Question 1

The nurse in a pediatric clinic is performing well-baby checks. The nurse is checking an infant who is 7 months old for developmental milestones. Which finding is of greatest concern to the nurse?

Accepted Answer

At 7 months, an infant should be able to lift their head and chest when lying on their stomach and may even start to sit without support. Remaining flat in a supine position could indicate developmental delays or muscle weakness.

Question 2

The nurse is visiting the home of a new mother and a 2-month-old infant. The nurse notices the infant vigorously sucking on the fist and whining but not crying. The mother validates that the behavior is common. Which information does the nurse need to obtain from the mother?

Accepted Answer

The infant's behavior of vigorously sucking on the fist and whining could indicate hunger. Understanding the feeding schedule (C) helps the nurse assess if the infant is being fed adequately and on a routine that meets the infant's nutritional needs.

Question 3

The pediatric nurse is providing care for a 14-year-old female patient. After the patient's parents leave the hospital, the patient begins to cry. The nurse explores the patient's feelings using therapeutic communication. Which information causes the nurse to report suspected sexual abuse?

Accepted Answer

B

Question 4

The nurse is performing a development assessment on a 3-month-old infant who was 6 weeks premature. The nurse states the infant's development is normal. The parent expresses that the baby seems behind what other babies the same age are doing. Which information does the nurse share to provide reassurance to the parent?

Accepted Answer

The infant's age should be adjusted for prematurity when assessing developmental milestones. This means considering the infant's corrected age (actual age minus the number of weeks born early) when evaluating development, which can provide a more accurate expectation for the infant's current abilities.

Question 5

The nurse works in an elementary school with students ranging from 6 to 11 years of age. The nurse uses knowledge related to Freud's psychosocial theory to identify which behavior in this pediatric population?

Accepted Answer

The answer of The nurse works in an elementary school...

Question 6

The school nurse in a high school setting expresses concern to school administration regarding the increase in student complaints about bullying, physical violence, and rejection. Which concern related to psychosocial development does the nurse share as being most important?

Accepted Answer

Bullying and rejection can significantly impact a student's ability to develop a clear and positive sense of self, which is crucial during adolescence.

Question 7

The nurse in a pediatric clinic is checking the developmental milestones for a 3-year-old patient. Which finding causes the nurse to perform additional assessments?

Accepted Answer

At 3 years old, a child should be able to kick a ball without losing balance. Losing balance may indicate a developmental delay or coordination issue, warranting further assessment.

Question 8

Identify one or more choices that best complete the statement or answer the question.
-The nurse is performing a clinic assessment on a 1-month-old new patient. During the interview, the mother shares personal information. Which comments will cause the nurse concern about growth and development? Select all that apply.

Accepted Answer

B) Expressing a negative attitude towards weight gain during pregnancy could indicate inadequate nutritional intake, which is essential for fetal growth and development. E) Smoking during pregnancy, even if reduced, can lead to low birth weight and other developmental issues in infants.

Question 9

Identify one or more choices that best complete the statement or answer the question.
-Erickson's psychosocial development theory proposes that the school-aged child between ages 6 and 12 years is in the stage of industry vs. inferiority. Based on this theory, how will the pediatric nurse design activities as part of a diversional program for children who are in a long-term medical facility? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 10

The nurse in a pediatric clinic is performing an assessment on an infant in the presence of both parents. The parents are short and moderately overweight. The father states, "We are going to do everything we can to raise a strong, tall, athletic child." How does the nurse respond?

Accepted Answer

The answer of The nurse in a pediatric clinic is...

Question 11

The nurse is counseling parents about management of their children who are 2, 4, and 6 years of age. One of the parents states, "We believe in Kohlberg's theory of social-moral development." The nurse is aware that the preconventional stage of this theory involves which characteristic?

Accepted Answer

Kohlberg's preconventional stage of moral development is characterized by an understanding of right and wrong based on personal consequences, such as punishment, reward, and exchange of favors. Children in this stage think in terms of what is good or bad for them, rather than understanding a broader societal perspective on morality.

Question 12

The nurse is teaching a parenting class being held in a community clinic. The nurse is focusing on behaviors that will assist in increasing the number of children who score well in kindergarten readiness screening. Which comment by a parent indicates the need for additional information?

Accepted Answer

The comment "In our family we watch TV; books are a waste of money." indicates a need for additional information because it undervalues the importance of reading and book exposure in early childhood development, which is crucial for language development and kindergarten readiness.

