Chapter 15: An Overview of Growth, Development, and Nutrition

Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply.) a. Bubble gum b. Chocolate-covered peanuts c. Raw vegetables d. Cheese e. Dried fruits

C,D

An educational program is being presented to pediatric nurses on the relationship of play to childhood development. What information should be included in this presentation? (Select all that apply.) a. Art play should be used sparingly. b. Use of computer/video games is detrimental. c. Understanding of child-parent relationships can be gained by observing play. d. Play encourages self-expression. e. Play provides a sense of accomplishment.

C,D, E

A mother tells the nurse, "My 11-month-old son is not as active as my other children were at this age. He is the youngest of four and the older children love to dote on him." Which factor is influencing this child's language development? a. Heredity b. Sex c. Mother's health during pregnancy d. Ordinal position

D

At a well-baby visit, parents of a 6-month-old infant ask when to take the infant for the first dental visit. What is the nurse's best response? a. "If the teeth are brushed regularly, the child should see a dentist by 3 years of age." b. "The first dental visit should be arranged after the first tooth erupts." c. "The child should have a dental examination when all deciduous teeth have erupted." d. "A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry."

D

What does the nurse recognize as an example of Piaget's concrete operational thinking? a. A 2-year-old child says, "It's nighttime" when his room is darkened. b. A 4-year-old child refers to the hospital as "my house." c. A 5-year-old child coloring a picture of a puppy says, "This is my puppy." d. A 7-year-old child says, "I am sick because I have germs in my chest."

D

An infant's birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months? a. 12 pounds b. 15 pounds c. 18 pounds d. 22 pounds

B

A mother asks the nurse how much food should be offered to her 2-year-old child. What is a good rule of thumb for serving size (in tablespoons) per year of age? a. 2 b. 3 c. 4 d. 5

A

A mother tells her 4-year-old child that balls should be played with outside and not inside the house. Why is the child likely to obey the rule? a. The child does not want to be punished. b. The child wants to please her mother. c. The child respects authority figures. d. The child believes that following the rules is right.

A

The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray. What can the nurse expect the child to eat? a. Dried beans mixed with rice b. Crisp vegetables c. Spaghetti and meatballs d. Wild berries, roots, and seeds

A

The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant. What statement by the mother leads the nurse to determine that learning has taken place? a. "I will give my infant rice cereal first." b. "I will give my infant yellow vegetables first." c. "I will give my infant egg yolks first." d. "I will give my infant fruits first."

A

What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old child? a. Completing a 50-piece jigsaw puzzle b. Looking at a comic book c. Playing a game of "I Spy" with the nurse d. Coloring a picture in a coloring book

A

What would the nurse further investigate when assessing patterns of growth in a child? a. Previous weight was in the 75th percentile, and present weight is in the 25th percentile. b. Height is in the 90th percentile, and weight is in the 75th percentile. c. Last weight was in the 5th percentile, and present weight is in the 10th percentile. d. Weight is in the 50th percentile, and sibling's weight at the same age was in the 75th percentile.

A

How do children differ from adults? (Select all that apply.) a. Higher metabolic rate b. Greater surface area in relation to their weight c. Less mature organ systems d. More fluid reserves e. Continuously changing growth and development pattern

A, B, C, E

What approaches should the nurse suggest for introducing a toddler to new foods? (Select all that apply.) a. Serve one food at a time. b. Avoid showing personal likes or dislikes. c. Offer foods in small amounts, less than a teaspoon. d. Entice the toddler to eat with sweets. e. Serve food warm.

A, B, C, E

Parents attending a well visit for their 11-year-old son verbalize concern over his computer use. When asked about it, the boy states, "I play games on my computer for 1 hour a day." The nurse knows that computer games can provide what opportunities to childhood development? (Select all that apply.) a. Problem-solving skills b. Gross motor development c. Manipulative skills d. Learning opportunities e. Increased self-worth

A,C,D

The nurse caring for a 4-year-old postoperative patient instructs him to blow bubbles. What nursing intervention is the nurse most likely implementing by using this form of therapeutic play? a. Providing pain relief b. Encouraging deep breathing c. Decreasing risk of infection d. Maintaining body temperature

B

A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family? a. Nuclear b. Blended c. Alternate d. Extended

B

The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at what age? a. 4 years old b. 6 years old c. 8 years old d. 10 years old

B

The nurse observes that a 2-year-old toddler is able to use a spoon steadily at mealtime. What does self-feeding help to develop in the toddler? a. Good nutrition b. A sense of independence c. Adequate height and weight d. Healthy teeth

B

What does the nurse calculate the basal metabolic index (BMI) of an 8-year-old child who is 48 inches tall (1.2 meters) and weighs 100 pounds (45.4 kg) to be? a. 28.9 b. 32.4 c. 34.8 d. 37.6

B

When a small group of preschool-age children were playing house, each child was pretending to be a particular family member. What type of play does the nurse recognize these children are participating in? a. Parallel b. Cooperative c. Symbolic d. Fantasy

B

When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not answer immediately. How does the nurse interpret this response? a. Indecision b. Considering the answer in silence c. Shyness with strangers d. Fear of medical personnel

B

The nurse suggests to the parents of an obese 10-year-old child that they use the Portion Plate for Kids place mat. How does this tool help with selection of portion sizes? (Select all that apply.) a. Cartoon characters eating healthy foods b. Tips on healthy food choices c. Portion measurement in tablespoons for common food d. Calorie values for cup-size portions of common foods e. Familiar objects such as a deck of cards to measure servings

B, E

An assessment of a child's nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. How would this child's nutritional status be described? a. Overnourished b. Undernourished c. Well nourished d. Borderline

C

The mother of a 7-month-old infant reports that the first lower central incisor has erupted. She asks the nurse, "How many teeth will he have by his first birthday?" The nurse explains that the infant will have how many teeth by 1 year of age? a. 2 b. 4 c. 6 d. 8

C

The mother of a 7-month-old infant states, "The baby is eating food now. Should I give him regular milk, too?" What is the nurse's best response? a. "You should give the baby low-fat milk." b. "Try the milk. See if he has any digestive problems." c. "Continue breast milk or iron-fortified formula until 1 year of age." d. "At this age, infants can tolerate lactose-free or soy-based milk."

C

The mother of a 7-year-old pediatric patient asks the nurse about her child's sleep requirement. What is the most accurate response by the nurse? a. "7 to 10 hours a night" b. "5 to 7 hours a night with one daytime nap" c. "11 to 13 hours a night" d. "4 to 6 hours a night with two daytime naps"

C

What is a unique organization of characteristics that determines an individual's pattern of behavior? a. Environment b. Heredity c. Personality d. Experience

C

What should the nurse avoid when demonstrating a bath procedure to parents of Vietnamese origin? a. Talking directly to the mother b. Exposing the child's genitals c. Touching the child's head d. Using cool water

C

What toy is developmentally appropriate for the nurse to suggest to entertain a 5-year-old child? a. Jack-in-the-box b. Book of nursery rhymes c. Model airport with toy planes d. Model car construction kit

C

What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit? a. Specific to general b. Proximodistal c. Cephalocaudal d. General to specific

C

What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain? a. Give him an ice cube to suck on. b. Have him wash his mouth out with peroxide and water. c. Wrap the tooth in a clean tissue. d. Wash off the tooth and place it in a container of milk.

D