PEDs 1-7
A parent reports her 2-year-old daughter has gradually eaten more and more poorly since her 1-year-old well-child visit. The nurse assesses the child's growth and development as normal. What concept explains the parent's concern? Iron-deficiency anemia Physiologic anorexia Improper snacking Poor role modeling
Physiologic anorexia
The school nurse is performing a vision screening for a 7-year-old child. Which finding should trigger a referral? Peripheral vision similar to that of the school nurse Ability to color discriminate Visual acuity of 20/20 in both eyes Slight misalignment of the eyes
Slight misalignment of the eyes
A 5-month-old infant being assessed was born at 32 weeks. The nurse doing the well-child check-up should compare the baby to what norms? The development of a 10-week-old The growth of a 5-month-old The growth of a 2-month-old The development of a 3-month-old
The development of a 3-month-old
An 11-year-old child is continually late for the bus, resulting in asking if it's okay to stay home that day from school. The parents ask the school nurse for advice on what they should do. What is the best response by the nurse? "Is there anything happening at home that is making him want to stay there instead of school?" "Could both of you and your child come in for a conference so we can discuss this situation?" "It is best if you make him get on the bus whether he is ready or not in order to let him know you are in control." "I am sure he has school phobia. We will need to speak with the school counselor."
"Could both of you and your child come in for a conference so we can discuss this situation?"
A 12-year-old child tells the school nurse about not understanding why the parents don't allow the child to go to concerts without chaperones like some of the friends' parents. "I feel like a baby compared to my friends." How should the nurse respond? "I'm sure your parents are just very worried that you could get into trouble attending concerts at a young age." "Have you given any thought to why they don't let you go without a chaperone? Let's talk about some of the reasons they feel this way." "You are so young that you have plenty of time to go to concerts alone. Your parents just care about you." "Your parents are right. Twelve years old is too young to be attending concerts without a chaperone."
"Have you given any thought to why they don't let you go without a chaperone? Let's talk about some of the reasons they feel this way."
The nurse is conducting a well-child exam of a 4-year-old child. Which statement would alert the nurse that the child is at risk for iron deficiency? "He enjoys eggs and fortified cereal for breakfast." "He eats a well-balanced diet." "He does not like spinach, but he does like chicken and beef." "He loves milk and drinks it every time he is thirsty."
"He loves milk and drinks it every time he is thirsty."
What statement by the parent of a 20-month-old indicates a need for further teaching about nutrition? "I give my child juice at breakfast and when my child is thirsty during the day." "New foods are offered along with ones my child likes." "My child drinks three 6-ounce cups of whole milk each day." "When my child doesn't eat well at meals we give nutritious snacks."
"I give my child juice at breakfast and when my child is thirsty during the day.
The parents of a 6-year-old tell the school nurse that they are worried that their child will fall behind other children academically because they are not able to afford expensive toys like computer games and handheld electronic devices. Which are acceptable responses by the nurse? (Select all that apply.) "I understand how this can be frustrating, but rest assured this does not place your child at a disadvantage academically." "Could you possibly save a little money each paycheck in order to be able to purchase such items." "All of these expensive toys that are advertised and purchased by some people are not necessary for preschoolers. Simple toys like chalk and Legos are great." "There are rental agencies that rent these type of devices. Would that be a possibility financially?" "Do you play with your child and provide means of play through things like dolls, puzzles, crayons,and Play-Doh? These are the types of toys suggested for preschoolers."
"I understand how this can be frustrating, but rest assured this does not place your child at a disadvantage academically.", "All of these expensive toys that are advertised and purchased by some people are not necessary for preschoolers. Simple toys like chalk and Legos are great.", "Do you play with your child and provide means of play through things like dolls, puzzles, crayons,and Play-Doh? These are the types of toys suggested for preschoolers."
