Growth & Development Quiz

Based on Erikson's theory of development, what should the nurse suggest to a mother of a toddler who harshly disciplines her child?

"Your child needs support and love or may develop feelings of shame and doubt."

The parents of a school-aged child with cystic fibrosis tell the nurse that they have changed to generic pancreatic enzymes because of money issues. An appropriate response by the nurse is:

"Generic enzymes are not as effective as the brand-name one. This is something you need to discuss with your healthcare provider."

The parents tell the nurse that their preschooler often awakes from sleep, screaming in the middle of the night. The preschooler is not easily comforted and screams if the parents try to restrain the child. What does the nurse instruct the parents?

"Intervene only if necessary to protect the child from injury."

A school-age child is mostly at home after school and gets engrossed in video games. Once a week, the child engages in swimming activity. The child's family also often orders fast food from restaurants. What does the nurse need to inform the parents about the child?

"The child is at risk for childhood obesity."

The mother of a 2-year-old girl expresses concern that her daughter's growth rate has slowed. What should the nurse explain to the mother about the growth of toddlers?

"This growth pattern is typical at this age."

The nurse educates the parents of a toddler-age client regarding play and toys appropriate for this stage of development. Which parental responses indicate correct understanding of the information presented? A) "We should expect our child to participate in parallel play." B) "We should provide our child with finger paints to foster creativity." C) "We should allow our child to watch as much television as she wants." D) "We should provide our child with toys that foster her imagination, such as a doll." E) "We should provide our child with toys so that we are able to finish household chores."

A, B, D

The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures them that their child is demonstrating a typical developmental stage. According to Erikson, which developmental stage will the nurse document in the medical record for this toddler?

Autonomy versus shame and doubt.

An adolescent girl is concerned about her body image after amputation of a leg for bone cancer. After the nurse has obtained the girl's consent, what nursing action is most therapeutic?

Encouraging her peers to visit

Which pain scale should a nurse use to measure the intensity of pain in toddlers?

FACES scale

Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children?

Familial and cultural influences are deciding factors in eating habits.

When teaching a class about parenting, the nurse asks the participants what they do when their toddlers have a temper tantrum. Which statement demonstrates one father's understanding of the origin of temper tantrums?

He tries to prevent a temper tantrum by allowing his child to choose between two reasonable alternatives.

Which stage of Erikson's theory would the nurse explain describes the development of a preschooler?

Initative versus guilt

Two 3-year-old clients are playing together in a hospital playroom. One is working on a puzzle, and the other is stacking blocks. Which type of play are these children participating in based on this scenario?

Parallel play

The parents of a preschooler tell the nurse that they try to inculcate good eating habits by asking the child to be at the table until the "plate is clean." What condition is the child at risk for?

Poor eating habits

A 9-year-old boy is told that he must stay in the hospital for at least 2 weeks. The nurse finds him crying and unwilling to talk. What is the priority nursing care at this time?

Providing privacy to allow him to express his feelings

The nurse instructs parents to avoid placing their infant in a prone position while sleeping. Which risk does the nurse seek to prevent with this instruction?

SIDS (sudden infant death syndrome)

The nurse observes an infant using his thumb and index finger to hold an object. What does the nurse infer from this?

The infant is showing crude pincer grasp reflex.

A nurse is caring for several school-aged children with cystic fibrosis. Why does the nurse anticipate that these children will probably be small and underdeveloped for their age?

These children digest little food because pancreatic enzymes are blocked.

A 7-year-old child must remain quietly in bed while undergoing peritoneal dialysis. What activity is most appropriate for the nurse to plan for this child?

Working multiple-piece puzzles with another child

Which nursing actions are developmentally appropriate when caring for a hospitalized preschool-age child? Select all that apply. a. Using toys for distraction during a painful procedure b. Providing brochures regarding home care options c. Offering medical equipment to play with prior to a procedure d. Providing clear instructions about details of a procedure that will occur near discharge

a. Using toys for distraction during a painful procedure c. Offering medical equipment to play with prior to a procedure

In which stage of development are food choices affected by such factors as peer acceptability and sociability, possibly resulting in malnutrition or chronic illness?

adolescence

A 12-year-old child is to be bedridden at home for several weeks after orthopedic surgery. What activity should the nurse encourage the parents to plan?

continuing schoolwork

What is the best room assignment for a 5-year-old child admitted with injuries that may be related to abuse?

in a room near the nurse's desk

The parents of an 8-year-old state that their son seems very interested in trying new activities. When the parents ask for suggested activities for this age child, the nurse recommends scouts as an activity that will foster growth and development. In which stage of Erikson's "psychosocial stages of development" is this child?

industry versus inferiority

Which major gross motor development skills would the nurse expect to see demonstrated during a teaching session with parents of a 12-month old client who is entering the toddler stage of development?

walking alone