Evolve Growth & Development

A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a minor trauma. The mother states that the toddler being seen for the trauma is very active and is difficult, constantly saying no. What would be an appropriate response? 1 "Toddlers are curious, trying to make decisions and be independent." 2 "Saying no at this stage is a signal that the child may need some therapy." 3 "You must show the child from a young age that you are the boss and in charge." 4 "Responsible parenting means you must protect the child from all future injuries."

1

Which physiologic body functions decrease in response to certain pubertal changes? Select all that apply. 1 Pulse rate 2 Blood volume 3 Strength of the heart 4 Basal heat production 5 Systolic blood pressure

1, 4

According to Piaget, which statement describes the concrete operation stage? 1 During this stage, children have egocentric thoughts. 2 During this stage, children are able to perform mental operations. 3 During this stage, children learn to think with the use of symbols and mental images. 4 During this stage, children develop an action pattern for dealing with the environment.

2

When should the nurse anticipate that the school-age client will have all primary teeth? 1 5 years of age 2 6 years of age 3 7 years of age 4 8 years of age

2

Which statement describes the latency stage of Freud's psychoanalytic model of personality development? 1 During this stage, genital organs are the focus of pleasure. 2 During this stage, sexual urges are repressed and channeled into productive activities. 3 During this stage, an infant begins to think that his or her parent is separate from the self. 4 During this stage, sexual urges reawaken and are directed to an individual outside the family circle.

2

he nurse is providing care to an infant diagnosed with Down syndrome. Which parental statement related to the infant's growth indicates the need for further education? 1 "My baby will have growth deficiencies during infancy." 2 "My child will have accelerated growth during adolescence." 3 "My child will most likely be overweight by 3 years of age." 4 "My baby will have reduced growth in both height and weight."

2

The nurse is teaching hygiene practices to a 16-year-old client who has recently had her first menstrual flow. Under which phase of development does the nurse classify the client? 1 Prepubescence 2 Postpubescence 3 Late adolescence 4 Middle adolescence

4

Which physiologic body functions decrease in response to certain pubertal changes? Select all that apply. 1 Pulse rate 2 Blood volume 3 Strength of the heart 4 Basal heat production 5 Systolic blood pressure

Pulse rate and Basal heat production

Which school-age client does the nurse anticipate will experience sibling rivalry as a source of stress? 1 A 9-year-old male 2 A 7-year-old male 3 A 6-year-old female 4 An 8-year-old female

6 year-old female

Which feelings are enhanced in the school-age child through the use of positive reinforcement of success by adults? Select all that apply. 1 Happiness 2 Likeability 3 Feeling worthwhile to others 4 Feeling disrespected by others 5 Capability of valuable contributions

Happiness, Likeablity, Feeling worthwhile to others & Capability of valuable contributions

Which is an inborn error of metabolism that affects growth and development? 1 Cystic fibrosis 2 Achondroplasia 3 Turner syndrome 4 Hunter syndrome

Hunter syndrome

What developmental skills does a preschooler exhibit? Select all that apply. 1 Personal identity 2 Specific reasoning 3 Increased curiosity 4 Magical thinking 5 Understanding of others

Specific reasoning Increased curiosity Magical thinking

Which stage of Kohlberg's theory of moral development does the nurse anticipate in a client who exhibits absolute obedience to authority and rules? 1 Stage 1 2 Stage 2 3 Stage 3 4 Stage 4

Stage 1

The nurse is explaining to the mother of two teenage children why her daughter's height is comparatively less than her son's height. What is the reason for lower overall height in girls compared with boys? 1 Increase in muscle mass 2 Hypertrophy of the laryngeal mucosa 3 Maturation of structural appendages of the skin 4 Closure of epiphyses because of estrogen secretion

closure of epiphyses because of estrogen secretion