Chapter 31 questions Peds

A first-time father calls the pediatric nurse stating he is concerned that his 4-year-old daughter still wets the bed almost every night. Remembering his own experience of being punished for wetting the bed at 4 years old, he is not sure punishment is the best approach to address this. Which nursing instruction is the most appropriate? A. "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration." B. "Setting rules is a parent's job to help the child have acceptable social behavior, so take away a privilege each time she wets the bed." C. "Nightly bedwetting up to age 12 is developmentally typical, so you will need to practice patience with your daughter." D. "Disciplining is not likely to be effective, but if the child keeps wetting the bed it may be necessary."

A. "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration."

A mother reports to the nurse that her 4-year-old does everything that she does. She says she is becoming somewhat frustrated with these actions. What would be the best response by the nurse to this mother? A. "Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development." B. "This is not normal behavior. I am going to get the doctor's advice." C. "I am sure there are ways to get your daughter to stop imitating you." D. "I can imagine that it would be very irritating."

A. "Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development."

The parents of a toddler are concerned their child is not developing correctly and are questioning the nurse concerning the child's lack of effort to join other children in a group activity. Which response should the nurse prioritize in answering the parents? A. "This is normal for this age group. It's referred to as solitary independent play." B." You should try to get your child involved in a local Boys and Girls club to encourage more interaction." C. "Perhaps getting your child interested in sports will improve their other play habits." D. "Your child is involved with others, just indirectly. See how they sit next to the other children and play with the same toys?"

A. "This is normal for this age group. It's referred to as solitary independent play."

The nurse is observing a group of 5-year-olds playing in the playroom. Which developmental milestones does the nurse identify as newly acquired skills since turning 5 years old? Select all that apply A. Lacing one's shoes B. Drawing a cross C. Jumping D. Standing on one foot E. Drawing a 6-part man

A. Lacing one's shoes E. Drawing a 6-part man

Nursing students are reviewing information about the cognitive development of preschoolers. The students demonstrate understanding of the information when they identify that a 3-year-old is in what stage as identified by Piaget? A. Preoperational thought B. Coordination of secondary schema C. Primary circular reaction D. Tertiary circular reaction

A. Preoperational thought

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: A. testing and identification of group role. B. regression. C. playing in an even-number group of children (four). D. preschoolers having a harder time sharing than toddlers.

A. testing and identification of group role.

A nurse is preparing to administer vaccines to a child who is entering kindergarten. Which vaccines should the nurse anticipate administering to this child? Select all that apply. A. varicella B. diphtheria, pertussis, and tetanus (DTaP) C. hepatitis B D. poliomyelitis (inactivated) E. measles, mumps, and rubella (MMR)

A. varicella B. diphtheria, pertussis, and tetanus (DTaP) D. poliomyelitis (inactivated) E. measles, mumps, and rubella (MMR)

A parent brings her 3-year-old child in for a sick visit for the third time this year. The child, who attends a preschool program, continues to develop upper respiratory infections. The parent is frustrated with the situation and asks the nurse for advice. What would be the best recommendation for the nurse to give to the parent in this situation? A. Send the child to preschool with a healthy snack each day. B. Make sure that frequent handwashing is being stressed at the preschool. C. Teach the child to cover the mouth when sneezing. D. Withdraw the child from preschool and keep him/her at home.

B. Make sure that frequent handwashing is being stressed at the preschool.

The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in? A. Painting pictures in the art corner of the room B. Pretending to be mommies and daddies in the playhouse C. Playing a board game D. Watching a movie with other children their age

B. Pretending to be mommies and daddies in the playhouse

A nurse is observing a 3-year-old preschooler engaged in play. What behavior would the nurse most likely expect to observe? A. parallel play B. imitative play C. solitary play D. group play

B. imitative play

The nurse is assessing the psychosocial development of a preschooler. What are normal activities characteristic of the preschooler? Select all that apply. A. Classifies or groups objects by their common elements B. Engages in parallel play with peers C. Acts out roles of other people D. Plans activities and makes up games E. Initiates activities with others F. Understands relationships among objects

C. Acts out roles of other people D. Plans activities and makes up games E. Initiates activities with others

The nurse and a client are discussing the client's preschool child. The client states, "When I tell my child it's time for bed, he/she screams and cries for almost an hour each night before going to sleep." The client and the nurse decide that the next course of action is: A. promise the child a new toy in the morning for good behavior. B. let the child set the time to go to bed. C. follow a routine and set a bedtime. D. let the child fall asleep wherever he/she wants and then carry the child to bed.

C. follow a routine and set a bedtime.

Which behavior by a 3 year-old child does not validate Erikson's developmental task for preschoolers? A. Asks the parent "why" about everything that happens. B. "Cooks" a meal on the toy stove. C. Dresses up and pretends to be a superhero. D. Compares his soccer abilities with his peers.

D. Compares his soccer abilities with his peers.

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative? A. Do not set limits on the preschooler's behavior as this results in low self-esteem. B. Change the routine of the preschooler often to stimulate initiative. C. As a parent, decide how and with whom the child will play. D. Reward the child for initiative in order to build self-esteem.

D. Reward the child for initiative in order to build self-esteem.

A mother confides in a nurse that her preschool daughter only wants to play with her father as soon as he comes home from work in the evenings and does not seem to have any interest in spending time with the mother. This phenomenon is an example of: A. oedipus complex B. centering C. genu valgum D. electra complex

D. electra complex

The developmental task of preschoolers is to achieve a sense of: A. accomplishment versus inefficiency. B. cognition versus attitude. C. autonomy versus shame and doubt. D. initiative versus guilt.

D. initiative versus guilt.