PrepU ch.17

A 3-year-old is admitted to the hospital after an automobile accident. The child's mother cannot stay with the child because she is also injured. The nurse would suggest that the mother leave a personal object with the child when she departs the hospital. What object would be best for this 3-year-old child? her key ring emblem he has noticed many times her driver's license because her picture is on it a picture she draws of a boy in a hospital her shoe because he would recognize it as hers

her key ring emblem he has noticed many times

According to Erikson, the task for the preschool child is to develop: autonomy. trust. initiative. industry.

initiative

Nursing students are reviewing information about the emotional development of the preschool-age child. They demonstrate understanding of the information when they identify what task as the task of the preschooler? initiative trust autonomy industry

initiative

Where is the point of maximal impulse (PMI) found in a 5-year-old child? the sternum the third intercostal space the fourth intercostal space the clavicle

the fourth intercostal space

A mother expresses surprise to the nurse that her daughter has begun masturbating. The most important initial nursing response is that: there may be undue stress in your child's life. toilet teaching places much focus on the genitals. this is a normal and expected activity best treated matter-of-factly. girls as well as boys will masturbate.

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

The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity? gets upset when a babysitter is in charge, but will do what is asked by the babysitter broke a dish but blamed it on a friend the caregivers don't know refuses to hold anyone's hand while crossing the street tries to sweep up spilled cereal but cries when can't do well

tries to sweep up spilled cereal but cries when can't do well

The nurse is preparing to conduct a health history with the parents of a preschool-age child admitted for an appendectomy. Which questions should the nurse plan to use to learn more about the child's ability to manage pain? Select all that apply. "How do you know when your child is in pain?" "Are you concerned about addiction to pain medication?" "What do you do for your child when your child is hurting?" "How does your child usually react to pain?" "Does your child use pain as a control mechanism?"

"How does your child usually react to pain?" "How do you know when your child is in pain?" "What do you do for your child when your child is hurting?"

During a routine wellness examination, the nurse is trying to determine how well a 5-year-old boy communicates and comprehends instructions. What is the best specific trigger question to determine the preschooler's linguistic and cognitive progress? "Does your son speak in complete sentences all the time?" "How well does your son communicate or follow instructions?" "Would you say your son has a vocabulary of about 900 words?" "Is your son's speech clear enough that anyone can understand it?"

"How well does your son communicate or follow instructions?"

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? "You should answer his questions by whatever feels most comfortable to you." "I would suggest getting books with pictures to help explain the differences between male and female genitalia." "That is a difficult subject to address. I'm not sure what is the best way to answer that question." "It's best to answer his questions using accurate anatomical names and keep your answers simple."

"It's best to answer his questions using accurate anatomical names and keep your answers simple."

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? "Our child gets into food jags where he will only eat one food all day long." "My spouse is insistent that our 5-year-old not eat any snacks so that he will eat all of his meal at mealtime." "My child is so picky and eats the same thing every day for days on end!" "My 4-year-old eats as much as my teenager does every day."

"My child is so picky and eats the same thing every day for days on end!"

The nurse is caring for a 3-year-old at a well-child checkup. The parent states that her child still has an afternoon nap but she has a friend whose toddler no longer naps in the afternoon. She is seeking advice on what do to. When providing anticipatory guidance to the parent about sleep patterns, what is the most appropriate response by the nurse? "Children begin to give up afternoon napping at 2 years." Since they are in school now all day, napping ends at 6 years. "Children no longer nap in the afternoon after 1 year." "Often, the afternoon nap will be no longer needed after 4 years."

"Often, the afternoon nap will be no longer needed after 4 years."

A 5-year-old girl is pretending to be a crocodile during a physical examination. Her mother just smiles and rolls her eyes at the nurse. What would be the best response for the nurse to give the child? "Oh no! I have a crocodile in my room. Please don't bite me!" "What a wonderful imagination you have! I've never seen anyone who was so good at pretending to be a crocodile." "What happened to my client? Did you eat her?" "My dear, you are a girl, not a crocodile. Now sit still so that I can examine you."

"What a wonderful imagination you have! I've never seen anyone who was so good at pretending to be a crocodile."

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? 3.5 to 4 inches (8.89 to 10.16 cm) 1 to 2 inches (2.54 to 5.07 cm) 0.5 to 1 inch (1.27 to 2.54 cm) 2.5 to 3 inches (6.35 to 7.62 cm)

2.5 to 3 inches (6.35 to 7.62 cm)

The nurse is conducting a well-child examination of a 5-year-old girl who was 40 inches tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler? 41 inches 43 inches 47 inches 45 inches

43 inches

A parent tells the nurse about being frustrated because the preschool-aged child screams every time the parent attempts to buckle the child's seat belt. What advice should the nurse give this parent? Warn the child of punishment for not buckling up and then follow through. Do not start the car until seat belts are in place. Arrange for a babysitter to avoid taking the child in the car. Tell the child that you will give a treat for buckling up.

