Growth and Development Adaptive Quizzing
The nurse instructs the unlicensed assistive personnel (UAP) to obtain vital signs from four clients. From which client can the nurse instruct the UAP to obtain a radial pulse?
A 30-month-old child
Which should the nurse include in the plan of care for an adolescent who is diagnosed with a chronic illness?
Achieving independence from family
Which school-age developmental characteristics increases the client's risk for poisoning? Select all that apply.
Adhering to group rules Being easily influenced by peers Having a strong allegiance to friends
Which nursing action is appropriate when assessing the mental development of a 6-year-old client?
Asking the child to count 13 pennies
Which nursing actions are appropriate when assessing a client's growth? Select all that apply.
Assessing weight Measuring height Comparing data to norms
The nurse is caring for an infant undergoing laser therapy for port-wine stain. Which instruction does the nurse give to the infant's parents?
Avoid any trauma to the lesion such as picking at the scab during the therapy.
How do adolescents establish health identity during psychosocial development?
By evaluating their own health with feelings of well-being
Which solid food can be given to a 6-month-old infant?
Crackers or Zwieback
A nursing instructor is teaching student nurses about the adaptive behaviors exhibited by children at different stages of development. Which statement made by a student nurse indicates that the student nurse needs further teaching?
"A 5-year-old child can brush and comb his or her hair acceptably without help."
Which thought in an individual corresponds to the society maintaining orientation stage?
"I should avoid parties where alcohol is served."
Which finding related to a school-age client's vital signs should the nurse anticipate during the assessment process?
Increased blood pressure
The student nurse is classifying four infants according to their gestational age. Which infant's information requires correction?
Infant 3
According to Erikson's theory, at which stage does a child start to have fantasies and an active imagination?
Initiative versus guilt
Which symptoms of depression, often overlooked in the older adult client, should the nurse include in the assessment process? Select all that apply.
Insomnia General fatigue
Which aspects of the "self" do children assess while forming their self-esteem? Select all that apply.
Moral worth Competence Sense of control Worthiness of love
Which stage of Piaget's theory of growth and development does an infant develops an action pattern to deal with the environment?
Sensorimotor
What are the different stages of cognitive development in an infant as described by Piaget? Select all that apply.
Separation Using symbols Object permanence
Which stage is a part of postconventional reasoning?
Social contract orientation
What gross motor skill is observed in children between 8 and 10 months old?
The child can creep on his or her hands and knees.
Which data collected during the nursing assessment for a 24-month-old client indicates the need for further evaluation for delayed language? Select all that apply.
The child cries and points at an object he wants. The child understands the meaning of as many as 50 words.
During which week of pregnancy does placental development occur?
Third
A nurse is educating the mother of a one-year-old baby about an adequate child's diet plan. Which statement made by the mother indicates the need for further education?
"I should give low-fat or skimmed milk to the child until he or she is two years old."
At what age does a child start to crawl?
9 months
The nurse is performing physical assessments for children in a daycare center. Which children should require a head circumference in order to monitor growth patterns? Select all that apply.
A 6-month-old infant who is breastfed A 15-month-old toddler who has asthma A 3-year-old child whose birthday was the day prior
What is true about the instrumental relativist orientation stage?
An individual recognizes that there is more than one correct point of view.
Which conservation exercises should the nurse include in the assessment process of a child who is 6 years of age? Select all that apply.
Asking the child to compare the mass of two balls Asking the child to compare the length of pencils Asking the child to compare the number of marbles
The nurse is performing an auditory test that is specifically used in toddlers. Which procedure is appropriate when performing the test?
Asking the child to touch a toy every time the sound is heard
Which auditory test is appropriate for infants?
Behavioral audiometry
Which is an inborn error of metabolism that affects growth and development?
Hunter syndrome
The primary healthcare provider instructs the nurse to apply an emollient to an infant. During assessment, the nurse finds that the neonate is a preterm infant and has a body weight of 900 g. Which is the appropriate nursing intervention in this situation?
Monitor for coagulase-negative staphylococcus infection.
Which stage describes the Oedipus complex, according to Freud's theory?
Stage 3
Which type of prehension is exhibited by a 5-month-old infant?
The grasp is palmar.
According to Erikson's theory of psychosocial development, which should the nurse include in the plan of care for a young adult client who is hospitalized?
The importance of having support from the client's significant other.
The nurse assesses the growth and development of a 12-month-old infant and compares the results with the previous assessment findings. Which finding indicates an abnormality in the neonate?
Chest circumference
The nurse is assessing four 2.5-year-old children in a pediatric center. Which child would require further assessment?
