PEDS exam #1

therapeutic response for 7yo getting IV insertion A 7-year-old boy who is about to have an IV inserted cries out that he is afraid of IVs. What is the nurse's most therapeutic response? 1. "Tell me what frightens you." 2. "It's just a little prick in the arm." 3. "You are a big boy; this will hardly hurt." 4. "Come on; there's no reason to be afraid."

1 Allowing the child to talk about what is frightening provides an opportunity to ventilate feelings and fears.

19mo in hospital 2 weeks. Appropriate nurse action related to behavior? A 19-month-old boy who has been in the hospital for 2 weeks becomes increasingly withdrawn and mute. What is the most appropriate nursing action? 1. Offer distracting toys 2. Move him into a room with other children 3. Encourage the parents to stay with him as much as possible 4. Provide sensory stimulation by assigning different nurses to care for him

3 These withdrawn behaviors are associated with separation anxiety; parental contact should be encouraged.

6yo complete bed rest, what is appropriate toy? What is the most appropriate toy for the nurse to give a 6-year-old child on complete bed rest? 1. Game of checkers 2. Set of building blocks 3. Game of ball and jacks 4. Coloring book and crayons

4 A coloring book with crayons is appropriate for the child's age and suited to the child's limited mobility.

play expected from 5yo - parallel A 5-year-old child is brought to the child health clinic for a routine visit, and the nurse observes the child interacting with other children. What type of play does the nurse expect of the child? 1. Team 2. Parallel 3. Initiative 4. Cooperative

4 Cooperative play is typical of 5-year-olds as they learn to share and take turns without becoming frustrated. social play.

A father expresses concern that his 2-year-old daughter has become a "finicky eater" and is eating less. How should the nurse respond? 1. "Your daughter has become manipulative." 2. "She probably is experiencing the stress of a typical two year old." 3. "She may have an eating problem requiring a referral to a specialist." 4. "Your daughter's behavior is expected in response to her slower growth."

4 Growth slows during the toddler years and these children generally do not eat as much as during infancy; this is called physiologic anorexia, which is typical of this age group.

3yo thumbsucker, what is best response to parents? During a routine visit to the child health clinic, the parent of a 3-year-old girl reports, "My daughter is still sucking her thumb." What is the nurse's best response? 1. "She will stop when she is ready." 2. "You can buy a bitter liquid for her thumb." 3. "Is she being teased by her friends in nursery school?" 4. "Do you want me to recommend a child psychologist?"

1 Thumb sucking reaches its peak from 18 to 20 months and then subsides to times when comfort is most needed, such as at bedtime and when ill. Most children give it up by age 4. The nurse should reassure the mother by explaining that it is not unusual to thumb suck at age 3.

5yo no longer outgoing and passive in classroom. What is possible reason?A 5-year-old child newly arrived from Latin America attends a nursery school where everyone speaks English. The child's mother tells the nurse that her child is no longer outgoing and is very passive in the classroom. What is the probable reason for the child's behavior? 1. Social immaturity 2. Undergoing culture shock 3. Experiencing discrimination 4. Disinterest in school activities

2 The child learned to think and solve problems in a different culture and language and may feel helpless in the new classroom.

The nurse is evaluating the developmental level of a 2-year-old. Which does the nurse expect to observe in this child? 1. Uses a fork to eat 2. Uses a cup to drink 3. Pours own milk into a cup 4. Uses a knife for cutting food

2. Uses a cup to drink

The clinic nurse is preparing to discuss the concepts of Kohlberg's theory of moral development with a parent. What motivates good and bad actions for the child at the preconventional level? 1. Peer pressure 2. Social pressure 3. Parents' behavior 4. Punishment and reward

4. Punishment and reward

assess 4yo with abdominal pain The nurse is caring for a 4-year-old child. When experiencing pain, the nurse anticipates which about the child? Select all that apply. 1. Views pain as a punishment 2. Verbalizes the reason for the pain 3. Blames someone else for the pain 4. Believes pain will disappear magically 5. Fears losing control during the painful episode 6. Will be able to explain the sequence of events leading to the pain

48. o 1. Views pain as a punishment o 3. Blames someone else for the pain o 4. Believes pain will disappear magically

insert IV catheter into 3yo, they start to cry. How to respond to them An IV catheter is to be inserted into a 3-year-old toddler's peripheral vein. As local topical anesthetic is applied, the toddler starts to cry and asks if it is going to hurt. How should the nurse respond? 1. "Yes, it may hurt, but not for very long." 2. "Maybe it will hurt, but remember big children don't cry." 3. "Yes, it may hurt, but if you hold still it won't hurt too much." 4. "It will hurt a little, but I'm good at getting the needle into your arm."