During a well-child visit, an 11-year-old child reports to the nurse looking different from friends who are wearing bras. What is an appropriate response? "You are doing well in school. Be happy with this success." "Remember the methods you have been taught to manage peer pressure." "It is common for children your age to worry about being different." "It is normal for there to be differences in the time and rate children your age develop."
"It is normal for there to be differences in the time and rate children your age develop."
The nurse is discussing nutrition choices with a group of parents of 10- to 12-year-old children. The nurse determines that the discussion was successful based on which statements by a parent? (Select all that apply.) "It's convenient that my 8-year-old and 12-year-old children need to consume the same amount of calories, because they're both active." "Meats, poultry, and fish are good sources of calcium for my child." "We will make sure that our child consumes at least 900 mg of calcium through various sources." "My 12-year-old child, who plays soccer, needs to consume around 2,000 calories a day to maintain good health." "The highest percentage of my child's diet should come from carbohydrates."
"My 12-year-old child, who plays soccer, needs to consume around 2,000 calories a day to maintain good health." "The highest percentage of my child's diet should come from carbohydrates."
A parent is discussing the 10-month-old child with the nurse. Which comment indicates a need for teaching? "My child loves being in the walker and 'zips' around the house." "I wipe my child's teeth every day with a fresh washcloth." "We have safety gates at the top and bottom of our stairs." "My child gets a few sips of apple juice each day from a regular cup, not a sippy cup."
"My child loves being in the walker and 'zips' around the house."
The nurse is working with the 5-day-old baby boy of a young Jewish couple. What comment is not culturally sensitive? "He seems hungry. Go ahead and nurse him." "What a beautiful little boy!" "I'll make sure he gets a blue blanket." "Oh, I see you have chosen not to have your baby circumcised."
"Oh, I see you have chosen not to have your baby circumcised
The parent of an infant questions the nurse about the baby's teething. The nurse provides client education. Which statement by the parent indicates understanding of the information provided? "By 1 year my baby should have about three teeth." "My baby's first tooth will likely appear between 5 and 6 months." "The first teeth that will likely appear are the lower incisors." "My baby will most likely have the upper middle teeth come in first."
"The first teeth that will likely appear are the lower incisors."
A young breastfeeding parent calls the telephone nurse because the parent is concerned about the 3-month-old's stools. Which information indicates a possible problem?
"The stools are foamy and smell terrible."
The parents of a 4-day-old infant report concern about the infant's weight loss. What is the best response by the nurse? "Babies will begin to rapidly regain weight and will double birth weight around 6 months of age." "Babies may lose up to 10% of their body weight in the first month of life." "Weight loss after birth is normal." "With appropriate nutrition weight gain will commence with a return to the birth weight within 2 weeks."
"With appropriate nutrition weight gain will commence with a return to the birth weight within 2 weeks."
At birth the newborn's head and chest circumference were measured. The nurse knows that the head should be about: equal in size to the chest. 1 in larger than the chest. ½ in smaller than the chest. 2 in larger than the chest.
1 in larger than the chest.
Place these primitive protective reflexes of infancy in the order in which they will disappear as the child matures.
1Babinski 2) Root 3) Step 4) Plantar 5) Moro
The nurse is providing anticipatory guidance regarding the respiratory development of a 4-week-old infant for the parent. Which action is accurate? Telling the parent that abdominal breathing disappears by 9 month of age Explaining to the parent the risk for infection is high due to the lack of antibodies Informing the parent that the respiratory system reaches maturity similar to the adult's by 12 months of age. Advising the parent that the infant's usual respiratory rate should slow to about 20 breaths per minute by age 6 months
:Explaining to the parent the risk for infection is high due to the lack of antibodies
The nurse is helping the parent of a 5-month-old infant understand the importance of developmentally appropriate play. Which one of the toys best meets the needs of this child? A yellow rubber duck for the bath Brightly colored stacking toy Pots and pans from the kitchen cupboard A push-pull toy
A yellow rubber duck for the bath
The nurse in a school housing kindergarten through grade 12 has identified signs of stress in the students that may indicate exposure to intimate partner violence or child abuse. What has the nurse found? (Select all that apply.) Reports of headaches, stomach aches, and enuresis Developmental regression and fearfulness Early-age smoking and drug use Truancy and absenteeism Bullying and poor social skills
ALL
The school nurse has just completed a presentation about normal adolescent physical growth to a group of adolescent students. Which comments by the adolescents indicate understanding of the nurse's presentation? (Select all that apply.) "It's strange how girls start getting taller before boys start getting taller." "Since I'm a 15-year-old guy, I still have a chance to get taller over the next couple of years." "It doesn't seem fair that girls typically have more fat than boys." "Since I just had my first period and I am 14 years old, I probably haven't reached my peak height yet." "Our hormones are sure going to cause us to change a lot over our teenage years."