Child 3
According to Piaget, which data does the nurse expect for a school-age child during the nursing assessment process? Select all that apply.
Classifying objects Understanding reversibility Describing a process without actually doing it
The nurse is preparing to conduct education during a health maintenance visit for a 7-year-old client. Which information related to stressors should the nurse include in the teaching session? Select all that apply.
Demanding privacy Having a desire to be like an idol Being more selective with playmates
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 operation stage?
During this stage, children are able to perform mental operations.
Which fine motor skill should the nurse expect when assessing the development of an infant between 10 and 12 months of age?
Holds a crayon
A nursing instructor asks a nursing student about Kohlberg's theory. Which stages does a nurse include under the first level of the theory? Select all that apply.
Instrument relativist orientation Punishment and obedience orientation
Which growth and developmental assessments should the nurse include when conducting a health maintenance visit for a 15-month-old toddler? Select all that apply.
Length Weight Head circumference
Which nursing action is appropriate when assessing a pediatric client's arm circumference?
Measuring vertically along the posterior aspect of the upper arm
Which is the priority nursing action to facilitate growth and development when providing care to a pediatric client who is diagnosed with a chronic illness?
Planning activities to promote progression from one stage of development to the next
Which is a common attribute that the nurse assesses in an "easy" child?
Predictable habits
While caring for a breast-feeding client, the nurse instructs the client to begin feeding the infant when the child is quiet and alert. The nurse observes that the infant begins fussing and crying. What behavior does the infant display?
Prefeeding behavior
What developmental skills does a preschooler exhibit? Select all that apply.
Specific reasoning Increased curiosity Magical thinking
What should be included in the assessment of a school health promotional program for adolescents? Select all that apply.
The nurse should perform a school violence assessment. The nurse should identify individuals at risk for drug abuse. The nurse should teach the students about gun safety.
Which growth and developmental assessments should the nurse include when conducting a health maintenance visit for a 15-month-old toddler? Select all that apply.
Weight Head circumference
Which chart should the nurse use to plot an infant's physical growth during a scheduled health maintenance visit?
World Health Organization (WHO)
The nurse is teaching the parents of a 6-year-old child what to expect for the child's physical and motor growth. Which parental statement indicates the need for further education?
"Finger feeding is abnormal and would indicate the need for intervention."
The nurse is learning about the shift in total body fluid that occurs from infancy to adulthood. What percentage of body weight is the weight of extracellular fluid (ECF) in an infant at term?
44%
What should the nurse anticipate, according to Erikson, when assessing a school-age child? Select all that apply.
Being engaged in tasks Wanting to participate in organized activities
The nurse is providing care to a hospitalized infant with poor physical growth who is diagnosed with failure to thrive (FTT) due to inadequate caloric intake. Which nursing actions are appropriate when providing care for this infant? Select all that apply.
Consulting with social work Assessing juice consumption Teaching the parents how to prepare formula
Which of the following are congenital anomalies or birth defects seen in children? Select all that apply.
Dysplasias Disruptions Deformations Malformations
Which should the nurse anticipate, according to Erikson, when assessing a preschool-age child?
Having highly imaginative thoughts
While assessing a neonate who was born at 42 weeks of gestation via vaginal delivery, the nurse finds that the neonate has a birth weight of 9 lb (4.1 kg). The nurse also assesses for Moro reflex and focal swelling or tenderness in the neonate. Why does the nurse perform these interventions?
To evaluate for clavicle fracture
Which activities should the nurse encourage for a preschool-age client diagnosed with a chronic illness in order to enhance socialization? Select all that apply.
Trips to the park Day care experiences Play dates with friends
A mother complains to a nurse that her three-year-old child refuses to go to play school. The child rarely interacts and avoids playing with other children. What statement should the nurse tell the mother?
"Give your child time to get acquainted and warm up to the new environment."
The nurse is conducting a growth and development assessment and must calculate the body mass index (BMI) of a pediatric client. The child's weight is 33 pounds and 4 ounces. The child's height is 37 and 5/8 inches tall. What is the child's BMI? Record your answer to the nearest tenth.
16.5
Which topic should the nurse include when teaching an expectant couple and their existing children about meeting the psychosocial development of the newborn?
Family involvement as a means of nurturing
The nurse teaches a mother about the dietary measures to be followed for her 5-month-old infant. During the follow-up visit, the nurse finds that the child has indigestion. Which action by the mother is responsible for this situation?
Feeding properly mashed sweet potatoes to the child
The nurse is counseling the parents of an adolescent child on the benefits of social development in the child's maturation process. Which statement by the nurse needs correction to convey an appropriate message to the parents?
