PrepU: CH 25, 26, 27, 28 (Growth and Development- Ricci Book)

The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse's advice? a. "Keep your cigarettes where she can't get to them." b. "Tell her only losers smoke and chew tobacco." c. "As parents, you need to be good role models." d. "Always go outside when you have a cigarette."

c. "As parents, you need to be good role models."

A parent is concerned because the toddler refuses to share. What is the nurse's best response to the parent regarding this concern? a. Behavior modification techniques can change the toddler's behavior. b. This is normal toddler behavior; sharing is learned later. c. The toddler is probably reacting to some family crisis. d. Play time with other toddlers should be cut back until your toddler learns to share.

b. This is normal toddler behavior; sharing is learned later.

The nurse is taking a health history for a 12-year-old boy who is seriously overweight. Which general question would the nurse direct to the child's parents? a. "Is there a family history of hypertension, heart disease, or diabetes?" b. "How important is exercise?" c. "What beverages are preferred?" d. "Is breakfast eaten regularly?"

a. "Is there a family history of hypertension, heart disease, or diabetes?"

The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family? a. "Set a good example. Wear your own seat belt every time you drive." b. "Reward the child with candy or some other treat each time the child keeps the seat belt on." c. "Explain that wearing a seat belt is a law and the police officer will give a ticket if the seat belt is not buckled." d. "Stop the car any time the preschooler unbuckles the restraints."

a. "Set a good example. Wear your own seat belt every time you drive."

A 3-year-old is hospitalized unexpectedly and is frightened about the experience. What action could the nurse take to minimize the anxiety the child is experiencing? a. Tell the child that everything will be fine and not to worry. b. Allow the child to handle the equipment before it is used on the child. c. Provide all of the child's care, including all ADLs. d. Insist that the parents stay with the child at all times.

b. Allow the child to handle the equipment before it is used on the child.

The nurse is caring for a hospitalized 10-year-old client. Which nursing action is most appropriate? a. Correct each of the child's mistakes to ensure learning. b. Consistently reinforce the child's self-worth. c. Structure a competitive environment between clients. d. Discourage the child from assisting with dressing change.

b. Consistently reinforce the child's self-worth.

While the nurse is taking a blood pressure on a 4-year-old, the child states that the blood-pressure cuff is too tight and angrily says, "That hurt, you big poo-poo head." What is the most appropriate response by the nurse? a. Explain that the cuff will only hurt for minute and ask the child's caregiver to please tell the child not to speak to you that way. b. Scold the child for the insult while apologizing for hurting her, and loosen the cuff. c. Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names. d. Ask the child's caregiver to please hold the child on their lap until she calms down.

c. Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names.

A 4-year-old tells the nurse he has an imaginary friend. His parents are concerned because he refuses to do anything without his friend's help. Which nursing diagnosis is most applicable for his family? a. Social isolation related to unwillingness to relate except through imaginary friend b. Disturbed thought processes related to deep-set psychological need c. Deficient knowledge of normal preschool development d. Compromised family coping related to abnormal behavior of child

c. Deficient knowledge of normal preschool development

Which gross motor developmental milestone is least likely for a 2-year-old? a. Stands on one foot with help b. Jumps in place c. Rides a tricycle d. Climbing stairs with assistance

c. Rides a tricycle

Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone? a. Be able to turn over onto the back b. Insist on things being done the infant's way c. Develop a fear of strangers d. Have many "blue" or moody periods

a. Be able to turn over onto the back

The nurse is talking to the parent of a 19-month-old toddler about setting limits and supervising activities. In which situation will the nurse recommend letting the toddler do as he or she pleases? a. Exploring one's body b. Choosing one's own foods c. Deciding one's bedtime schedule d. Playing on the picnic table

a. Exploring one's body

A toddler's mother reports that her child will only eat peanut butter and jelly sandwiches for several days in a row. The child will then refuse to eat them for several weeks. Which term would the nurse use to document this behavior? a. Food jag b. Egocentrism c. Physiologic anorexia d. Echolalia

a. Food jag

The nurse is caring for the family with a 2-month-old boy with colic. The mother reports feeling very stressed by the baby's constant crying. Which intervention would provide the most help in the short term? a. Urging the baby's mother to take time for herself away from the child. b. Watching how the parents respond to the child. c. Assessing the parents' care and feeding skills. d. Educating the parents about when colic stops.

a. Urging the baby's mother to take time for herself away from the child.

What information would the nurse include when teaching the parents of an infant about colic? a. Symptoms will decrease if the infant is laid on the back after feedings. b. Colic symptoms will probably fade at 3 months of age. c. Formula intake should be doubled to keep the infant from losing weight. d. The infant will need future follow-up for a "nervous" bowel.

b. Colic symptoms will probably fade at 3 months of age

What action by a parent would be least likely to foster development of self-confidence in a school-age child? a. Focusing on what the child is saying in a conversation b. Comparing the child to an older sibling regarding academic achievements c. Being accepting of mistakes the child makes d. Having clear expectations of behavior whenever the family is out in public.

b. Comparing the child to an older sibling regarding academic achievements

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? a. The growth of a 5-month-old b. The development of a 3-month-old c. The growth of a 2-month-old d. The development of a 10-week-old

b. The development of a 3-month-old

The most important safety precaution for parents to teach preschoolers is: a. To chew bites of food three times. b. Not to watch their father mow the lawn. c. Not to ride in a car with strangers. d. Not to begin formal dance classes.

c. Not to ride in a car with strangers

The nurse is supervising a play group of children on the unit. The nurse expects the toddlers will most likely be involved in which activity? a. Watching a movie with other children their age b. Painting pictures in the art corner of the room c. Playing with the plastic vacuum cleaner and pushing it around the room d. Pretending to be mommies and daddies in the play house

c. Playing with the plastic vacuum cleaner and pushing it around the room

During the first visit to the pediatrician's practice the nurse is performing an admission interview and assessment of a 4-week-old infant. The mother states, "I am sure my baby girl knows my smell because she is much more settled in my arms rather than my mother's arms when she is upset." What is an appropriate response by the nurse? a. "Babies really can't tell the difference between people at that age." b. "Maybe she just knows your voice better than your mother's." c. "I'm not sure a 4-week-old infant can tell their mother from another woman's smell." d. "You may be right, since infants can sense their mother's smell as early as 7 days old."

d. "You may be right, since infants can sense their mother's smell as early as 7 days old."

A newborn requires skin care that includes bathing. Besides hygiene, what is another reason for bathing the newborn? a. Bathing helps moisten the skin. b. Bathing can prevent infection. c. Bathing is a great time to apply lotion. d. Bathing is a time for bonding with the parents.

d. Bathing is a time for bonding with the parents