1 Although the local anesthetic will help minimize the discomfort, the needle insertion may still hurt. This is an honest, simple answer that is appropriate for a 3-year-old child.

Behavior of 5mo Which behavior does the nurse expect when observing a 5-month-old infant? 1. Picking up a toy and putting it into the mouth 2. Waving thefists and dropping toys placed in the hands 3. Exploratory searching when an object is hidden from view 4. Simultaneously kicking the legs while batting the hands in the air

1 During the oral stage, infants tend to complete the exploration of an object by putting it into the mouth.

A 10-year-old boy who is about to begin chemotherapy for acute myelogenous leukemia (AML) tells the nurse that he is old enough to refuse treatment. What is the nurse's most appropriate response? 1. "You seem frightened. Let's talk about it." 2. "Your parents have given their consent. I have to be gin." 3. "Your age prevents you from refusing treatment. You need to be 18 years old." 4. "You are old enough. You're also old enough to know you need the chemotherapy."

1 The nurse is responding to the child's feelings. If the child starts to discuss feelings, there may not be a need to inform him that he is too young to refuse treatment.

A 16-year-old adolescent, her 1-month-old infant, and the infant's grandmother come to the emergency department saying that the infant accidentally fell down the stairs. What should the nurse consider when obtaining legal consent for the infant's treatment? 1. Consent is postponed because this is an emergency 2. Responsibility rests with the mother who should sign the consent 3. Decisions are made by family court because the mother is a minor 4. Signature on the consent form must be obtained from the grandmother

2 In most states, the age of majority is 18 years; however, mothers younger than 18 years are considered emancipated minors and can sign consents for themselves and their children.

Interpret the behavior of 3yo girl? Several 3-year-old girls in the day care center are having a tea party with their dolls. The center's nurse concludes that this behavior is: 1. Evidence of abstract thought 2. Appropriate make-believe play 3. Inappropriate exclusion of boys v4. Maladaptive use of magical thinking

2 Preschool children use imitation of adult situations to help learn social skills; they enjoy make-believe play.

Age related issues for 5yo? A school nurse is teaching a group of parents about agerelated issues of 5-year-old children. What should the nurse include as a major concern of children of this age? 1. Fear of separation 2. Anxiety about body integrity 3. Apprehensive regarding strangers 4. Threats to their dependency needs

2 Preschoolers are developing a sense of their body integrity and their sexuality resulting in fears of mutilation and loss of body parts.

Neuro assessment on 7mo old. What reflexes visible? A nurse is performing a neurological assessment of a 7-month-old infant. What reflex should the nurse be able to elicit? 1. Moro 2. Babinski 3. Tonic neck 4. Palmar grasp

2 The Babinski reflex remains evident throughout the first 12 months of life.

Have a 6mo with failure to thrive. Birth weight was 7lb. What should they weigh? A 6-month-old infant is admitted to the pediatric unit with a diagnosis of failure to thrive. The birth weight was 7 pounds. Based on growth and development charts, how many pounds does the nurse conclude that the infant should weigh? 1. 12 2. 14 3. 18 4. 22

2 The average infant doubles birth weight at 6 months.

2mo old is crying. what is best way to soothe? A nurse is trying to soothe a 2-month-old who is crying. What is the best way to soothe a young infant? 1. Offer the infant a bottle of diluted juice 2. Hold and rock the infant in a quiet room 3. Change the diaper before returning the infant to the crib 4. Wrap a blanket around the infant and place in a supine position

2 The comfort measures of close physical contact, the gentle rhythm of rocking, and the reduction of stimuli in a quiet room are conducive to a young infant's rest and sleep.

