Growth and Dev Adaptive quiz

Which medication would the nurse identify as a potential cause for the formation of abnormally small eyes in the newborn if used during pregnancy?

Nitrofurantoin

Which statement is true about the skeletal system of toddlers?

The bones of toddlers can better withstand falls than those of older adults.

Which gross motor skill is found in children between 2-4 months of age?

The child can bear weight on forearms when prone.

According to Erikson's theory, which behavior would a toddler exhibit?

The child starts performing self-care activities.

Which individual is coping with issues concerning dependence vs independence?

Toddler

Which of these age groups has the highest incidence of lead poisoning?

Toddlers

According to Freud's theory, in what order do the stages of child development occur?

1 Oral 2 Anal 3 Oedipal 4 Latency 5 Genital

Which is the maximum recommended length for enema tube insertion in an adolescent?

10 cm

At which age should the anterior fontanel of an infant close?

12-18 months

Which age correlates with pubertal growth spurt peak in males?

14 years

What is the minimum acceptable respiratory rate in a normal adolescent?

16 brpm

Which client may have concerns related to sexuality when hospitalized with a chronic illness?

18

Which average daily caloric intake is appropriate in preschoolers?

1800

Which is the average weight of a 3 year old child?

32 lbs (14.5 kg)

What is the average height of a 4-year-old?

3ft 4.5 inches

What is the MOST common cause of death among adolescents?

Accidents

Which statement regarding the teenage diet is true?

Adolescents need high amounts of calories.

Which statement is true about the instrumental relativist orientation stage?

An individual recognizes that there is more than 1 correct point of view

According to Erikson's stages of life, which is the stage of development when a child begins walking, feeding, and using the toilet?

Autonomy vs sense of shame and doubt

According to Erikson's psychosocial stages of development, in which stage would toilet training be achieved?

Autonomy vs shame

Which method would the nurse refrain from using in measuring the blood pressure of a 2-year-old child?

Basing the choice of cuff on its brand name.

Which is a similarity between Havighurst's stage-crisis and Erikson's psychosocial development theories?

Both theories are based on developmental tasks.

Which transformations occur during the mid-puberty stage of a normally developing adolescent female?

Breast enlargement and growth of pubic hair

Which activity demonstrates fine motor skills in infants aged 2-4 months?

Bringing objects from hand to mouth.

How do adolescents establish group identity during psychosocial development?

By building close peer relationships to achieve acceptance in the society.

Which medication may cause photophobia as an adverse effect?

Clomiphene

Which education would the nurse provide the parent of a preschool age child about how preschoolers view death?

A form of sleep

Which is a goal for organized athletics for school-age children?

A lifelong enjoyment of fitness

According to Kohlberg's theory of moral development, which statement about conventional reasoning is true?

A person wants to fulfill family expectations.

According to the Piaget's theory, which behavior does a 9 year old show?

Concrete thinking

According to Freud, which must occur before an individual is able to have a mature adult sexual relationship?

Conflict resolution

The nurse understands which medication may cause gynecological malignancies in females?

Diethylstilbestrol

Which hormone may cause vaginal carcinoma in a female child after birth?

Diethylstilbestrol

Which action related to gender is often expected in regards to socialization for school-age girls within the community setting?

Expressing feelings openly.

According to Erikson's developmental psychosocial theory, which is expected by 20 years of age?

Having a coherent sense of self and planning to accomplish future goals.

A 13-year-old client is found to have idiopathic scoliosis. The client is upset about the treatment regimen and is worried about being different from peers. Which would the nurse provide to maintain a positive self-image during treatment?

Help investigate appropriate clothing to minimize appearance of the brace.

Which self-care skill would the nurse expect a 4-year-old child to be capable of performing?

Putting on a shirt and buttoning it.

According to Erikson, which would the nurse anticipate when assessing an adolescent?

Question sexual identity.

Which goal would be a priority for the child with ASD who has frequent episodes of self-biting and head-banging and needs help with feeding and toileting?

Remaining safe from self-inflicted injury

Which initial action would the nurse take when a male toddler with autism spectrum disorder suddenly runs to the wall and starts banging his head on it?

Restrain the toddler to prevent head injury.

Which stage of development classifies boys and girls as differing very little in terms of size?