ALLL
What is the key nursing role when managing the health care of a child living with a foster family? Identifying any developmental delays Advocating for the child and the services needed Determining if the child has mental health needs Securing proper educational placement
Advocating for the child and the services needed
Parents say they have been using measures to lessen the struggle of getting their preschooler to bed at night and to sleep. Which practice will the nurse suggest they discontinue? Allowing the preschooler to fall asleep wherever and whenever the child is tired enough Providing a nightlight Taking the TV set out of the child's room Eliminating caffeine sources beginning late afternoon
Allowing the preschooler to fall asleep wherever and whenever the child is tired enough
The nurse is promoting language and cognitive development to the parents of a 3-year-old child. Which guidance about reading with their child will be most helpful? Keep story time a reward for being good. Ask the child questions as you read. Read a different book if he knows the story. Have the child sit still during the story.
Ask the child questions as you read.
The school nurse is monitoring a student athlete that experienced a concussion 2 weeks ago during a soccer game. The student reports having academic issues in a course in which the student previously had no difficulty. Which action should the nurse's take first? Immediately notify the student's parents that their child should see the healthcare provider Ask the student to describe the academic issues the student is having in the class Ask the student's teacher if the student is following the recommendations given to him or her for cognitive activity Perform a neurologic assessment on the student to see if there are any changes in neurologic status
Ask the student to describe the academic issues the student is having in the class
The nurse in a free clinic is caring for a 1-year-old child and single parent. Which nursing intervention would most likely be needed initially? Discussing family beliefs Obtaining food assistance for the family Assessing the child's nutritional status Providing a list of low-cost child care centers
Assessing the child's nutritional status
The nurse notes that a 5-year-old child is approaching obesity. Which is the priority intervention? Determining the activity level of the child Screening the child for metabolic disorders Assessing the diet of the child and family Asking about culturally related eating habits
Assessing the diet of the child and family
The nurse is caring for a 5-year-old Hispanic child and family. Which actions demonstrate cultural competence? (Select all that apply.) Directing questions about care to the father Checking the child's weight regularly Coordinating care through the mother Promoting the use of medical intervention over prayer Asking about folk remedies used
Checking the child's weight regularly Coordinating care through the mother Asking about folk remedies used
The nurse is caring for a 7-year-old child and family, who are immigrants. Which intervention will most significantly affect the success of the care provided? Communicating with sensitivity using understandable terms Referring them to state and local aid programs Asking about transportation to the appointment Inquiring about common health problems in their home country
Communicating with sensitivity using understandable terms
The nurse is preparing a list of abilities of 10-month-olds to use in teaching a parenting group. Which ability should appear at this age? Feeds self with spoon (but spills) Cruises around furniture Sits from standing position Uses two or three words with meaning
Cruises around furniture
The social worker's notes in the child's chart report the child is "slow to warm up." With regard to the Classic Temperament Theory, what behaviors may be noted to support this documentation? (Select all that apply.) Labile emotions Demonstrates the need for additional time to acclimate to environmental changes Infrequent constipation Moodiness Frustration with change to the environment
Demonstrates the need for additional time to acclimate to environmental changes Moodiness
During a well child care visit, the parent of a 4-year-old child reports the son is extremely active at home and cries easily if frustrated. This is consistent with which level of the Classic Temperament Theory? Difficult temperament Flexible temperament Complex temperament Slow to warm up temperament