Do not start the car until seat belts are in place.

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? Select all that apply. Teach your children to say "no" to anyone whose touching makes them feel uncomfortable. Wait until children are old enough to tell them how to call for help in an emergency. Encourage children to tell you or another trusted adult if someone asks them to keep a secret about anything uncomfortable. Urge children never to talk to or accept a ride from a stranger. Urge your children to report others who are bullying.

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.

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 and height are within expected patterns of growth. Weight is above an expected range and height is within an expected range. Weight is below an expected range and height is above an expected range. Weight falls within an expected range and height is less than what would be expected.

Weight is above an expected range and height is within an expected range.

The nurse is working to gain a preschooler's cooperation to swallow an oral medication. What would be the nurse's best approach? ask if the child would like to take the medicine in a cup or through an oral syringe offer to play a game with the child if the child takes the medicine leave the medicine on the night stand so the child can take it independently compare the taste of the medicine to a chocolate bar

ask if the child would like to take the medicine in a cup or through an oral syringe

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: conservation. guilt. centering. initiative.

centering.

Which project or game would you anticipate that a preschooler would most enjoy while hospitalized? dressing in her mother's coat to play house turning out the lights to play hide and seek planting flower bulbs that she can watch grow next spring playing an electronic, hand-held game

dressing in her mother's coat to play house

Which type of play should the nurse encourage for a preschool-age child who is hospitalized? turning out the lights to play hide and seek planting flower bulbs that can be watched growing next spring playing an electronic handheld game dressing in the mother's coat to play house

dressing in the mother's coat to play house

When planning how to respond to a 3-year-old child about telling stories ("tall tales"), the nurse would base the statement on the fact that: imagination in a 3-year-old is at its peak. a 3-year-old knows the word two but not the concept of two. preschoolers have a limited vocabulary. a preschooler is in an insecure period.

imagination in a 3-year-old is at its peak.

During a routine wellness examination, the nurse is trying to determine how well a 5-year-old boy communicates and comprehends instructions. Which of the following is the best specific trigger question to determine the preschooler's linguistic and cognitive progress? "How well does your son communicate or follow instructions?" "Is your son's speech clear enough that anyone can understand it?" "Would you say your son has a vocabulary of about 900 words?" "Does your son speak in complete sentences all the time?"

"How well does your son communicate or follow instructions?"

The nurse has completed an educational program on normal growth and development in children. Which statement by a participant would indicate a need for further education? "I will add some crayons, chalk and finger paints to my three-year-old's birthday gifts." "My four-year-old will be getting a tricycle for her birthday. I'm glad it's a good gift for her." "It is okay for my four-year-old to still play in his sandbox." "I am so glad I can get rid of all of those bath toys because they take up so much room."

"I am so glad I can get rid of all of those bath toys because they take up so much room."

The nurse is providing an in-service for parents of preschoolers regarding nutrition. Which comments by the parents demonstrate successful learning following the in-service? Select all that apply. "We very rarely feed our child fast food and when we do we try to keep it as healthy as possible with no soda." "My 4-year-old should be ingesting at least 700 mg of calcium through food daily to promote good bone health." "My 4-year-old is above normal in weight but I'm sure it's just baby fat and will be lost with age." "The only way I can get my child to consume sources of vitamin C is through fruit juices. I guess it's better than not at all." "I generally give my child choices about foods within each food category, ensuring all food groups are represented."

"My 4-year-old should be ingesting at least 700 mg of calcium through food daily to promote good bone health." "I generally give my child choices about foods within each food category, ensuring all food groups are represented." "We very rarely feed our child fast food and when we do we try to keep it as healthy as possible with no soda."

Which technique should the nurse use to administer ear drops to a 18-month-old child? Lift the pinna of the ear down and back. Press the pinna of the ear forward. Pull the pinna of the ear downward. Pull the pinna of the ear up and back.

Lift the pinna of the ear down and back.

A nurse realizes safety teaching has been successful when the parents identify which action to help prevent the leading cause of death in preschoolers? Using gates at the top of the stairs Putting latches on lower cabinets Placing the child in an approved car seat Washing hands after using the bathroom

Placing the child in an approved car seat

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 independently and are side-by-side. Playing in an organized group with each other. Playing apart from others without being part of a group. Playing together in an activity without organization.

Playing in an organized group with each other.

Which gross motor skill would the 4-year-old child have most recently attained? The child can tie his/her shoelaces. The child can hop on one foot. The child can button his/her clothes. The child can cut his/her food.

The child can hop on one foot.

