Ch 33 - The Preschooler and Family

human herpes virus type 6.

The causative agent for erythema infectiosum (fifth disease) is: paramyxovirus. human herpes virus type 6. human herpes virus types 1 and 2. group A β-hemolytic streptococci.

completing the child's sentences.

The nurse is assessing a preschool age child who is stuttering when answering the nurse's questions. The nurse should offer alternate methods of responding to the stuttering when observing the parent: completing the child's sentences. listening attentively. encouraging the child to speak slowly. helping the child relax.

inform the parent to expect a more tranquil period at this age.

The nurse is giving anticipatory guidance to the parent of a 5-year-old. In this guidance, it is MOST important to: prepare the parent for increased aggression. encourage the parent to offer the child choices. inform the parent to expect a more tranquil period at this age. advise parents that this is the age when stuttering may develop.

having imaginary playmates is normal and useful at this age.

The parents of a 4-year-old girl are worried because she has an imaginary playmate. The nurse's BEST response is to tell the parents: a psychosocial evaluation is indicated. an evaluation of possible parent-child conflict is indicated. having imaginary playmates is normal and useful at this age. having imaginary playmates is abnormal after about age 2 years.

fear of intrusive procedures.

When caring for a preschool age child, the nurse should incorporate knowledge that body image has developed to include: a well-defined body boundary. knowledge about his or her internal anatomy. fear of intrusive procedures. anxiety and fear of separation.

refer the child for professional help.

A 4-year-old boy has been having increasingly more frequent angry outbursts in preschool. He is very aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8 to 10 weeks. His parent asks the nurse for advice. The MOST appropriate intervention is to: explain that this is normal in preschoolers, especially boys. refer the child for professional help. talk to the preschool teacher to obtain validation for the behavior the parent reports. encourage the parent to try more consistent and firm discipline.

Let her watch other children play with a dog

A 4-year-old female child is afraid of dogs. What should the nurse recommend to her parents to help her with this fear? Keep her away from dogs Buy her a stuffed dog toy Force her to touch a dog briefly Let her watch other children play with a dog

sleep terror.

A 4-year-old female child sometimes wakes her parents up at night screaming, thrashing, sweating, and apparently frightened. Yet she is not aware of her parents' presence when they check on her. She lies down and sleeps without any parental intervention. This is MOST likely described as: a nightmare. sleep terror. seizure activity. sleep apnea.

The child is brought to the emergency department by an unrelated adult. The child has red, green, and yellow bruises on more than one plane of the body.

A child is brought to the emergency department after falling down the basement stairs. On assessment, what findings may cause the nurse to suspect child maltreatment? (Select all that apply.) The child's bruises are located only on the right arm and leg. The child is brought to the emergency department by an unrelated adult. The child has a history of a broken arm last year from falling off a swing. The child's caregiver is anxious that the child get immediate medical attention. The child has red, green, and yellow bruises on more than one plane of the body.

creative play that should be encouraged.

A mother tells the nurse that her daughter's favorite toy is a large, empty box that contained a stove. She plays "house" in it with her toddler brother. Based on the nurse's knowledge of growth and development, the nurse recognizes that this is: unsafe play that should be discouraged. creative play that should be encouraged. suggestive of limited family resources. suggestive of limited adult supervision.

Falls Drowning Poisoning Tricycle and bicycle accidents

A nurse is presenting a class on injury prevention to parents of preschoolers. Which injuries should the nurse identify as occurring in this age group? (Select all that apply.) Falls Drowning Poisoning Sports injuries Tricycle and bicycle accidents

initiative.

According to Erikson, the primary psychosocial task of the preschool period is developing a sense of: identity. intimacy. initiative. industry.

give an antipruritic medication such as Benadryl.

An appropriate intervention to provide comfort for the child with itching associated with chickenpox is to: encourage frequent warm baths. give aspirin or acetaminophen. give an antipruritic medication such as Benadryl. apply thick coat of Caladryl lotion over open lesions.

perform developmental screening.

During a well-child visit, the father of a 4-year-old boy tells the nurse that he is not sure if his son is ready for kindergarten. His birthday is close to the cutoff date, and he has not attended preschool. The nurse's BEST recommendation is to: start kindergarten. perform developmental screening. observe a kindergarten class. postpone kindergarten and go to preschool.

large blocks alphabet flash cards dolls hand puppets

The nurse is preparing the playroom on a newly opened pediatric unit. The nurse should include which items to foster the development of the preschool child? (Select all that apply.) large blocks alphabet flash cards 100-piece puzzles dolls hand puppets

The quality of the food consumed is more important than the quantity.

The nurse preparing a nutritional teaching plan for the parents of a preschool child should include which information? The quality of the food consumed is more important than the quantity. Nutrition requirements for preschoolers are very different from requirements for toddlers. Requirement for calories per unit of body weight increases slightly during the preschool period. Average daily intake of preschoolers should be about 3000 calories.

5 years.

The nurse would expect that most children would be using sentences of six to eight words by age: 18 months. 24 months. 3 years. 5 years.

play.

The nurse's BEST approach for effective communication with a preschool age child is through: speech. play. drawing. actions.

parents should determine exactly what the child wants to know before answering a question about sex.

When preparing parents to teach their preschool child about human sexuality, the nurse should emphasize that: a parent's words may have a greater influence on the child's understanding than the parent's actions. parents should determine exactly what the child wants to know before answering a question about sex. parents should avoid using correct anatomic terms because they are confusing to the preschooler. parents should allow children to satisfy their sexual curiosity by playing "doctor."

They may exhibit various behavioral manifestations.

Which statement is correct about young children who report sexual abuse? They may exhibit various behavioral manifestations. In most cases the child has fabricated the story. Their stories are not believed unless other evidence is apparent. They should be able to retell the story the same way to another person.