Deck 5: Health Promotion for the Developing Child

Question 1

A nurse is teaching parents to avoid environmental injury to their 2-year-old child.What information does the nurse include in teaching?

A) Avoiding sun exposure, secondhand smoke, and lead
B) Living in a middle-class neighborhood
C) Avoiding smoking and alcohol intake during pregnancy
D) Limiting breastfeeding to avoid toxins being passed through breast milk

Answer 1

Avoiding sun exposure, secondhand smoke, and lead

Question 2

Which immunizations should be used with caution in children with an allergy to eggs?

A) HepB
B) DTaP
C) Hib
D) MMR

Answer 2

MMR

Question 3

The nurse preparing to administer the Denver Developmental Screening Test II (DDST-II)should understand that it assesses which functional areas? (Select all that apply.)

A) Personal-functional
B) Fine motor
C) Intelligence
D) Language
E) Gross motor

Answer 3

Personal-functional
Fine motor
Language
Gross motor

Question 4

A nurse is assessing a 1-year-old's food intake over the past 3 days.What information from the parent leads the nurse to provide education on nutrition?

A) Child drinks 2 cups of 1% milk each day.
B) Child loves to snack on fruit throughout the day.
C) Child gets one 4-ounce cup of juice with breakfast.
D) Parent allows child to regulate own portions at meals.

Question 5

A nurse is planning to teach about injury prevention to a group of parents.What action by the nurse would best ensure a successful event?

A) Have handouts listing community resources.
B) Provide free safety gear like bike helmets.
C) Group parents by child's developmental stage.
D) Present the material in an interactive way.

Question 6

A student nurse is preparing to administer an Hib vaccination to an infant.What action by the student requires the registered nurse to intervene?

A) Gives the vaccine information statement prior to administering the vaccine
B) Wipes the dorsal gluteal area with alcohol prior to injection
C) Obtains written informed consent before giving the vaccine
D) Assesses the family's beliefs and values about vaccinations

Question 7

A preschool aged child is in the clinic for a well-child checkup.Which statement identifies an appropriate level of language development in this child? (Select all that apply.)

A) Vocabulary of 300 words
B) Relates elaborate tales
C) Uses correct grammar in sentences
D) Able to pronounce consonants clearly
E) Expresses abstract thought

Question 8

A nurse wants to assess a chronically ill child's feelings regarding a lengthy hospitalization and treatments.What action by the nurse is best?

A) Ask direct questions of the child as to feelings.
B) Watch the child play on several occasions.
C) Discuss the situation with the parents.
D) Refer the child to the child life specialist for assessment.

Question 9

The nurse is assessing an infant's growth and development.The parents want education on how to stimulate this process.What action suggested by the nurse is inconsistent with knowledge of this topic?

A) Have the family draw a three-generation family pedigree.
B) Show the family how to coo and babble with their child.
C) Encourage the parents to buy interactive toys for the child.
D) Involve the child in activities that are outside the home.

Question 10

A nurse uses Erikson's theory to guide nursing practice.What action by a hospitalized 4-year-old child would the nurse evaluate as developmentally appropriate?

A) Dressed and fed by the parents
B) Independently ask for play materials or other personal needs
C) Verbalizes an understanding of the reason for the hospitalization
D) Asks for a parent stay in the room at all times

Question 11

The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is

A) Erikson.
B) Freud.
C) Kohlberg.
D) Piaget.

Question 12

A nurse wants to work to increase the number of immunized children.What action by the nurse would best meet this goal?

A) Present a workshop to the local home-schooling parent support group.
B) Volunteer for a mass "back to school" immunization clinic.
C) Prepare welcome and information packets to college freshmen.
D) Work with the health department to bring immunizations to day cares.

Question 13

The parents of a preschool-aged child are in the clinic and report the child is seen playing with the genitals frequently.What response by the nurse is best?

A) Reassure parents this is normal at this age.
B) Teach parents about behavior modification.
C) Refer parents and child to a psychologist.
D) Ask the provider to speak to the parents.

Question 14

Which statement best describes development in infants and children?

A) Development, a predictable and orderly process, occurs at varying rates within normal limits.
B) Development is primarily related to the growth in the number and size of cells.
C) Development occurs in a proximodistal direction with fine muscle development occurring first.
D) Development is more easily and accurately measured than growth.

Question 15

Frequent developmental assessments are important for which reason?

A) Stable developmental periods during infancy provide an opportunity to identify any delays or deficits.
B) Infants need stimulation specific to the stage of development.
C) Critical periods of development occur during childhood.
D) Child development is unpredictable and needs monitoring.

Question 16

Which child is most likely to be frightened by hospitalization?

A) A 4-month-old infant admitted with a diagnosis of bronchiolitis
B) A 2-year-old toddler admitted for cystic fibrosis
C) A 9-year-old child hospitalized with a fractured femur
D) A 15-year-old adolescent admitted for abdominal pain

Question 17

A 2-month-old child has not had any immunizations.Which ones should the nurse prepare to give? (Select all that apply.)

A) Hib
B) HepB
C) MCV
D) Varicella
E) HPV

Question 18

According to Piaget's theory,the period of cognitive development in which the child is able to distinguish between concepts related to fact and fantasy,such as human beings are incapable of flying like birds,is the __________ period of cognitive development.

A) sensorimotor
B) formal operations
C) concrete operations
D) preoperational

Question 19

When counseling parents and children about the importance of increased physical activity,the nurse will emphasize which of the following?

A) Anaerobic exercise should comprise a major component of the child's daily exercise.
B) All children should be physically active for at least 2 hours per day.
C) It is not necessary to participate in physical education classes at school if a student is taking part in other activities.
D) Make exercise a fun and habitual activity.

Question 20

An immunocompromised child is in the clinic for immunizations.Which vaccine prescriptions should the nurse question? (Select all that apply.)

A) DTaP
B) HepA
C) IPV
D) Varicella
E) MMR