A nurse conducted a health history with a 5-year-old child admitted with abdominal pain. The nurse stood at the bedside while talking to the parent and child. The client was in a private room. The nurse made sure the door was closed and referred to the parent as "Mrs. Smith" whenever asking a question. Which action by the nurse was not conducive to the health history? conducting it in a private room closing the door referring to the mother as Mrs. Smith standing at the bedside

standing at the bedside

The nurse is observing several children interacting during a community health event. Which observed behavior would be indicative of a 4-year-old child? "Look! I am a nurse, and I am helping people feel better!" "I ran the race better than my best friend because he was slow." "I told the other child no, when he asked me to cheat at the game." "I lost the game because I did not play good, and I am sad."

"Look! I am a nurse, and I am helping people feel better!"

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." "I need to work with my 4-year-old; she should be able to cut paper with scissors on her own." "My 3-year-old is doing fine, he can hop on one foot already." "I'm glad to know that it's okay that my 5-year-old is learning to skate."

"My 5-year-old son still needs me to dress and undress him."

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? 58 to 60 lb (26.3 to 27.2 kg) 50 to 52 lb (22.7 to 23.6 kg) 44 to 46 lb (20 to 21 kg) 38 lb to 40 (17.2 to 18.1 kg)

44 to 46 lb (20 to 21 kg)

The nurse is preparing to give a preschool-age client an oral medication. Which approach would be appropriate for the nurse use to gain the child's cooperation? Ask the child if they want to take teh medication with juice or water. Leave the medicine on the bedside stand; it can be taken independently. Compare the taste of the medicine to a candy bar. Offer to play a game with the child if the medicine is swallowed.

Ask the child if they want to take teh medication with juice or water.

The mother of a 4-year-old child reports she has been trying in vain to teach her son to tie his shoelaces. She states she fears he may be "slow". Which action by the nurse is most appropriate? Demonstrate a few methods for the parent to use to teach this skill to her child. Explain to the parent her child likely does not have the needed motor skills to achieve this task at his current age. Explain that she may need to change the way she is instructing him to do this. Ask to assess the child's fine motor skills for developmental delays in light of her reports.

Explain to the parent her child likely does not have the needed motor skills to achieve this task at his current age.

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? "My child is 3 years old now and I put my child in time-out for 5 to 10 minutes when misbehaving." "When my child starts getting frustrated and aggressive, I remind the child throwing a fit will end up in a time-out." "Our time-out chair is in the master bedroom so my child cannot see anyone else in the family." "We use the time-out chair when our child gets tired but does not want to take a nap."

"When my child starts getting frustrated and aggressive, I remind the child throwing a fit will end up in a time-out."

The nurse is speaking with the parent of a 4-year-old child. Which statement by the parent would suggest a need for further investigation? "Sometimes I wish my child would play with a toy in the way it was intended. My child is constantly pretending it is something else." "My child loves to play dress-up with friends at day care." "I think it is so cute when my child wants to help my spouse with yardwork." "My son loves to follow around his older sister." "When we go to the park, my child never wants to play with the other children."

"When we go to the park, my child never wants to play with the other children."

An advanced practice pediatric nurse practitioner is conducting a mental status examination with a 6-year-old girl. Which question would be most appropriate for the nurse to ask? "Why does your pink doll hit all the other dolls?" "Isn't it fun to play with dolls?" "Do you like the doll with pink hair or with green hair better?" "What is the name of the president of the United States?"

"Why does your pink doll hit all the other dolls?"

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? "Maybe practicing these activities with him would help him improve these motor skills." "Your child is not expected to be able to perform those activities at 3 years of age." "I am sure he will become more proficient in these activities soon." "I wouldn't be too concerned since he seems fine during my assessment."

"Your child is not expected to be able to perform those activities at 3 years of age."

A 3-year-old girl is admitted to the hospital for eye surgery. The nurse provides her with a doll and syringe for therapeutic play. She sticks the doll in the eye with the syringe and says, "You won't watch TV again when I tell you not to!" What is your best response to this? Explain that nurses never give injections into eyes. Ask her if she ever accidentally stuck herself in the eye. Ask her if she thinks having surgery is punishing her. Pretend that you are the doll and say, "Ouch!"

Ask her if she thinks having surgery is punishing her.

A 4-year-old child is drawing with crayons. Which creation by the child would most be reflective of the anticipated skill level of this age? The child draws a person with 6 body parts. The child is able to draw shapes such as circles and squares. The child is able to proficiently draw several letters of the alphabet. The child draws random lines on the paper and reports it is a person.

The child is able to draw shapes such as circles and squares.

The nurse is caring for a 5-year-old child after a tonsillectomy. The child looks out the window and tells the nurse that it is raining and says, "The sky is crying because it is sad that my throat hurts." The nurse understands that the child is demonstrating which mental process? centered thinking magical thinking transductive thinking symbolic thinking

magical thinking