity to learn and practice social roles.

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

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 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 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."

The nurse is providing teaching for the parents of an 8-year-old girl who has undergone surgery. The nurse emphasizes the importance of maintaining adequate hydration. Which of the following responses by the mother would indicate a need for further teaching?

"I will remind her that she will need an IV if she does not drink."

Parents ask for disciplinary guidance for their 4-year-old. The nurse suggests which of the following? Select all that apply.

Anticipate situations likely to cause misbehavior and redirect the child to another activity. Books and stories can help preschoolers master proper behavior. When discussing improper behavior, call the behavior "bad" or "naughty", not the child.

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.