School age

An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. Which would the nurse tell the girl that may help her wear the bracelet consistently?

Select a bracelet similar to bracelets worn by her peers.

Which action would the nurse take for an adolescent with a long history of drug abuse, stealing, and refusal to comply with rules?

Serving as a role model for mature behavior while providing a structured setting.

Which identity may fail to develop if an adolescent lacks physical evidence of maturity?

Sexual

Which is the most common teratogenic effect associated with thalidomide?

Shortened limbs

Which statement is true for collecting a urine sample in toddlers?

Single use bags can be placed over the child's urethral meatus.

Which sign in a newborn infant would reflect an APGAR score of 1 in the category of respiration?

Slow, weak cry

Which stage is a part of postconventional reasoning?

Social contract orientation

Which stage of Kohlberg's theory explains the influence of moral values on an individual's thoughts?

Society maintaining orientation

According to Kohlberg's theory of moral development, which stage is a part of conventional reasoning?

Society-maintaining orientation

Children's patterns of play change as they grow from infancy through school-age. Rank the order of appearance of each type of play, starting with infant play.

Solitary Parallel Associative Cooperative

Which developmental skills should a preschooler exhibit?

Specific reasoning Increased curiosity Magical thinking

Which parental description would the nurse recognize as characteristic of sleep terrors in a preschool-age child

Sweating profusely

Which behavior would an adolescent exhibit?

Synchronization of moral skills.

Which instruction would the nurse suggest to a 14-year-old girl who suspects her friend is using self-induced vomiting to keep weight down?

Talk to the school nurse about her concerns.

Which of these characteristics are found in an adolescent according to Erikson's theory of psychosocial development. SATA

The adolescent is concerned about his or her appearance and body image. The adolescent acquires a sense of identity by participating in decision making.

Which is true about the preoperational period of Piaget's theory?

The child believes that everyone experiences the world exactly as he or she does.

Which of these skills should be present in a 6 to 8 month old child?

The child can sit alone without support

Which statement describes stage 4 of Kohlberg's theory? SATA

The child shows respect for authority and maintains the social order. Adolescents choose to avoid a party where they know beer will be served.

At which stage of Kohlberg's theory does an individual want to fulfill the expectations of one's immediate group?

The good boy-nice girl orientation

Which type of prehension is exhibited by a 5-month-old infant?

The grasp is palmar

Which statement is true for toddlers?

The incidence of poisoning is very common in toddlers.

Place the levels of development in their order of achievement according to Erikson's psychosocial stages of development.

Trust vs mistrust Industry vs inferiority Identity vs Role confusion Intimacy vs isolation Generativity vs stagnation Integrity vs dispair

Which stage of Kohlberg's theory of moral development defines 'right' by the decision of the conscience?

Universal ethical principle orientation

a 10 year old child has been working on earning all of the scouting badges. Which of Erikson's stages of psychosocial development is this child achieving?

Industry

Which of these diseases is most common in toddlers?

Influenza

According to Erikson's psychosocial stages of development, which developmental conflict affects a 4 year old child?

Initiative vs guilt

An older client states, 'I've lived a good life. I don't want to die, but I accept it as a part of life.' According to Erikson's psychosocial stages of development, which developmental task has the client achieved?

Integrity

An older retired client tells the nurse about the great life he has lived and the activities that he enjoys at the senior center. According to Erikson's psychosocial stages of development, which developmental conflict has the client resolved?

Integrity vs Dispair

According to the Erikson's theory, which stage in a young adult describes the development of the sense of caring for others?

Intimacy vs Isolation

Which method of medication administration is commonly used in toddlers when the child has poor IV access during an emergency situation?

Intraosseous

A 15-year-old plans to go to a nightclub without informing his or her parents but is afraid of being caught. Which behavior would this indicate?

Invulnerability

Which of these features is exhibited by an adolescent? SATA

Invulnerability Personal Fable

In the playroom of a pediatric unit, the nurse sees several toddlers seated at a table trying to copy the same picture from a book. They are not talking to each other or sharing their crayons. Which would the nurse conclude about this behavioral interaction?

It is a typical expression of toddlers' social development.

Which nursing objective would the nurse add to the plan of care for a child with ADHD who engages in self-destructive behavior?

