Pediatric Growth and Development Quiz 3
A mother in the outpatient setting is explaining how she plans to prepare her 5-year-old for hospital admission. What remark indicates the parent requires additional teaching?
"We told him to use his manners and behave like a big, brave boy."
At birth the newborn's head and chest circumference were measured. The nurse knows that the head should be about:
1 inch larger than the chest
The nurse finds the diet of a 30-month-old girl to be low in calcium. What suggestion can significantly increase this toddler's calcium intake?
Give her slices of cheddar cheese as a snack.
Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in late adolescence?
Nocturnal emissions
The nurse is caring for a 5-week-old infant who is spitting up "all the time." This is the mother's first child. Which of the following should be the priority nursing action?
Observe the mother while she feeds and burps her infant.
The nurse is preparing a postsurgical care plan for an infant girl located on a general hospital unit that only occasionally admits children. To ensure the infant's safety, what should the nurse include in the plan?
Place the infant in a room close to the nurses' station
A father mentioned to the nurse that his usually smiling, happy 8-month-old boy was clingy and intensely serious when his grandmother visited from a distant city. The nurse explained the child was experiencing:
Stranger anxiety
In helping parents anticipate puberty in their son, the nurse explains that a first sign will be:
Testicular enlargement
Parents of an 11 year-old boy are bewildered that their son was caught stealing. Which of the following reasons for this behavior would the nurse suggest?
The child had a strong desire to own the item.
In discussing with the nurse their 2-year-old's behavior, which of the parents' descriptors suggests the child may be ready for toilet teaching?
The child hides behind her bedroom door when defecating.
A 12-month-old seen at a walk-in clinic weighed 8 pounds 4 ounces at birth. Weight now is 20 pounds 8 ounces. The nurse determines:
The child weighs less than expected for age.
Parents are proud of their toddler's fast-developing fine motor skills. Which one they describe should the nurse point out as a safety risk?
Ability to turn knobs
A 15-year-old boy asks numerous questions about recovery from anesthesia and typical behaviors of someone awakening from sedation. The nurse interprets the concern of this teen to be:
About his ability to control his own behavior
Parents ask for disciplinary guidance for their 4-year-old. The nurse suggests which of the following? Select all that apply.
Anticipate situations likely to cause misbehavior and redirect the child to another activity. Books and stories can help preschoolers master proper behavior. When discussing improper behavior, call the behavior "bad" or "naughty", not the child.
In helping parents anticipate puberty in their daughter, the nurse explains that a first sign will be the appearance of:
Breast buds
A 17 year-old girl needs to increase her iron intake but is concerned about weight gain. The nurse will suggest which of the following?
Chicken, whole-wheat bread, watermelon
The nurse is caring for a technology-dependent school-age child in his home. Which of the following actions best builds a trusting relationship?
Discussing care and treatment with the parent and child together.
During an annual visit of a 6 year-old boy, the nurse observes dental caries on two of the child's primary teeth. What should be the nurse's first response?
Educate the parents about the importance of the primary teeth.
The nurse is providing anticipatory guidance regarding the respiratory development of a 4-week-old girl for her mother. Which of the following is accurate?
Explaining to the mother the risk for infection is high due to the lack of antibodies.
Parents tell the nurse their 3 ½ -year-old refuses to eat meat but are pleased she drinks "lots of milk". What risk does the nurse identify?
Iron deficiency
A staff nurse is talking about Piaget's theory with a nursing student. Infants are in the sensorimotor stage of cognitive development during which object permanence is mastered. An example of an infant displaying this ability is:
Looking for a toy in her crib at the last place she saw it.
The nurse is discussing proper discipline with the mother of a 15-month-old boy. Which statement is most important?
Never spank the child for any reason.
Parents and their 35-month-old child have returned to the clinic for a follow-up appointment. Which of the findings may signal a speech delay?
Uses two-word sentences or phrases
The parents of a 5 year-old call the nurse for advice about night terrors. The child has had them nightly for almost 2 weeks. Which of the following is the most appropriate intervention?
Wake the child up nightly 30-45 minutes after going to sleep.
A 3 ½ -year-old shouts, "Look out for Boo-ga-loo!" as the nurse enters the exam room The father explains Boo-ga-loo is his daughter's imaginary friend. How should the nurse respond?
"Tell me about Boo-ga-loo."
Development should continue during hospitalization. What play activities will the nurse choose for toddlers to accomplish this? Select all that apply.
-Putting together a large-piece puzzle -Stacking blocks - Pulling a toy train
The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. Which of the following is part of this stage of Erikson's s theory?
A sense of competence, mastery, and worth
The nurse is admitting a 14-year-old girl for a tonsillectomy and is preparing her for the procedure. Which of the following is the best statement or question?
"Are you wondering about anything related to your tonsillectomy?"
The nurse is promoting language and cognitive development to the parents of a 3-year-old boy. Which guidance about reading with their child will be most helpful?
Ask the child questions as you read.
In assessing the bilingual 4-year-old's speech and language development, the nurse should find that the child will:
Be able to use each language as a separate system