Difficult temperament
The nurse is caring for a Native American child. Which approach would be most consistent with the culture? Warning about overuse of analgesics Discussing treatment as reestablishing harmony Reminding the child to speak respectfully to older adults Urging parents to arrange respite care through an agency
Discussing treatment as reestablishing harmony
The infant in the exam room has these signs and symptoms. Which will the nurse attribute to teething? (Select all that apply.) Fever and diarrhea Drooling and biting Irritability and awakening from sleep Increased sucking on hands Refusing to eat
Drooling and biting Irritability and awakening from sleep Increased sucking on hands Refusing to eat
The nurse is teaching the parent of a 2-month-old infant about the social and emotional developments that will occur in the next 8 weeks. Which behavior is most likely to occur? Crying when the parent is out of sight Mimicking parent's facial expressions Participating in a game of peek-a-boo Becoming clingy around strangers
Mimicking parent's facial expressions
The nurse is organizing an indoor play area for preschoolers. What play materials are least important? Cut, paste, drawing, and painting materials Dress-up clothes and hats and puppets Electronic teaching toys Balls, blocks, and puzzles
Electronic teaching toys
A homeless single mother and her 6-year-old child present to the emergency room with vomiting and diarrhea. Nurses provide illness care. Shelter is found. An additional priority goal is: Check for signs of drug abuse in the mother. Enroll the child in school. Assess for behavior problems in the child. Determine if there are other family member
Enroll the child in school.
Parents state they are "worn out" at their child's 6-month check-up because their child awakens each night and cries. The nurse suggests which measures? Establish a quieting ritual before bed. During night awakening, do not interact with the child. At bedtime, rock the child to sleep and then place in crib. Add rice cereal to the evening bottle to prevent hunger and awakening.
Establish a quieting ritual before bed.
The nurse realizes that the 5-year-old's growth chart and BMI indicate the child is at risk for obesity. What other findings reinforce this risk? (Select all that apply.) Expectations to eat everything on plate Television on during meals Mealtimes organized and regular A parent who is overweight Food used as reward or punishment Fast food eaten once a month
Expectations to eat everything on plate, Television on during meals, A parent who is overweight, Food used as reward or punishment
During a parenting class the nurse gives examples of extinction as a form of discipline. What would be an example of this technique? Spanking a toddler Using verbal reprimand Praising desired behavior Ignoring a temper tantrum
Ignoring a temper tantrum
A 10-year-old child is recovering from an appendectomy. Which nursing intervention is seen as most important to the child and parents? Immediate and effective pain control Receiving home care instructions Scheduling the follow-up visit with the surgeon Bringing immunizations up-to-date
Immediate and effective pain control
The nurse is talking with parents of a depressed 16-year-old child. Which question is of the most importance? Does your child exercise? Have your child's sleeping and eating habits changed? Is there a gun in your home? How is your child's personal hygiene?
Is there a gun in your home?
The nurse is assessing a 9-year-old child during a back-to-school check-up. Which findings are factors for childhood injury? (Select all that apply.) Lack of after-school supervision by an adult Being a typical school-aged child Having been adopted from a foreign country Low socioeconomic status of family Having a BMI in the 90th percentile
Low socioeconomic status of family Lack of after-school supervision by an adult Being a typical school-aged child
The parent of a 12-year-old client is concerned about the dangers of the Internet. Which suggestion by the nurse best targets safety related to this? Avoid putting a computer in a child's room. Never share personal information online. Use the phone for interacting with others. Limit daily the time spent online.
Never share personal information online.
