Saunders | Developmental Stages

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219. A mother of a 3-year-old asks a clinic nurse about appropriate and safe toys for the child. The nurse should tell the mother that the most appropriate toy for a 3-year-old is which? 1. A wagon 2. A golf set 3. A farm set 4. A jack set with marbles

1. A wagon - Toys for the toddler must be strong, safe, and too large to swallow or place in the ear or nose - Toddlers need supervision at all times - Push-pull toys, large balls, large crayons, large trucks, and dolls are some of the appropriate toys

217. The mother of a 3-year-old is concerned because her child still is insisting on a bottle at nap time and at bedtime. Which is the most appropriate suggestion to the mother? 1. Allow the bottle if it contains juice. 2. Allow the bottle if it contains water. 3. Do not allow the child to have the bottle. 4. Allow the bottle during naps but not at bedtime.

2. Allow the bottle if it contains water. Should never be allowed to fall asleep with a bottle containing milk, juice, soda pop, sweetened water, or any other sweet liquid because of the risk of nursing (bottle-mouth) caries. If a bottle is allowed at *nap time or bedtime*, it should contain only water.

211. Which car safety device should be used for a child who is 8 years old and is 4 feet tall? 1. Seat belt 2. Booster seat 3. Rear-facing convertible seat 4. Front-facing convertible seat

2. Booster seat - For typically when they have reached 4'9" & between 8-12 years of age. - Infants should ride in a rear-facing position in an infant-only seat or a convertible seat until they weigh at least 20 pounds and are at least 1 year of age. - The transition point for switching to the forward-facing position is defined by the manufacturer of the convertible car safety seat but is generally at a body weight of 9 kg (20 pounds) and 1 year of age.

212. The nurse assesses the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/minute. On the basis of this finding, which action is most appropriate? 1. Administer oxygen. 2. Document the findings. 3. Notify the health care provider. 4. Reassess the respiratory rate in 15 minutes

2. Document the findings. In a 12-month-old infant: - RR: 20-40 breaths/min - Apical HR: 90-130 bpm - BP: 90/56 mmHg

210. A 16-year-old is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively? 1. Encourage the child to rest and read. 2. Encourage the parents to room in with the child. 3. Allow the family to bring in the child's favorite computer games. 4. Allow the child to interact with others in his or her same age group.

4. Allow the child to interact with others in his or her same age group. - Adolescents often are not sure whether they want their parents with them when they are hospitalized. - Because of the importance of their peer group, separation from friends is a source of anxiety. - Ideally, the members of the peer group will support their ill friend. - Options 1, 2, and 3 isolate the child from the peer group.

216. A mother arrives at a clinic with her toddler and tells the nurse that she has a difficult time getting the child to go to bed at night. What measure is most appropriate for the nurse to suggest to the mother? 1. Allow the child to set bedtime limits. 2. Allow the child to have temper tantrums. 3. Avoid letting the child nap during the day. 4. Inform the child of bedtime a few minutes before it is time for bed.

4. Inform the child of bedtime a few minutes before it is time for bed. - Establish a consistent before-bedtime routine - Enforcing consistent limits regarding the child's bedtime behavior - Inform the child of bedtime a few minutes before it is time for bed - Most toddlers take an afternoon nap and, until their second birthday, also may require a morning nap - Firm, consistent limits are needed for temper tantrums or when toddlers try stalling tactics