Common trait observed in toddlers - med and cleaning supplies? A nurse is teaching a class to parents about keeping medications and household cleaning supplies out of the reach of toddlers. The nurse explains that this is necessary because toddlers: 1. Have increased appetites 2. Are developing a sense of taste 3. Have a high level of oral activity 4. Are rebelling against parental authority

3 One way toddlers explore their environment is by putting objects into their mouths.

A nurse is caring for a 4-year-old child in the pediatric unit. What does the nurse expect concerning the behavior of a preschooler during hospitalization? 1. Refusing to cooperate with nurses during the parents' absence 2. Demonstrating despair if the parents do not visit at least once a week 3. Crying when the parents leave and return, but not during their absence 4. Avoiding interacting and playing with peers in the playroom if other parents are present

3 Preschoolers can tolerate brief periods of separation from their parents; however, emotions associated with separation and perhaps anger at being left are difficult to hide when the parents arrive or leave.

What are possible causes for stutter for 4yo? When talking with a 4-year-old child, a nurse identifies that the child is shy and stutters. What does stuttering in a 4-year-old child indicate? 1. Speech impediment 2. Emotional problems 3. Typical preschooler speech 4. Delay in neural development

3 Stuttering occurs because the child's advancing mental ability and level of comprehension exceed the vocabulary acquisitions in the preschool years.

How should a nurse assess a 4-year-old child with abdominal pain? 1. Ask the child to point to where it hurts 2. Auscultate the child's abdomen for bowel sounds 3. Observe the position and behavior while the child is moving 4. Question the parents about their child's eating and bowel habits

3 The child with abdominal pain may assume the side-lying position with the knees flexed to the abdomen and/or may self-splint when moving.

4mo behavior A 4-month-old infant is admitted to the pediatric unit. How does the primary nurse expect the infant to behave when approached? 1. Smile socially in recognition of the nurse's face 2. Cry when the nurse approaches for thefirst time 3. Reach out to the nurse for the attention that is being offered 4. Cling to the mo ther wh en th e nu rse tr ies to es tablish contact

3 The infant has not yet recognized boundaries between self and mother and is not particular about who meets and resolves needs.

Infant weight at birth compared to weight at 1year. What can you conclude? What is standard gain? An infant who weighed 7.5 pounds at birth now weighs 15 pounds at 1 year. The nurse concludes that this infant's weight gain: 1. Suggests possible maternal neglect 2. Reflects the expected growth curve 3. Signifies an inadequate weight gain 4. Indicates insufficient dietary protein

3 This is an accurate, nonjudgmental conclusion based on the weight charts of the National Center for Health Statistics. An infant's weight gain at the end of the first year should be 3 times the birth weight.

12 yo activity for bedridden child A 12-year-old child is to be bedridden at home for several weeks after orthopedic surgery. What activity should the nurse encourage the parents to plan? 1. Drawing pictures 2. Playing card games 3. Watching television 4. Continuing schoolwork

4 Schoolwork provides the child with a familiar routine; it encompasses the age-appropriate developmental tasks of industry vs inferiority.

15yo Chemo patient with Leukemia. What to expect that they are most concerned about? A nurse is caring for a 15-year-old adolescent who is receiving chemotherapy for leukemia. The nurse expects that adolescents with health problems are most concerned about: 1. Missing time at school 2. Limiting social activities 3. Being dependent while enjoying the sick role 4. Feeling different regarding changes in body image

4 The 15-year-old is preoccupied with appearance. The side effects of the antineoplastics and prednisone may result in the adolescent feeling different, which affects body image.

toddler getting IM injection, what is priority of care? During the course of treatment a toddler is to receive an intramuscular injection. What is the priority nursing intervention that should be included in the plan of care? 1. Distracting the toddler's attention with a toy car 2. Telling the parents exactly what will be done to the toddler 3. Giving the toddler the choice of having the injection now or later 4. Involving the parents in comforting the toddler after the injection

4 The parents are the most significant people in the young child's life; their involvement in comforting the child is the most supportive intervention for the toddler.

A nurse must administer a medication by injection to a 2-year-old whose parent is not present. What is the most therapeutic approach for the nurse to use? 1. Avoid telling the child beforehand, give the injection, and then cuddle the child 2. Demonstrate how an injection is given, tell the child why it is needed, and then gather the equipment 3. Give a doll the injection, encourage the child to give the doll an injection, and then give the the injection 4. Warn the child about the injection just before administering it, say it is OK to cry, and then comfort the child

4 Toddlers have not yet developed a concept of time. The child should be warned just before giving the injection, then acceptance is shown when the child cries and is comforted.