The nurse is discussing proper discipline with the parent of a 15-month-old child. Which statement is most important? Never spank the child for any reason. Rules and limits should be simple and few. Toddlers are unable to learn rules easily. Use praise when the child is doing something right.
Never spank the child for any reason.
Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in late adolescence? Breast enlargement Nocturnal emissions Lengthening of the penis Reddening of the scrotum
Nocturnal emissions
The nurse is caring for a 5-week-old infant who is spitting up "all the time." This is the parent's first child. What should be the priority nursing intervention? Describe the capacity of a 5-week-old infant's stomach. Offer assurance that spitting up is normal. Recommend the parent offer smaller and more frequent feedings. Observe the parent during feeding and burping the infant.
Observe the parent during feeding and burping the infant.
The parents of a 2-year-old child report to the nurse because their child is "such a picky eater." Which recommendation would be most helpful for developing healthy eating habits in this child? Encouraging the parents to eat a variety of wholesome foods themselves Assuring the parents that food jags are normal, and they can be honored safely Advising the parents to minimize distractions at mealtime Offering a variety of foods along with the foods the child likes
Offering a variety of foods along with the foods the child likes
What exercise recommendation should nurses give to adolescents? Participate in 60 minutes of moderate to vigorous physical activity each day. Participate in physical activities that cause sweating and hard breathing weekly. Engage in aerobic exercise for 30 minutes 3 days per week. Engage in at least one competitive sport during the school year.
Participate in 60 minutes of moderate to vigorous physical activity each day.
A 4-year-old child is residing permanently with grandparents. Which situation is unique to this type of family or living arrangement? Physical and financial stress on the caregivers Difficulty obtaining accurate health history and records Gaining consensus between the caregivers regarding treatment Obstacles to obtaining informed consent for treatment
Physical and financial stress on the caregivers
The nurse is promoting a healthy diet to the parent of a 6-month-old infant. What action would have the most effect on the infant's neurologic development? Establishing an adequate level of dietary iron intake Requiring more solid foods in the diet Promoting continuation of breastfeeding Adding fruit juice daily
Promoting continuation of breastfeeding
The nurse is taking a health history and examining a 3-year-old child. Which alteration is most important for the parents to make? Eat fewer chips and sweets. Protect the child from all tobacco smoke. Reduce the number of hours the television set is turned on. Argue less in the child's presence.
Protect the child from all tobacco smoke.
An 8-year-old child seeks out the school nurse crying because the child recently learned the parents are getting a divorce. What is the most important idea the nurse will help the child grasp? The child will feel better after some adjustment time. The divorce is not the child's fault. Feeling scared and sad is okay. The child's situation is not unusual.
The divorce is not the child's fault.
Parents of a toddler describe how they handled their child's temper tantrum in a shopping mall. What action of the parents indicates need for additional teaching? Reasoned with the child to stop the behavior Remained relatively calm even though embarrassed Tried to refocus the child's attention as tantrum behavioral cues appeared Made sure the child was rested and not hungry before going to the mall
Reasoned with the child to stop the behavior
The nurse is teaching the parent of a 5-month-old boy who is concerned about thumb sucking. What should be included in the teaching plan? (Select all that apply.) Informing the parent that thumb sucking occurs more often during periods of stress Assuring the parent this behavior won't cause malocclusion Advising the parents to draw attention to the issue as this may help child learn to stop Telling the parent this behavior usually decreases by 6 to 9 months of age Advising the parent this behavior is a form of self-comfort
Telling the parent this behavior usually decreases by 6 to 9 months of age Advising the parent this behavior is a form of self-comfort Informing the parent that thumb sucking occurs more often during periods of stress Assuring the parent this behavior won't cause malocclusion
The public health nurse is aware suicide in teens is a significant health issue. Which child is most at risk? The 11-year-old Asian American boy who is smaller than his peers The 15-year-old Black girl who did not make the cheerleading squad The 17-year-old Native American/First Nations boy The overweight 16-year-old White gir
The 17-year-old Native American/First Nations boy
The community health nurse is preparing a program about racial and ethnic diversity. When determining the focus of the program, the nurse should keep which factors in mind? The number of Asian Americans will face a moderate decline in the next decade. The number of Black Americans will decline in the next decade. The Hispanic American population will double in the coming decades. The number of non-Hispanic white Americans will increase by almost 25%
The Hispanic American population will double in the coming decades.
