Growth and Development Quiz

A nurse is preparing an education program for a group of caregivers of preschool age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching.

Average calories intake should be 1,400 calories per day

A nurse is visiting the home of a 9 month old infant who is receiving home health services. The nurse is conducting a safety assessment of the home environment shown below. Sort the findings into the following categories

Hazards -infant on the floor with dog, no adult present -jacks on the floor -plate with a fork on the coffee table -potted plant sitting on floor -stairs with safety gate at top but not bottom -steaming cup of coffee by the plate -uncovered electrical outlets Nonhazards -cabinet with lock -fire in the fireplace with fireplace cover present -pool with locked gate -smoke alarm on wall

A community health nurse is preparing an injury prevention program for the caregivers of toddlers who live in the community. Which of the following should the nurse include in the program?

Hot water heater thermostats should be set below 49C (120F)

A nurse is providing education about age appropriate activities for the caregivers of a 6 year old child. Which of the following activities should the nurse include in teaching?

Jumping rope

A nurse is providing education to the guardian of a 3 month old infant about care of the infant during the first year of life. Which of the following statements by the guardian indicates an understanding of the teaching?

My baby can have up to 6 ounces of fruit juice a day after they are 6 months old

A nurse is providing teaching about growth and development characteristics with the guardian of a toddler who is 2 years of age. Which of the following statements by the guardian should the nurse identify indicates an understanding of the teaching?

My child should be able to kick a ball

Identify the toddler's developmental stage according to Piaget and Erikson

Piaget: Preoperational stage- memories, mimicry Erikson: Autonomy vs shame and doubt- independence, negativism, ritualism

A nurse is caring for an adolescent whose guardian expresses concerns about the child sleeping such long hours. Which of the following conditions should the nurse inform the guardian as requiring additional sleep during adolescence?

Rapid growth

A nurse is performing a developmental screening on a 3 year old child. Which of the following skills should the nurse expect the child to perform

Ride a tricycle

Identify general expectations for height and weight during the preschool years

Weight -should gain 2-3kg or 4.5-6.5Ibs per year Height -should grow about 6.2-9cm or 2.4-3.5in per year

A nurse is conducting a well child visit with a 5 year old child. Which of the following immunizations should the nurse plan to administer to the child?

-Diphtheria, tetanus, pertussis (DTAP) -Inactivated poliovirus (IPV) -Measles, mumps, rubella (MMR)

List five cognitive developmental tasks the adolescent should accomplish

-able to think through more than two categories of variables concurrently -capable of evaluating the quality of own thinking -able to maintain attention for longer periods of time -highly imaginative and idealistic -increasingly capable of using formal logic to make decisions -think beyond current circumstances -understand how the actions of an individual influence others

A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the nurse expect the toddler to be able to perform?

-attempts using a spoon -walks independently without holding onto furniture

List two cognitive developmental tasks the infant should accomplish in the first year of life

-progression from reflexive to simple repetitive to imitative activities -separation -object permanence -mental representation

Identify three facts relevant to the child's physical development

-will gain about 2 to 3kg (4.4 to 6.5Ib) per year -will grow about 5cm (2in) per year -bladder capacity is variable with each child -immune system improves -bones continue to ossify

A nurse is providing education about the order of sexual maturation to a group of caregivers who have adolescent children. When teaching the caregivers, in which order should the nurse place sexual maturation of the male adolescent?

1. testicular enlargement 2. pubic hair growth 3. penile enlargement 4. growth of axillary hair 5. vocal changes

A nurse is providing education about developmental milestones of a toddler with a newly licensed nurse. Sort the following developmental milestones according to the child's age

12 months -attempts to build a tower of 2 blocks -drinks from a lidless cup -place a block in a container 24 months -ability to run -kicks a ball -walks up a couple of stairs -eats with a spoon

Identify two injury prevention methods in each of the following categories

Aspiration -avoid small objects -hold infant for feedings; do not prop bottles -provide age-appropriate toys -check clothing for hazards (loose buttons) Poisoning -keep toxins and plants out of reach -place safety locks on cabinets where cleaners/chemicals are stored -use a carbon monoxide detector in the home -keep medications in childproof containers and out of reach Drowning -do not leave unattended around any water source -secure fencing around swimming pool -keep bathroom door closed Suffocation -avoid plastic bags -ensure crib mattress fits snugly -remove crib mobiles by 4 to 5 months of age -keep pillows out of the crib -place on back to sleep

A nurse is assessing a 12 month old infant during a well child visit. Which of the following findings should the nurse report to the provider?

Birth weight doubled -the birth weight should have tripled by 12 months

A nurse is teaching a course about safety during the school age. Which of the following information should the nurse include in the course.

-wearing helmets when riding bicycles or skateboarding -implementing firearm safety -wearing seat belts

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?

-Inactivated influenza (IIV) -Meningococcal (MCV4) -Tetanus and diphtheria toxoids and pertussis (TDAP)

A nurse is conducting a well baby visit with a 4 month old infant. Which of the following immunizations should the nurse plan to administer to the infant?