Which would be the highest expected growth and development occurrences at 9 months of age for an infant who has had appropriate growth assessed at each well-child visit? Select all that apply. 1. Will smile spontaneously 2. Rolls over in both directions 3. Able to sit steadily unsupported 4. Should be able to say "mama" and "dada" 5. Will pull up and stand for several seconds holding on to furniture 6. Will be able to pick up small pieces of food when placed in a high chair

o 4. Should be able to say "mama" and "dada" o 5. Will pull up and stand for several seconds holding on to furniture o 6. Will be able to pick up small pieces of food when placed in a high chair

The nurse educator is preparing to conduct a teaching session for the nursing staff regarding the theories of growth and development and plans to discuss Kohlberg's theory of moral development. What information should the nurse include in the session? Select all that apply. 1. Individuals move through all six stages in a sequential fashion. 2. Moral development progresses in relationship to cognitive development. 3. A person's ability to make moral judgments develops over a period of time. 4. The theory provides a framework for understanding how individuals determine a moral code to guide their behavior. 5. In stage 1 (punishment-obedience orientation), children are expected to reason as mature members of society. 6. In stage 2 (instrumental-relativist orientation), the child conforms to rules to obtain rewards or have favors returned.

o 2. Moral development progresses in relationship to cognitive development. o 3. A person's ability to make moral judgments develops over a period of time. o 4. The theory provides a framework for understanding how individuals determine a moral code to guide their behavior. o 6. In stage 2 (instrumental-relativist orientation), the child conforms to rules to obtain rewards or have favors returned.

2yo growth rate The mother of a 2-year-old girl expresses concern that her daughter's growth rate has slowed. What should the nurse explain to the mother about the growth of toddlers? 1. "This growth pattern is typical at this age. 2. "Toddlers are too busy exploring their world to eat." 3. "This growth pattern cannot be interpreted for another year." 4. "Toddlers usually lose their taste for foods they liked when younger."

1 As the child gets older, growth slows. Toddlers develop physiologic anorexia because their appetite decreases along with their growth rate.

6wk old and grasping rattle. What to teach about this behavior? A 6-week-old infant grasps a rattle placed in the hand. The mother is impressed with this skill. What should the nurse teach the mother about this behavior? 1. This is the palmar grasp reflex and is expected at this age 2. This is the pincer grasp, which disappears within several months 3. Grasping is a voluntary behavior usually observed in older infants 4. Grasping is an atypical behavior and further evaluation is required

1 The palmar grasp reflex is expected at 6 weeks of age, begins to fade at 2 months, and disappears by 4 months.

A parent of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erikson's psychosocial development theory, which instructions should the nurse provide to the parent? Select all that apply. 1. Set limits on the child's behavior. 2. Ignore the child when this behavior occurs. 3. Allow the behavior, because this is normal at this age period. 4. Provide a simple explanation of why the behavior is unacceptable. 5. Punish the child every time the child says "no" to change the behavior.

1. Set limits on the child's behavior. 4. Provide a simple explanation of why the behavior is unacceptable.

Language development for 22mo. How many words and phrases? A nurse assesses that a 22-month-old child uses 2- or 3-word phrases (telegraphic speech), has a vocabulary of about 20 words, and often uses the word "me." The nurse concludes the child's language development is: 1. Delayed 2. Advanced 3. Appropriate 4. Pathological

3 Brief messages, with only essential words included (telegraphic speech), a vocabulary of 20 words, and frequent use of the word "me" are the expected assessments of a child 18 months to 2 years of age. 1 2 4 A child with a developmental delay has a smaller vocabulary than 20 words and does not use phrases. A child advanced for this age will have a vocabulary of more than 20 words and will use 3- or 4-word sentences rather than telegraphic speech. This speech pattern is age appropriate, not pathological.

2 1/2 yo sibling death A 2½-year-old girl whose older sibling recently died has started hitting her mother and refusing to go to bed at night. The nurse explains to the mother that her daughter probably is: 1. Fearing dying while sleeping 2. Attempting to get more parental attention 3. Reacting appropriately to the family's grieving 4. Displaying behavior that is typical of the stage of autonomy

3 Changes in the daily routines in the home and grief expressed by family members lead to anxiety in toddlers.

toddler physically abused, what behaviors? A toddler who was physically abused is admitted to the pediatric unit. What behavior does the nurse expect when approaching the child? 1. Smiles readily when anyone enters the room 2. Is wary of physical contact initiated by anyone 3. Begins to cry when anyone approaches the bedside 4. Pays little attention to anyone standing at the bedside

2 Abused children distrust anyone who touches them because it may be a precursor to abuse.

What is a nurse's most appropriate response when asked about spanking as a disciplinary technique? 1. "Effectiveness depends on the child's age." 2. "Spanking is strongly suggestive of negative role modeling." 3. "Spanking may be the only option when no other technique works." 4. "Research studies have shown it to be an effective disciplinary technique."