Keeping the child from inflicting any self-injury

What language developmental milestone is seen in 4-year-olds?

Knows simple songs

Ingestion of which chemicals may cause chemical pneumonia?

Lighter fluid

A 55-year-old client reports cessation of menstrual periods for a year. Which term describes the client's condition?

Menopause

Which statement is true about an appropriate diet for toddlers?

Milk should be supplemented with solid food items like vegetables and fruits.

Which stage of development would the nurse document for an infant when using Freud's theory of psychosocial development?

Oral

The nurse is discussing the neurological reflexes seen in an infant with the parents. Which reflex would the nurse state as being present indefinitely?

Parachute reflex

Which type of play do 2-year-old toddlers engage in?

Parallel

Which relationship is the most important to the formation of personality?

Parent-child relationships

When a client injures the amphiarthrodial joint, which joint did the client injure?

Pelvic Joint

Which period of Piaget's theory explains animism in a child?

Period II

Which period of Piaget's theory explains self-consciousness in an adolescent?

Period IV

According to Piaget's theory, which period describes a child's stage of egocentrism?

Preoperational

Which condition is due to decreased elasticity of the ocular lens?

Presbyopia

In which age group would the nurse anticipate observing associative play?

Preschoolers

Which statement is true regarding the physical development of a preschooler?

Preschoolers grow 6.2 to 7.5 cm per year.

Which group has the highest rate of meningococcal infection?

Young adults

In a child with lead poisoning, where is lead stored while remaining inert?

bones

Which toy would the nurse offer two 6-year-old children in the playroom?

building set

Determine how an adolescent can establish group identity during psychosocial development?

by building close peer relationships to achieve acceptance in the society

Which comorbidity is associated with Down syndrome?

congenital heart disease

Which developmental milestone would the nurse expect when assessing a preschooler?

copying squares

Which is the cause of frequent upper respiratory tract infections in toddlers?

immature immune system

Which characteristic related to achieving autonomy would the nurse anticipate when providing care to a toddler?

ritualism

Which description provided by the parent of a toddler-age client would suggest to the nurse that the child is experiencing sleep terrors.

sweating profusely

Which of these statements are true about an adolescent according to Lawrence Kohlberg's theory of moral development? SATA

"An individual's thoughts are influenced by moral decisions and behaviors." "An individual expands his or her focus from a relationship with others to societal concerns."

If hearing loss is detected early, proper intervention can help a child achieve normal language development. What is the latest age that hearing loss should be detected to ensure that a child achieves normal language development?

3 months

At which age would the nurse anticipate the appearance of an imaginary friend for a preschool-age client?

3 years old

Which age should an infant develop binocularity?

3-4 months.

At which age is a toddler physiologically and psychologically prepared for toilet training?

22 months

Which would the student nurse claim is an acceptable respiratory rate range in a 2 year old toddler?

25-32 breaths/minute

How many days in the neonatal period?

28

Which ages are the most critical for speech development during the preschool years?

3 and 4 years old

The nurse is learning about the shift in total body fluid that occurs from infancy to adulthood. Which percentage of body weight is the weight of Extracellular fluid (ECF) in an infant at term?

44%

At which age would the nurse expect permanent dentition to erupt?

5 years

How many words would the nurse expect the 3-year-old child to acquire each day?

5-6

What percentage of his or her adult weight does an individual gain during the adolescent years?

50%

Which school age client would the nurse anticipate will experience sibling rivalry as a source of stress?

6 year old female

Which age group of hospitalized children will have the most difficulty with separation anxiety?

6-30 months

Which range of heart rate is acceptable for a preschooler?

80-110

How many hours of sleep would the nurse recommend for the 11-year-old client?

9

From which client would the nurse expect dramatic physical growth and marked development?

9 month old infant

The nurse is preparing to assess several clients at a pediatric clinic. Which client would require a developmental screening vs a developmental surveillance during a scheduled health maintenance visit?

9 month old infant

According to Piaget's theory, which of these statements about the period of concrete operations is true?

A child is able to describe a process without actually doing it.

Which clinical condition is associated with lead poisoning?

Anemia

Which is true regarding a toddler's sleep?

Total sleep averages 12 hours a day.

Which type of play would the nurse encourage when providing age-appropriate care to a preschool-age child who is hospitalized?