-Polio (IPV) -Pneumococcal vaccine (PCV) -Rotavirus vaccine (RV)

List five activities appropriate for preschool age children

-putting puzzles together -playing ball -playing pretend and dress up activities -painting -role playing -riding tricycles -simple sewing -reading books -sandboxes -wading pools -skating -computer programs -musical toys -electronic games

List five activities appropriate for infants

-rattles -soft stuffed toys -teething toys -nesting toys -playing pat-a-cake -playing with balls -reading books -mirrors -brightly colored toys -playing with blocks

Identify two pedestrian safety rules parents should teach children

-stand back from curb while waiting to cross the street -before crossing the street, look left, then right, then left again -walk on the left, facing traffic, when there are no sidewalks -at night, wear light colored clothing with fluorescent materials attached

List two concepts related to language development in preschool age children

-vocabulary increases to 2,100 words by the end of the 5th year -speak in sentences of three to four words at the ages of 3 and 4 years -speak in sentences of four to five words at the ages of 4 and 5 years -enjoy talking, and language becomes primary method of communication

A nurse is performing a developmental screening on a 9 month old infant. Which of the following fine motor skills should the nurse expect the infant to perform?

-Grasp a rattle by the handle -Use a crude pincer grasp

A nurse is performing a developmental screening on a preschooler. Sort the following findings by the nurse into the correct motor skills categories

Gross Motor Skills -jumps off bottom step -catches ball reliably -walks backwards with heel to toe -rides a tricycle Fine Motor Skills -uses scissors to cut out a picture -copies a circle -laces shoes -prints first name

A nurse is discussing prepubescence and preadolescence with a group of guardians of school age children. Which of the following information should the nurse include in the discussion?

Growth differences between boys and girls become evident

A nurse is providing teaching about dental care and teething to the caregiver of a 9 month old infant. Which of the following statements by the caregiver indicates an understanding of the teaching?

I should clean my baby's teeth with a cool, wet wash cloth

A nurse is providing teaching to the caregiver of a preschool age child about methods to promote sleep. Which of the following statements by the caregiver indicates an understanding of the teaching?

I will keep a dim lamp on in my child's room during the night

A nurse is assessing the psychosocial development of a group of a group of children who are school aged. Sort the statements made by the children into the correct developmental category.

Moral -cross the street without looking is wrong because my mom said so -others will be nice to you if you are nice to them Self Concept -it is very important to me what my friends think of me -I feel good about myself when I make a good grade on a test Social -I had to start wearing makeup to hang out with the popular kids -I joined the chess club because my best friend did

Identify the child's developmental stage according to Piaget and Erikson

Piaget: Concrete operations- conceptual thinking, telling time, seeing other perspectives Erikson: Industry vs inferiority- development of skill and knowledge and sense of accomplishment through contributions

Identify the infant's developmental stage according to Piaget and Erikson

Piaget: Sensorimotor- separation, object permanence, mental representation Erikson: Trust vs mistrust- comfort, feeding, stimulation, and caring

Identify adolescent developmental stages according to Piaget and Erikson

Piaget: formal operation- longer attention span, logical thinking, imaginative and idealistic, hypothetical thinking Erikson: Identity vs role confusion- trying different experiences to develop identity, group identity

List three strategies the family can implement to reduce the risk of obesity

-avoid using food as a reward -emphasize physical activity -ensure a balanced diet is consumed -teach children to select healthy foods and snacks -avoid eating fast foods frequently -avoid skipping meals -model healthy behaviors

A nurse is assisting with providing anticipatory guidance to the parents of an adolescent. Which of the following screenings should the nurse recommend to the parents that the adolescent?

-body mass index -weight -scoliosis

A nurse is providing anticipatory guidance to the caregivers of a toddler. Which of the following should the nurse include?

-develop food habits that will prevent dental caries -a decrease in appetite is common in toddlers -expression of bedtime fears is common -expect behaviors associated with negativism and ritualism

List three concepts to include in toddler nutrition teaching with the family

-may switch from whole milk to low fat milk after the age of 2 -trans fatty acids and saturated fats should be avoided -diet should include 1 cup of fruit daily -limit fruit juice to 4 to 6 ounces per day -cut food into small, bite size pieces to prevent choking -do not allow drinking or eating during play activities or while lying down

Identify three injury prevention methods in each of the following categories

Bodily Harm -keep firearms unloaded and in a locked cabinet or box -teach proper use of sporting equipment prior to use -insist on helmet use and/or pads when roller skating, skateboarding, bicycling, riding scooters, skiing, and snowboarding -be aware of changes in mood. continuously monitor adolescents at risk for self harm Motor Vehicle Injuries -encourage attendance at drivers education courses -emphasize the need for adherence to seat belt use -discourage us of cell phones while driving and enforce laws regarding use -teach the dangers of combining substance use with driving

Identify two injury prevention methods to include in teaching with the family for each of the following categories

Bodily harm -keep sharp objects out of reach -lock firearms in a cabinet or box -teach toddler stranger safety -do not leave toddler unattended with animals Drowning -do not leave toddler unattended in bathtub -keep toilet lids closed -begin teaching toddler water safety and to swim -keep bathroom door clsoed Burns -check bath water temperature prior to toddler contact with water -set hot water heaters to less than 49C (120F) -keep pot handles pointed to back of stove when cooking -cover electrical outlets -keep working smoke detectors in the home -apply sunscreen when toddler will be outside Falls -keep door and windows locked -place crib mattresses in lowest position with rails all the way up -use safety gates at the top and bottom of stairs

A nurse is providing teaching about expected changes during puberty to a group of guardians of early adolescent females. Which of the following statements by one of the guardians should the nurse identify as indicating an understanding of the teaching?

Females usually stop growing about 2 years after they have had their first menstrual period

A nurse is assessing a 2.5 year old toddler at a well child visit. Which of the ofllowing findings should the nurse report to the provider?

Head circumference exceeds chest circumference