Feelings of immortality in the child are undesirable and should be condemned.
Which activity should the nurse encourage to enhance a toddler's ability to learn through sensorimotor experiences?
Finger-painting
The nurse is evaluating the teaching effectiveness of a healthy nutrition program given to a group of mothers of toddlers. Which foods selected by the mothers indicate that the teaching was effective? Select all that apply.
Fruit yogurt Fortified cereal Skim milk
The student nurse is learning about the developmental characteristics of vision. Which major developmental characteristics does an infant start exhibiting around age 6 weeks? Select all that apply.
Having binocular vision Having peripheral vision to 180 degree
The nurse is preparing a diet plan for a child whose body mass index (BMI) is 29. Which instruction included in the child's diet plan will be beneficial? Select all that apply.
Provide low-fat milk. Avoid carbonated drinks. Increase the intake of leafy greens.
In which stage of Kohlberg's theory of moral development does the nurse anticipate a client to expand focus from relationships with others to societal concerns?
Stage 4
What gross motor skill is found in children between two to four months of age?
The child can bear weight on forearms when prone.
The parents inform the nurse that their preschooler's teachers often complain about the child's bullying behavior in school. The parents are surprised, because they say the child is well behaved at home. What could be the reason for this inconsistency in the child's behavior?
The child is scared of the parents and displaces anger on others.
Which behavior of a 3-year-old child indicates delayed development? Select all that apply.
The child is unable to feed himself. The child is unable to climb the stairs.
The nurse is assessing an 8-month-old child's gross motor development. Which action by the child indicates late development?
The child is unable to stand by holding onto furniture.
The nurse is examining a child living in foster care who has not had access to vision screening. The nurse suspects that the child is at high-risk of developing amblyopia. Which statement is true?
The child is around 6 years of age and has untreated strabismus.
The nurse is teaching a mother about the developmental behaviors of a 7-month-old infant. Which statement by the mother indicates the need for further teaching?
"I can leave my child with my new friend for some time."
The nurse is teaching a mother about the developmental behaviors of a 7-month-old infant. Which statement by the mother indicates effective learning? Select all that apply.
"I should call my child by name." "I should start oral hygiene in my child." "I should not leave the child with an unfamiliar relative."
What thought is common in an individual during the social contract orientation stage?
"I should work to change a law to better society."
Which parental statement indicates the need for further education related to bicycle safety for the school-age client?
"My child should keep as far from the curb as possible when in the street."
After completing the physical examination of a 6-month-old infant, the nurse compares the infant's height, weight, and head circumference with the previous findings. What does the nurse infer from these findings?
The infant is developing normally.
The nurse observes an infant using his thumb and index finger to hold an object. What does the nurse infer from this?
The infant is showing crude pincer grasp reflex.
During a physical examination, the nurse finds that a 3-year-old child has markedly fewer teeth than expected for that age. Which foods should be included in the child's diet to promote tooth formation? Select all that apply.
Skim milk Kale
A nursing instructor asks a nursing student about the level "conventional reasoning" in Lawrence Kohlberg's theory of moral development. Which statements made by the student indicate the need of further teaching? Select all that apply.
"A child recognizes that there is more than one correct view." "A child's response to a moral dilemma is in terms of absolute obedience to authority and rules." "An individual follows societal law but recognizes the possibility of changing the law to improve society."
A student nurse is learning about the social milestones reached by children at different stages of development. Which statement made by the student nurse demonstrates adequate knowledge on the topic?
"An 8-year-old child begins to get interested in boy-girl relationships."
Which questions regarding gross motor skills should the nurse include when conducting the interview portion of the developmental assessment with the parent of an infant between 10 and 12 months of age? Select all that apply.
"Does your baby stand independently?" "Is your baby able to walk with assistance?" "Does your baby sit from a standing position?"
What birth weight in a neonate indicates that the infant is a very low birth weight (VLBW) infant?
1300 g
The nurse examines a child for the appearance of the neurologic reflex that is a protective response during a fall. The nurse is aware that this reflex appears during the first year of life, and persists indefinitely. What is the likely age of the infant?
7 months
At which age should the nurse assess the school-age client for mastery of the concept of conservation of volume?
9 years
According to Kohlberg's theory of moral development, which statement about conventional reasoning is true?
A person wants to fulfill family expectations.
The student nurse is learning about proportional changes exhibited by children during infancy. Which statement made by the student nurse indicates effective learning? Select all that apply.
Breastfed infants gain less weight than bottle-fed infants. The head circumference of breastfed infants is not inadequate.
Which activities are easier for the school-age client due to changes in proportions from the preschool stage of development? Select all that apply.