The nurse is examining a 3-year-old child during a regular visit. Which finding would disclose a developmental delay in this child? The child demonstrates separation anxiety. The child copies a circle on a piece of paper. The child imitates the nurse in use of a stethoscope. The child follows directions when made one at a time.
The child demonstrates separation anxiety.
The nurse is examining a 2-year-old child for speech and language development. Which finding would suggest a delay in speech development? The child puts together sentences of two words. The child repeats what the parents say out of context and at random moments. The child does not use the names of familiar objects. The child does not speak clearly but shows understanding of what is said.
The child does not use the names of familiar objects.
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 toddler walks with a wide, swaying gait. The child hides behind her bedroom door when defecating. The child often removes her shoes and socks. The child frequently repeats words parents just said.
The child hides behind her bedroom door when defecating.
A 12-month-old seen at a walk-in clinic weighed 8 lb 4 oz (3.75 kg) at birth. Weight now is 20 lb 8 oz (9.3 kg). The nurse determines: The child weighs more than expected for age. The weight assessment is blatantly inaccurate. The child weighs the expected amount for age. The child weighs less than expected for age.
The child weighs less than expected for age.
The nurse is conducting a physical examination of a 5-month-old infant. Which observation may be cause for concern about the infant's neurologic development? The toes hyperextend when the bottom of the foot is stroked. The infant grasps a finger when it is placed in the palm. The infant displays an asymmetric tonic neck reflex (fencing reflex). The anterior fontanel is open and easily palpated.
The infant displays an asymmetric tonic neck reflex (fencing reflex).
The nurse is assessing development of a 4-month-old infant during a well-child visit. Which observation needs further investigation? The infant makes babbling sounds, coos, and smiles. The infant responds to the parent when the infant sees him or her but not at other times when the parent is near. The infant shows interest in looking at near or high-contrast objects. The infant turns the head in the direction of a squeak toy.
The infant responds to the parent when the infant sees him or her but not at other times when the parent is near.
The nurse is performing an assessment on a 8-month-old infant. The infant's medical history notes that he was born at 32 weeks' gestation. The infant is progressing normally. At what adjusted age should the nurse expect the infant's developmental accomplishments? The infant can be expected to display developmental skills consistent with a 8-month-old infant. The infant will likely show the skills of an infant with the adjusted age of 7 month. The infant will most likely present with developmental skills consistent with a 6-month-old infant. By 8 months of age, the child's skill level will vary greatly and cannot be predicted.
The infant will most likely present with developmental skills consistent with a 6-month-old infant.
The nurse is talking with an adopted child and the family. Which statement represents "positive" adoption language? Has your adopted child started kindergarten? The birth mother was how old when your child was born? Are you in touch with your natural parent?
The nurse is talking with an adopted child and the family. Which statement represents "positive" adoption language? Has your adopted child started kindergarten? The birth mother was how old when your child was born? Are you in touch with your natural parent?
The nurse is assessing speech development in the 2-year-old whose family uses both Spanish and English in the home. What finding is of concern? The child mixes words from the two languages within a sentence. Some words the toddler speaks are a blend of English and Spanish. The toddler speaks 15 words between the two languages. The parents understand the child much of the time.
The toddler speaks 15 words between the two languages.
A parent expresses surprise to the nurse that her toddler daughter has begun masturbating. The most important initial nursing response is: Toddler girls as well as boys will masturbate. This is a normal and expected activity best treated matter-of-factly. Toilet teaching places much focus on the genitals. Check for undue stress in your toddler's life.