2 Children who are spanked tend to use aggressive behavior; as they grow older they learn their own behavior through their parents' behavior.

Self care skill for 4yo A nurse is planning to foster independence in a group of 4-year-old children. What self-care skill does the nurse expect 4-year-old children to be capable of performing? 1. Parting and combing hair 2. Putting on a shirt and buttoning it 3. Cutting meat us ing a fork and knife 4. Slipping into shoes and tying shoelaces

2 Four-year-old children can put on a shirt and can close it if the buttons are large.

What is the nurse's primary responsibility when there is the suspicion that a child is abused? 1. Treat the child's traumatic injuries 2. Protect the child from future abuse 3. Confirm the child's suspected abuse 4. Have the child examined by the practitioner

2 Most injuries to abused children are not life threatening; protection takes priority.

4yo going to surgery, what to do with family when child is taken back? A 4-year-old child is being prepared for a myringotomy in the ambulatory care unit. What should the nurse do when the child is called to go to the operating room? 1. Remove the child's toys 2. Allow the child to climb onto the gurney 3. Have the parents accompany the child to the operating suite 4. Ask the parents to leave before giving the preoperative sedative

3 Current practice encourages parents to stay with the child as long as possible; this helps reduce stress related to a frightening experience.

What is therapeutic approach to administering meds via injection to 2yo? A nurse must administer a medication by injection to a 2-year-old whose parent is not present. What is the most therapeutic approach for the nurse to use? 1. Avoid telling the child beforehand, give the injection, and then cuddle the child 2. Demonstrate how an injection is given, tell the child why it is needed, and then gather the equipment 3. Give a doll the injection, encourage the child to give the doll an injection, and then give the the injection 4. Warn the child about the injection just before administering it, say it is OK to cry, and then comfort the child

4 Toddlers have not yet developed a concept of time. The child should be warned just before giving the injection, then acceptance is shown when the child cries and is comforted.

What are age appropriate language skills for 4yo? A nurse is assessing a 4-year-old child. What age-appropriate language skills does the nurse expect the child to have achieved? Select all that apply. 1. _____ Uses appropriate grammar 2. _____ Uses 6- and 8-word sentences 3. _____ Asks the meaning of new words 4. _____ Pronounces the sounds CH and TH 5. _____ Has a vocabulary of 150 to 200 words

Answer: 2, 5 2 Because of developing cognitive abilities, 4- year-old children can form 6- to 8-word sentences. 5 Because of expanded experiences and developing cognitive ability, the 4-year-old child should have a vocabulary of approximately 150 to 200 words.

6yo is very sick. What are appropriate play activities? select all that apply... 6yo child is in the acute phase of nephrotic syndrome. mom asks about play activities. What should she suggest. Select all that apply 1. Hula Hoop 2. Video Games 3. Large Puzzle 4. Stuffed Animal 5. Children's book

Answer: 2, 5 2 Age-appropriate video games do not require excessive energy to play and will help a 6-year-old child avoid boredom. 5 Children's books are appropriate for 6-year-old children because at this age they are beginning to read. Also the parents can read to the ch

15mo toddler development A nurse is assessing a 15-month-old girl at the wellchild clinic. The nurse determines that further education about toddler development is necessary when the mother says, "She: 1. is always trying to get out of her car seat." 2. cries when I leave her at the daycare center." 3. gets into everything with toys scattered everywhere." 4. has a temper tantrum every time I put her on the potty chair."

4 Most 15-month-old toddlers are not ready for toilet training. Voluntary sphincter control develops between 18 and 24 months of age.

4yo developmental level What nursing intervention best meets the developmental needs of hospitalized preschool-age children? 1. Help them learn to read 2. Play simple games with them 3. Encourage visits from family members 4. Provide materials for simulating activities

4 Preschool children engage in imitative, imaginative, and dramatic play, often using play to simulate household activities.

