Chapter 27: Growth and Development of the...

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The nurse is providing teaching about preventing poisoning. Which statement by the mother would warrant further discussion?

"All medicine in our bathroom is in childproof containers."

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

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 sound scared. I will show you under the bed that there are no monsters."

A hospitalized 4-year-old child reports having difficulty falling asleep at night due to a fear of monsters. How will the nurse respond?

testing and identification of group role.

At a physical examination, a nurse asks the father of a 4-year-old how the boy is developing socially. The father sighs deeply and explains that his son has become increasingly argumentative when playing with his regular group of three friends. The nurse recognizes that this phenomenon is most likely due to:

having the child wear a personal flotation device whenever near or on the water.

Parents of a 3½-year-old indicate they spend time with grandparents who live near a lake. The nurse will emphasize:

"At this age it is helpful to remind children to go to the bathroom."

The mother of a 4-year-old girl reports her daughter has episodes of wetting her pants. The nurse questions the mother about the frequency. The nurse determines these episodes occur about once every 1 to 2 weeks. Which response by the nurse is indicated?

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

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?

Risk for caregiver role strain

The nurse is caring for a preschool-age child in the hospital with severe developmental delays. The parents have three other younger children at home and both parents work full-time outside the home. The family has just moved to this area. Which nursing diagnosis would be the highest priority in regard to the parents at this time?

"Tell me about your child's exposure to tobacco smoke."

The nurse is conducting a physical examination of a young preschooler and detects the odor of tobacco smoke on the parents' hair and clothing. How should the nurse respond?

-Encourage your preschool-aged child to brush their teeth twice a day with a pea-sized amount of toothpaste. -Ensure your preschool-aged child knows their address and phone number. -Encourage unstructured physical activity every day for your preschool-age child.

The nurse is providing health-promotion teaching to a group of parents of 4-year-old children at a local day care. What information will the nurse include in this education session? Select all that apply.

"All medicine in our bathroom is in childproof containers."

The nurse is providing teaching about preventing poisoning. Which statement by the mother would warrant further discussion?

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

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:

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

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?

Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names.

While the nurse is taking a blood pressure on a 4-year-old, the child states that the blood-pressure cuff is too tight and angrily says, "That hurt, you big poo-poo head." What is the most appropriate response by the nurse?

"By the age of 6, most children can print some letters and maybe their first name."

The caregiver of a 6-year-old expresses concern that the child cannot yet print her first and last name. The caregiver is wondering if this is normal. Which response by the nurse would be most appropriate?

"She can ride on the street if I am riding with her."

The nurse is providing teaching to the mother of a 4-year-old girl about bike safety. Which statement by the mother indicates a need for further teaching?


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