Question 1

Which is probably the single most important influence on growth at all stages of development?

Accepted Answer

Nutrition is the single most important influence on growth.Dietary factors regulate growth at all stages of development,and their effects are exerted in numerous and complex ways.Adequate nutrition is closely related to good health throughout life.Heredity,culture,and environment contribute to the child's growth and development.However,good nutrition is essential throughout the life span for optimal health.

Question 2

What should the nurse consider when discussing language development with parents of toddlers?

Accepted Answer

The first parts of speech used are nouns,sometimes verbs (e.g.,"go"),and combination words (e.g.,"bye-bye").Responses are usually structurally incomplete during the toddler period.The preschool child begins to use adjectives and adverbs to qualify nouns followed by adverbs to qualify nouns and verbs.Pronouns are not added until the later preschool years.By the time children enter school,they are able to use simple,structurally complete sentences that average five to seven words.

Question 3

Play serves many purposes.In teaching parents about appropriate activities,the nurse should inform them that play serves which of the following function? (Select all that apply.)

Accepted Answer

A common statement is that play is the work of childhood.Intellectual development is enhanced through the manipulation and exploration of objects.Socialization is encouraged by interpersonal activities and learning of social roles.In addition,creativity is developed through the experimentation characteristic of imaginative play.Physical development depends on many factors; play is not one of them.Temperament refers to behavioral tendencies that are observable from the time of birth.The actual behaviors,but not the child's temperament attributes,may be modified through play.

Question 4

What factors indicate parents should seek genetic counseling for their child? (Select all that apply.)

Accepted Answer

Factors that are indicative parents should seek genetic counseling for their child include an abnormal newborn screen,family history of a hereditary disease,and a metabolic disorder.A history of hypertension or severe colic as an infant is not an indicator of a genetic disease.

Question 5

In which type of play are children engaged in similar or identical activity,without organization,division of labor,or mutual goal?

Accepted Answer

In associative play,no group goal is present.Each child acts according to his or her own wishes.Although the children may be involved in similar activities,no organization,division of labor,leadership assignment,or mutual goal exists.Solitary play describes children playing alone with toys different from those used by other children in the same area.Parallel play describes children playing independently but being among other children.Cooperative play is organized.Children play in a group with other children who play in activities for a common goal.

Question 6

Which following function of play is a major component of play at all ages?

Accepted Answer

Sensorimotor activity is a major component of play at all ages.Active play is essential for muscle development and allows the release of surplus energy.Through sensorimotor play,children explore their physical world by using tactile,auditory,visual,and kinesthetic stimulation.Creativity,socialization,and intellectual development are each functions of play that are major components at different ages.

Question 7

The nurse is recording a normal interpretation of a Denver II assessment.The nurse understands that the maximum number of cautions determined for a normal interpretation is _____.(Record your answer in a whole number.)

Accepted Answer

The answer of The nurse is recording a normal interpretation...

Question 8

Place in order the sequence of cephalocaudal development that the nurse expects to find in the infant.Begin with the first development expected,sequencing to the final.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d).
A) Crawl
B) Sit unsupported
C) Lift head when prone
D) Gain complete head control
E) Walk

Accepted Answer

The answer of Place in order the sequence of cephalocaudal...

Question 9

A nurse is planning play activities for school-age children.Which type of a play activity should the nurse plan?

Accepted Answer

School-age children engage in cooperative play where it is organized and interactive.Playing a game is a good example of cooperative play.Solitary play is appropriate for infants,parallel play is an activity appropriate for toddlers,and associative play is an activity appropriate for preschool-age children.

Question 10

Parents are asking the clinic nurse about an appropriate toy for their toddler.Which response by the nurse is appropriate?

Accepted Answer

Toys should be appropriate for the child's age.A toddler would benefit from a toy he or she could push or pull.The child is too young for a board game,action figure,or 25-piece puzzle.

Question 11

The nurse observes some children in the playroom.Which play situation exhibits the characteristics of parallel play?

Accepted Answer

Playing with trucks next to each other but not together is an example of parallel play.Both children are engaged in similar activities in proximity to each other; however,they are each engaged in their own play.Sharing clay to make things is characteristic of associative play.Friends playing a board game together is characteristic of cooperative play.A child playing with something by herself on her mother's lap is an example of solitary play.

Question 12

A nurse is preparing to administer a Denver II.Which is a correct statement about the Denver II? (Select all that apply.)

Accepted Answer

To identify "cautions," all items intersected by the age line are administered.Toddlers and preschoolers should be tested by presenting the Denver II as a game.Because children are easily distracted,perform each item quickly and present only one toy from the kit at a time.Before beginning the screening,ask whether the child was born preterm and correctly calculate the adjusted age.Up to 24 months of age,allowances are made for preterm infants by subtracting the number of weeks of missed gestation from their present age and testing them at the adjusted age.Explain to the parents and child,if appropriate,that the screenings are not intelligence tests but rather are a method of showing what the child can do at a particular age.

Question 13

A nurse is observing children at play.Which figure depicts associative play?

Accepted Answer

The children depicted in the figure at the carnival ride are demonstrating associative play.They are engaged in similar or identical activities.The child depicted playing alone is demonstrating solitary play.The children playing on the beach depict parallel play.They are playing side by side but are participating in different activities.The children depicted playing a board game are engaging in cooperative play.

Question 14

A nurse observes a toddler playing with sand and water.The nurse appropriately documents this type of play as _____ play.

Accepted Answer

The toddler playing with sand and water is engaging in sense-pleasure play.This is characterized by nonsocial situations in which the child is stimulated by objects in the environment.Infants engage in skill play when they persistently demonstrate and exercise newly acquired abilities.Dramatic play is the predominant form of play in the preschool period.Children pretend and fantasize.Social-affective play is one of the first types of play in which infants engage.The infant responds to interactions with people.

Question 15

A nurse is counseling an adolescent,in her second month of pregnancy,about the risk of teratogens.The adolescent has understood the teaching if she makes which statement?

Accepted Answer

Teratogens are agents that cause birth defects when present in the prenatal period.Avoidance of alcoholic beverages is recommended to prevent fetal alcohol syndrome.Isotretinoin (Accutane)and phenytoin (Dilantin)have been shown to have teratogenic effects and should not be taken during pregnancy.Cytomegalovirus,an infection agent and a teratogen,can be transmitted through cat feces,and cleaning the litter box during pregnancy should be avoided.

Quiz 5: Developmental and Genetic Influences on Child Health Promotion