Climbing Riding a bike
What considerations should be included in caring for an infant who is failing to thrive (FTT)? Select all that apply
Dietary history Signs of malnutrition Familial stress factors Parent and infant interaction Sustained growth under 5th percentile
Which nursing interventions help the toddler diagnosed with a chronic illness to meet the developmental expectation of autonomy? Select all that apply.
Encouraging self-feeding Allowing independence with dressing
Which stage of development does the nurse anticipate for an adolescent client when using Piaget's theory to assess cognitive development?
Formal operational
The nurse is discussing the neurologic reflexes seen in an infant with the parents. Which reflex will the nurse state as being present indefinitely?
Parachute
Which period of Piaget's theory explains animism in a child?
Period II
Which statement is true regarding the physical development of a preschooler?
Preschoolers grow 6.2 to 7.5 cm per year.
What are the different patterns of physical development and maturation of neuromuscular functions in a child? Select all that apply.
Proximodistal Differentiation Cephalocaudal
The nurse is inspecting the ears of a 1-month-old infant during a routine physical assessment. Which are the appropriate steps for performing an ear inspection in this client? Select all that apply.
Pull the pinna down and back to the 6 to 9 o'clock range Perform auditory tests by placing electrodes on child's head
According to Piaget's cognitive development, what are the different stages of reasoning? Select all that apply.
Sensorimotor Preoperational Formal operational Concrete operational
What of these stages should the nurse include when explaining Piaget's theory of child development to a parent? Select all that apply.
Sensorimotor stage Formal operations stage
At which stage of Kohlberg's theory is the child afraid of punishment?
Stage 1
In which stage of Kohlberg's theory of moral development does the nurse anticipate a client to realize there is more than one right point of view?
Stage 2
The nurse is teaching the mother of 24-month-old child effective ways of cleaning the toddler's teeth. Which actions facilitate access to the child's mouth and help stabilize the child's head for comfort? Select all that apply.
Using one hand to hold the child's chin and the other to brush the teeth Sitting on a couch or bed with the child's head resting in the mother's lap Sitting on the floor or a stool with the child's head resting between her thighs
Which nursing actions are accurate when measuring a head circumference for an infant? Select all that apply.
Using paper tape marked with tenths of a centimeter Placing the tape slightly above the eyebrows and pinna of the ears
Which parental action would require the nurse to provide additional education related to the toddler-age client's achievement of autonomy versus shame and doubt?
Yelling at the child for having a bathroom-related accident in the waiting room
Which method of conservation should the nurse include in the assessment for a 12-year-old client who has mastered all expected methods of conservation up until the current health maintenance visit?
Volume
During follow-up visits, the nurse informs the mother of a 3-month-old infant how to feed the infant expressed milk. Which statements by the mother indicate effective learning? Select all that apply.
"I can express milk by hand or with a breast pump." "I can store expressed milk in the refrigerator for 5 days."
Which statements related to relationships with family should the nurse include in a teaching session for a school-age client and parents? Select all that apply.
"Parents of school-age children must learn to let go of control." "Peer groups are highly influential during this stage of development." "Your child may wish to be more involved with peer activities than family activities." "When a conflict between peers and parents occurs, family values will predominate."
The nurse is conducting a health maintenance visit for a 5-year-old client who will begin kindergarten in the fall. Which teaching statement should the nurse include for this child, who is considered slow to warm up?
"You should encourage your child to try new things allowing for adequate time for adaptation."
The nurse is teaching an adolescent female client about growth changes that will occur during this stage of development. Which statement should the nurse include in the teaching session?
"Your peak rate of growth occurs by 12 years of age."
Which nursing intervention will help the toddler-age client diagnosed with a chronic illness develop autonomy?
Allowing the child to dress independently
After assessing a neonate immediately after birth who was delivered using forceps, the nurse confirms facial paralysis. Which information does the nurse provide to the mother?
Don't panic; it will resolve within a few days.
Which physical growth parameters will the nurse assess during a scheduled health maintenance visit for a 24-month-old toddler age child? Select all that apply.
Length Weight Head circumference
What is the difference between the social contract orientation stage and the universal ethical principle orientation stage?
Social contract orientation involves following laws without question, whereas universal ethical principle orientation involves civil disobedience.
Which stage of Kohlberg's theory of moral development does the nurse anticipate in a client who exhibits absolute obedience to authority and rules?
Stage 1
How is stage 2 of Kohlberg's theory different from stage 1?
Stage 2 is about recognizing another's point of view.
Which information related to school-age play should the nurse include in a teaching session for parents of children in this stage of development? Select all that apply.
Team play Card games Board games Club membership