Question 13

Identify one or more choices that best complete the statement or answer the question.
-A widowed parent of two children informs the nurse of an upcoming marriage to a woman who has three children. The expressed intention is to adopt the three stepchildren. Which definition of family will the nurse apply? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 14

Identify one or more choices that best complete the statement or answer the question.
-The school nurse is asked to assess a student in the third grade who is failing to demonstrate academic success. Using Maslow's hierarchy of needs, the nurse can create a needs list based on which comments by the student? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 15

During a well-baby checkup, the mother of an infant states, "Even if he is occupied with a toy, he cries as soon as he notices I have left the room." Which explanation by the nurse is best?

Accepted Answer

Infants lack object permanence, meaning they do not understand that objects or people continue to exist even when they are out of sight.

Question 16

Identify one or more choices that best complete the statement or answer the question.
-The nurses on a pediatric unit are concerned about developmental delays in patients who are hospitalized frequently and for extended periods of time. Which interventions do the nurses initiate to alleviate the concerns? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 17

Identify one or more choices that best complete the statement or answer the question.
-The nurse is gathering information during a routine checkup for a preschool-age child who lives with grandparents. The grandmother expresses distress about "how loud and busy" the child is, and "how expensive it is to feed and clothe" the child. Which referrals does the nurse make to the grandmother? Select all that apply.

Accepted Answer

The nurse should refer the grandmother to community programs for the child to help with play and learning, social services to determine benefits for the child's care, and caretaker programs/support groups for grandparents acting as parents. These resources can help address her concerns about the child's behavior and the financial burden.

Question 18

The nurse in a pediatric clinic is counseling a parent who expresses concern about a toddler who plays alone at daycare and does not interact with the other children who are present. Which information does the nurse provide to alleviate the parent's concern?

Accepted Answer

Parallel play is typical for toddlers, where they play alongside but not directly with other children, and it is a normal part of development at this age.

Question 19

The pediatric home-care nurse is visiting a toddler born with a genetically related illness. Which comment by the parent is the greatest cause for the nurse to assess for additional information?

Accepted Answer

The comment about having more difficulty keeping the toddler confined suggests potential developmental or behavioral issues that could be related to the illness or its management, indicating a need for further assessment.

Question 20

A mother of a 9-month-old infant asks the nurse about what toys are age appropriate. Using Piaget's theory of development, which toy does the nurse recommend?

Accepted Answer

At 9 months, infants are in the sensorimotor stage of Piaget's theory, where they learn through sensory experiences and manipulating objects. Musical rattles provide auditory stimulation and can be easily grasped, making them appropriate for this age.

Quiz 6: Growth and Development of the Child

The nurse in a pediatric clinic is performing well-baby checks. The nurse is checking an infant who is 7 months old for developmental milestones. Which finding is of greatest concern to the nurse?

The nurse is visiting the home of a new mother and a 2-month-old infant. The nurse notices the infant vigorously sucking on the fist and whining but not crying. The mother validates that the behavior is common. Which information does the nurse need to obtain from the mother?

The pediatric nurse is providing care for a 14-year-old female patient. After the patient's parents leave the hospital, the patient begins to cry. The nurse explores the patient's feelings using therapeutic communication. Which information causes the nurse to report suspected sexual abuse?

The nurse works in an elementary school with students ranging from 6 to 11 years of age. The nurse uses knowledge related to Freud's psychosocial theory to identify which behavior in this pediatric population?

The school nurse in a high school setting expresses concern to school administration regarding the increase in student complaints about bullying, physical violence, and rejection. Which concern related to psychosocial development does the nurse share as being most important?

The nurse in a pediatric clinic is checking the developmental milestones for a 3-year-old patient. Which finding causes the nurse to perform additional assessments?

The nurse in a pediatric clinic is performing an assessment on an infant in the presence of both parents. The parents are short and moderately overweight. The father states, "We are going to do everything we can to raise a strong, tall, athletic child." How does the nurse respond?

The nurse is counseling parents about management of their children who are 2, 4, and 6 years of age. One of the parents states, "We believe in Kohlberg's theory of social-moral development." The nurse is aware that the preconventional stage of this theory involves which characteristic?

The nurse is teaching a parenting class being held in a community clinic. The nurse is focusing on behaviors that will assist in increasing the number of children who score well in kindergarten readiness screening. Which comment by a parent indicates the need for additional information?

During a well-baby checkup, the mother of an infant states, "Even if he is occupied with a toy, he cries as soon as he notices I have left the room." Which explanation by the nurse is best?

The nurse in a pediatric clinic is counseling a parent who expresses concern about a toddler who plays alone at daycare and does not interact with the other children who are present. Which information does the nurse provide to alleviate the parent's concern?

The pediatric home-care nurse is visiting a toddler born with a genetically related illness. Which comment by the parent is the greatest cause for the nurse to assess for additional information?

A mother of a 9-month-old infant asks the nurse about what toys are age appropriate. Using Piaget's theory of development, which toy does the nurse recommend?