This is a normal and expected activity best treated matter-of-factly.
Over coffee, parents ask the nurse for guidance in disciplining their children ages 4 years, 9 years, and 14 years. What concepts will guide the nurse's response? (Select all that apply.) Use parental attention as positive reinforcement for desired behaviors. Maintain consistency in expectations at all ages. Role model appropriate behavior in word and deed. Delay applying consequences to allow time to choose appropriate action. Show parental anger when administering consequences of poor behavior.
Use parental attention as positive reinforcement for desired behaviors. Maintain consistency in expectations at all ages. Role model appropriate behavior in word and deed.
The e nurse is examining an 8-month-old child for appropriate development during a regular check-up. Which observation points to a developmental risk? Uses only the left hand to grasp Picks up small objects using entire hand Cannot pull self to standing Crawls with stomach down
Uses only the left hand to grasp
What feeding practice used by the parents of an 8-month-old should the nurse discourage? Giving the child soft table food and finger foods Continuing to offer foods the child rejects Including the infant at family meals in the high chair Placing all liquids given the child in a "no spill" sippy cup
What feeding practice used by the parents of an 8-month-old should the nurse discourage? Giving the child soft table food and finger foods Continuing to offer foods the child rejects Including the infant at family meals in the high chair Placing all liquids given the child in a "no spill" sippy cup
Parents tell the nurse that they respect and elicit their three children's ideas. They enjoy their differing interests and personalities. The family has set rules the children are expected to follow; punishment is not emphasized. Their parenting style is: permissive. authoritative. authoritarian. laissez-faire.
authoritative.
First-time parents are discussing temperament with the nurse. They describe their child as easily frustrated by his toys and withdrawing from anything new. Overall, he is quite physically active and can become irritated easily. The nurse believes this child could be categorized as: intolerant. difficult. slow to warm up. easy.
difficult.
The nurse pulls the 5-month-old to sitting position from supine and notes head lag. The nurse's response is to: consider this a normal response for the age. refer the infant for developmental and/or neurologic evaluation. suggest more awake tummy time for the child. conclude the earlier assessments carried out fatigued the infant.
refer the infant for developmental and/or neurologic evaluation.
The parent of a 15-month-old child mentions to the nurse how much can be accomplished at home while the child watches videos and TV programs. The nurse's response is based on knowledge that: programming without commercials should be chosen. many good children's programs are available, especially on public broadcasting. children's TV/video time should be limited to 2 hours or less daily. screen time prior to 18 months of age is not recommended.
screen time prior to 18 months of age is not recommended.
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: shaking a rattle to enjoy the sound. looking for a toy in the crib at the last place the infant saw it. smiling at oneself in the mirror. pushing a spoon from the high chair tray to the floor.
shaking a rattle to enjoy the sound.
The nurse conducting a 6-month well-baby check-up assesses for the presence/absence of the asymmetric tonic neck reflex. At this age the reflex: should have disappeared. is expected to appear within 1 month. should be pronounced and easy to elicit. is a protective reflex and retained for life.
should have disappeared.
The nurse is providing support to a parent whose religion is Mormon (Church of Jesus Christ of Latter-Day Saints). The infant child is critically ill. The appropriate support measure for the nurse to use is to: bring the parent a cup of coffee. stay in the room with the infant so the mother feels free to take a break. ask if the child has been baptized. obtain some over-the-counter cough syrup for the parent's cough.
stay in the room with the infant so the mother feels free to take a break.
A parent mentioned to the nurse that the usually smiling, happy 8-month-old child was clingy and intensely serious when the grandparent visited from a distant city. The nurse explained the child was experiencing: separation anxiety. colic. cephalocaudal development. stranger anxiety. changes in temperament.
stranger anxiety.
A parent asks why spanking works so well to stop her toddler's behavior. The nurse explains it is the: anger of the parent. attention the child receives. suddenness and shock value of the act. anxiety created in the child.
suddenness and shock value of the act.