Associative

According to Erikson's psychosocial stages of development, mastery of which task increases a child's ability to cope with separation or pending separation from others?

Trust

How are toddlers different from children of other age groups?

Toddlers sleep more during the daytime than preschoolers do.

Several 3-year-old girls in the daycare center are having a tea party with their dolls. This is an example of which behavior?

Appropriate make-believe play.

Which intervention would the nurse do before formulating a teaching plan for a child who is to undergo ostomy surgery?

Assess the child's developmental level.

A 15-year-old with type 1 diabetes has a history of noncompliance with the therapy regimen. Which would be considered about the teenager's developmental stage before starting a counseling program?

The struggle for identity is typical.

The nurse is educating parents about the changes to expect when their child enters toddlerhood. Which information would the nurse include?

The toddler has a protruded abdomen

Which statement is true regarding the development of body image in preschoolers?

They can become conscious of their size.

Which is true about the effect of grief and loss in toddlers?

They express a sense of change in sleeping.

During which week of pregnancy does placental development occur?

Third

How would the nurse respond to parents who are concerned about separation anxiety in their 15-month-old child?

This is an expected developmental reaction

How do toddlers learn self-protection?

Through trial-and-error strategies

Which would the nurse state to a mother of a toddler to promote safety?

Throw plastic grocery bags away.

What gross motor skill would the nurse anticipate when assessing a 15-month-old child during a scheduled health maintenance visit?

Creeping up stairs

How do adolescents establish health identity during psychosocial development? SATA

By evaluating their own health with a feeling of well-being By having the ability to function normally in the absence of any disease or infirmity.

Arrange in order of occurrence the steps involved in the changes during puberty.

1. Triggering of GnRH by the hypothalamus 2. Movement of GnRH through a network of capillaries to the anterior pituitary gland 3. Stimulation of production and secretion of FSH and LH. 4. Stimulation of the gonadal response.

Arrange the stages of the menstrual cycle in sequential order.

1. follicular phase 2.ovulation 3.follicular involution 4. feedback mechanism

Which age would the nurse teach the parent of a school-age client to expect mandibular second molars to erupt?

11-13 years

How much sleep should a preschooler get each day?

12

According to Piaget's theory, which of these is true about the period of formal operations? SATA

Children have the capacity to reason with respect to possibilities. Children have a belief that their actions are scrutinized by imaginary audience

Which aspect of psychosocial development is commonly observed in adolescents? SATA

A search for personal identity Development of an ethical system

Which disorder would the nurse classify as neurodevelopmental?

ADHD

According to Erikson's psychosocial stages of development, which stage must a 3 year old accomplish?

Autonomy vs shame

In which stage of Erikson's theory does the child initiate self-care activities?

Autonomy vs shame/doubt

The parents of an adolescent treated for allergies privately tell the nurse that they suspect that their child is a hypochondriac. Which therapeutic response would the nurse provide?

Discussing developmental behaviors of adolescents

Which statement is true about Piaget's theory of cognitive development?

During the sensorimotor stage, infants develop an action pattern for dealing with their environment.

According to Piaget, which statement describes the concrete operational stage?

During this stage, children are able to perform mental operations.

Which medication may cause malformations of the male external genitalia?

Dutasteride

Which teratogenic effect is seen because of lithium?

Ebstein anomaly

Which component of the human personality, according to Freud, allows an individual to judge reality accurately?

Ego

An older adult says, 'I regret so many of the choices I've made during my life.' According to Erikson's psychosocial stages of development, which developmental conflict has the client failed to accomplish?

Ego integrity vs dispair

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, which action is MOST therapeutic?

Encouraging her peers to visit.

Which psychosocial change does a toddler exhibit?

Engages in temper tantrums.

A professor asks a student nurse to explain the stage when an adolescent has prevalence of egocentric thought. Which period of Piaget's theory will the nurse explain?

Formal Operations

Which period of Piaget's theory covers the prevalence of egocentrism in adolescents?

Formal Operations

Which period of Piaget's theory marks the end of cognitive development?

Formal operations

Identify the stage at which an adolescent develops abstract thinking.

Formal operations period

Which theory states that a child's growth pattern is related to gene activity?

Gesell's theory

Which initial nursing intervention would the nurse take for an older adult with delirium who begins acting out while in the dayroom?