3mo what toys? select all that apply The mother of a 3-month-old infant asks the nurse in the well-baby clinic what toys to give her child. What is the nurse's response? Select all that apply. 1. _____ Push-pull toy 2. _____ Stuffed animal 3. _____ Metallic mirror 4. _____ Colorful mobile 5. _____ Large plastic ball

Answer: 3, 4 3. A 3-month-old infant is interested in self- recognition and playing with the baby in the mirror. 4. A colorful mobile will provide visual stimulation for a 3-month-old infant.

Abusive family behaviors? A nurse is assessing the family dynamics of a suspected abusive family. What behavior is expected? Select all that apply. 1. _____ Child cringes when approached 2. _____ Child has unexplained healed injuries 3. _____ Parents are overly affectionate toward the child 4. _____ Child lies still while surveying the environment 5. _____ Parents give detailed accounts of the child's injuries

Answer: 1, 2, 4 1 The child cringes when approached because past experiences with adults have inflicted pain rather than comfort. 2 Evidence of past injuries may exist but the parents do not discuss them because this would be an admission of child abuse 4 Abused children are always on the alert for potential future abuse. Lying motionless prevents bringing attention to them; also, in the past resisting abuse often precipitated more abuse.

A nurse in the child health clinic is assessing a 9- month-old infant. What developmental findings does the nurse expect? Select all that apply. 1. _____ Enjoys push-pull toys 2. _____ Sits steadily without support 3. _____ Feeds self with a baby spoon 4. _____ Responds to simple commands 5. _____ Has a vocabulary of two words

Answer: 1, 2, 4 1 Nine-month-old infants enjoy the interaction associated with push-pull toys. 2 Sitting steadily occurs by 8 months of age. 4 Nine-month-old infants respond to simple commands such as "no." Also they try to please their parents.

A nurse is teaching a class about behavioral expectations of infants and children to a group of parents. The nurse includes those behaviors expected of 8-monthold infants. Select all that apply. 1. _____ Stranger anxiety 2. _____ Playing peek-a-boo 3. _____ Drinking from a cup 4. _____ Removing some clothing 5. _____ Standing by holding on to furniture

Answer: 1, 2, 5 1 This is a typical behavior of an 8-month-old. Stranger anxiety (stranger fear) indicates healthy parent-child attachment. 2 This is a typical behavior of an 8-month-old. The infant understands that a person is still there even when out of sight. . 5 This is a typical behavior of an 8-month-old. Walking while holding on to furniture with one hand occurs around 11 to 12 months of age.

A nurse is evaluating whether a 5-year-old child is displaying appropriate behaviors for this age. What developmentalfindings does the nurse expect? Select all that apply. 1. _____ Enjoys imitative play 2. _____ Engages in ritualistic games 3. _____ Makes up rules for a new game 4. _____ Asks for a pacifier when uncomfortable 5. _____ Plays near others quietly but not with them

Answer: 1, 3 1 Imitating adults by playing adult roles in society is at its peak in children 5 years of age; activities strongly identify with same-sex parent. 3 A 5-year-old is able to negotiate and use makebelieve to play. These children are able to follow some rules but may cheat to win.

Developmental findings related to behavior for 5yo. A nurse is evaluating whether a 5-year-old child is displaying appropriate behaviors for this age. What developmentalfindings does the nurse expect? Select all that apply. 1. _____ Enjoys imitative play 2. _____ Engages in ritualistic games 3. _____ Makes up rules for a new game 4. _____ Asks for a pacifier when uncomfortable 5. _____ Plays near others quietly but not with them

Answer: 1, 3 1 Imitating adults by playing adult roles in society is at its peak in children 5 years of age; activities strongly identify with same-sex parent. 3 A 5-year-old is able to negotiate and use makebelieve to play. These children are able to follow some rules but may cheat to win

A nurse teaches a mother about appropriate play for an 8-month-old infant. Which of the mother's suggestions indicate that the teaching was understood? Select all that apply. 1. _____ Textured book 2. _____ Modeling clay 3. _____ Stuffed animal 4. _____ Play telephone 5. _____ Hanging mobile

Answer: 1, 3, 5 1 A textured book promotes tactile stimulation and touch discrimination.. 3 A stuffed animal promotes manipulative play. 5 A hanging mobile promotes visual stimulation.