Giving the client one simple direction at a time in a firm, low pitched voice.

According to Kohlberg's theory, which stage comes before the society-maintaining orientation stage?

Good boy-Nice girl orientation

Which stages are a part of conventional reasoning, according to the Kohlberg's theory of moral development?

Good boy-Nice girl orientation Society-maintaining orientation

Which of these stages is followed by the society-maintaining orientation, according to the Kohlberg's theory?

Good boy-nice girl orientation

which topic would the nurse include in a teaching session for the parents of a 13-month-old child?

Gradual weaning from the bottle.

Which effect would the nurse identify as seen when the fetus is exposed to a teratogen during the embryonic period?

Gross malformations

Which action would the nurse take for an older client with Alzheimer disease who has laid out several outfits on the bed to wear to a recreational session but is still wearing nightclothes?

Help the client select appropriate attire and offer to help the client get dressed.

Which type of cast or splint will the nurse expect to see on a child with a fractured femur?

Hip spica

Which fine motor skill would the nurse anticipate when assessing a 15-month-old client during a health maintenance visit?

Holding cubes in one hand without assistance

In which settings would the nurse prepare to administer developmental assessment for pediatric clients?

Home School Hospital Daycare center

Which is an inborn error of metabolism that affects growth and development?

Hunter syndrome

After the nurse provides education about ATV safety for a parent of an 11-year-old child, which statement made by the parent indicates an understanding of the information?

I will make sure my child does not get on an ATV.

According to the Erikson's theory, which stage describes the will of an adolescent to achieve a goal?

Identity vs role confusion

A mother diagnosed with AIDS states she has been caring for her baby even though she has not been feeling well. Which important information would the nurse determine regarding the care provided by the mother?

If the mother has been breast feeding

Which is the cause of milk anemia in toddlers?

Increased milk intake

Which statement correctly describes the initiative vs guilt stage?

Individuals like to pretend and try out new roles.

Based on Erikson's psychosocial stages of development, which task must a 30-year-old client work through?

Intimacy vs Isolation

At which stage of development would the nurse anticipate that pediatric clients will begin to show differences in play activities that are related to gender?

Late school age

Which action would the nurse take for an older client with Alzheimer disease who sleeps very little and becomes more disoriented from sleep deprivation?

Leave a dim light on in the client's room at night.

Which medication may cause Ebstein anomaly as a teratogenic effect and is contraindicated in breast-feeding clients?

Lithium

Which parental statement would the nurse recognize as indicating the need for further education about bicycle safety for a school-aged client?

My child should be able to safely ride after being supervised for a couple of weeks.

Which type of immunity is acquired through the transfer of colostrum from the mother to the child?

Natural passive immunity

During testing of the neurological reflexes of an infant, which reflex would the nurse expect to appear at 3 months and persist until 24 to 36 months of age?

Neck righting

Which of these statements about the transition from intrauterine to extrauterine life is true?

Newborns are susceptible to heat loss and cold stress.

Which statement is true regarding the importance of play for children?

Playing is important because it helps children to release frustration.

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.' Which condition is the child at risk for?

Poor eating habits.

Which guideline would the nurse consider when planning care for a hospitalized older client with Alzheimer disease?

Routines provide stability for clients with neurocognitive disorders

Which type of relationship is most important to the school-age child?

Same-sex peer relationships

Which characteristic of adolescence is exemplified by risk-taking behavior without fear of consequences?

Sense of invulnerability

In which stage of Piaget's theory of growth and development does an infant develop an action pattern to deal with the environment?

Sensorimotor

Which period of Piaget's theory describes the idea of object permanence?

Sensorimotor

Which stage describes the Oedipus complex, according to Freud's theory?

Stage 3

Which activity would the nurse ask an oder adult client to do when testing short-term memory

State 3 random words mentioned earlier in the examination?

Which conditions pose the greatest risk for injury for an adolescent? SATA Poisoning Abduction Home accidents Substance abuse MVA

Substance Abuse MVA

Which toys would the nurse suggest to the parent of a 4-month-old infant to help promote the child's growth and development?

soft squeeze toys

Which fine motor skill would the nurse expect when assessing the development of an infant between 10-12 months of age?

holds a crayon